ST MARY MEDICAL CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- ST MARY MEDICAL CENTER INC (EIN 35-2007327)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-16
- IRS object ID
- 201111369349302596
- Schema version
- 2009v1.7
- 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 C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-16T11:30:00-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352007327 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary Medical Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 2199476076 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 S Lake Park Avenue | AddressLine1 |
| City | Hobart | City |
| State | IN | State |
| ZIP Code | 46342 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARY SUDICKY | Name |
| Title | VP FINANCE/CFO | Title |
| Date Signed | 2011-05-12 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Mary SudickyVP of FinanceCFO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 S Lake Park Ave | AddressLine1 |
| City | Hobart | City |
| State | IN | State |
| ZIP Code | 46342 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 189930196 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.comhs.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | Community Healthcare System is committed to providing the highest quality care in the most cost efficient manner, respecting the dignity of the individual, providing for the...(continued on Part III, Line 1) | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1332 | TotalNbrEmployees |
| Total Nbr Volunteers | 216 | TotalNbrVolunteers |
| Total Gross UBI | 1372629 | TotalGrossUBI |
| Contributions Grants Prior Year | 99000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 82000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 161439061 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 186813355 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -35428 | InvestmentIncomePriorYear |
| Investment Income Current Year | 110177 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2468308 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2897014 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 163970941 | TotalRevenuePriorYear |
| Total Revenue Current Year | 189902546 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 70886134 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 78388224 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 85183288 | OtherExpensePriorYear |
| Other Expenses Current Year | 96835789 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 156069422 | TotalExpensesPriorYear |
| Total Expenses Current Year | 175224013 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7901519 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 14678533 | RevenuesLessExpensesCY |
| Total Assets BOY | 119930113 | TotalAssetsBOY |
| Total Assets EOY | 121193554 | TotalAssetsEOY |
| Total Liabilities BOY | 19501408 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 21126260 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 100428705 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 100067294 | NetAssetsOrFundBalancesEOY |
| Mission Description | FORM 990 P 1: PT 1, LN 1, CONT-2 IN 1973, ST. MARY MEDICAL CENTER, HOBART WAS OPENED TO FILL A NEED FOR HEALTH SERVICE TO THE COMMUNITIES OF EAST LAKE AND PORTER COUNTIES. TODAY THE HOSPITAL CONTINUES TO PROVIDE A FULL RANGE OF MEDICAL SERVICES FOR INPATIENTS AND OUTPATIENTS. ST. MARY MEDICAL CENTER IS A NON-PROFIT HOSPITAL OPERATING AS A PART OF THE COMMUNITY HEALTHCARE SYSTEM, WHICH INCLUDES COMMUNITY HOSPITAL IN MUNSTER, INDIANA AND ST. CATHERINE HOSPITAL IN EAST CHICAGO, INDIANA. THE HOSPITALS ARE COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE IN THE MOST COST-EFFICIENT MANNER, RESPECT 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 | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 35594944 | Expense |
| Revenue | 84544861 | Revenue |
| Description | Surgery Operations: 9,419 Cases | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 31511171 | Expense |
| Revenue | 37344676 | Revenue |
| Description | Nursing: 56,743 Patient Days | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 17262597 | Expense |
| Revenue | 50131400 | Revenue |
| Description | Pharmacy: 774,946 Units | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 63014791 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 17689432 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 147383503 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | true | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 149 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1332 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARY ANN SHACKLETT | NamePerson |
