ST CATHERINE HOSPITAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ST CATHERINE HOSPITAL INC (EIN 35-1738708)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-12
- IRS object ID
- 201631339349303538
- Schema version
- 2014v6.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-12T13:27:41-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4000 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351738708 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST CATHERINE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARY ANN SHACKLETT | InCareOfNm |
| Business Name Control | STCA | BusinessNameControlTxt |
| Phone | 2193921700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 FIR STREET | AddressLine1Txt |
| City | EAST CHICAGO | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46312 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY ANN SHACKLETT | PersonNm |
| Person Title | SR VP FINANCE & CFO | PersonTitleTxt |
| Signature | 2016-05-12 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BEN PITCHKITES | PreparerPersonNm |
| PTIN | P00362066 | PTIN |
| Phone | 3176817000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARY ANN SHACKLETT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10010 DONALD S POWERS DR 201 | AddressLine1Txt |
| City | MUNSTER | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46321 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $165,928,526 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.comhs.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1928 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | St. Catherine Hospital, Inc. is committed to providing the highest quality care in the most cost-efficient manner, respecting the dignity of the individual. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1147 | TotalEmployeeCnt |
| Total Volunteers | 47 | TotalVolunteersCnt |
| Total Gross UBI | $1,501,060 | TotalGrossUBIAmt |
| PY Contributions Grants | $325,552 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,448,326 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $150,689,886 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $157,449,980 | CYProgramServiceRevenueAmt |
| PY Investment Income | $132,860 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,338,146 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,424,437 | PYOtherRevenueAmt |
| CY Other Revenue | $5,344,962 | CYOtherRevenueAmt |
| PY Total Revenue | $157,572,735 | PYTotalRevenueAmt |
| CY Total Revenue | $165,581,414 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $23,522 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $24,752 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,178,339 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $66,681,775 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $98,229,773 | PYOtherExpensesAmt |
| CY Other Expenses | $100,970,875 | CYOtherExpensesAmt |
| PY Total Expenses | $162,431,634 | PYTotalExpensesAmt |
| CY Total Expenses | $167,677,402 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,858,899 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,095,988 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $67,256,399 | TotalAssetsBOYAmt |
| Total Assets EOY | $75,121,145 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $38,698,028 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,782,248 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $28,558,371 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $55,338,897 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ST. CATHERINE HOSPITAL, INC. IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE IN THE MOST COST-EFFICIENT MANNER, RESPECTING THE DIGNITY OF THE INDIVIDUAL, PROVIDING FOR THE WELL-BEING OF THE COMMUNITY AND SERVING THE NEEDS OF ALL PEOPLE, INCLUDING THE POOR AND DISADVANTAGED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $153,871,953 | ExpenseAmt |
| Grant | $24,752 | GrantAmt |
| Revenue | $161,341,526 | RevenueAmt |
| Desc | St. Catherine Hospital, Inc. is a 189 bed acute care hospital that offers a broad range of services to care for its patients without regard to their ability to pay. St. Catherine Hospital, Inc. provides leading-edge care to patients in northwest Indiana. Through its dedication to quality and innovation, St. Catherine Hospital, Inc. has earned a multitude of accreditations, awards, and certifications in its pursuit of improving the health of its patients and community. | Desc |
| Total Program Service Expenses | $153,871,953 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 140 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1147 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY ANN SHACKLETT | PersonNm |
| Phone | 2199348250 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10010 DONALD S POWERS DR 201 | AddressLine1Txt |
| City | MUNSTER | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46321 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| LORENZO ARREDONDO | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN ARTIS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MARIA LUZ CORONA MAGISTRATE | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RITA JACQUE GILLIS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| R LOUIE GONZALEZ | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JUDITH GRESKO | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS P KEILMAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SR CAROLE LANGHAUSER PHJC | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAIME RUIZ-MONTERO MD | |||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $0 | $392,579 | $38,624 | |||
| GEORGE RYAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH SEMANCIK MONSIGNOR | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $24,300 | $0 | |||
| WASSIM SHWAIKI MD | |||||||||
