MUNSTER MEDICAL RESEARCH FOUNDATION INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MUNSTER MEDICAL RESEARCH FOUNDATION INC (EIN 35-1107009)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201531349349304623
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T13:05:29-05:00 | 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 | 351107009 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MUNSTER MEDICAL RESEARCH FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARY ANN SHACKLETT | InCareOfNm |
| Business Name Control | MUNS | BusinessNameControlTxt |
| Phone | 2198361600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 MACARTHUR BOULEVARD | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | MUNSTER | City |
| State | IN | State |
| ZIP Code | 46321 | 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 | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE COMMUNITY HOSPITAL | BusinessNameLine1 |
| 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 | $465,934,980 | 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 | 1964 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | THE COMMUNITY HOSPITAL 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 | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 3445 | TotalEmployeeCnt |
| Total Volunteers | 180 | TotalVolunteersCnt |
| Total Gross UBI | $2,385,437 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$37,147 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,810,416 | PYContributionsGrantsAmt |
| CY Contributions Grants | $480,129 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $430,222,270 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $451,261,577 | CYProgramServiceRevenueAmt |
| PY Investment Income | $302,984 | PYInvestmentIncomeAmt |
| CY Investment Income | $491,312 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,616,068 | PYOtherRevenueAmt |
| CY Other Revenue | $13,180,674 | CYOtherRevenueAmt |
| PY Total Revenue | $449,951,738 | PYTotalRevenueAmt |
| CY Total Revenue | $465,413,692 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $112,479 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $106,688 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $203,119,789 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $192,868,265 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $223,143,074 | PYOtherExpensesAmt |
| CY Other Expenses | $236,118,197 | CYOtherExpensesAmt |
| PY Total Expenses | $426,375,342 | PYTotalExpensesAmt |
| CY Total Expenses | $429,093,150 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $23,576,396 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $36,320,542 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $263,153,560 | TotalAssetsBOYAmt |
| Total Assets EOY | $289,849,570 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $162,116,077 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $112,495,553 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $101,037,483 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $177,354,017 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Munster Medical Research Foundation, 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 | $70,760,702 | ExpenseAmt |
| Revenue | $202,966,338 | RevenueAmt |
| Desc | Munster Medical Research Foundation, inc. performed 23,257 surgeries. Munster Medical Research Foundation, inc. offers a wide range of surgical services, including gastroenterology, orthopedics, general surgery, bariatric surgery, urology, cardiovascular and gynecology. Our outpatient surgery center also includes services in ophthalmology, pain management, plastics and cosmetic. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $66,443,710 | ExpenseAmt |
| Revenue | $123,588,778 | RevenueAmt |
| Desc | Munster Medical Research Foundation, inc. has a 427 bed capacity. Nursing staff work to ensure the delivery of optimal and excellent patient care services in population and acuity specific areas ranging from ICU, IMCU, telemetry, medical, surgical, pediatric, labor and delivery, and neonatology. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $45,800,774 | ExpenseAmt |
| Revenue | $191,775,883 | RevenueAmt |
| Desc | Munster Medical Research Foundation, inc. had 301,862 outpatient visits from its three locations. The majority of these visits were for laboratory services and radiology services. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (30 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $32,766,550 | $119,624,436 | CARDIOLOGY - 16,541 VISITS |
| $31,844,248 | $102,343,512 | PHARMACY - 7,150,635 DOSES |
| $21,749,381 | $166,043,381 | LABORATORY - 1,587,623 SPECIMENS COLLECTED |
| $17,704,414 | $34,511,722 | IMCU - 15,516 PATIENT DAYS |
| $15,474,257 | $156,443,389 | RADIOLOGY - 203,297 PROCEDURES |
| $13,381,803 | $44,626,773 | PT OT SPEECH - 524,908 PROCEDURES |
| $11,255,372 | $83,865,255 | EMERGENCY DEPARTMENT - 60,726 VISITS & ADMISSIONS |
| $9,994,104 | $17,064 | DIETARY - 387,070 IP MEALS |
| $6,811,504 | $9,100,500 | ICU - 4,863 PATIENT DAYS |