| Telephone Number | 2199348250 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10010 DONALD POWERS DRIVE | AddressLine1 |
| City | MUNSTER | City |
| State | IN | State |
| ZIP Code | 46321 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| John Burton | ||||||||
| Director | 5.0 | X | 0 | 0 | 0 | |||
| William K Schenck | ||||||||
| Director | 10.0 | X | 0 | 24237 | 0 | |||
| Doris R Blaney EdD RN | ||||||||
| Director | 5.0 | X | 0 | 0 | 0 | |||
| Randall C Jacobs | ||||||||
| Director | 5.0 | X | 0 | 0 | 0 | |||
| Ken Krupinski CPA | ||||||||
| Treasurer | 5.0 | X | 0 | 0 | 0 | |||
| Scott A Andrews MD | ||||||||
| Director | 5.0 | X | 860 | 0 | 0 | |||
| Hon Linda Buzinec | ||||||||
| Board Member | 5.0 | X | 0 | 0 | 0 | |||
| Sr Michele Dvorak phjc | ||||||||
| Board Member | 5.0 | X | 0 | 0 | 0 | |||
| Lisa Field | ||||||||
| Board Member | 5.0 | X | 0 | 0 | 0 | |||
| Milton S Gasparis MD | ||||||||
| Board Member | 5.0 | X | 1430 | 0 | 0 | |||
| Bill Joiner | ||||||||
| Director | 5.0 | X | 0 | 0 | 0 | |||
| Judge James Moody | ||||||||
| Director | 5.0 | X | 0 | 0 | 0 | |||
| Peter Mavrelis MD | ||||||||
| Director | 5.0 | X | 0 | 0 | 0 | |||
| Nick Thiros | ||||||||
| Director | 5.0 | X | 0 | 0 | 0 | |||
| Mary Sudicky | ||||||||
| VP of Finance & CFO | 40.0 | 193739 | 0 | 52764 | X | |||
| Janice Ryba | ||||||||
| CEO & Administrator | 40.0 | 0 | 402647 | 41019 | X | |||
| Tammie Finn | ||||||||
| VP of Nursing & CNO | 40.0 | 194860 | 0 | 14174 | X | |||
| Michael Kovacich MD | ||||||||
| Director | 40.0 | 188523 | 0 | 26832 | X | |||
| Ibrahim G Zabaneh MD | ||||||||
| Physician | 40.0 | 298583 | 0 | 26209 | X | |||
| Mark Carter MD | ||||||||
| Physician | 40.0 | 170956 | 0 | 40598 | X | |||
| John E Carter MD | ||||||||
| Physician | 40.0 | 151221 | 0 | 34095 | X | |||
| Milt J Triana | ||||||||
| Director | 24.0 | 134953 | 0 | 65152 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1335125 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 426884 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 300843 | TotalOtherCompensation |
| Number Individuals GT100 K | 31 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Rehab Care Group Incorporated | |||||
| 7733 Forsyth Blvd Ste 1700 | ST LOUIS | MO | 63105 | therapy services | 3753746 |
| Lakeshore Anesthesia | |||||
| 541 Otis Bowen | MUNSTER | IN | 46321 | Anesthesia Svs | 1508450 |
| Phillips Medical Systems | |||||
| PO Box 100355 | ATLANTA | GA | 30384 | Imaging Services | 781610 |
| United Shockwave Services | |||||
| PO Box 2178 | DES PLAINES | IL | 60017 | Lithotripsy Services | 542700 |
| Mayo Collaborative Services | |||||
| Blood Services | 517379 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| All Other Contributions | 82000 | AllOtherContributions |
| Total Contributions | 82000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SVC REV | 900099 | 187836987 | 187836987 |
| JOINT VENTURE REV. | 900099 | -1023632 | -1023632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 186813355 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 92827 | TotalRevenueColumn |
| Exclusion | $92,827 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 700769 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 700769 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 700769 | TotalRevenueColumn |
| Related Or Exempt Function Income | 700769 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 45000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 27650 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 17350 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17350 | TotalRevenueColumn |
| Exclusion | $17,350 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| PRO LAB FEES | 621500 | 1372629 | 1372629 | |
| ALL OTHER REVENUE | 823616 | 823616 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2196245 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 189902546 | TotalRevenueColumn |
| Related Or Exempt Function Income | 188337740 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1372629 | UnrelatedBusinessRevenue |
| Exclusion | $110,177 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1751162 | Total |
| Program Services | 809284 | ProgramServices |
| Management And General | 941878 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83350 | Total |
| Management And General | 83350 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60371485 | Total |
| Program Services | 52180158 | ProgramServices |