| DIRECTOR | 1.0 | 16.0 | Yes (X) | $68,590 | $14,112 | $0 | |||
| MARISELA VARELA MD | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD WILLIAMS PHD | |||||||||
| DIRECTOR | 1.0 | 2.0 | Yes (X) | $0 | $32,615 | $0 | |||
| JOSEPH COSTANZA | |||||||||
| PRESIDENT | 1.0 | 2.0 | Yes (X) | $0 | $21,000 | $0 | Yes (X) | ||
| PEGGY GERARD RN DNSC | |||||||||
| VICE PRESIDENT | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| HENRY HADIDIAN MD | |||||||||
| SECRETARY | 1.0 | 9.0 | Yes (X) | $63,575 | $10,500 | $0 | Yes (X) | ||
| JOHN CABAN | |||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOANN BIRDZELL | |||||||||
| ADMINISTRATOR | 40.0 | 1.0 | Yes (X) | $526,367 | $0 | $52,811 | Yes (X) | ||
| MARY ANN SHACKLETT | |||||||||
| SR VP FINANCE & SYSTEM CFO | 1.0 | 47.0 | $0 | $707,309 | $59,253 | Yes (X) | |||
| CRAIG BOLDA | |||||||||
| VP & COO | 30.0 | 10.0 | $0 | $265,018 | $65,697 | Yes (X) | |||
| PAULA SWENSON | |||||||||
| VP & CNO | 40.0 | 0.0 | $276,211 | $0 | $18,625 | Yes (X) | |||
| ARTHUR VASQUEZ | |||||||||
| CFO | 40.0 | 0.0 | $65,372 | $76,525 | $23,230 | Yes (X) | |||
| DANIEL SAAH MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $471,924 | $0 | $35,541 | Yes (X) | |||
| ASIM MOHIUDDIN MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $466,060 | $0 | $35,541 | Yes (X) | |||
| SUBHASH JOSHI MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $377,404 | $0 | $32,535 | Yes (X) | |||
| MOHAMED TURKMANI MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $315,143 | $0 | $54,115 | Yes (X) | |||
| PAUL HERTZ MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $274,222 | $0 | $9,378 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,904,868 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,543,958 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $425,350 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 78 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| REHAB CARE GROUP INC | |||||
| PO BOX 502096 | ST LOUIS | MO | 63150 | REHAB CARE SERVICES | $2,209,357 |
| COOPERATIVE MANAGED CARE SERVICES | |||||
| 9045 RIVER ROAD SUITE 250 | INDIANAPOLIS | IN | 46240 | CLAIMS PROCESSING | $1,235,965 |
| EMCOR HYRE ELECTRIC COMPANY | |||||
| 2655 GARFIELD AVENUE | HIGHLAND | IN | 46322 | CONSTRUCTION | $1,148,339 |
| SECURITAS SECURITY SERVICES USA | |||||
| 100 WEST 78TH AVENUE | MERRILLVILLE | IN | 46410 | SECURITY | $1,014,070 |
| GARIUP CONSTRUCTION COMPANY | |||||
| 3965 HARRISON STREET | GARY | IN | 46408 | CONSTRUCTION | $834,258 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,333,247 | GovernmentGrantsAmt |
| All Other Contributions | $115,079 | AllOtherContributionsAmt |
| Total Contributions | $1,448,326 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $128,714,818 | $128,714,818 | |
| CAPITATION REVENUE | 621491 | $27,601,519 | $27,601,519 | |
| MEDICAL LABORATORY | 621511 | $714,588 | $714,588 | |
| INTERCOMPANY RENT REVENUE | 531120 | $419,055 | $419,055 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $157,449,980 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,896 | TotalRevenueColumnAmt |
| Exclusion | $93,896 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $797,437 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $347,112 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $450,325 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $450,325 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $450,325 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,244,250 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,244,250 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,244,250 | TotalRevenueColumnAmt |
| Exclusion | $1,244,250 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| OCC HEALTH OFFSITE STAFFING | 621340 | $2,424,282 | $2,424,282 | ||
| PHARMACY | 446110 | $1,401,877 | $615,405 | $786,472 | |
| CAFETERIA | 722514 | $662,120 | $662,120 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $406,358 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $401,534 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,824 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,894,637 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $165,581,414 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $160,626,938 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,501,060 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,005,090 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,752 | TotalAmt |
| Program Services | $24,752 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,116,798 | TotalAmt |
| Management And General | $1,116,798 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,225,882 | TotalAmt |
| Program Services | $47,773,896 | ProgramServicesAmt |
| Management And General | $4,451,986 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,611,367 | TotalAmt |
| Program Services | $2,355,913 | ProgramServicesAmt |
| Management And General | $255,454 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,875,149 | TotalAmt |
| Program Services | $5,972,927 | ProgramServicesAmt |
| Management And General | $902,222 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,852,579 | TotalAmt |
| Program Services | $3,475,705 | ProgramServicesAmt |
| Management And General | $376,874 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,554 | TotalAmt |
| Management And General | $195,554 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,138 | TotalAmt |
| Management And General | $15,138 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,277,925 | TotalAmt |
| Program Services | $12,376,017 | ProgramServicesAmt |
| Management And General | $1,901,908 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,916 | TotalAmt |
| Program Services | $439,277 | ProgramServicesAmt |
| Management And General | $32,639 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,663,586 | TotalAmt |
