FURP.ORG / PUBLIC DATA EXPLORER

ST CATHERINE HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ST CATHERINE HOSPITAL INC (EIN 35-1738708)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201141369349302344
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-16T11:30:00-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351738708EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST CATHERINE HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTCANameControl
Phone2193921700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14321 FIR STREETAddressLine1
CityEAST CHICAGOCity
StateINState
ZIP Code46312ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH P WINTERHALERName
TitleVP FINANCE / CFOTitle
Date Signed2011-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJO ANN BIRDZELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14321 FIR STREETAddressLine1
CityEAST CHICAGOCity
StateINState
ZIP Code46312ZIPCode
FieldValueIRS element (for citing)
Gross Receipts164825442GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.comhs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1928YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionSt. Catherine Hospital 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 Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1391TotalNbrEmployees
Total Nbr Volunteers46TotalNbrVolunteers
Total Gross UBI1238051TotalGrossUBI
Net Unrelated Business Txbl Income-93926NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year68040ContributionsGrantsPriorYear
Contributions Grants Current Year911403ContributionsGrantsCurrentYear
Program Service Revenue Prior Year154026571ProgramServiceRevenuePriorYear
Program Service Revenue CY160766147ProgramServiceRevenueCY
Investment Income Prior Year-6643InvestmentIncomePriorYear
Investment Income Current Year-80741InvestmentIncomeCurrentYear
Other Revenue Prior Year3603187OtherRevenuePriorYear
Other Revenue Current Year3032334OtherRevenueCurrentYear
Total Revenue Prior Year157691155TotalRevenuePriorYear
Total Revenue Current Year164629143TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year64474502SalariesEtcPriorYear
Salaries Etc Current Year66994046SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year91835351OtherExpensePriorYear
Other Expenses Current Year99384704OtherExpensesCurrentYear
Total Expenses Prior Year156309853TotalExpensesPriorYear
Total Expenses Current Year166378750TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1381302RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1749607RevenuesLessExpensesCY
Total Assets BOY62970102TotalAssetsBOY
Total Assets EOY62838910TotalAssetsEOY
Total Liabilities BOY21996303TotalLiabilitiesBOY
Total Liabilities EOY26664546TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY40973799NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY36174364NetAssetsOrFundBalancesEOY
Mission DescriptionST. CATHERINE HOSPITAL 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense68374561Expense
Revenue64775646Revenue
DescriptionNURSING - 26,517 PATIENT DAYS DIALYSIS PROCEDURES - 1,742 DIABETES CENTER VISITS - 1,671 (continued on Schedule O)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense14360539Expense
Revenue41871248Revenue
DescriptionSURGERY - 5,430 IP AND OP SURGERIESDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7629942Expense
Revenue28405305Revenue
DescriptionCARDIOLOGY - 27,155 VISITSDescription

Activity Other ActivityOther (29 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
701985728434629PHARMACY - 910,875 DOSES ADMINISTERED
672829446709990LAB- 591,030 SPECIMENS COLLECTED
65187377336196PHYSICIAN- 42,969 VISITS
543937825390819ER- 30,087 VISITS WITH 4,724 ADMISSIONS
41512616383733IMCU- 7,091 PATIENT DAYS
393266811451248PT OT SPEECH- 115,858 PROCEDURES
377048839706244RADIOLOGY - 61,677 PROCEDURES
3536619832DIETARY- 147,561 IP MEALS AND 270 NUTR COUNSEL VST
31648003182833ICU- 2,719 PATIENT DAYS
3019141PATIENT SERVICES- 43,104 VISITS
2410902HIM- 94,342 MEDICAL RECORDS CODED
23452932977111HOME HEALTH- 31,677 VISITS
19361662242853OCC HEALTH- 16,285 VISITS
18278637942005RESPIRATORY THERAPY- 50,431 PROCEDURES
1275972ADMITTING- 8,912 IP ADMISSIONS
12473278707179CYBERKNIFE - 412 CLICKS
1228493SECURITY
8311481492491PSYCH - 5,476 VISITS
817930MEDICAL STAFF
7886733707942NUCLEAR MED- 2,369 PROCEDURES
3197411534729OUTPATIENT SERVICES- 99,343 VISITS
316003280618CENTRAL SUPPLY- 23,139 CHARGEABLE SUPPLIES