| Management And General | 8191327 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2435289 | Total |
| Program Services | 2101962 | ProgramServices |
| Management And General | 333327 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9350164 | Total |
| Program Services | 8070705 | ProgramServices |
| Management And General | 1279459 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4396774 | Total |
| Program Services | 3794971 | ProgramServices |
| Management And General | 601803 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 250000 | Total |
| Management And General | 250000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 701272 | Total |
| Program Services | 14180 | ProgramServices |
| Management And General | 687092 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 208461 | Total |
| Program Services | 10767 | ProgramServices |
| Management And General | 197694 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1806 | Total |
| Management And General | 1806 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16048195 | Total |
| Program Services | 12249762 | ProgramServices |
| Management And General | 3798433 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49356306 | Total |
| Program Services | 43127206 | ProgramServices |
| Management And General | 6229100 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1613178 | Total |
| Program Services | 165569 | ProgramServices |
| Management And General | 1447609 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1199662 | Total |
| Program Services | 1036614 | ProgramServices |
| Management And General | 163048 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 207611 | Total |
| Program Services | 94378 | ProgramServices |
| Management And General | 113233 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73617 | Total |
| Program Services | 48247 | ProgramServices |
| Management And General | 25370 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4327171 | Total |
| Program Services | 3734917 | ProgramServices |
| Management And General | 592254 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9730287 | Total |
| Program Services | 8406917 | ProgramServices |
| Management And General | 1323370 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1573607 | Total |
| Program Services | 1378853 | ProgramServices |
| Management And General | 194754 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 9470724 | 9470724 | |
| OTHER EXPENSE | 1765184 | 579572 | 1185612 |
| FEES AND TAXES | 308706 | 108717 | 199989 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175224013 | Total |
| Program Services | 147383503 | ProgramServices |
| Management And General | 27840508 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3891 | BOY |
| EOY | 22574 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6763432 | BOY |
| EOY | 6379286 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21863917 | BOY |
| EOY | 24662765 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4256086 | BOY |
| EOY | 4502040 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1257651 | BOY |
| EOY | 4169927 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 133144768 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 51747222 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85194181 | BOY |
| EOY | 81397546 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 590955 | BOY |
| EOY | 59415 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119930113 | BOY |
| EOY | 121193554 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18619747 | BOY |
| EOY | 20498774 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 291234 | BOY |
| EOY | 329735 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 590427 | BOY |
| EOY | 297751 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19501408 | BOY |
| EOY | 21126260 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100252755 | BOY |
| EOY | 99883543 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 175950 | BOY |
| EOY | 183750 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100428705 | BOY |
| EOY | 100067293 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119930113 | BOY |
| EOY | 121193554 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $1,806 | RalliesDemonstrationsAmount |
| Total Lobbying Expenditures IIB | 1806 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | IHA Dues | Identifier |
| Explanation | $1,806 is the allocated portion of IHA dues attributed to lobbying. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 7873807 | InvestmentCostOrOtherBasis |