| $6,581,564 | $1,647,356 | ADMITTING - 21,915 IP ADMISSIONS |
| $6,267,353 | $30,024,574 | RESPIRATORY THERAPY |
| $6,233,655 | HIM | |
| $6,045,721 | $4,171,871 | FITNESS POINTE - 6,039 MEMBERS |
| $5,983,295 | CENTRAL STERILIZATION | |
| $5,364,887 | $6,549,069 | HOME HEALTH - 36,300 VISITS |
| $3,664,857 | $5,396,583 | CVU - 2,582 PROCEDURES |
| $2,964,871 | PATIENT SERVICES - 109,629 VISITS | |
| $2,681,553 | $15,174,098 | NUCLEAR MEDICINE |
| $2,487,759 | SECURITY | |
| $1,300,573 | PUBLIC RELATIONS | |
| $1,214,624 | MEDICAL STAFF | |
| $1,089,627 | SOCIAL SERVICES | |
| $973,196 | CENTRAL SUPPLY | |
| $794,754 | CANCER RESEARCH | |
| $582,407 | POB | |
| $327,009 | $5,218,473 | EEG - 4,179 PROCEDURES |
| $35,150 | OCC HEALTH | |
| -$17,879,515 | Bad debt | |
| -$22,706,684 | Charity Care | |
| -$800,154,342 | Contractuals |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $215,574,488 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | -$55,982,485 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $398,579,674 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | 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 | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | 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 | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 189 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3445 | 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | false | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS BRUBAKER MD | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $14,406 | $0 | $0 | |||||
| STEVE CHOVANEC | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| ERIC COMPTON DDS | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| FRANKIE FESKO | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $24,000 | $73,392 | $0 | 9.0 | ||||
| WILLIAM HASSE III | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $34,000 | $0 | 1.0 | ||||
| R LITCHFIELD DO | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| S N MAKAM MD | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $46,440 | $152,220 | $0 | |||||
| DONNA PANICH | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| STEVE PESTIKAS | ||||||||||
| DIRECTOR START 7-1-2013 | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| DONALD S POWERS | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $1,087,197 | $51,140 | 42.0 | ||||
| HON JAMES RICHARDS | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $24,000 | $48,817 | $0 | 25.0 | ||||
| NITIN SARDESAI MD | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $0 | $0 | |||||
| M NABIL SHABEEB MD FACS | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $24,000 | $0 | 2.0 | ||||
| DONALD TORRENGA | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $39,217 | $0 | 2.0 | ||||
| JAY ZANDSTRA | ||||||||||
| DIRECTOR | 1.0 | Yes (X) | $0 | $22,300 | $0 | 1.0 | ||||
| DAVID WICKLAND | ||||||||||
| PRESIDENT | 1.0 | Yes (X) | $24,000 | $48,817 | $0 | 15.0 | Yes (X) | |||
| JOSEPH MORROW | ||||||||||
| VICE PRESIDENT | 1.0 | Yes (X) | $0 | $10,200 | $0 | 1.0 | Yes (X) | |||
| RICHARD MCCLAUGHRY | ||||||||||
| SECRETARY | 1.0 | Yes (X) | $0 | $63,817 | $0 | 2.0 | Yes (X) | |||
| DAVID BOCHNOWSKI | ||||||||||
| TREASURER | 1.0 | Yes (X) | $0 | $20,000 | $0 | 1.0 | Yes (X) | |||
| DONALD P FESKO | ||||||||||
| ADMINISTRATOR | 40.0 | Yes (X) | $0 | $614,975 | $38,544 | 2.0 | Yes (X) | |||
| MARY ANN SHACKLETT | ||||||||||
| SR VP & SYSTEM CFO | 1.0 | $0 | $679,421 | $59,490 | 47.0 | Yes (X) | ||||
| LUIS MOLINA | ||||||||||
| VP OF FINANCE/CFO | 40.0 | $569,403 | $0 | $63,272 | 1.0 | Yes (X) | ||||
| RONDA MCKAY | ||||||||||
| VP & CNO | 40.0 | $293,280 | $0 | $10,192 | Yes (X) | |||||
| RICHARD BERKOWITZ MD | ||||||||||
| PHYSICIAN & MEDICAL DIRECTOR | 40.0 | $566,971 | $0 | $63,386 | Yes (X) | |||||
| PANTHIRUVELIL S MOHAN-THOMAS MD | ||||||||||
| PHYSICIAN | 40.0 | $434,923 | $0 | $30,342 | Yes (X) | |||||
| ROBERT JOSEPH GRONEMEYER MD | ||||||||||
| PHYSICIAN | 40.0 | $431,237 | $0 | $36,270 | Yes (X) | |||||
| AZAD CHALLAPALLI MD | ||||||||||
| PHYSICIAN | 40.0 | $437,033 | $0 | $55,170 | Yes (X) | |||||
| MICHAEL A BRODY MD | ||||||||||
| PHYSICIAN | 40.0 | $429,939 | $0 | $61,435 | Yes (X) | |||||
| WILLIAM SCHENCK | ||||||||||
| DIRECTOR END 4-30-2014 | $0 | $14,112 | $0 | Yes (X) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,295,632 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,932,485 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $469,241 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 175 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 |
|---|---|---|---|---|---|
| Walsh Construction Company LLC | |||||
| 929 West Adams Street | CHICAGO | IL | 60607 | Construction | $22,719,457 |
| Rehabcare Group Inc | |||||
| PO Box 502096 | ST LOUIS | MO | 63150 | Rehab Care Services | $4,601,041 |
| Alliance Healthcare Services Inc | |||||
| PO Box 6600 | NEWPORT BEACH | CA | 92658 | MRI Imaging | $2,032,833 |
| Gariup Construction Company | |||||
| 3965 Harrison Street | GARY | IN | 46408 | Construction | $2,020,545 |