281432CENTRAL STERILIZATION- PROVIDE STERILE INSTRUMENTS
246658PUBLIC RELATIONS
1799683109872EEG- 8,485 PROCEDURES
81650POB
30201LTAC
1495496019MISC
-173734124CONTRACTUALS AND CHARITY
FieldValueIRS element (for citing)
Total Of Other Program Service Exp63448158TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev27353219TotalOfOtherProgramServiceRev
Total Program Service Expense153813200TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096170NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1391NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonST CATHERINE HOSPITAL INCNamePerson
Telephone Number2193921700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14321 FIR STREETAddressLine1
CityEAST CHICAGOCity
StateINState
ZIP Code46312ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN ARTIS
BOARD MEMBER1.0X000
JOHN CABAN
TREASURER1.0X000X
MARIA LUZ-CORONA
BOARD MEMBER1.0X000
JOSEPH COSTANZA
PRESIDENT1.0X000X
JEFFREY DUBNOW MD
BOARD MEMBER1.0X395000
PEGGY GERARD RN
BOARD MEMBER1.0X000
R LOUIE GONZALEZ
BOARD MEMBER1.0X000
JUDITH GRESKO
BOARD MEMBER1.0X000
HENRY HADIDIAN MD
BOARD MEMBER1.0X7369000
DAVID HERBSTMAN MD
BOARD MEMBER1.0X0130000
SR ANNEMARIE KAMPWERTH PHJC
BOARD MEMBER1.0X000
THOMAS P KEILMAN
BOARD MEMBER1.0X000
PASTOR R LLOBET MD
BOARD MEMBER1.0X000
MONSIGNOR JOSEPH SEMANCIK
BOARD MEMBER1.0X0121000
EDWARD WILLIAMS PH D
BOARD MEMBER1.0X0191730
JOANN BIRDZELL
ADMINISTRATOR40.0X468762043663X
KIMBERLY ARTHUR MD
SECRETARY1.0X795000X
JOSEPH P WINTERHALER
CFO40.0172070025671X
PAULA SWENSON
CNO40.0185915015539X
CRAIG BOLDA
COO40.0015142739255X
DANIEL SAAH MD
PHYSICIAN40.0525636030830X
JUANITO DALISAN MD
PHYSICIAN40.0436884027112X
SUBHASH JOSHI MD
PHYSICIAN40.0385249023820X
MOHAMED TURKMANI MD
PHYSICIAN40.0280199038507X
MICHAEL P HU MD
PHYSICIAN40.0510782022992X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3051087TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs195700TotalReportableCompFrmRltdOrgs
Total Other Compensation267389TotalOtherCompensation
Number Individuals GT100 K43NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Rehab Care Group Inc
PO BOX 502096ST LOUISMO63150REHAB SERVICES2097613
cooperative managed care services l
st francis hospital dept 9010BEECH GROVEIN46107claims processing1101868
ism security management
905 w glen park avenueGRIFFITHIN46319security864596
emergency medical services
944 s roberts dr ste 204PALOS HILLSIL60465emergency room svcs636000
Philips Medical Systems Na Co
PO BOX 403831ATLANTAGA303842324Imaging593048
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K
Government Grants683692GovernmentGrants
All Other Contributions227711AllOtherContributions
Total Contributions911403TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE9000991220360291207979781238051
CAPITATION REVENUE9000993871580738715807
CYBERKNIFE (JV REVENUE)9000991431114311
FieldValueIRS element (for citing)
Total Program Service Revenue160766147TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column38852TotalRevenueColumn
Exclusion$38,852ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real829812Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real829812Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column829812TotalRevenueColumn
Exclusion$829,812ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other76706Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other196299Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-119593Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-119593TotalRevenueColumn
Exclusion-$119,593ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
OCC HEALTH OFFSITE STAFFING900099771763771763
CAFETERIA900099554832$554,832
PSYCHIATRIC SUBSIDY900099385800385800

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column490127TotalRevenueColumn
Related Or Exempt Function Income481708RelatedOrExemptFunctionIncome
Exclusion$8,419ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2202522TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column164629143TotalRevenueColumn
Related Or Exempt Function Income161167367RelatedOrExemptFunctionIncome
Unrelated Business Revenue1238051UnrelatedBusinessRevenue
Exclusion$1,312,322ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1017943Total
Management And General1017943ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total72400Total
Program Services72400ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total53154097Total
Program Services49049972ProgramServices
