ST CATHERINE HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ST CATHERINE HOSPITAL INC (EIN 35-1738708)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201531349349304318
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T12:22:26-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4000 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | EAST CHICAGO | City |
| State | IN | State |
| ZIP Code | 46312 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY ANN SHACKLETT | PersonNm |
| Person Title | SR VP FINANCE & CFO | PersonTitleTxt |
| Signature | 2015-05-14 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Ben Pitchkites | PreparerPersonNm |
| PTIN | P00362066 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | 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 | AddressLine1 |
| City | MUNSTER | City |
| State | IN | State |
| ZIP Code | 46321 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $158,041,129 | 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 | 1362 | TotalEmployeeCnt |
| Total Volunteers | 62 | TotalVolunteersCnt |
| Total Gross UBI | $1,063,413 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,926,414 | PYContributionsGrantsAmt |
| CY Contributions Grants | $325,552 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $165,228,391 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $150,689,886 | CYProgramServiceRevenueAmt |
| PY Investment Income | $47,414 | PYInvestmentIncomeAmt |
| CY Investment Income | $132,860 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,273,724 | PYOtherRevenueAmt |
| CY Other Revenue | $6,424,437 | CYOtherRevenueAmt |
| PY Total Revenue | $175,475,943 | PYTotalRevenueAmt |
| CY Total Revenue | $157,572,735 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $33,945 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $23,522 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $67,311,415 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $64,178,339 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $92,742,801 | PYOtherExpensesAmt |
| CY Other Expenses | $98,229,773 | CYOtherExpensesAmt |
| PY Total Expenses | $160,088,161 | PYTotalExpensesAmt |
| CY Total Expenses | $162,431,634 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,387,782 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,858,899 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $61,439,634 | TotalAssetsBOYAmt |
| Total Assets EOY | $67,256,399 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,409,184 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,698,028 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,030,450 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $28,558,371 | 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 | $55,340,469 | ExpenseAmt |
| Revenue | $66,074,392 | RevenueAmt |
| Desc | NURSING - ST. CATHERINE HOSPITAL STAFFS 189 BEDS. Nursing staff work to ensure the delivery of optimal patient care and excellent patient care services in population and acuity specific areas ranging from ICU, IMCU, telemetry, medical, surgical, pediatrics, labor and delivery to behavioral health. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,552,342 | ExpenseAmt |
| Revenue | $49,610,933 | RevenueAmt |
| Desc | SURGERY - ST. CATHERINE HOSPITAL performed 4,974 surgeries. St. CATHERINE HOSPITAL offers a wide range of surgical services, including gastroenterology, orthopedics, general surgery, urology, cardiovascular and gynecology. OP areas include ophthalmology, pain management, ENT, plastics, and cosmetic. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,780,999 | ExpenseAmt |
| Revenue | $39,596,607 | RevenueAmt |
| Desc | CARDIOLOGY - St. Catherine Hospital performed 20,707 procedures. Achieved 100% compliance for Door to Balloon time for all Stemi cases (Heart Attacks). Achieved the 98th percentile for Patient Satisfaction. Re accreditation of the Chest Pain Center. Blue Distinction Center for Cardiac Care. Acquired the angiojet system. This is a state of the art device to assist with blood clot removal. OCT/FFR light source used to visualize stenosis in coronary vessels. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (32 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $8,123,936 | $32,281,920 | PHARMACY - 2,394,489 DOSES ADMINISTERED |
| $7,036,147 | $63,872,878 | LAB - 554,878 SPECIMENS COLLECTED |
| $6,579,997 | $14,149,612 | IMCU - 10,628 PATIENT DAYS |
| $5,334,847 | $16,801,235 | PT OT SPEECH - 119,515 PROCEDURES |