| Program Services | $1,061,419 | ProgramServicesAmt |
| Management And General | $602,167 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,329 | TotalAmt |
| Program Services | $99,622 | ProgramServicesAmt |
| Management And General | $6,707 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,857,884 | TotalAmt |
| Program Services | $1,797,709 | ProgramServicesAmt |
| Management And General | $60,175 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,652 | TotalAmt |
| Program Services | $91,141 | ProgramServicesAmt |
| Management And General | $24,511 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,154 | TotalAmt |
| Program Services | $36,949 | ProgramServicesAmt |
| Management And General | $3,205 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,940 | TotalAmt |
| Program Services | $1,940 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,284,482 | TotalAmt |
| Program Services | $4,767,533 | ProgramServicesAmt |
| Management And General | $516,949 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,075,001 | TotalAmt |
| Program Services | $969,840 | ProgramServicesAmt |
| Management And General | $105,161 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CAPITATION EXPENSE | $24,129,062 | $24,129,062 | |
| CORPORATE ALLOCATION | $18,696,883 | $16,867,882 | $1,829,001 |
| MEDICAL SUPPLIES | $17,866,809 | $17,866,809 | |
| PHYSICIAN ALLOCATION | $6,273,439 | $5,659,747 | $613,692 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,899,121 | TotalAmt |
| Program Services | $8,103,813 | ProgramServicesAmt |
| Management And General | $795,308 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,677,402 | TotalAmt |
| Program Services | $153,871,953 | ProgramServicesAmt |
| Management And General | $13,805,449 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,993,418 | BOYAmt |
| EOY | $2,749,029 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,136,959 | BOYAmt |
| EOY | $15,654,278 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,082,392 | BOYAmt |
| EOY | $5,800,116 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $708,903 | BOYAmt |
| EOY | $722,338 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $81,175,212 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $50,685,305 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,294,767 | BOYAmt |
| EOY | $30,489,907 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,355 | BOYAmt |
| EOY | $184,237 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,860,605 | BOYAmt |
| EOY | $19,521,240 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,256,399 | BOYAmt |
| EOY | $75,121,145 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,375,058 | BOYAmt |
| EOY | $17,021,706 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,031 | BOYAmt |
| EOY | $168,410 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,198,939 | BOYAmt |
| EOY | $2,592,132 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,698,028 | BOYAmt |
| EOY | $19,782,248 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,180,967 | BOYAmt |
| EOY | $54,954,593 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $377,404 | BOYAmt |
| EOY | $384,304 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,558,371 | BOYAmt |
| EOY | $55,338,897 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,256,399 | BOYAmt |
| EOY | $75,121,145 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,095,988 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $28,876,514 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,316 | OtherCostOrOtherBasisAmt |
| Book Value | $5,316 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,216,128 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,539,604 | DepreciationAmt |
| Book Value | $16,676,524 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $447,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $221,340 | DepreciationAmt |
| Book Value | $226,504 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,276,646 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,136,703 | DepreciationAmt |
| Book Value | $11,139,944 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,229,276 | OtherCostOrOtherBasisAmt |
| Depreciation | $787,658 | DepreciationAmt |
| Book Value | $2,441,619 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,489,907 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| 3RD PARTY RECEIVABLES | $12,592,887 |
| MISCELLANEOUS RECEIVABLES | $3,674,654 |
| LT LEGAL CLAIMS RECEIVABLE | $1,175,886 |
| MDWISE RECEIVABLE | $739,277 |
| US STEEL RCVBL - OCC HEALTH | $618,179 |
| HAF MANAGED CARE ENTITIES | $365,000 |
| ST LEGAL CLAIMS RECEIVABLE | $355,357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $19,521,240 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| LT LEGAL CLAIMS LIABILITY | $1,515,883 |
| ASSET RETIREMENT OBLIGATION | $556,461 |
| MISCELLANEOUS LIABILITIES | $316,514 |
| 3RD PARTY SETTLEMENTS | $185,192 |
| CONSTRUCTION RETAINAGE | $17,600 |
| DUE TO AFFILIATES | $482 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,592,132 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3574 | PersonsServedCnt |
| Total Community Benefit Expns | $4,568,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $135,150 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,433,170 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 35051 | PersonsServedCnt |
| Total Community Benefit Expns | $37,771,276 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,202,863 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,568,413 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 38625 | PersonsServedCnt |