| The Pangere Corporation | |||||
| 4050 West 4th Avenue | GARY | IN | 46406 | Construction | $1,927,249 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 51 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $283,464 | RelatedOrganizationsAmt |
| Government Grants | $161,584 | GovernmentGrantsAmt |
| All Other Contributions | $35,081 | AllOtherContributionsAmt |
| Total Contributions | $480,129 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $451,261,577 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $450,833,335 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $428,242 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $451,261,577 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $489,212 | TotalRevenueColumnAmt |
| Exclusion | $489,212 | 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 | $1,903,575 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $521,288 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,382,287 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,382,287 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,382,287 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,100 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,100 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,100 | TotalRevenueColumnAmt |
| Exclusion | $2,100 | 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 |
|---|---|---|---|---|---|
| PHARMACY SALES | 446110 | $5,261,836 | $3,776,991 | $1,484,845 | |
| FITNESS/SPA POINTE REVENUE | 713940 | $4,171,871 | $3,699,521 | $472,350 | |
| CAFETERIA | 722212 | $2,089,950 | $2,089,950 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $274,730 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $270,944 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,786 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,798,387 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $465,413,692 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $459,963,078 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,385,437 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,585,048 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,688 | TotalAmt |
| Program Services | $106,688 | 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 | $1,089,501 | TotalAmt |
| Management And General | $1,089,501 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,479 | TotalAmt |
| Program Services | $213,479 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,643,757 | TotalAmt |
| Program Services | $138,961,959 | ProgramServicesAmt |
| Management And General | $8,681,798 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,154,964 | TotalAmt |
| Program Services | $14,169,376 | ProgramServicesAmt |
| Management And General | $985,588 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,075,547 | TotalAmt |
| Program Services | $16,970,309 | ProgramServicesAmt |
| Management And General | $1,105,238 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,691,017 | TotalAmt |
| Program Services | $9,995,737 | ProgramServicesAmt |
| Management And General | $695,280 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,249,930 | TotalAmt |
| Management And General | $1,249,930 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $479,045 | TotalAmt |
| Management And General | $479,045 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,123 | TotalAmt |
| Management And General | $245,123 | 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 | $22,577,339 | TotalAmt |
| Program Services | $17,715,174 | ProgramServicesAmt |
| Management And General | $4,862,165 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,568,713 | TotalAmt |
| Program Services | $1,201,320 | ProgramServicesAmt |
| Management And General | $367,393 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,284,782 | TotalAmt |
| Program Services | $3,972,975 | ProgramServicesAmt |
| Management And General | $1,311,807 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,149 | TotalAmt |
| Program Services | $242,924 | ProgramServicesAmt |
| Management And General | $3,225 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,736,497 | TotalAmt |
| Program Services | $4,062,018 | ProgramServicesAmt |
| Management And General | $674,479 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,904 | TotalAmt |
| Program Services | $99,119 | ProgramServicesAmt |
| Management And General | $9,785 | 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 | $139,502 | TotalAmt |
| Program Services | $127,544 | ProgramServicesAmt |
| Management And General | $11,958 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,992 | TotalAmt |
| Management And General | $18,992 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,545,622 | TotalAmt |
| Program Services | $18,274,492 | ProgramServicesAmt |
| Management And General | $1,271,130 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,450,369 | TotalAmt |
| Program Services | $2,291,012 | ProgramServicesAmt |
| Management And General | $159,357 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $80,669,655 | $80,669,655 | |