| $4,959,458 | $1,458,062 | OCC HEALTH - 14,876 VISITS |
| $4,798,730 | $38,493,845 | ER - 27,135 VISITS |
| $4,247,594 | $56,660,602 | RADIOLOGY - 58,778 PROCEDURES |
| $3,962,089 | $1,310 | DIETARY - 123,399 IP MEALS |
| $3,232,097 | $4,763,219 | ICU - 2,329 PATIENT DAYS |
| $2,945,804 | HIM | |
| $2,764,291 | PATIENT SERVICES - 38,691 VISITS | |
| $2,219,749 | $2,447,209 | HOME HEALTH - 27,735 VISITS |
| $1,891,815 | SECURITY | |
| $1,861,289 | $9,711,020 | RESPIRATORY THERAPY - 59,502 PROCEDURES |
| $1,438,702 | ADMITTING - 8,331 IP ADMISSIONS | |
| $939,835 | $7,106,994 | NUCLEAR MED - 2,135 PROCEDURES |
| $922,558 | $4,443,061 | CYBERKNIFE - 256 CLICKS |
| $701,990 | $1,853,172 | OUTPATIENT SERVICES - 90,263 visits |
| $636,964 | MEDICAL STAFF | |
| $599,951 | CENTRAL SUPPLY | |
| $553,041 | PUBLIC RELATIONS | |
| $398,963 | CENTRAL STERILIZATION - PROVIDE STERILE INSTRUMENT | |
| $314,078 | $93,132 | PHYSICIAN |
| $147,639 | $3,720,063 | EEG - 1,899 PROCEDURES |
| $102,009 | POB | |
| $32,628 | LTAC | |
| $9,039 | CANCER RESEARCH | |
| $804 | PSYCH | |
| -$222,125,726 | CONTRACTUALS | |
| -$22,439,406 | CHARITY | |
| -$8,973,653 | BAD DEBT | |
| -$3,129,957 | INTERCOMPANY ELIMINATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $66,756,044 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,188,592 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $147,429,854 | 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 | Yes (true) | 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 | 172 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1362 | 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 | AddressLine1 |
| City | MUNSTER | City |
| State | IN | State |
| ZIP Code | 46321 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| LORENZO ARREDONDO | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN ARTIS | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARIA LUZ CORONA MAGISTRATE | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| RITA JACQUE GILLIS | |||||||||
| DIRECTOR START 7-1-2013 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| R LOUIE GONZALEZ | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| JUDITH GRESKO | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS P KEILMAN | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| SR CAROLE LANGHAUSER PHJC | |||||||||
| DIRECTOR START 7-1-2013 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH SEMANCIK MONSIGNOR | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $24,300 | $0 | 1.0 | |||
| JAIME RUIZ-MONTERO MD | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $392,763 | $22,983 | ||||
| GEORGE RYAN | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| WASSIM SHWAIKI MD | |||||||||
| DIRECTOR START 7-1-2013 | 1.0 | Yes (X) | $70,280 | $0 | $0 | ||||
| MARISELA VARELA MD | |||||||||
| DIRECTOR START 7-1-2013 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| EDWARD WILLIAMS PHD | |||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $32,153 | $0 | 2.0 | |||
| JOSEPH COSTANZA | |||||||||
| PRESIDENT | 1.0 | Yes (X) | $0 | $22,500 | $0 | 1.0 | Yes (X) | ||
| PEGGY GERARD RN DNSC | |||||||||
| VICE PRESIDENT | 1.0 | Yes (X) | $5,400 | $0 | $0 | 1.0 | Yes (X) | ||
| HENRY HADIDIAN MD | |||||||||
| SECRETARY | 1.0 | Yes (X) | $75,550 | $0 | $0 | Yes (X) | |||
| JOHN CABAN | |||||||||
| TREASURER | 1.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JOANN BIRDZELL | |||||||||
| ADMINISTRATOR | 40.0 | Yes (X) | $500,446 | $0 | $53,553 | 1.0 | Yes (X) | ||
| MARY ANN SHACKLETT | |||||||||
| SR VP & SYSTEM CFO | 1.0 | $0 | $679,421 | $59,490 | 47.0 | Yes (X) | |||
| PAULA SWENSON | |||||||||
| VP & CNO | 40.0 | $257,796 | $0 | $17,863 | Yes (X) | ||||
| CRAIG BOLDA | |||||||||
| VP & COO | 30.0 | $0 | $253,907 | $61,301 | 10.0 | Yes (X) | |||
| DANIEL SAAH MD | |||||||||
| PHYSICIAN | 40.0 | $455,538 | $0 | $33,830 | Yes (X) | ||||
| ASIM MOHIUDDIN DO | |||||||||
| PHYSICIAN | 40.0 | $431,967 | $0 | $34,830 | Yes (X) | ||||
| SUBHASH JOSHI MD | |||||||||
| PHYSICIAN | 40.0 | $350,082 | $0 | $29,146 | Yes (X) | ||||
| MOHAMED TURKMANI MD | |||||||||
| PHYSICIAN | 40.0 | $316,999 | $0 | $40,232 | Yes (X) | ||||
| PAUL HERTZ MD | |||||||||
| PHYSICIAN | 40.0 | $247,270 | $0 | $8,935 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,711,328 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,405,044 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $362,163 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 65 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| REHAB CARE GROUP INC | |||||