Management And General4104125ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2823960Total
Program Services2557306ProgramServices
Management And General266654ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5933591Total
Program Services5373308ProgramServices
Management And General560283ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3992055Total
Program Services3615103ProgramServices
Management And General376952ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2479601Total
Program Services2384968ProgramServices
Management And General94633ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total197162Total
Program Services36553ProgramServices
Management And General160609ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6694Total
Program Services6694ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1852Total
Management And General1852ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8589681Total
Program Services7511240ProgramServices
Management And General1078441ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total328712Total
Program Services309062ProgramServices
Management And General19650ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24896803Total
Program Services23963195ProgramServices
Management And General933608ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total616554Total
Program Services123783ProgramServices
Management And General492771ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2059923Total
Program Services1886703ProgramServices
Management And General173220ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total123708Total
Program Services112159ProgramServices
Management And General11549ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total61280Total
Program Services54441ProgramServices
Management And General6839ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1944227Total
Program Services1944227ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4691629Total
Program Services4248619ProgramServices
Management And General443010ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2303213Total
Program Services2085731ProgramServices
Management And General217482ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CAPITATION EXPENSE2840831928408319
CORP SUPP SRVCS ALLOCATION84548917656532798359
PROVISION FOR UNCOLLECTIBLE74347647434764
MEDICAL FEES30613613061361
REPAIRS AND MAINTENANCE16905321530902159630

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2033798Total
Program Services385858ProgramServices
Management And General1647940ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total166378750Total
Program Services153813200ProgramServices
Management And General12565550ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9449035BOY
EOY2997566EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY104739BOY
EOY113141EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14236955BOY
EOY14173552EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3718343BOY
EOY4343267EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY548741BOY
EOY823876EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis59217722LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec32371874LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25537051BOY
EOY26845848EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY893913BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8481325BOY
EOY13541660EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY62970102BOY
EOY62838910EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20988019BOY
EOY25604265EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY311536BOY
EOY336026EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY696748BOY
EOY724255EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21996303BOY
EOY26664546EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY40788749BOY
EOY35993589EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY185050BOY
EOY180775EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40973799BOY
EOY36174364EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62970102BOY
EOY62838910EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$1,852OtherActivitiesAmount
Total Lobbying Expenditures IIB1852TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationPT II-B LINE 1i THE INDIANA HOSPITAL ASSOCIATION ESTIMATED THAT 5.4% OF ITS DUES ARE ATTRIBUTABLE TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis675677InvestmentCostOrOtherBasis