| Book Value | 7873807 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 74763269 | InvestmentCostOrOtherBasis |
| Depreciation | 20036135 | Depreciation |
| Book Value | 54727134 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 607502 | InvestmentCostOrOtherBasis |
| Depreciation | 27371 | Depreciation |
| Book Value | 580132 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 45942649 | InvestmentCostOrOtherBasis |
| Depreciation | 30001432 | Depreciation |
| Book Value | 15941218 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3957540 | InvestmentCostOrOtherBasis |
| Depreciation | 1682284 | Depreciation |
| Book Value | 2275256 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 81397547 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
| Total Revenue | 189902546 | TotalRevenue |
| Total Expenses | 175224013 | TotalExpenses |
| Excess Or Deficit For Year | 14678533 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 14678533 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Explanation | The adoption of ASC 740 did not materially impact the financial statements. | Explanation |
Schedule G IRS990ScheduleG
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1733 | PersonsServed |
| Total Community Benefit Expense | 2575203 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1122327 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1452876 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00870 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16904 | PersonsServed |
| Total Community Benefit Expense | 16992461 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7626521 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9365940 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05600 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 18637 | PersonsServed |
| Total Community Benefit Expense | 19567664 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8748848 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10818816 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06470 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 427 | NumberOfActivitiesOrPrograms |
| Persons Served | 8658 | PersonsServed |
| Total Community Benefit Expense | 391079 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2348 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 388732 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 53 | NumberOfActivitiesOrPrograms |
| Persons Served | 1640 | PersonsServed |
| Total Community Benefit Expense | 696841 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 696814 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1456 | PersonsServed |
| Total Community Benefit Expense | 13569385 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11391393 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2177992 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01300 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 54 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 43330 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 43330 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 534 | NumberOfActivitiesOrPrograms |
| Persons Served | 11754 | PersonsServed |
| Total Community Benefit Expense | 14700635 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11393768 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3306868 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01980 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 534 | NumberOfActivitiesOrPrograms |
| Persons Served | 30391 | PersonsServed |
| Total Community Benefit Expense | 34268299 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20142616 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14125684 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08450 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $3,277,219 | BadDebtExpenseAmount |
| Amount Attributable To | 24689 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 41471965 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 56121076 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -14649111 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKE PARK SURGICARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | OUTPATIENT SURGICAL PROCEDURE | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.20000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.60000 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV (13 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | OtherOther | Licensed HospitalLicensedHospital | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|
| REHAB CENTER OF ST MARY MEDICAL CTR | ||||||