| PO BOX 502096 | ST LOUIS | MO | 63150 | REHAB CARE SERVICES | $2,678,578 |
| GARIUP CONSTRUCTION COMPANY | |||||
| 3965 HARRISON STREET | GARY | IN | 46408 | CONSTRUCTION | $2,153,108 |
| COOPERATIVE MANAGED CARE SERVICES | |||||
| 9045 RIVER ROAD SUITE 250 | INDIANAPOLIS | IN | 46240 | CLAIMS PROCESSING | $1,379,360 |
| SECURITAS SECURITY SERVICES USA | |||||
| 100 WEST 78TH AVENUE | MERRILLVILLE | IN | 46410 | SECURITY | $1,221,024 |
| WALSH CONSTRUCTION COMPANY II LLC | |||||
| 929 WEST ADAMS STREET | CHICAGO | IL | 60607 | CONSTRUCTION | $571,668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Government Grants | $97,458 | GovernmentGrantsAmt |
| All Other Contributions | $228,094 | AllOtherContributionsAmt |
| Total Contributions | $325,552 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $126,601,227 | $125,963,618 | $637,609 |
| CAPITATION REVENUE | 621999 | $24,088,659 | $24,088,659 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $150,689,886 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $118,520 | TotalRevenueColumnAmt |
| Exclusion | $118,520 | 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 | $1,121,608 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $468,394 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $653,214 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $653,214 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $653,214 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,340 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,340 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,340 | TotalRevenueColumnAmt |
| Exclusion | $14,340 | 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 | 621399 | $2,494,010 | $2,494,010 | ||
| RETAIL PHARMACY | 446110 | $1,622,169 | $1,196,365 | $425,804 | |
| CAFETERIA | 722212 | $642,272 | $642,272 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,012,772 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,011,245 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,527 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,771,223 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $157,572,735 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $155,407,111 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,063,413 | UnrelatedBusinessRevenueAmt |
| Exclusion | $776,659 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,522 | TotalAmt |
| Program Services | $23,522 | 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 | $995,904 | TotalAmt |
| Management And General | $995,904 | 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 | $50,412,235 | TotalAmt |
| Program Services | $46,242,436 | ProgramServicesAmt |
| Management And General | $4,169,799 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,434,637 | TotalAmt |
| Program Services | $2,196,471 | ProgramServicesAmt |
| Management And General | $238,166 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,815,616 | TotalAmt |
| Program Services | $6,215,365 | ProgramServicesAmt |
| Management And General | $600,251 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,519,947 | TotalAmt |
| Program Services | $3,175,612 | ProgramServicesAmt |
| Management And General | $344,335 | 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 | $258,441 | TotalAmt |
| Management And General | $258,441 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,714 | TotalAmt |
| Management And General | $25,714 | 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 | $13,761,632 | TotalAmt |
| Program Services | $11,729,175 | ProgramServicesAmt |
| Management And General | $2,032,457 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,311 | TotalAmt |
| Program Services | $423,044 | ProgramServicesAmt |
| Management And General | $22,267 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,729,454 | TotalAmt |
| Program Services | $1,229,533 | ProgramServicesAmt |
| Management And General | $499,921 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,657 | TotalAmt |
| Program Services | $18,533 | ProgramServicesAmt |
| Management And General | $1,124 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,724,928 | TotalAmt |
| Program Services | $1,692,295 | ProgramServicesAmt |
| Management And General | $32,633 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,412 | TotalAmt |