Book Value675677BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis25945207InvestmentCostOrOtherBasis
Depreciation13015607Depreciation
Book Value12929600BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis30130218InvestmentCostOrOtherBasis
Depreciation18105603Depreciation
Book Value12024615BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2466620InvestmentCostOrOtherBasis
Depreciation1250664Depreciation
Book Value1215956BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26845848TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DSH RECEIVABLE12000000
MISCELLANEOUS RECEIVABLE OTHER1541660
FieldValueIRS element (for citing)
Total Book Value Other Assets13541660TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASES-CURRENT PORTION$23,317
ASSET RETIREMENT OBLIGATION$539,072
3RD PARTY SETTLEMENTS$161,866
FieldValueIRS element (for citing)
Total Of Amounts724255TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationPART X THE ADOPTION OF ASC-740 DID NOT MATERIALLY IMPACT THE FINANCIAL STATEMENTS.Explanation

Schedule G IRS990ScheduleG

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served1407PersonsServed
Total Community Benefit Expense3922170TotalCommunityBenefitExpense
Direct Offsetting Revenue1360293DirectOffsettingRevenue
Net Community Benefit Expense2561877NetCommunityBenefitExpense
Percent Of Total Expense0.01610PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served33010PersonsServed
Total Community Benefit Expense31135986TotalCommunityBenefitExpense
Direct Offsetting Revenue25065655DirectOffsettingRevenue
Net Community Benefit Expense6070331NetCommunityBenefitExpense
Percent Of Total Expense0.03810PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served34417PersonsServed
Total Community Benefit Expense35058156TotalCommunityBenefitExpense
Direct Offsetting Revenue26425948DirectOffsettingRevenue
Net Community Benefit Expense8632208NetCommunityBenefitExpense
Percent Of Total Expense0.05420PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served10003PersonsServed
Total Community Benefit Expense680682TotalCommunityBenefitExpense
Direct Offsetting Revenue2606DirectOffsettingRevenue
Net Community Benefit Expense678076NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served351PersonsServed
Total Community Benefit Expense189658TotalCommunityBenefitExpense
Net Community Benefit Expense189658NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served775PersonsServed
Total Community Benefit Expense10494130TotalCommunityBenefitExpense
Direct Offsetting Revenue8908606DirectOffsettingRevenue
Net Community Benefit Expense1585524NetCommunityBenefitExpense
Percent Of Total Expense0.01000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense46794TotalCommunityBenefitExpense
Net Community Benefit Expense46794NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served11129PersonsServed
Total Community Benefit Expense11411264TotalCommunityBenefitExpense
Direct Offsetting Revenue8911212DirectOffsettingRevenue
Net Community Benefit Expense2500052NetCommunityBenefitExpense
Percent Of Total Expense0.01580PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served45546PersonsServed
Total Community Benefit Expense46469420TotalCommunityBenefitExpense
Direct Offsetting Revenue35337160DirectOffsettingRevenue
Net Community Benefit Expense11132260NetCommunityBenefitExpense
Percent Of Total Expense0.07000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$3,054,909BadDebtExpenseAmount
Amount Attributable To117605AmountAttributableTo
Amount Reimbursed By Medicare49166700AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare47238685CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1928015MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1SCH CYBERKNIFE GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityCANCER TREATMENTDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.65000OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.35000PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV (9 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeOtherOtherLicensed HospitalLicensedHospitalEr24 HoursEr24Hours
NORTHWEST FAMILY HEALTHCARE CENTER
6924 INDIANAPOLIS BLVDHAMMONDIN46324PHYSICIAN PRACTICE
COMMUNITY HEALTHCARE SYSTEM CARE NETWORK
521 WEST CHICAGO AVENUEEAST CHICAGOIN46312PHYSICIAN PRACTICE
FAMILY HEALTH AND WELLNESS CENTRE
8141 KENNEDY AVENUEHIGHLANDIN46322PHYSICIAN PRACTICE
COMMUNITY HEALTHCARE SYSTEM CARE NETWORK
4035 ELM STREETEAST CHICAGOIN46312PHYSICIAN PRACTICE