| 320 W 61ST AVENUE | HOBART | IN | 46342 | OUTPATIENT ANCILLARY | ||
| CENTER FOR IMAGING AND RADIATION ONCOLOG | ||||||
| 300 W 61ST AVENUE | HOBART | IN | 46342 | OUTPATIENT ANCILLARY | ||
| HEALTH & REHAB SPECTRUM | ||||||
| 1354 S LAKE PARK AVENUE | HOBART | IN | 46342 | OUTPATIENT ANCILLARY | ||
| WILLOW CREEK HEALTH CENTER | ||||||
| 3170 WILLOWCREEK ROAD | PORTAGE | IN | 46368 | PHYSICIAN PRACTICE | ||
| WINFIELD HEALTH CENTER | ||||||
| 10607 RANDOLPH ST | CROWN POINT | IN | 46307 | PHYSICIAN PRACTICE | ||
| PORTAGE HEALTH CENTER LLC | ||||||
| 6375 US HIGHWAY 6 | PORTAGE | IN | 46368 | PHYSICIAN PRACTICE | ||
| LAKE GEORGE MEDICAL CENTER | ||||||
| 164 BRACKEN PARKWAY | HOBART | IN | 46342 | PHYSICIAN PRACTICE | ||
| MICHAEL KOVACICH MD | ||||||
| 200 E 80TH PLACE | MERRILLVILLE | IN | 46410 | PHYSICIAN PRACTICE | ||
| WASAS CHILDRENS PARTNERSHIP | ||||||
| 155 W 86TH AVENUE | MERRILLVILLE | IN | 46410 | PHYSICIAN PRACTICE | ||
| SAGR LLC | ||||||
| PO BOX 2001 | VALPARAISO | IN | 46385 | PHYSICIAN PRACTICE | ||
| C&E INVESTMENTS CO NW PROP MGMT | ||||||
| 209 E 86TH COURT SUITE D | MERRILLVILLE | IN | 46410 | Outpatient Services | ||
| ST MARY MEDICAL CENTER | ||||||
| 1500 SOUTH LAKE PARK AVENUE | HOBART | IN | 46342 | HOSPITAL | X | X |
| ST MARY MEDICAL CENTER AT LAKE PARK | ||||||
| 7921 Grand Blvd | Hobart | IN | 46342 | Outpatient Ancillary Services | ||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Annual Community Benefit Expln | The Community Benefit Report is available via IHA state reporting. | AnnualCommunityBenefitExpln |
| Costing Method Used | The methodology used was from the cost accounting system which uses a relative value approach to costing. | CostingMethodUsed |
| Subsidized Health Services Expln | The methodology used was from the cost accounting system which uses a relative value approach to costing. It is for inpatient only and excludes Medicaid, Charity and Bad Debt. | SubsidizedHealthServicesExpln |
| Bad Debt Footnote | The Hospital reports accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends. The methodology used was from the cost accounting system which uses a relative value approach to costing. | BadDebtFootnote |
| Shortfall As Community Benefit | The methodology used was from the cost accounting system which uses a relative value approach to costing. The amount includes the loss on Medicare patients at cost after removing amounts already included in Part I, lines 7a, 7b, and 7g; and Part III, lines 2 and 3. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | SEE ATTACHED- COLLECTION POLICY | DebtCollectionPolicy |
| Number Of Facility Type Expln | Physician Practices - 7; Outpatient Ancillary - 5 | NumberOfFacilityTypeExpln |
| Needs Assessment | St. Mary Medical Center uses a third-party consulting firm to access the health needs in the community. | NeedsAssessment |
| Patient Education Assistance | Patient who are admitted without insurance are directed to the hospital financial counselors. Additionally, the policy is posted in the Emergency Room area. | PatientEducationAssistance |
| Community Building Activities | Alzheimer's Support Group - Alzheimer's Support Group meets the third Tuesday of each month at St. Mary Medical Center. 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. Share & Care Support Group - This group meets the first Thursday of each month in the Pastoral Care Conference Room. The group is for parents who have lost adult children. Consoling Hearts Grief Support Group - Support group meets the first Thursday of each month for those suffering from the loss of a loved one. Meetings take place at St. Joan of Arc in Merrillville. Healing Hearts Education Group - Education group meets at St. Mary Medical Center every other month for those dealing with heart failure. Hope Network Cancer Support Group - Education, thoughts, feelings and ideas are shared in this support group that meets the last Wednesday of each month in the Education Classroom of St. Mary Medical Center. Lupus Support Group - Group meets the fourth Monday of each month at St. Mary Medical Center for those with Lupus/autoimmune diseases. Gluten Intolerance Group of Northwest Indiana - For those dealing with gluten intolerances meets second Monday of each month at St. Mary Medical Center in the auditorium. Pulmonary Rehab "Breathless" Support Group - Group meets the second Monday of each month at the Spectrum of St. Mary Medical Center to answer questions and help patients who have medical problems associated with their lungs. New Beginnings Transplant Support Group - Provides