| CORPORATE ALLOCATION | $45,714,664 | $42,741,657 | $2,973,007 |
| HAF | $27,391,749 | $27,391,749 | |
| PHYSICIAN ALLOCATION | $9,251,497 | $8,649,835 | $601,662 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,439,665 | TotalAmt |
| Program Services | $10,722,652 | ProgramServicesAmt |
| Management And General | $3,717,013 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $429,093,150 | TotalAmt |
| Program Services | $398,579,674 | ProgramServicesAmt |
| Management And General | $30,513,476 | 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 | $11,305,828 | BOYAmt |
| EOY | $12,655,029 | 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 | $56,868,150 | BOYAmt |
| EOY | $57,830,114 | 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 | $8,171,911 | BOYAmt |
| EOY | $9,873,456 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,217,397 | BOYAmt |
| EOY | $1,538,550 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $516,829,502 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $320,347,362 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,365,289 | BOYAmt |
| EOY | $196,482,140 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $1,360,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,224,985 | BOYAmt |
| EOY | $10,110,281 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,153,560 | BOYAmt |
| EOY | $289,849,570 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,078,983 | BOYAmt |
| EOY | $40,508,787 | 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 | $366,796 | BOYAmt |
| EOY | $572,103 | 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 | $115,670,298 | BOYAmt |
| EOY | $71,414,663 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,116,077 | BOYAmt |
| EOY | $112,495,553 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,793,125 | BOYAmt |
| EOY | $177,084,300 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,012 | BOYAmt |
| EOY | $167,371 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,346 | BOYAmt |
| EOY | $102,346 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,037,483 | BOYAmt |
| EOY | $177,354,017 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,153,560 | BOYAmt |
| EOY | $289,849,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $36,320,542 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $39,995,992 | 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 Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $97,154 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,972 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $150 | AdministrativeExpensesAmt |
| End Year Balance | $104,976 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $95,317 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,987 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $150 | AdministrativeExpensesAmt |
| End Year Balance | $97,154 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $96,330 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,163 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$150 | AdministrativeExpensesAmt |
| End Year Balance | $95,317 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $86,723 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,757 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $150 | AdministrativeExpensesAmt |
| End Year Balance | $96,330 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $96,624 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$9,751 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $150 | AdministrativeExpensesAmt |
| End Year Balance | $86,723 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,403,554 | OtherCostOrOtherBasisAmt |
| Book Value | $3,403,554 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $333,092,905 | OtherCostOrOtherBasisAmt |
| Depreciation | $216,664,276 | DepreciationAmt |
| Book Value | $116,428,629 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $984,452 | OtherCostOrOtherBasisAmt |
| Depreciation | $974,875 | DepreciationAmt |
| Book Value | $9,577 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $129,690,552 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,709,408 | DepreciationAmt |
| Book Value | $33,981,144 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,658,039 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,998,803 | DepreciationAmt |
| Book Value | $42,659,236 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $196,482,140 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)
| DescDesc | AmtAmt |
|---|---|
| NON-CURRENT PENSION LIABILITY | $38,907,959 |
| HOSPITAL ASSESSMENT FEE | $14,777,049 |
| DUE TO AFFILIATES | $7,593,822 |
| RAC LIABILITY | $3,136,088 |
| LEGAL CLAIM LIABILITY | $2,676,240 |
| CONSTRUCTION RETAINAGE | $1,661,856 |
| LEASE OBLIGATIONS | $1,171,966 |
| 3RD PARTY LIABILITY | $1,019,154 |
| ASSET RETIREMENT OBLIGATION | $393,899 |
| MISCELLANEOUS LIABILITIES | $76,630 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $71,414,663 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | PT V LINE 4 ENDOWMENT FUNDS ARE TO BE USED TO SUPPORT THE NEEDS OF MUNSTER MEDICAL RESEARCH FOUNDATION, INC. | ExplanationTxt |