ST CATHERINE HOSPITAL
4321 FIR STREETEAST CHICAGOIN46312XX
CENTER OF HOPE
100 WEST CHICAGO AVENUEEAST CHICAGOIN46312PHYSICIAN PRACTICE
OCCUPATIONAL HEALTH
4320 FIR STREET STE 313EAST CHICAGOIN46312PHYSICIAN PRACTICE
ENT
4320 FIR STREET STE 210EAST CHICAGOIN46312PHYSICIAN PRACTICE
ORTHOPEDIC CLINIC
4320 FIR STREET STE 201EAST CHICAGOIN46312PHYSICIAN PRACTICE

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaN/AIncomeBasedCriteria
Annual Community Benefit ExplnST CATHERINE HOSPITAL INC PREPARES ITS OWN ANNUAL COMMUNITY BENEFIT REPORT.AnnualCommunityBenefitExpln
Costing Method UsedCOMPLETED THE IRS WORKSHEETS AND USED COST ACCOUNTING FOR THE METHODOLOGY.CostingMethodUsed
Subsidized Health Services ExplnCOMPLETED THE IRS WORKSHEETS AND USED COST ACCOUNTING FOR THE METHODOLOGY. WE DID NOT INCLUDE ANY PHYSICIAN PRACTICE INFORMATION WHEN CALCULATING SUBSIDIZED SERVICES.SubsidizedHealthServicesExpln
Percent Of Total Expense Expln7.00% OF OUR TOTAL EXPENSE IS RELATED TO CHARITY CARE AND COMMUNITY BENEFIT. BAD DEBT EXPENSE OF 7,434,764 IS EXCLUDED FROM THE CALCULATION AND JV EXPENSE OF 290,722 IS INCLUDED.PercentOfTotalExpenseExpln
Bad Debt FootnoteThe 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 ratio of patient care cost to charges is applied to the bad debt attributable to patient accounts to calculate the estimated cost of bad debt attributable to patient accounts that is reported on line 2. Discounts and payments on patient accounts are recorded as an adjustment to revenue, not bad debt expense. It is our belief that 117,605 amount of bad debt should be included as community benefit. As a tax-exempt hospital we must provide necessary services regardless of the patient's ability to pay for the service provided. As a not-for-profit, patient care is provided to all, regardless of ability to pay for that care. Making quality patient care available to all in our community, regardless of their economic means, qualifies bad debts as a community benefit. As part of our community needs assessment, we studied the income characteristics of the uninsured population in our community. As part of this study, we also looked at what portion of uninsured individuals in the hospital's service area would be eligible for the hospital's financial assistance policy. We applied this percentage to our total amount of bad debt for self-pay patients to estimate the portion of self-pay bad debt that was likely attributable to individuals eligible for the hospital's financial assistance policy. We subtracted the actual amount of financial assistance provided from this figure. The remainder is the estimated amount entered on Part III, line 3 and should be counted as community benefit.BadDebtFootnote
Shortfall As Community BenefitTHE TOTAL REVENUE RECEIVED FROM MEDICARE WAS CALCULATED BY USING THE INFORMATION FROM OUR COST REPORT. THERE WAS NO SHORTFALL TO CONSIDER THIS YEAR.ShortfallAsCommunityBenefit
Debt Collection PolicySEE SCHEDULE "O" FOR COLLECTION POLICY.DebtCollectionPolicy
Number Of Facility Type ExplnPHYSICIAN PRACTICES - 8NumberOfFacilityTypeExpln
Needs AssessmentST CATHERINE HOSPITAL INC USES A THIRD-PARTY CONSULTING FIRM TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY. ST CATHERINE HAS HIGH VOLUMES IN THE FOLLOWING AREAS: CARDIOLOGY, PULMONARY, GENERAL MEDICINE, GASTROENTEROLOGY, PSYCH/DRUG ABUSE, AND OB/DELIVERY.NeedsAssessment
Patient Education AssistancePATIENTS WHO ARE ADMITTED WITHOUT INSURANCE ARE REFERRED TO THE HOSPITAL'S FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS PERFORM AN INTERVIEW WITH THE PATIENT TO EXPLAIN TO THEM THE PROCESS NECESSARY TO RECEIVE CHARITY CARE. THIS PROCESS INCLUDES APPLYING FOR MEDICAID OR OTHER GOVERNMENT AID. THE APPLICANT MUST THEN FILL OUT A FINANCIAL INFORMATION WORKSHEET AND SUBMIT VARIOUS INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE AFTER ALL OTHER FINANCIAL RESOURCES HAVE BEEN EXHAUSTED. OUR CHARITY CARE POLICY IS POSTED IN THE ER, REGISTRATION, AND THE CASHIERS OFFICE.PatientEducationAssistance
Community InformationTHE COMMUNITY SERVED INCLUDES NORTHWEST INDIANA. OUR MARKET SHARE FOR THE PRIMARY SERVICE AREA IS 69%. THE POPULATION IS AMONG THE YOUNGEST WITH THE LOWEST MEDIAN INCOME WHEN COMPARED TO OTHER MARKETS IN NORTHWEST INDIANA. OUR MEDIAN INCOME IS $28,386. WE ALSO HAVE THE LEAST INSURANCE COVERAGE - 62% UNINSURED OR MEDICAID.CommunityInformation
Community Building ActivitiesN/ACommunityBuildingActivities