| Program Services | $85,082 | ProgramServicesAmt |
| Management And General | $8,330 | 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 | $46,972 | TotalAmt |
| Program Services | $40,063 | ProgramServicesAmt |
| Management And General | $6,909 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173 | TotalAmt |
| Management And General | $173 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,131,180 | TotalAmt |
| Program Services | $4,629,228 | ProgramServicesAmt |
| Management And General | $501,952 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,177,580 | TotalAmt |
| Program Services | $1,062,385 | ProgramServicesAmt |
| Management And General | $115,195 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CAPITATION EXPENSE | $20,711,313 | $20,711,313 | |
| MEDICAL SUPPLIES | $18,202,340 | $18,202,340 | |
| CORPORATE ALLOCATION | $17,777,926 | $16,038,820 | $1,739,106 |
| HAF | $5,638,411 | $5,638,411 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,485,329 | TotalAmt |
| Program Services | $8,076,226 | ProgramServicesAmt |
| Management And General | $3,409,103 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,431,634 | TotalAmt |
| Program Services | $147,429,854 | ProgramServicesAmt |
| Management And General | $15,001,780 | 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 | $6,431,741 | BOYAmt |
| EOY | $5,993,418 | 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 | $15,206,408 | BOYAmt |
| EOY | $17,136,959 | 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 | $4,785,636 | BOYAmt |
| EOY | $5,082,392 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $792,850 | BOYAmt |
| EOY | $708,903 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $73,363,858 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,069,091 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,439,091 | BOYAmt |
| EOY | $27,294,767 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,274 | BOYAmt |
| EOY | $179,355 | 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 | $7,629,634 | BOYAmt |
| EOY | $10,860,605 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,439,634 | BOYAmt |
| EOY | $67,256,399 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,600,099 | BOYAmt |
| EOY | $13,375,058 | 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 | $189,649 | BOYAmt |
| EOY | $124,031 | 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 | $10,619,436 | BOYAmt |
| EOY | $25,198,939 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,409,184 | BOYAmt |
| EOY | $38,698,028 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,754,828 | BOYAmt |
| EOY | $28,180,967 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $275,623 | BOYAmt |
| EOY | $377,404 | 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 | $33,030,451 | BOYAmt |
| EOY | $28,558,371 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,439,634 | BOYAmt |
| EOY | $67,256,399 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,858,899 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $386,819 | 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 | $30,776,155 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,768,827 | DepreciationAmt |
| Book Value | $13,007,328 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $447,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $126,480 | DepreciationAmt |
| Book Value | $321,364 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,492,121 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,437,393 | DepreciationAmt |
| Book Value | $12,054,728 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,642,422 | OtherCostOrOtherBasisAmt |
| Depreciation | $736,391 | DepreciationAmt |
| Book Value | $1,906,031 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,294,767 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| 3RD PARTY RECEIVABLES | $6,870,427 |
| RAC RECEIVABLE | $1,040,791 |
| MISCELLANEOUS RECEIVABLES | $723,699 |
| LT LEGAL CLAIMS RECEIVABLE | $605,059 |
| US STEEL RCVBL - OCC HEALTH | $568,730 |
| HAF MANAGED CARE ENTITIES | $460,126 |
| MDWISE RECEIVABLE | $450,643 |
| ST LEGAL CLAIMS RECEIVABLE | $135,106 |
| DUE FROM AFFILIATES | $6,024 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,860,605 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $22,983,595 |
| LT LEGAL CLAIMS LIABILITY | $917,179 |
| ASSET RETIREMENT OBLIGATION | $594,163 |
| RAC LIABILITY | $393,720 |
| MISCELLANEOUS LIABILITIES | $195,793 |
| 3RD PARTY SETTLEMENTS | $72,248 |