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 | 2497 | PersonsServedCnt |
| Total Community Benefit Expns | $6,006,722 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $149,548 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,857,174 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 31092 | PersonsServedCnt |
| Total Community Benefit Expns | $64,692,536 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,305,369 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,387,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06840 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 33589 | PersonsServedCnt |
| Total Community Benefit Expns | $70,699,258 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,454,917 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,244,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08200 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 98 | ActivitiesOrProgramsCnt |
| Persons Served | 5011 | PersonsServedCnt |
| Total Community Benefit Expns | $820,660 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $809,217 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 470 | PersonsServedCnt |
| Total Community Benefit Expns | $556,985 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $556,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 801 | PersonsServedCnt |
| Total Community Benefit Expns | $3,854,939 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,657,965 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $196,974 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Persons Served | 1885 | PersonsServedCnt |
| Total Community Benefit Expns | $968,416 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $255,595 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $712,821 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 49 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $188,319 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $188,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 223 | ActivitiesOrProgramsCnt |
| Persons Served | 8167 | PersonsServedCnt |
| Total Community Benefit Expns | $6,389,319 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,925,003 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,464,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 223 | ActivitiesOrProgramsCnt |
| Persons Served | 41756 | PersonsServedCnt |
| Total Community Benefit Expns | $77,088,577 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,379,920 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,708,657 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08780 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $80,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,732 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $78,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 28 | PersonsServedCnt |
| Total Community Benefit Expns | $9,676 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,676 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 28 | PersonsServedCnt |
| Total Community Benefit Expns | $90,479 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,732 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $87,747 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,082,914 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $50,829 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $175,369,630 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $206,324,857 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$30,955,227 | 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 | MUNSTER MEDICAL RESEARCH FOUNDATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 901 MACARTHUR BOULEVARD | AddressLine1 |
| City | MUNSTER | City |
| State | IN | State |
| ZIP Code | 46321 | 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 | MUNSTER MEDICAL RESEARCH FOUNDATION | 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/COMMUNITY | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://CHSCOMMUNITY.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 | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| COMMUNITY SURGERY CENTER | ||||
| 801 MACARTHUR BOULEVARD | MUNSTER | IN | 46321 | OUTPATIENT SURGERY |
| COMMUNITY DIAGNOSTIC CENTER | ||||
| 10020 DONALD S POWERS DRIVE | MUNSTER | IN | 46321 | DIAGNOSTIC CENTER |
| ST JOHN OUTPATIENT CENTER | ||||
| 9660 WICKER AVENUE | ST JOHN | IN | 46373 | OUTPATIENT CENTER |
| COMMUNITY CARDIOLOGY CENTER | ||||
| 801 MACARTHUR BOULEVARD | MUNSTER | IN | 46321 | OUTPATIENT CENTER |
| FITNESS POINTE | ||||
| 9550 COLUMBIA AVENUE | MUNSTER | IN | 46321 | REHABILITATION |
| COMMUNITY HOME HEALTH SERVICES | ||||
| 9104 COLUMBIA AVENUE | MUNSTER | IN | 46321 | HOME HEALTH |
| SCHERERVILLE OUTPATIENT CENTER | ||||