educational information, and maintains contact with donor families, transplant recipients, patients waiting and dialysis patients. Mended Hearts - Recovered cardiac patients visit newly diagnosed cardiac patients to offer support and education at St. Mary Medical Center on the third Tuesday of each month. Ongoing Programs/Classes Birthing Suite Tours - Free tours of St. Mary Medical Center birthing suites. Doula Labor Assistant Program - Volunteer woman who provides continuous non-medical emotional and physical support during labor. Her skills include relaxation and breathing techniques, positioning to reduce pain, massage and enhanced labor progress. Free program for anyone interested in becoming a Doula at St. Mary Medical Center. Doula Post Partum Assistant Program - Woman who is professionally trained to support the family after birth with breastfeeding skills, support for the partner, education on newborn care, support of the woman with postpartum depression, grief or loss. Free program at St. Mary Medical Center. Lamaze Classes - Six week class that includes information on comfort measures and medication available for pain. To be attended during the last trimester of pregnancy to prepare you to make good decisions regarding labor and delivery. $60/couple or $25 for refresher course held in the conference rooms at St. Mary Medical Center. Teen Childbirth Education Lamaze - Six week class for teenagers to learn about labor and delivery, nutrition, pain relief options, recovery, and valuable resources for support. Free program held in the conference rooms at St. Mary Medical Center. State Health Insurance Assistance Program (SHIP) - Free assistance to help seniors get more value from their health insurance. Nutrition Counseling - Dietary evaluation and counseling by a registered dietician. Physician referral required. Cooking Demonstrations - Once a month Chef Ryan C. Smith demonstrates delectable appetizers, salads, entrees, desserts and more in these fun and interactive demonstrations. TOPS (Taking off Pounds Sensibly) - Meetings every Monday to support those who desire maintenance of a healthy weight. Held in Conference Room 3 at St. Mary Medical Center. $26 annual dues plus $1 per week. I Quit! Smoking Cessation - Eight week class held at St. Mary Medical Center for instruction, counseling and behavior modification for those who want to quit smoking. Fee: $50 with a $30 refund at completion of class. Coronary Scan - Uses the most advanced CT imaging to take x-ray pictures of your heart that detect calcium deposits, which are signs of heart disease. This non-invasive test is fast, painless and recommended for individuals with one or more risk factors for heart disease. Physician order required. Fee: $200/person. Coumadin: A Delicate Balance - Pharmacist and dietician discuss diet and medications to avoid while taking Coumadin. Free held at St. Mary Medical Center in conference room. Moving Forward - Stroke Education - Class held every other week to discuss prevention of future strokes through risk detection and management. Free. Peripheral Arterial Disease Rehabilitation - Two classes per week of supervised exercise and education about PAD held at Spectrum of St. Mary Medical Center. Orientation fee: $55 Monthly fee: $35 Coronary Health Appraisal - Screening for risk of heart disease that includes: cholesterol (total HDL, LDL, triglycerides), blood sugar, metabolic syndrome, blood pressure, body mass index and a Heart Health Profile. 10-12 hour fast required. Fee: $30/person. PAD Screening - This simple, 15 minute screening explains Peripheral Arterial Disease (PAD) and screens for blockages in the arteries of the legs. Monday 11 am - 12 pm. Designated Thursdays from 10 am - 12 pm. Spectrum of St. Mary Medical Center Fee: $10/person Blood Profile Screening - Check your cholesterol, HDL, triglycerides or glucose. No physician order needed. 10-12 hour fast required. Fee $5 per test or $20 for panel. 5th floor Laboratory at St. Mary Medical Center Diabetic Screening - Dr. Forgey's office 109 E. 89th Ave., Merrillville. Free. Call office to register. Dr. Chhabra's Office Wednesdays; 9-11 am 6375 US Highway 6, Portage or 8777 Broadway, Suite D, Merrillville. Free. Call to register. Skin Cancer Screenings - Physician will look for indications of cancer or precancerous conditions. Dr. Forgey's office First Wednesday every month, 9 am - 12 pm 109 E. 89th Ave., Merrillville. Free. Call to register. Dr. Chhabra's office First Saturday of every month 6375 US Highway 6, Portage. Free. Call to register. Blood Profile Screening - Check your cholesterol, HDL, LDL, glucose and triglycerides. 