| CONSTRUCTION RETAINAGE | $30,000 |
| CAPITAL LEASES - CURRENT | $12,241 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,198,939 | 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 | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| 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 | 4521 | PersonsServedCnt |
| Total Community Benefit Expns | $6,070,170 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $77,344 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,992,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 34697 | PersonsServedCnt |
| Total Community Benefit Expns | $65,570,683 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,668,686 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,901,997 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01780 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 39218 | PersonsServedCnt |
| Total Community Benefit Expns | $71,640,853 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,746,030 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,894,823 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05460 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 142 | ActivitiesOrProgramsCnt |
| Persons Served | 4768 | PersonsServedCnt |
| Total Community Benefit Expns | $416,616 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,240 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $415,376 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 264 | PersonsServedCnt |
| Total Community Benefit Expns | $286,159 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $286,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 390 | PersonsServedCnt |
| Total Community Benefit Expns | $4,708,684 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,512,513 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $196,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $23,522 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 174 | ActivitiesOrProgramsCnt |
| Persons Served | 5422 | PersonsServedCnt |
| Total Community Benefit Expns | $5,434,981 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,513,753 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $921,228 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 174 | ActivitiesOrProgramsCnt |
| Persons Served | 44640 | PersonsServedCnt |
| Total Community Benefit Expns | $77,075,834 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $67,259,783 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,816,051 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06030 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $23,146 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,885 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,261 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 1561 | PersonsServedCnt |
| Total Community Benefit Expns | $14,483 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,483 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 3380 | PersonsServedCnt |
| Total Community Benefit Expns | $18,955 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Persons Served | 4941 | PersonsServedCnt |
| Total Community Benefit Expns | $56,584 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,885 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,800,722 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $28,007 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $50,139,426 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $56,595,221 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,455,795 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 FIR STREET | AddressLine1 |
| City | EAST CHICAGO | City |
| State | IN | State |
| ZIP Code | 46312 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 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 |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| 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 |
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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: | Community Support (line 3) This category can include "disaster readiness and public health emergency activities, such as readiness training beyond what is required by accrediting bodies or government entities." Expenses and revenues relating to the Bio-terrorism department of the hospital have been included in this category. 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 and in addition the providing of deaf interpretation services to patients. |