| 7651 HARVEST DRIVE | SCHERERVILLE | IN | 46375 | 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. Community Hospital 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. 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. Leadership development and training for community member (line 5) This category includes "training in conflict resolution; civic, cultural or language skills; and medical interpreter skills for community residents." The costs reported here relate to 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., COMMUNITY HOSPITAL 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/COMMUNITY HTTP//WWW.CHSCOMMUNITY.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 MUNSTER, INDIANA, THE COMMUNITY SERVED INCLUDES NORTHWEST INDIANA. LATEST U.S. CENSUS BUREAU DEMOGRAPHIC INFORMATION COMPARING MUNSTER TO THE STATE OF INDIANA: Munster Indiana Persons under 18 years, percent, 2010 23.4% 24.8% Persons 65 years and over, percent, 2010 18.7% 13.0% White alone, percent, 2010 (a) 85.6% 84.3% Black or African American alone, percent, 2010 (a) 3.5% 9.1% Hispanic or Latino, percent, 2010 (b) 10.2% 6.0% White alone, not Hispanic or Latino, percent, 2010 79.2% 81.5% High school graduate or higher, age 25+, 2009-2013 94.2% 87.2% Bachelor's degree or higher, age 25+, 2009-2013 40.6% 23.2% Median household income, 2009-2013 $72,583 $48,248 Persons below poverty level, percent, 2009-2013 6.6% 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 | Community Hospital in Munster, Indiana, is a not-for-profit, non-sectarian, acute care facility recognized for meeting this nation's highest health care standards. The Joint Commission on Accreditation of Health Care Organizations has awarded Community Hospital Accreditation with Commendation, its highest honor, recognizing the hospital's exemplary performance. Community Hospital is the area's first choice in health care, with more admissions than any single hospital in Lake County, Indiana. Community Hospital has been selected as the area's most preferred hospital for quality care in each of the last three annual national consumer surveys by Nebraska-based National Research Corporation. This unmatched record of quality health care is backed by some of the area's most respected medical professionals and some of the most advanced medical technology available. The 427-bed hospital has a medical staff of more than 575 physicians. Community Hospital operates among its services a 24-hour Emergency Department, Intensive Care, Intermediate Care, Pediatrics, Obstetrics and Neonatal units, Community Oncology Center, Women's Diagnostic Center, Pain Clinic, Rehabilitation Center, Orthopedics Unit and Outpatient Surgery. In November 1998, the hospital opened Fitness Pointe, a health club facility that encompasses general fitness, cardiac rehabilitation, physical therapy and sports medicine. This unique, medically-based fitness facility furthers the hospital's mission to improve the health and well-being of our community. The first patient was admitted to Community Hospital on Sept. 11, 1973, at which time it was a 104-bed medical surgical facility. Today, the not-for-profit hospital is the area's busiest, operating the largest heart and cancer programs as well as delivering some 2,400 babies a year. Community Hospital has invested since its opening more than $250 million to assemble an impressive network of health care services that span the illness-to-wellness spectrum. Community Hospital is a non-profit hospital operating as a part of the Community Healthcare System, which includes St. Catherine Hospital, Inc. in East Chicago, 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 Hospital 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 COMMUNITY 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. COMMUNITY 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. 2013-2014 ANNUAL PROGRESS REPORT A. THE COMMUNITY HOSPITAL FITNESS POINTE - THE GOAL OF FITNESS POINTE IS TO PROVIDE OPPORTUNITIES FOR PERSONS OF NORTHWEST INDIANA TO IMPROVE AND MAINTAIN THEIR HEALTHY LIFE-STYLE HABITS, LOWERING THEIR RISKS FOR HEART DISEASE, STROKES, AND DIABETES. THE FACILITY WAS DEVELOPED TO ADDRESS FINDINGS OF OUR 1995 HEALTH NEEDS ASSESSMENT THAT IDENTIFIED OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. COMMUNITY HOSPITAL OPENED FITNESS POINTE ON NOVEMBER 1, 1998. THE APPROXIMATE 73,000 SQUARE FOOT FACILITY HOUSES THE HOSPITAL'S OUTPATIENT PHYSICAL THERAPY, DIZZINESS AND SPINAL THERAPY, OUTPATIENT DIETARY COUNSELING, OUTPATIENT DIABETIC EDUCATION, CARDIAC REHABILITATION PHASE III AND REHAB PLUS, AND THE FITNESS POINTE DEPARTMENTS. FITNESS POINTE PROGRAMS ADDRESS HEALTH EDUCATION/WELLNESS, AND FITNESS-RELATED CONTENT AREAS. THE COMMUNITY EDUCATION OFFERINGS AND THE CONTRIBUTIONS OF THE HOSPITAL EMPLOYEES AND MEDICAL STAFF ARE VITAL PIECES IN ADDRESSING THE HEALTH DISPARITIES IN LAKE COUNTY, SUPPORTING A VARIETY OF DISEASE PREVENTION GOALS. MANY OF THE COMMUNITY EDUCATION CLASSES ORIGINALLY DEVELOPED AT FITNESS POINTE ARE NOW ALSO OFFERED AT COMMUNITY HOSPITAL OUTPATIENT CENTRE IN ST. JOHN, VALPARAISO HEALTH CENTER AND PORTAGE YMCA FURTHER EXPANDING THE SCOPE OF SERVICES. HEALTH EDUCATION/WELLNESS SERVICES - THE COMMUNITY HEALTH NEEDS ASSESSMENT INDICATED LAKE COUNTY