| Total Community Benefit Expns | $42,339,596 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,338,013 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,001,583 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03580 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 196 | ActivitiesOrProgramsCnt |
| Persons Served | 6853 | PersonsServedCnt |
| Total Community Benefit Expns | $685,273 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,165 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $637,108 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 248 | PersonsServedCnt |
| Total Community Benefit Expns | $268,809 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $268,809 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 376 | PersonsServedCnt |
| Total Community Benefit Expns | $7,740,963 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,437,820 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,303,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $24,752 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,752 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 227 | ActivitiesOrProgramsCnt |
| Persons Served | 7477 | PersonsServedCnt |
| Total Community Benefit Expns | $8,719,797 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,485,985 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,233,812 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 227 | ActivitiesOrProgramsCnt |
| Persons Served | 46102 | PersonsServedCnt |
| Total Community Benefit Expns | $51,059,393 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,823,998 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,235,395 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04910 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 1260 | PersonsServedCnt |
| Total Community Benefit Expns | $16,982 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 34 | ActivitiesOrProgramsCnt |
| Persons Served | 2519 | PersonsServedCnt |
| Total Community Benefit Expns | $27,885 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $340 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 42 | ActivitiesOrProgramsCnt |
| Persons Served | 3779 | PersonsServedCnt |
| Total Community Benefit Expns | $44,867 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $340 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,527 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,784,114 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $27,841 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $52,202,620 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $60,522,922 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,320,302 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST CATHERINE HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 FIR STREET | AddressLine1Txt |
| City | EAST CHICAGO | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46312 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | COMHS.ORG/STCATHERINE | WebsiteAddressTxt |
| State License | 14-005008-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST CATHERINE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.comhs.org/stcatherine | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://chsstcatherine.healthforecast.net | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.comhs.org/stcatherine | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | comhs.org/stcatherine/charity-car | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | comhs.org/stcatherine/charity-care | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | comhs.org/stcatherine/charit | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B, Line 5 - Community stakeholders | Focus groups held as part of this CHNA incorporated input from 44 key informants (or community stakeholders) in the area with special emphasis on persons who work with or have special knowledge about vulnerable populations in the four counties, including low income individuals, minority populations, those with chronic conditions, and other medically underserved residents. The five groups consisted of Doctors, Other Health Providers, Social Service Providers, Business Leaders, and Other Community Leaders. The complete list can be found on pages 103 and 104 of our CHNA. |
| Part V, Section B, Line 6a - Hospital facilities CHNA was conducted with | Community Healthcare System: Community Hospital St. Mary Medical Center, Inc. Franciscan Alliance: St. Anthony Health St. Margaret Health - Hammond St. Margaret Health - Dyer The Methodist Hospitals, Inc.: Northlake campus Southlake campus |
| Part V, Section B, Line 11 - CHNA significant needs identified | Our hospitals chose four priority areas: Diabetes, Heart Disease & Stroke, Nutritional & Weight Status and Maternal, Infant & Child Health. All of these areas have a common link to modifiable lifestyle risk factors, education and access to medical services. Key issues of concerns among our community informant included access to healthcare services, health education and prevention, obesity and substance abuse, and as such align with the focus areas chosen. In targeting these four areas for health improvement, the hospitals will seek to: " Align and re-align resources to focus on these health issues " Develop partnerships and collaborations for outreach screening and education initiatives as well as to target at-risk populations " Expand best practice efforts through the primary care setting, in particular, our employed physicians group " Seek additional opportunities to achieve our goals " Leverage our resources to provide services by partnering with other community groups and seeking grant funding The Community Health Needs assessment conducted by the hospitals of the Community Healthcare System identified areas of concern not identified in the hospital's implementation plan. These areas include: " Access to Health Services " Cancer " Chronic Kidney Disease " Family Planning " Injury & Violence Prevention " Oral Health Many