| 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+, 2009-2013 71.7% 87.2% Bachelor's degree or higher, age 25+, 2009-2013 7.0% 23.2% Median household income, 2009-2013 $27,583 $48,248 Persons below poverty level, percent, 2009-2013 35.7% 15.4% (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 | In 1928, St. Catherine Hospital, INC., East Chicago, Indiana was opened 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 medical services for inpatients and outpatients. St. Catherine Hospital, INC. is a non-profit hospital operating as a part of the Community Healthcare System, which includes Community Hospital in Munster, Indiana and St. Mary Medical Center, INC. in Hobart, Indiana. The hospitals 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. Community Healthcare System is the leading medical provider in Northwest Indiana, operating three non-profit hospitals, several outpatient clinics and physician offices. Together, the three operate the largest cardiovascular and cancer programs in the area. In the spirit of Katherine Kasper's founding charisma, St. Catherine Hospital, INC. continues to minister to our neighbors within the community; providing compassionate care of body and spirit. St. Catherine Hospital, INC. focuses on designing and providing services that meet the needs of its diverse community in East Chicago and the surrounding communities of Northwest Indiana. The hospital regularly surveys its patients to ascertain their satisfaction with its facilities and the programs that are offered and to identify the community's outstanding needs. By working in conjunction with our medical staff and associates, we ensure that programs and services not only address the patient's medical needs, but consider the patient's cultural and social needs as well. At St. Catherine Hospital, INC. Our mission and values guide us to provide quality, compassionate care for our patients and comfort for our visitors. Our philosophy is to care for all guests as if they were members of our own family. We have been recognized locally and nationally for various programs, proving our commitment to excellent service. St. Catherine Hospital, Inc. has been designated a Blue Distinction Center for Cardiac Care by Anthem Blue Cross Blue Shield Association. We have received a safety score of "A" in the hospital safety score, which rates how well hospitals KEEP PATIENTS safe. the hospital safety score is compiled under the guidance of the nation's leading experts on patient safety and is administered by the Leapfrog Group (Leapfrog), an independent industry watchdog. The Stroke Center of Excellence at St. Catherine Hospital, INC. earned the Gold Seal of Approval from The Joint Commission for Primary Stroke Centers. The Society of Chest Pain Centers granted full accreditation to the Chest Pain Center at St. Catherine Hospital, inc. St. Catherine Hospital, INC. takes pride in being responsive to the needs of our community. Below, we have listed current programs designed to meet those needs. THE DESIGNATED POPULATION THAT ST. CATHERINE HOSPITAL IS FOCUSING ON INCLUDES THOSE INDIVIDUALS WHOSE LIFE-STYLE BEHAVIORS PUT THEM AT RISK FOR DISEASE AND ILLNESS. OUR PRIMARY FOCUS THIS YEAR IS ON DISEASES THAT HAVE BEEN IDENTIFIED AS HEALTH DISCREPANCIES IN LAKE COUNTY, INDIANA - DIABETES, HEART DISEASE & STROKE, AND MATERNAL INFANT & CHILD HEALTH. THE INCIDENCE OF THESE DISEASES IN OUR REGION SURPASSED STATE AND NATIONAL AVERAGES, AND THEREFORE DEMANDED OUR PRIMARY FOCUS. ALL OF THESE AREAS HAVE A COMMON LINK TO MODIFIABLE LIFESTYLE RISK FACTORS, EDUCATION, PREVENTION AND ACCESS TO MEDICAL SERVICES. ST. CATHERINE HOSPITAL HAS INVESTED GREATLY IN RECENT YEARS IN TREATMENT AND EDUCATION PROGRAMS AND IN OFFERING PATIENTS ACCESS TO TREATMENTS NOT AVAILABLE ELSEWHERE IN THE COUNTY. WE ARE EXPANDING BEST PRACTICE EFFORTS THROUGH THE PRIMARY CARE SETTING, IN PARTICULAR OUR EMPLOYED PHYSICIANS GROUP. THE FOCUS OF OUR COMMUNITY BENEFIT IS TO USE RESOURCES TO REACH BEYOND THE TREATMENT OF THESE DISEASES TO HELP EDUCATE, SUPPORT AND EMPOWER INDIVIDUALS TO LOWER THEIR RISKS. Alzheimer's Support Group - Alzheimer's Support Group meets the third Tuesday of each month at St. Catherine Hospital, INC. This group is for patients, family and friends dealing with Alzheimer's. Participants in support groups receive emotional support, practical assistance in coping with the issues they face and the latest information about research. Alzheimer's Symposium - Support and