RESIDENTS HAVE INCREASED RISK FOR HEART DISEASE AND CANCER COMPARED TO STATE AND NATIONAL STATISTICS. A VARIETY OF HEALTH EDUCATION AND WELLNESS PROGRAMS ARE OFFERED TO THE COMMUNITY AT LITTLE OR NO CHARGE TO IMPROVE KNOWLEDGE AND AWARENESS OF LIFE-STYLE RELATED RISKS FOR THESE DISEASES. FITNESS POINTE PROVIDES A SUPPORTIVE ENVIRONMENT FOR AREA RESIDENTS TO MAINTAIN HEALTHY HABITS. RESEARCH INDICATES CERTAIN INDIVIDUALS ARE AT GREATER RISK FOR LIFE-STYLE RELATED DISEASES SUCH AS HEART DISEASE AND DIABETES BASED ON PHYSICAL MEASURES. FITNESS POINTE SCREENINGS FOR THESE RISKS DURING MANDATORY FITNESS PROFILES ARE PERFORMED ON ALL NEW PROGRAM PARTICIPANTS. IN A STUDY IN CONJUNCTION WITH VALPARAISO UNIVERSITY AND THE HEART CENTER AT COMMUNITY HOSPITAL, FITNESS POINTE IDENTIFIED 1,321 INDIVIDUALS AT A SIGNIFICANTLY INCREASED RISK FOR DIABETES AND HEART DISEASE. OF THESE INDIVIDUALS, 700 OF THEM AT THE HIGHEST RISK LEVELS FOR HEART DISEASE AND DIABETES WERE INVITED TO UNDERGO ADDITIONAL SCREENING FOR BLOOD CHOLESTEROL, BODY MASS INDEX AND BLOOD PRESSURE. SOME OTHERS AT MODERATE TO HIGH RISK WERE TARGETED, THROUGH ADDITIONAL SCREENING AND LIFE-STYLE MODIFICATION, FOR INTERVENTION TO REDUCE THEIR RISK OF DISEASE. WITH 25% OF WHITE CHILDREN AND 33% OF AFRICAN AMERICAN AND HISPANIC CHILDREN BEING OVERWEIGHT ACCORDING TO 2001 STATISTICS, FITNESS POINTE HAS DEVELOPED PROGRAMS TO HELP ADDRESS THIS ISSUE. "FIT TRIP" IS A PROGRAM THAT BRINGS 1ST-3RD GRADE STUDENTS TO FITNESS POINTE FOR A 90 MINUTE INTRODUCTION AND EXPERIENCE WITH DIFFERENT TYPES OF EXERCISE COMBINED WITH BASIC NUTRITION TIPS. "TAKE 5 FOR LIFE" IS A PROGRAM DEVELOPED FOR 5TH GRADERS TO TEACH GOOD HEALTH, NUTRITION AND FITNESS HABITS WITHIN THE SCHOOL SETTING, AS WELL AS TO ENCOURAGE ACTIVITY. BASED ON THE HEALTH NEEDS AND INTERESTS OF THOSE PROGRAM ATTENDEES, PROGRAMS WERE DEVELOPED IN THE AREAS OF: WOMEN'S HEALTH, NUTRITION AND HEALTHY COOKING, RELAXATION, WEIGHT MANAGEMENT, SENIOR HEALTH, BACK AND OTHER ORTHOPEDIC HEALTH ISSUES, DIABETES MANAGEMENT, CANCER AWARENESS AND PREVENTION, HEART DISEASE RISK FACTOR AWARENESS AND SCREENING, MENTAL HEALTH, AND SMOKING CESSATION. THROUGH THE COLLABORATIVE EFFORTS OF THE COMMUNITY HOSPITAL'S WELLNESS SERVICES, PUBLIC RELATIONS, DIETARY SERVICES THERAPY, REHABILITATION, EDUCATION DEPARTMENT, NURSING SERVICES AND OTHERS, A QUARTERLY COMMUNITY EDUCATION CALENDAR CALLED "TAKE CARE!" IS CREATED. THE CALENDAR IS DISTRIBUTED TO MORE THAN 75,000 HOUSEHOLDS IN THE HOSPITAL'S SERVICE AREA, AND TO COMMUNITY CENTERS, PHYSICIAN OFFICES, LIBRARIES AND OTHER PUBLIC LOCATIONS. IT FEATURES EDUCATIONAL AND SUPPORT PROGRAMS DESIGNED TO IMPROVE THE PHYSICAL, MENTAL, SAFETY, NUTRITIONAL AND SOCIAL WELL-BEING OF THE COMMUNITY. WELLNESS EDUCATION PROGRAM AREAS 1. HEART DISEASE-RELATED PROGRAMMING INCLUDES ONGOING DAILY BLOOD PRESSURE SCREENING BY THE EXERCISE STAFF, BLOOD PRESSURE SCREENING OFFERED DURING PERIODIC EVENTS, A COMPREHENSIVE SERIES ABOUT CHOLESTEROL THAT INCLUDES A SCREENING AND EDUCATION ON CHOLESTEROL MANAGEMENT, SMOKING CESSATION CLASS, A STROKE AWARENESS LECTURE, A PRESENTATION ON NEW ADVANCED GENETIC TESTING FOR HEART DISEASE, PERIPHERAL ARTERIAL DISEASE SCREENINGS, AND A CLASS THAT HELPS INDIVIDUALS MAINTAIN THEIR HEALTH WHILE ON HEART MEDICATIONS. HEART DISEASE-RELATED SUPPORT GROUPS INCLUDE A HEART FAILURE SUPPORT GROUP, A GROUP FOR WOMEN WITH HEART DISEASE, AND MENDED HEARTS - A NATIONAL ORGANIZATION WHERE SEASONED HEART DISEASE PATIENTS VISIT NEWLY DIAGNOSED PATIENTS IN THE HOSPITAL AFTER SURGERY OR A PROCEDURE. OTHER COMMUNITY PROGRAMS RELATED TO THE HEART INCLUDED HOW TO RAISE A HEART-SMART CHILD, PROPER NUTRITION FOR LOWERING CHOLESTEROL, INFANT-CHILD CPR, DIABETES AS IT RELATES TO THE HEART, AND A SERIES OF PROGRAMS FOR WOMEN AND HEART DISEASE. 2. CANCER AWARENESS AND PREVENTION PROGRAMS INCLUDE |
| 6. AFFILIATED HEALTH CARE SYSTEM | COMMUNITY HOSPITAL 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 (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PURDUE UNIVERSITY CALUMET | |||||||
| 2200 169TH STREET | HAMMOND | IN | 46323 | 356002041 | 501(C)3 | $33,000 | SPONSORSHIP |
| CALUMET COUNCIL BOY SCOUTS OF AMERICA | |||||||
| 8751 CALUMET AVENUE | MUNSTER | IN | 46321 | 350867968 | 501(C)3 | $10,400 | SPONSORSHIP |
| MUNSTER HIGH SCHOOL | |||||||
| 8808 COLUMBIA AVENUE | MUNSTER | IN | 46321 | 356002675 | 501(C)3 | $5,850 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPLEMENTAL INFORMATION | 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S N MAKAM MD | ||||||||||||||
| DIRECTOR | $46,440 | $152,220 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $46,440 | $152,220 | $0 | $0 |
| DONALD S POWERS | ||||||||||||||
| DIRECTOR | $0 | $840,009 | $0 | $244,372 | $0 | $2,816 | $0 | $36,490 | $0 | $14,650 | $0 | $1,138,337 | $0 | $0 |
| DONALD P FESKO | ||||||||||||||
| ADMINISTRATOR | $0 | $434,516 | $0 | $154,414 | $0 | $26,045 | $0 | $11,325 | $0 | $27,219 | $0 | $653,519 | $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 |
| LUIS MOLINA | ||||||||||||||