12 hour fast required. Fee: $20 per panel. Appointment required. Wednesdays; 9 am - 12 pm Fridays; 9 am - 12 pm Dr. Chhabra's office 6375 US Highway 6, Portage or 8777 Broadway, Suite D, Merrillville. Call to register. Blood Pressure Screenings - First Thursday of each month; 10-11 am Spectrum of St. Mary Medical Center. Free Wednesdays; 9 am - 12 pm Dr. Chhabra's office 6375 US Highway 6, Portage or 8777 Broadway, Suite D, Merrillville. Free. Call to register. Dr. Forgey's office 109 E. 89th Ave. Merrillville Free. Call to register. Yoga - Every Wednesday. Gentle yoga to release stress, increase flexibility and increase strength. Fee: $25/four-class series; $20 four-class series for seniors; or $8 per class. Guided Meditation & Healing Touch - Every Wednesday. Experience stress reduction and relaxation to benefit mind, body and spirit. Fee: $10 per session. Diabetic Management, Complications & Glucose Monitoring & Diet Planning - Free. Call Diabetes Educator for dates. Monthly Programs/Special Events February Hearts of Hope Valentine Tree Lighting Ceremony Wed, Feb 9; 4 p.m. A crimson light twinkles, and another life is saved. The lights on the Hearts of Hope trees outside St. Mary Medical Center represent donations made to Community Healthcare System Cardiovascular Research to fund clinical trials and studies for heart disease right here, close to home. Each light on the Hearts of Hope trees at St. Mary Medical Center shines in honor or memory of those who fill our hearts with love and joy. Honor someone close to your heart today. Visit www.comhs.org and click on "Ways to Give" for a donation form, or call 219-947-6041. MAY Stroke Symposium Tue, May 24 Vendors Open: 8:30 a.m. Speakers: 9 a.m.-1 p.m. St. Mary Medical Center West Patient Tower Auditorium & Conference Rooms A neurologist, cardiologist, emergency medicine physician and rehabilitation coordinator will discuss signs, symptoms and causes of stroke. Topics will include prevention, nutrition, physical activity and medications. Browse a consortium of vendors providing helpful information and free screenings will also be available. Refreshments will be served. Free. JUNE Cancer Survivors Day Celebration Sun, June 5; 1-3 p.m. St. Mary Medical Center Waterfall Caf Courtyard Hobart Food, Fun Entertainment Join St. Mary Medical Center for a local celebration of this national event, honoring the strength and courage of those who have lived - and continue to live - with cancer. Free. SEPTEMBER Alzheimer's Symposium (conducted with the Alzheimer's Association) Vendors Open; 4 p.m. Speakers; 6-8 p.m. St. Mary Medical Center West Patient Tower Auditorium & Conference Rooms Help for car | CommunityBuildingActivities |
| Other Information | The community served includes both Lake and Porter counties of Northwest Indiana. St. Mary Medical center maintains approximately 65% of the primary service area market share, which is average in age and income as it relates to other markets in Northwest Indiana. | OtherInformation |
| Affiliated Health Care System | St. Mary Medical Center is part of an affiliated healthcare system. Each hospital in the system provides medical services to their communities and to adjoining communities. Each entitys' purpose is to provide health care to those who need it including the insured and underinsured. | AffiliatedHealthCareSystem |
| Reports Filed With States | IN | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mary Sudicky | |||||||||||||
| 161112 | 0 | 32000 | 0 | 627 | 0 | 23975 | 0 | 28789 | 0 | 246503 | 0 | 0 | 0 |
| Janice Ryba | |||||||||||||
| 0 | 264846 | 0 | 77500 | 0 | 60301 | 0 | 29191 | 0 | 11828 | 0 | 443666 | 0 | 0 |
| Tammie Finn | |||||||||||||
| 158387 | 0 | 35996 | 0 | 477 | 0 | 7350 | 0 | 6824 | 0 | 209034 | 0 | 0 | 0 |
| Michael Kovacich MD | |||||||||||||
| 187585 | 0 | 0 | 0 | 938 | 0 | 8781 | 0 | 18051 | 0 | 215355 | 0 | 0 | 0 |
| Ibrahim G Zabaneh MD | |||||||||||||
| 231949 | 0 | 65696 | 0 | 938 | 0 | 7350 | 0 | 18859 | 0 | 324792 | 0 | 0 | 0 |
| Mark Carter MD | |||||||||||||
| 170231 | 0 | 0 | 0 | 725 | 0 | 13833 | 0 | 26765 | 0 | 211554 | 0 | 0 | 0 |
| John E Carter MD | |||||||||||||
| 150745 | 0 | 0 | 0 | 476 | 0 | 7323 | 0 | 26772 | 0 | 185316 | 0 | 0 | 0 |
| Milt J Triana | |||||||||||||
| 112936 | 0 | 10000 | 0 | 12017 | 0 | 47753 | 0 | 17399 | 0 | 200105 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | PT I LINE 1A THE ORGANIZATION PAYS HEALTH/SOCIAL DUES ON BEHALF OF CERTAIN OFFICERS, KEY EMPLOYEES, AND FIVE HIGHEST PAID EMPLOYEES WHICH IS THEN TAXED AS A FRINGE BENEFIT TO THE INDIVIDUAL. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Carol Shingler | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Fam Member-Linda Buzinec | Relationship |