resources are provided to help caregivers and those in very early stages of Alzheimer's learn about and navigate the medical and legal issues of this diagnosis. Speakers range from physicians to attorneys and participants may also browse a consortium of vendors providing information about everything from assisted living to home monitoring. Blood Profile Screening - These screenings offer a way for those concerned about heart health to monitor cholesterol, HDL, triglycerides or glucose. No physician order is necessary for the screening. Cancer Survivors Day - The Cancer Resource Centre and St. Catherine Hospital, INC. provide a local celebration of this national event, honoring the strength and courage of those who have lived and continue to live with cancer. Prizes are raffled and each attendee receives a strength gift. Food and entertainment are also provided. Cardiac Rehab - Informational sessions are held that give patients an opportunity to ask a pharmacist questions regarding their cardiac medications. Handouts are provided to patients comparing certain blood pressure medications. Consoling Hearts Grief Support - This support group is offered to those suffering from the loss of a loved one. Participants include family members, friends, or those who are having a difficulty dealing with the loss of a loved one. Coronary Health Appraisal - This 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. Hope Network Cancer Support Group - The last Wednesday of each month this group meets for informative sessions where they can share thoughts and feelings in a comfortable and confidential atmosphere. Keeping Baby Safe and Healthy - Pediatrician, Dr. Iyer, discusses when to call the doctor, child-proofing the house, what to do in an emergency and nutritional needs of babies. Information on child seat safety is also available. Lamaze - Six educational classes are offered each session for those in their last trimester of pregnancy. Classes include informative lectures about comfort measures and medication available for pain. The last session focuses on management of breast-feeding and newborn behavior patterns. Look Good Feel Better - A program for women undergoing radiation and/or chemotherapy. Beauty techniques are taught to help restore appearances and self image during the course of treatment. Moving Forward-Stroke Education - This five part series helps Stroke survivors and caregivers learn to prevent future strokes through risk detection and management. N.A. Support - Narcotics Anonymous offers hope for anyone with the desire to stop using narcotics and a willingness to try a new way of life. Nutrition Counseling - Dietary evaluation and counseling is provided by a registered dietitian. PAD - What's It All About?-The Cardiac Rehabilitation Medical Director discusses peripheral arterial disease (PAD). Attendees learn the signs, symptoms, causes and treatment of this serious disease. Skin Cancer Screenings - Physician examines any questionable areas of the body to look for indications of cancer or pre-cancerous conditions. This screening takes place at a participating St. Catherine Hospital, INC. physician's office on a monthly basis. Transplant Support Group - A program committed to providing and distributing educational information and maintaining contact with donor families, transplant recipients, and dialysis patients. Silver Sneakers is a senior exercise program offered free to those who qualify. This program is offered through the hospital's cardiac rehab department. The Hessville Family Care Center IS an expanded outpatient facility that serves the Hammond community with physician offices, women's health services, lab, x-ray, and immediate care. Some recent upgrades to the hospital include a remodel for the Family Birthing Center. New flooring, paint, wallpaper, window treatments and a new nurse's station have improved the aesthetics and feel for the center where more than 600 babies are delivered each year. A $1.2 million expansion has been completed on the Behavioral Health Unit - a unit to meet the needs of patients and families affected by mental illness. A complete update and renovation has kept this unit to capacity. Also, at the outpatient level, two locations - in East Chicago and Schererville - have been created to |
| 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| NAZARETH HOME | |||||||
| 4301 ELM STREET | EAST CHICAGO | IN | 46321 | 362609644 | 501(C)3 | $10,000 | SPONSORSHIP |