of these areas are being addressed by the hospitals of the Community Healthcare System as well as by other community organizations. For example, Community Healthcare System supports a large cancer program with a separate research foundation focused on improving access to clinical trials for area residents as well as providing free support and mind-body services through its Cancer Resource Centre. All hospitals provide routine low-cost and free screening programs for a variety of cancers. As the hospital focuses on lifestyle, education, prevention and access to care issues surrounding its four focused areas, positive outcomes will likely have positive effects on the health needs not addressed. To have the greatest impact, however, the hospital has chosen to focus on three of the most serious diseases and the related lifestyle issues facing our community as well as investing in the health of the most vulnerable residents - our newborns. |
| Part V, Section B, Line 22d - FAP Eligibility | OUR MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE BASED ON A SLIDING SCALE. UP TO 200% OF FEDERAL POVERTY GUIDELINES (FPG) IS 100% FREE CARE. 201%-300% IS CHARGED BASED ON MEDICARE RATES. OVER 300% IS CHARGED BASED ON AVERAGE OF MEDICARE AND LOWEST MANAGED CARE RATES COMBINED. PATIENTS MAY ALSO BE ELIGIBLE FOR SELF-PAY/PROMPT PAY DISCOUNTS REGARDLESS OF FEDERAL POVERTY LEVEL. WE OFFER 30% DISCOUNT TO TRUE SELF-PAY ACCOUNTS AND AN ADDITIONAL 10% DISCOUNT FOR PROMPT PAYMENT. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| HOME HEALTH OF ST CATHERINE HOSPITAL | ||||
| 4321 FIR STREET | EAST CHICAGO | IN | 46312 | HOME HEALTH |
| OCCUPATIONAL HEALTH | ||||
| 4320 FIR STREET SUITE 313 | EAST CHICAGO | IN | 46312 | OUTPATIENT CENTER |
| HESSVILLE FAMILY CARE CENTER | ||||
| 3432 169TH STREET | HAMMOND | IN | 46323 | OUTPATIENT CENTER |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c - Factors other than FPG used to determine FAP eligibility | N/A - FPG is the only factor used |
| PART I, LINE 6A - Was a Community Benefit report prepared: | THE STATE OF INDIANA ACCEPTS FORM 990 SCHEDULE H IN LIEU OF A COMMUNITY BENEFIT REPORT. St. Catherine Hospital, Inc. makes its 990 available to the public. |
| PART I, LINE 7 - Financial assistance & other community benefits at cost: | COST ACCOUNTING SYSTEM WAS USED FOR COMPUTATIONS. BAD DEBT IS EXCLUDED FROM THE CALCULATION. MEDICAID DIRECT OFFSETTING REVENUE INCLUDES THE INCREASED HAF REIMBURSEMENT AND DSH. THE EXPENSE INCLUDES THE HAF FEE. |
| PART II - COMMUNITY BUILDING ACTIVITIES: | Coalition building (line 6) - This category is to include "participation in community coalitions and other collaborative efforts with the community to address health and safety issues." Here we have included costs for programs presented mainly at area schools which were designed to provide education in the areas of health, safety and crime prevention. Community health improvement advocacy (line 7) - This category is to include "efforts to support policies and programs to safeguard or improve public health access to health care services." The primary activities of the hospital in this category have been the sponsorship of a number of community health fairs. |
| PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT AT COST: | THE COST TO CHARGE RATIO PER THE S-10 WORKSHEET OF THE MEDICARE COST REPORT IS USED TO ESTIMATE BAD DEBT AT COST. |
| PART III, LINE 3 - BAD DEBT EXPENSE ATTRIBUTABLE TO FAP ELIGIBLE PATIENTS: | WE ESTIMATE 1% OF THE BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. |
| PART III, LINE 4 - BAD DEBT EXPENSE FOOTNOTE FROM AUDIT: | Patient service revenue, net of contractual allowances and discounts, is reduced by the provision for bad debts, and net accounts receivable are reduced by an allowance for uncollectible accounts. The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration the trends in health care coverage, economic trends, and other collection indicators. Management regularly assesses the adequacy of the allowances based upon historical write-off experience by major payor category and aging bucket. The results of the review are then utilized to make modifications, as necessary, to the provision for bad debts to provide for an appropriate allowance for bad debts. A significant portion of the hospitals' uninsured patients will be unable or unwilling to pay for services provided, and a significant portion of the hospitals' insured patients will be unable or unwilling to pay for co-payments and deductibles. Thus, the hospitals record a significant provision for bad debts related to uninsured patients in the period the services are provided. After all reasonable collection efforts have been exhausted in accordance with CFNI's policy, accounts receivable are written off and charged against the allowance for bad debts. |
| PART III, LINE 8 - Why Medicare shortfall should be community benefit: | WE PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICE PROVIDED OR THE REIMBUSEMENT RECEIVED FROM MEDICARE, QUALIFYING THE SHORTFALL AS A COMMUNITY BENEFIT. THE medicare allowable costs of care were CALCULATED BY USING INFORMATION FROM THE COST ACCOUNTING SYSTEM. |
| PART III, LINE 9B - COLLECTION PRACTICES FOR QUALIFYING FA PATIENTS: | COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE COLLECTION PROCEDURES BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW. |
| 2. NEEDS ASSESSMENT | IN COLLABORATION WITH COMMUNITY HEALTHCARE SYSTEM, FRANCISCAN ALLIANCE, AND THE METHODIST HOSPITALS, inc., ST. CATHERINE HOSPITAL, INC., CONTRACTED WITH A THIRD PARTY TO PERFORM OUR COMMUNITY HEALTH NEEDS ASSESSMENT AS PER REGULATION 501(R). The most recent CHNA was conducted in 2013 and is available ON the following websites: HTTP://WWW.COMHS.ORG/STCATHERINE HTTP://WWW.CHSSTCATHERINE.HEALTHFORECAST.NET |