| Amount Of Transaction | 67850 | AmountOfTransaction |
| Description Of Transaction | Employee | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS | PT VI-A LINE 7A | COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC IS THE PARENT COMPANY OF ST MARY MEDICAL CENTER AND HAS CONTROL TO ELECT MEMBERS OF THEIR GOVERNING BODY. |
| DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | PT VI-A LINE 7B | COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC IS THE PARENT COMPANY OF ST MARY MEDICAL CENTER AND HAS RIGHTS TO APPROVE DECISIONS MADE BY ST MARY MEDICAL CENTER. |
| DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 | PT VI-A LINE 11A | A COPY OF THE FORM 990 IS REVIEWED PRIOR TO FILING THE 990 BY THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE, AND THE AUDIT COMMITTEE WHICH ARE SUBSETS OF THE BOARD OF DIRECTORS. THE SALARY AND COMPENSATION COMMITTEE REVIEWS PART VII AND SCHEDULE J OF FORM 990. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | PT VI-B LINE 12C | AN OFFICER, DIRECTOR OR KEY EMPLOYEE THAT HAS A POTENTIAL CONFLICT OF INTEREST IS REQUIRED TO DISCLOSE THIS AND THE BOARD OF DIRECTORS, ONE OF THE COMMITTEES OR A DESIGNATED PERSON (SUCH AS THE CHIEF COMPLIANCE OFFICER) WILL REVIEW THE POTENTIAL CONFLICT OF INTEREST TO DETERMINE IF IT EXISTS. IF IT DOES EXIST, THE INVOLVED DIRECTOR, OFFICER OR KEY EMPLOYEE IS ASKED TO LEAVE THE MEETING WITH NO VOTE ON THE TOPIC. THE MEETING MINUTES WILL REFLECT THAT THE INVOLVED PERSON MADE THE DISCLOSURE, LEFT THE MEETING AND HAD NO VOTE. |
| OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN | PT VI-B LINE 15 | THE SALARY AND BENEFIT COMMITTEE OF THE BOARD REQUEST A REVIEW OF THE COMPENSATION AND BENEFITS TO ASSESS THE REASONABLENESS COMPARED TO MARKET DATA ASSEMBLED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTING FIRM. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA ARE CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND 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. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | PT VI-C LINE 19 | ST MARY MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, ST MARY MEDICAL CENTER THROUGH COMMUNITY FOUNDATION OF NORTHWEST INDIANA MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH NRMSIR'S DATABASE. |
| Collection Policy | 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY FD OF NW IN INC | |||||||||
| 10010 DONALD POWERS DR | MUNSTER | IN | 46321 | 311128781 | SUPPORT ORG | IN | 501(c)3 | 11(c) | NA |
| MUNSTER MEDICAL RESEARCH FD | |||||||||
| 800 MACARTHUR | MUNSTER | IN | 46321 | 351107009 | HOSPITAL | IN | 501(c)3 | 3 | COM FD NW IN |
| ST CATHERINE HOSPITAL | |||||||||
| 4321 FIR STREET | EAST CHICAGO | IN | 46312 | 351738708 | HOSPITAL | IN | 501(c)3 | 3 | COM FD NW IN |
| COMMUNITY CANCER RESEARCH FD | |||||||||
| 901 MACARTHUR BLVD | MUNSTER | IN | 46321 | 352146374 | MED RESEARCH | IN | 501(c)3 | 7 | MED RES FD |
| COMMUNITY VILLAGE INC | |||||||||
| 10000 COLUMBIA AVE | MUNSTER | IN | 46321 | 351956395 | RETIRMT HOME | IN | 501(c)3 | 9 | COM FD NW IN |
| CVPA HOLDING COMPANY | |||||||||
| 905 RIDGE ROAD | MUNSTER | IN | 46321 | 351938136 | SUPPORT ORG | IN | 501(c)2 | N/A | COM FD NW IN |
| RIDGEWOOD ARTS FD | |||||||||
| 905 RIDGE ROAD | MUNSTER | IN | 46321 | 351939427 | CONCERTS | IN | 501(c)3 | 9 | COM FD NW IN |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY SURGERY CENTER | |||||||||
| 901 MACARTHUR AVE | MUNSTER | IN | 46321 | 352049088 | SURGERY CTR | IN | NA | false | false |
| ST CATHERINE HOSP CYBER | |||||||||
| 4321 FIR STREET | EAST CHICAGO | IN | 46312 | 202756806 | CYBERKNIFE CE | IN | NA | false | false |
| COMMUNITY CARDIOLOGY CENTER | |||||||||
| 901 MACARTHUR BLVD | MUNSTER | IN | 46321 | 202147241 | CARDIOLOGY CE | IN | NA | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY RESOURCES INC | BusinessNameLine1 |
Address US AddressUS
| 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 Activity | BLDG DEVELOPM | PrimaryActivity |
| Legal Domicile State | IN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Munster Medical Research Foundation | |
| n | 962622 |
| St Catherine Hospital | |
| n | 1125263 |
| Munster Medical Research Foundation | |
| o | 766378 |
| Munster Medical Research Foundation | |
| p | 355669 |
| St Catherine Hospital | |
| o | 169123 |
| St Catherine Hospital | |
| p | 456594 |
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