| CITY OF WHITING | |||||||
| 1443 119TH STREET | WHITING | IN | 46394 | 351772197 | GOVERNMENT | $5,120 | SPONSORHSIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | GRANTS PAID | FormAndLineReferenceDesc |
| Explanation | REQUESTS FOR DONATIONS FROM QUALIFIED 501(C)(3) CHARITIES AND UNIVERSITIES ARE EVALUATED AS TO WHETHER THE POTENTIAL DONEE ORGANIZATION WILL USE THE FUNDS IN A MANNER CONSISTENT WITH OUR CHARITABLE MISSION AND THE INTENTION OF THE CONTRIBUTION. OUR DONATIONS/CONTRIBUTIONS ARE PRIMARILY MADE TO LOCAL ORGANIZATIONS. SINCE THESE ARE NOT GRANTS, THERE IS NO NEED TO MONITOR. | ExplanationTxt |
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 (10 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 | $338,373 | $0 | $53,580 | $0 | $810 | $0 | $9,413 | $0 | $13,570 | $0 | $415,746 | $0 | $0 |
| JOANN BIRDZELL | ||||||||||||||
| ADMINISTRATOR | $402,467 | $0 | $89,910 | $0 | $8,069 | $0 | $35,884 | $0 | $17,669 | $0 | $553,999 | $0 | $0 | $0 |
| MARY ANN SHACKLETT | ||||||||||||||
| SR VP & SYSTEM CFO | $0 | $387,425 | $0 | $265,149 | $0 | $26,847 | $0 | $36,490 | $0 | $23,000 | $0 | $738,911 | $0 | $0 |
| PAULA SWENSON | ||||||||||||||
| VP & CNO | $180,230 | $0 | $76,738 | $0 | $828 | $0 | $9,289 | $0 | $8,574 | $0 | $275,659 | $0 | $0 | $0 |
| CRAIG BOLDA | ||||||||||||||
| VP & COO | $0 | $189,250 | $0 | $64,268 | $0 | $389 | $0 | $36,490 | $0 | $24,811 | $0 | $315,208 | $0 | $0 |
| DANIEL SAAH MD | ||||||||||||||
| PHYSICIAN | $453,216 | $0 | $0 | $0 | $2,322 | $0 | $11,325 | $0 | $22,505 | $0 | $489,368 | $0 | $0 | $0 |
| ASIM MOHIUDDIN DO | ||||||||||||||
| PHYSICIAN | $431,157 | $0 | $0 | $0 | $810 | $0 | $11,325 | $0 | $23,505 | $0 | $466,797 | $0 | $0 | $0 |
| SUBHASH JOSHI MD | ||||||||||||||
| PHYSICIAN | $346,518 | $0 | $0 | $0 | $3,564 | $0 | $11,325 | $0 | $17,821 | $0 | $379,228 | $0 | $0 | $0 |
| MOHAMED TURKMANI MD | ||||||||||||||
| PHYSICIAN | $314,677 | $0 | $0 | $0 | $2,322 | $0 | $15,227 | $0 | $25,005 | $0 | $357,231 | $0 | $0 | $0 |
| PAUL HERTZ MD | ||||||||||||||
| PHYSICIAN | $245,000 | $0 | $0 | $0 | $2,270 | $0 | $7,350 | $0 | $1,585 | $0 | $256,205 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | 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 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 1, LINE 7 DESCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI, LINE 6 - MEMBERS OR STOCKHOLDERS | COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. (CFNI) IS THE SOLE MEMBER OR STOCKHOLDER. 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 - GOVERNENCE DECISIONS RESERVED OTHER THAN GOVERNING BODY | Community Foundation of Northwest Indiana, Inc. (CFNI) is the parent of St. Catherine Hospital, Inc. and has the 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 SENIOR VP AND 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 PUBLIC 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 AND ENFORCEMENT PROCEDURES RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED AND THOSE OFFICERS, DIRECTORS, OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION. |
| 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 XI, Line 9 - Other Changes in Net Assets | AMOUNT TRANSFERRED FROM CFNI (PARENT) $1,143,360 AMOUNT TRANSFERRED TO CCN ($756,541) TOTAL $386,819 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY RESOURCES INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 907 RIDGE ROAD | AddressLine1 |
| City | MUNSTER | City |
| State | IN | State |
| ZIP Code | 46321 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351727711 | EIN |
| Primary Activities | MGMT SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| 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 | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | 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 (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY CARE NETWORK INC | ||
| J | $118,000 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| O | $1,971,349 | FMV |
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | ||
| O | $796,500 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| P | $3,001,043 | FMV |
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | ||
| P | $1,395,825 | FMV |
| ST MARY MEDICAL CENTER INC | ||
| P | $802,542 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| Q | $177,826 | FMV |
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | ||
| Q | $1,664,911 | FMV |
| ST MARY MEDICAL CENTER INC | ||
| Q | $56,697 | FMV |