| 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PATIENTS WHO ARE ADMITTED WITHOUT INSURANCE ARE DIRECTED TO THE HOSPITAL'S FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS PERFORM AN INTERVIEW WITH THE PATIENTS TO EXPLAIN TO THEM THE PROCESS NECESSARY TO RECEIVE FINANCIAL ASSISTANCE. THIS PROCESS INCLUDES APPLYING FOR MEDICAID OR OTHER GOVERNMENT AID. THE APPLICANT THEN MUST FILL OUT A FINANCIAL INFORMATION WORKSHEET AND SUBMIT VARIOUS INFORMATION TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. THE POLICY IS POSTED IN THE EMERGENCY ROOM AREA AS WELL AS AT EACH INPATIENT WAITING DESK. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. |
| 4. COMMUNITY INFORMATION | LOCATED IN EAST CHICAGO, INDIANA, THE COMMUNITY SERVED INCLUDES NORTHWEST INDIANA. LATEST U.S. CENSUS BUREAU DEMOGRAPHIC INFORMATION COMPARING EAST CHICAGO TO THE STATE OF INDIANA: East Chicago Indiana Persons under 18 years, percent, 2010 31.4% 24.8% Persons 65 years and over, percent, 2010 11.3% 13.0% White alone, percent, 2010 (a) 35.5% 84.3% Black or African American alone, percent, 2010 (a) 42.9% 9.1% Hispanic or Latino, percent, 2010 (b) 50.9% 6.0% White alone, not Hispanic or Latino, percent, 2010 7.2% 81.5% High school graduate or higher, age 25+, 2010-2014 71.8% 87.6% Bachelor's degree or higher, age 25+, 2010-2014 7.5% 23.6% Median household income, 2010-2014 $27,215 $48,737 Persons in poverty, percent, 2010-2014 35.5% 15.2% (a) Includes persons reporting only one race. (b) Hispanics may be of any race, so also are included in applicable race categories |
| 5. PROMOTION OF COMMUNITY HEALTH | St. Catherine Hospital is a not-for-profit hospital operating as part of the Community Healthcare System, which includes Community Hospital in Munster, Indiana and St. Mary Medical Center in Hobart, Indiana. Community Healthcare System is the leading medical provider in Northwest Indiana, operating three not-for-profit hospitals, several outpatient clinics and physician practices, a fitness facility, The Center for Visual and Performing Arts, a Cancer Resource Centre and Cancer Research Foundation and Hartsfield Village, a senior living community. We are committed to providing the highest quality healthcare in the most cost-efficient manner, respecting the dignity of the individual, providing for the well-being of the community and serving the needs of all people, including the poor and disadvantaged. St. Catherine Hospital was established in 1928 in East Chicago, Indiana to fill a need for health service to the communities of East Chicago, Whiting, Hammond and Gary. Today, the hospital continues to provide a full range of in- and out-patient medical services. In the spirit of Katherine Kasper's founding charisma, St. Catherine Hospital continues to minister to our neighbors within the community; providing compassionate care of mind, body, and spirit. St. Catherine Hospital focuses on designing and providing services that meet the needs of its diverse community in East Chicago and the surrounding communities of Northwest Indiana. St. Catherine Hospital takes pride in being responsive to the needs of our community. The hospital regularly surveys its patients to identify their outstanding needs, ascertain their satisfaction with our facilities, care and the services that are offered. Based on the results of these surveys, St. Catherine Hospital houses CyberKnife, a high precision radiation technology cancer treatment for patients whose tumors, benign or cancerous, were once untreatable. This treatment is a painless, bloodless procedure. It is a key component of the cancer treatment in Community Healthcare System. The Joint Academy and Hand Center provides evidence based care for joint replacement surgeries. The Chest Pain Center provides evidence based guidelines for patients arriving with complaints of chest pain. The Stroke Unit has achieved Joint Commission accreditation. The Center for Diabetes education programs are American Dietary Association approved, now working towards acquiring Joint Commission accreditation. Behavioral Health Services has expanded to meet the needs of patients and families affected by mental illness. Two outpatient centers for mental wellness, East Chicago and Schererville, provide services which include intensive outpatient therapy. The inpatient and older adult units are able to provide patients the care they need to heal in a friendly, supportive atmosphere. The hospital has extended its medical services to include outpatient clinical locations. The Hessville Family Care Center offers a wide range of medical services including laboratory, family practice, internal medicine, obstetrics, gynecology and more. It also serves as an urgent care location open six days per week. The Whiting Health Community Center is scheduled to open in September of 2015 and will also offer a wide range of services. These locations provide convenience and access to excellent care within their community. Over the last several years, efforts have been made to further develop outreach education programs, support groups, and offer health screenings that address challenges in our neighborhoods. Our education programs are associated with services we offer such as teen childbirth education, keeping baby safe and healthy, diabetes and cardiovascular disease. We are working with our System hospitals to offer additional classes at St. Catherine such as Lamaze, grandparents' classes, etc. We also offer classes/presentations on topics the community deems important to them, such as allergy and sinus issues, breast cancer in women and men, falls and balance, mental health, and overall wellness. We offer a variety of support groups to the community with topics ranging from chronic disease such as Lupus, spiritual issues such as dealing with loss, and health recovery such as stroke