| VP OF FINANCE/CFO | $349,156 | $0 | $208,894 | $0 | $11,353 | $0 | $43,120 | $0 | $20,152 | $0 | $632,675 | $0 | $0 | $0 |
| RONDA MCKAY | ||||||||||||||
| VP & CNO | $203,305 | $0 | $88,620 | $0 | $1,355 | $0 | $7,500 | $0 | $2,692 | $0 | $303,472 | $0 | $0 | $0 |
| RICHARD BERKOWITZ MD | ||||||||||||||
| PHYSICIAN & MEDICAL DIRECTOR | $564,649 | $0 | $0 | $0 | $2,322 | $0 | $36,490 | $0 | $26,896 | $0 | $630,357 | $0 | $0 | $0 |
| PANTHIRUVELIL S MOHAN-THOMAS MD | ||||||||||||||
| PHYSICIAN | $431,863 | $0 | $0 | $0 | $3,060 | $0 | $11,325 | $0 | $19,017 | $0 | $465,265 | $0 | $0 | $0 |
| ROBERT JOSEPH GRONEMEYER MD | ||||||||||||||
| PHYSICIAN | $429,243 | $0 | $0 | $0 | $1,994 | $0 | $11,325 | $0 | $24,945 | $0 | $467,507 | $0 | $0 | $0 |
| AZAD CHALLAPALLI MD | ||||||||||||||
| PHYSICIAN | $413,645 | $0 | $0 | $0 | $23,388 | $0 | $36,490 | $0 | $18,680 | $0 | $492,203 | $0 | $0 | $0 |
| MICHAEL A BRODY MD | ||||||||||||||
| PHYSICIAN | $429,243 | $0 | $0 | $0 | $696 | $0 | $36,490 | $0 | $24,945 | $0 | $491,374 | $0 | $0 | $0 |
| WILLIAM SCHENCK | ||||||||||||||
| DIRECTOR END 4-30-2014 | $0 | $6,100 | $0 | $0 | $0 | $8,012 | $0 | $0 | $0 | $0 | $0 | $14,112 | $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 FIVE HIGHEST PAID EMPLOYEES, WHICH IS THEN TAXED AS A FRINGE BENEFIT TO THE INDIVIDUAL. PART I, LINE 3 MUNSTER MEDICAL RESEARCH FOUNDATION, 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 DISCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| COMMUNITY CARDIOLOGY CENTER | |||
| SN MAKAM, MD PRTNR MORE | $5,429,532 | INDEPENDENT CONTRACTOR | false |
| COMM CARD CTNR CON'T | |||
| THAN 5% OWNED | INDEPENDENT CONTRACTOR | ||
| HASSE CONSTRUCTION | |||
| OWNED BY WILLIAM HASSE | $791,876 | INDEPENDENT CONTRACTOR | false |
| SARN II | |||
| DR. SHABEEB PART-OWNER | $217,368 | RENTAL OF OFFICE SPACE | false |
| CARDIOLOGY ASSOC OF NW IN | |||
| SN MAKAM, MD OFFICER | $118,150 | INDEPENDENT CONTRACTOR | false |
| KAY TORRENGA | |||
| FAM MEM OF DONALD TORRENG | $69,958 | EMPLOYMENT | false |
| GARY MCKAY | |||
| FAM MEM OF RONDA MCKAY | $66,197 | EMPLOYMENT | false |
| STEVEN PAUL CHOVANEC | |||
| FAM MEM STEVEN G CHOVANEC | $55,187 | EMPLOYMENT | false |
| RYAN TORRENGA | |||
| FAM MEM OF DONALD TORRENG | $11,249 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VI, LINE 2 - FAMILY OR BUSINESS RELATIONSHIPS | Frankie Fesko is a family member of Donald P. Fesko and Donald S. Powers. 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 MUNSTER MEDICAL RESEARCH FOUNDATION, INC. (MMRF) 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. IS THE PARENT COMPANY OF MUNSTER MEDICAL RESEARCH FOUNDATION, INC. AND HAS RIGHTS TO APPROVE DECISIONS MADE BY MMRF. |
| 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 & 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. |
| PART VI, LINE 15 - PROCESS TO DETERMINE OFFICER & KEY PERSON COMPENSATION | THE CFNI BOARD 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 | MUNSTER MEDICAL RESEARCH FOUNDATION, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, MMRF THROUGH CFNI MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE. |
| PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS | MINIMUM PENSION LIABILITY ADJUSTMENT 53,624,702 INCOME ON RESTRICTED FUNDS 7,822 TRANSFER TO CFNI(PARENT) (13,556,532) TRANSFER TO TATC (80,000) TOTAL CHANGES IN NET ASSETS 39,995,992 |
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 |
| ST CATHERINE HOSPITAL INC | ||||||||||
| 4321 FIR STREET | EAST CHICAGO | IN | 46312 | 351738708 | 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 | RETRMT HOME | 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) |
| THEATRE AT THE CENTER INC | ||||||||||
| 905 RIDGE ROAD | MUNSTER | IN | 46321 | 351939427 | PLAYS & ARTS | IN | 501(c)(3) | 9 | 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 | 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 | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | 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 (16 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THEATRE AT THE CENTER INC | ||
| B | $80,000 | FMV |
| COMMUNITY CANCER RESEARCH FOUNDATION INC | ||
| C | $252,000 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| H | $466,752 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| I | $270,000 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| J | $783,591 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| K | $59,807 | FMV |
| COMMUNITY CANCER RESEARCH FOUNDATION INC | ||
| O | $175,185 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| O | $3,789,997 | FMV |
| ST CATHERINE HOSPITAL INC | ||
| O | $796,500 | FMV |
| ST MARY MEDICAL CENTER INC | ||
| O | $647,222 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| P | $6,024,232 | FMV |
| ST CATHERINE HOSPITAL INC | ||
| P | $1,664,911 | FMV |
| ST MARY MEDICAL CENTER INC | ||
| P | $219,879 | FMV |
| COMMUNITY CARE NETWORK INC | ||
| Q | $280,653 | FMV |
| ST CATHERINE HOSPITAL INC | ||
| Q | $1,395,825 | FMV |
| ST MARY MEDICAL CENTER INC | ||
| Q | $1,475,668 | FMV |
Comments