sufferers. Transplant Support Group is a program committed to providing and distributing educational information and maintaining contact with donor families, transplant recipients and patients waiting on dialysis. Participants in support groups receive emotional support, practical assistance in coping with the issues they face and the latest information about research and treatments. Health fairs provide an opportunity for people to have basic screenings to determine if there is cause for further evaluation. We offer bone density, balance, sit-stand, pulse oximeter, cholesterol, HA1C, blood pressure, BMI, strength, height, and weight, at least twice per year. No physician order is necessary for the screening and is free to the public. We are moving towards incorporating tracking mechanisms to make sure people are getting care if it is warranted. We also have vendors to provide information and resources for participants. Speakers and presentations are provided by advanced practice staff and physicians to further the cause of educating the public. Health screenings are offered at the hospital outside the scope of a health fair. Bone density determines the strength of the participant's bones by measuring the ankle. This screening is offered monthly for free. Coronary Health Appraisal helps to determine risk for heart disease and other related medical conditions. Screening includes: cholesterol (total, HDL, LDL, triglycerides), blood sugar, metabolic syndrome, blood pressure, body mass index and a Heart Health Profile. This is offered twice per year for a nominal fee. Our newest screening is the vascular screening that will help identify possible risks for stroke or heart attack before symptoms could occur. The screening includes stroke/carotid artery screening, heart rhythm, abdominal aortic aneurysm (AAA) and peripheral arterial disease screening (PAD) for a nominal fee. This screening is offered quarterly. Community outreach naturally extends outside the walls of the hospital. We partner with area religious institutions, social service agencies and city/town departments to provide education and support services. This approach allows us to serve more people in settings they find comfortable and convenient. We have a Well Walker's Club in 3 cities, East Chicago, Highland and Whiting. The club serves as a way to educate the public during monthly meetings, encourage exercise via walking, opportunity to meet new people with similar interests, and virtually tour the world via a walking campaign. This successful long running program is continuously evolving and maintaining a loyal membership. We provide education sessions, monthly blood pressure screenings and gallery displays in partnership with Multicultural Wellness Network and East Chicago Public Libraries. We provide blood pressure screenings and educational sessions with the Whiting Public Library. Presentations are held at the Whiting YMCA and at the Center for Visual and Performing Arts in Munster with plans for more programs in the coming year. We have a concrete partnership with the schools in East Chicago. We provide presentations for the C.L.A.S.S. health center on a quarterly basis; topics include asthma, diabetes, and exercise. Cancer Survivors Day is hosted in partnership with The Cancer Resource Centre as a local celebration of this national event, honoring the strength and courage of those who have lived - and continue to live - with cancer. This is an opportunity to have fun and share stories of triumph and victory over cancer. Food, entertainment, massages, games and small gifts are provided. Hospital personnel provide support (screenings, classes, booths, etc.) at numerous health fairs throughout our service area. Because we understand that wellness is not determined by illness or lack thereof, St. Catherine Hospital serves on various collaboration/impact projects. The overall goal of these projects is to help improve the health and lives of the communities we serve. The Bridges of Care Collective Impact Initiative is designed to take a grass-roots, comprehensive, focused approach on assisting individuals and families of East Chicago achieve a higher quality of life. This project focuses on issues spanning the entire life cycle, from birth to death. The project has 5 work groups: education, health, economic opportunity, community/family and access/mobility. These groups consist of non-profits organizations and public and private sector agencies. Bridges to Wellness Network is a collaboration among HealthVisions Midwest; St. Catherine Hospital; HealthLinc, a federally qualified health center; Catholic Charities; and Salvation Army. Together they can improve the health and wellness of the citizens of |
| 6. AFFILIATED HEALTH CARE SYSTEM | ST. CATHERINE HOSPITAL, INC. IS PART OF AN AFFILIATED SYSTEM. EACH HOSPITAL IN THE SYSTEM PROVIDES MEDICAL SERVICES TO THEIR COMMUNITIES AND ADJOINING COMMUNITIES. EACH ENTITY'S PURPOSE IS TO PROVIDE HEALTH CARE TO THOSE WHO NEED IT, INCLUDING THE UNINSURED OR UNDERINSURED. |
| 7. STATE FILING OF COMMUNITY BENEFIT REPORT | INDIANA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAIME RUIZ-MONTERO MD | ||||||||||||||
| DIRECTOR | $0 | $334,443 | $0 | $57,326 | $0 | $810 | $0 | $9,750 | $0 | $28,874 | $0 | $431,203 | $0 | $0 |
| JOANN BIRDZELL | ||||||||||||||
| ADMINISTRATOR | $413,020 | $0 | $106,766 | $0 | $6,581 | $0 | $32,208 | $0 | $20,603 | $0 | $579,178 | $0 | $0 | $0 |
| MARY ANN SHACKLETT | ||||||||||||||
| SR VP FINANCE & SYSTEM CFO | $0 | $397,935 | $0 | $287,098 | $0 | $22,276 | $0 | $39,520 | $0 | $19,733 | $0 | $766,562 | $0 | $0 |
| CRAIG BOLDA | ||||||||||||||
| VP & COO | $0 | $194,067 | $0 | $70,550 | $0 | $401 | $0 | $39,520 | $0 | $26,177 | $0 | $330,715 | $0 | $0 |
| PAULA SWENSON | ||||||||||||||
| VP & CNO | $192,276 | $0 | $83,078 | $0 | $857 | $0 | $9,527 | $0 | $9,098 | $0 | $294,836 | $0 | $0 | $0 |
| ARTHUR VASQUEZ | ||||||||||||||
| CFO | $57,797 | $76,400 | $7,500 | $0 | $75 | $125 | $0 | $8,939 | $14,921 | $74,311 | $91,446 | $0 | $0 | |
| DANIEL SAAH MD | ||||||||||||||
| PHYSICIAN | $468,360 | $0 | $0 | $0 | $3,564 | $0 | $11,700 | $0 | $23,841 | $0 | $507,465 | $0 | $0 | $0 |
| ASIM MOHIUDDIN MD | ||||||||||||||
| PHYSICIAN | $464,818 | $0 | $0 | $0 | $1,242 | $0 | $11,700 | $0 | $23,841 | $0 | $501,601 | $0 | $0 | $0 |
| SUBHASH JOSHI MD | ||||||||||||||
| PHYSICIAN | $373,840 | $0 | $0 | $0 | $3,564 | $0 | $11,700 | $0 | $20,835 | $0 | $409,939 | $0 | $0 | $0 |
| MOHAMED TURKMANI MD | ||||||||||||||
| PHYSICIAN | $312,821 | $0 | $0 | $0 | $2,322 | $0 | $27,774 | $0 | $26,341 | $0 | $369,258 | $0 | $0 | $0 |
| PAUL HERTZ MD | ||||||||||||||
| PHYSICIAN | $270,737 | $0 | $0 | $0 | $3,485 | $0 | $7,800 | $0 | $1,578 | $0 | $283,600 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A - PROVIDED TO/FOR A PERSON IN 990, PART VII, SEC. A, LN 1A | THE ORGANIZATION PAYS HEALTH/SOCIAL CLUB DUES ON BEHALF OF CERTAIN OFFICERS, KEY EMPLOYEES AND THE FIVE HIGHEST PAID EMPLOYEES WHICH IS THEN TAXED AS A FRINGE BENEFIT TO THE INDIVIDUAL. |
| PART I, LINE 3 - USED TO ESTABLISH COMPENSATION OF ORG. CEO/EXEC. DIR. | ST. CATHERINE HOSPITAL, INC. FOLLOWS ITS PARENT, (CFNI), COMPENSATION POLICIES. 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 SURVEYS. |
| PART I, LINE 7 - NON-FIXED PAYMENTS NOT DESCRIBED IN LINES 5 AND 6 | DESCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI, LINE 6 - MEMBERS OR STOCKHOLDERS | COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. IS THE SOLE MEMBER / SHAREHOLDER. |
| PART VI LINE 7A - WHO HAS THE POWER TO ELECT MEMBERS OF GOVERNING BODY | COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. (CFNI) IS THE PARENT COMPANY OF ST. CATHERINE HOSPITAL, INC. AND HAS CONTROL TO ELECT MEMBERS OF THE GOVERNING BODY. |
| PART VI LINE 7B - GOVERNANCE DECISIONS RESERVED OTHER THAN GOVERNING BODY | COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. IS THE PARENT COMPANY OF ST. CATHERINE HOSPITAL, INC. AND HAS RIGHTS TO APPROVE DECISIONS MADE BY ST. CATHERINE HOSPITAL, INC. |
| PART VI LINE 11B - GOVERNING BODY 990 REVIEW PROCESS | THE 990 IS SUBMITTED TO THE SR 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. |
| PART VI LINE 12C - PROCESS TO MONITOR CONFLICT OF INTEREST | 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. |
| 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 SURVEYS. |
| PART VI LINE 19 - PUBLIC AVAILABILITY OF FS, COI POLICY, & GOVERNING DOCS | ST. CATHERINE HOSPITAL, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, ST. CATHERINE HOSPITAL, INC. THROUGH COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE. |
| PART VII, SECTION A - OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST COMP | CERTAIN SALARIES AND MEDICAL DIRECTORSHIPS ARE PAID BY A RELATED ORGANIZATION, USUALLY THE PARENT (CFNI), WHILE THE HOURS ARE APPLICABLE TO THE REPORTING ORGANIZATION. |
| PART XI LINE 9 - OTHER CHANGES IN NET ASSETS | AMOUNT TRANSFERRED FROM CFNI (PARENT) $28,882,416 AMOUNT TRANSFERRED TO CVPA ($5,870) AMOUNT TRANSFERRED TO CVI ($31) TOTAL $28,876,514 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY FOUNDATION OF NW INDIANA INC | ||||||||||
| 10010 DONALD S POWERS DR 201 | MUNSTER | IN | 46321 | 311128781 | SUPPORTNG ORG | IN | 501(C)(3) | 11(C) | NA | false |
| MUNSTER MEDICAL RESEARCH FOUNDATIONINC | ||||||||||
| 800 MACARTHUR BOULEVARD | MUNSTER | IN | 46321 | 351107009 | HOSPITAL | IN | 501(C)(3) | 3 | CFNI | Yes (true) |
| ST MARY MEDICAL CENTER INC | ||||||||||
| 1500 SOUTH LAKE PARK AVENUE | HOBART | IN | 46342 | 352007327 | HOSPITAL | IN | 501(C)(3) | 3 | CFNI | Yes (true) |
| COMMUNITY CANCER RESEARCH FNDN INC | ||||||||||
| 901 MACARTHUR BOULEVARD | MUNSTER | IN | 46321 | 352146374 | CANCER FUNDRA | IN | 501(C)(3) | 7 | MMRF | Yes (true) |
| COMMUNITY VILLAGE INC | ||||||||||
| 10000 COLUMBIA AVENUE | MUNSTER | IN | 46321 | 351956395 | RETIREMT HOME | IN | 501(C)(3) | 9 | CFNI | Yes (true) |
| THEATRE AT THE CENTER INC | ||||||||||
| 1040 RIDGE ROAD | MUNSTER | IN | 46321 | 351939427 | CONCERTS | IN | 501(C)(3) | 9 | CFNI | Yes (true) |
| CVPA HOLDING CORPORATION | ||||||||||
| 1040 RIDGE ROAD | MUNSTER | IN | 46321 | 351938136 | TITLE HLDG CO | IN | 501(C)(2) | N/A | CFNI | Yes (true) |
| COMMUNITY CARE NETWORK INC | ||||||||||
| 901 MACARTHUR BOULEVARD | MUNSTER | IN | 46321 | 454158203 | PHYS SERVICES | IN | 501(C)(3) | 3 | MMRF SCH SMM | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY RESOURCES INC | |||||||||||
| 907 RIDGE ROAD | MUNSTER | IN | 46321 | 351727711 | MGMT SERVICES | IN | CFNI | C CORP | $0 | $0 | Yes (true) |
| COMMUNITY MEDICAL & PROFESSIONAL CENTER | |||||||||||
| 800 MACARTHUR BOULEVARD | MUNSTER | IN | 46321 | 237437942 | CONDO ASSOC | IN | CFNI | C CORP | $0 | $0 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY CARE NETWORK INC | ||
| C | $4,362,933 | FMV |
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | ||
| C | $882,502 | FMV |
| ST MARY MEDICAL CENTER INC | ||
| C | $85,544 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| J | $138,757 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| O | $12,798,035 | FMV |
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | ||
| O | $870,507 | FMV |
| ST MARY MEDICAL CENTER INC | ||
| O | $76,985 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| P | $6,122,977 | FMV |
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | ||
| P | $890,857 | FMV |
| ST MARY MEDICAL CENTER INC | ||
| P | $461,463 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| Q | $273,345 | FMV |
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | ||
| Q | $611,084 | FMV |
| ST MARY MEDICAL CENTER INC | ||
| Q | $242,876 | FMV |