Other InformationSEE SCHEDULE "O" FOR COMMUNITY BENEFITS STATEMENT.OtherInformation
Affiliated Health Care SystemST CATHERINE HOSPITAL INC IS PART OF AN AFFILIATED SYSTEM. EACH HOSPITAL IN THE SYSTEM PROVIDES MEDICAL SERVICES TO THEIR COMMUNITIES. EACH ENTITIES PURPOSE IS TO PROVIDE HEALTH CARE TO THOSE WHO NEED IT INCLUDING ,THE UNINSURED OR UNDER-INSURED.AffiliatedHealthCareSystem
Reports Filed With StatesINReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOANN BIRDZELL
3280150962500444970254780181850512425000
JOSEPH P WINTERHALER
14183302900301234079420177290197741000
PAULA SWENSON
1537840300020212908733068060201454000
DANIEL SAAH MD
468039000575970106450201850556466000
JUANITO DALISAN MD
386127000507570102900168220463996000
SUBHASH JOSHI MD
34784800037401097660140540409069000
MOHAMED TURKMANI MD
2215220255200331570116150268920318706000
CRAIG BOLDA
012539102496001076018651020604019068200
MICHAEL P HU MD
26624802439940540093670136250533774000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationPART I, LINE 1a THE ORGANIZATION PAYS HEALTH/SOCIAL CLUB DUES ON BEHALF OF CERTAIN OFFICERS, KEY EMPLOYEES AND THE FIVE HIGHEST PAID EMPLOYEES WHICH IS THEN TAXED AS A FRINGE BENEFIT TO THE INDIVIDUAL.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Emergency Medical Services PC
ENTITY MORE THAN 35% OWN636000INDEPENDENT CONTRACTORfalse
Emergency Medical Services PC CONT
BY J. DUBNOW
TERESA PEDROZA
FAMLY MEMB/LOUIE Gonzalez61482EMPLOYMENTfalse
PATRICK WINTERHALER
FAMLY MEMB/J. WINTERHALER10918EMPLOYMENTfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL INFORMATIONPart III Line 4a and Schedule H - Other InformationIn 1928, St. Catherine Hospital, East Chicago, Indiana was opened to fill a need for health service to the communities of East Chicago, Whiting, Hammond and Gary. Today the hospital continues to provide a full range of medical services for inpatients and outpatients. St. Catherine Hospital is a non-profit hospital operating as a part of the Community Healthcare System, which includes Community Hospital in Munster, Indiana and St. Mary Medical Center in Hobart, Indiana. The hospitals are committed to providing the highest quality healthcare in the most cost-efficient manner, respecting the dignity of the individual, providing for the well-being of the community and serving the needs of all people, including the poor and disadvantaged. Community Healthcare System is the leading medical provider in Northwest Indiana, operating three non-profit hospitals, several outpatient clinics and physician offices. Together, the three operate the largest cardiovascular and cancer programs in the area. In the spirit of Katherine Kasper's founding charisma, St. Catherine Hospital continues to minister to our neighbors within the community; providing compassionate care of body and spirit. St. Catherine Hospital focuses on designing and providing services that meet the needs of its diverse community in East Chicago and the surrounding communities of Northwest Indiana. The hospital regularly surveys its patients to ascertain their satisfaction with its facilities and the programs that are offered and to identify the community's outstanding needs. By working in conjunction with our medical staff and associates, we ensure that programs and services not only address the patient's medical needs, but consider the patient's cultural and social needs as well. At St. Catherine Hospital, our mission and values guide us to provide quality, compassionate care for our patients and comfort for our visitors. Our philosophy is to care for all guests as if they were members of our own family. We have been recognized locally and nationally for various programs, proving our commitment to excellent service. In 2010 the Joint Academy and Hand Center opened providing evidence based care for joint replacement surgeries. The Chest Pain Center provides evidence based guidelines for patients arriving with a complaint of chest pain. An EKG is performed within 10 minutes and a ninety minute protocol from door to balloon time is in place. The Stroke Unit is working towards Joint Commission accreditation with a Bronze award recently received. A grant for a clinic to divert inappropriate usage of the Emergency Room was awarded to St. Catherine Hospital. The Med Clinic opened its doors in September 2009 and saw 1,505 patients come through the doors. St. Catherine Hospital takes pride in being responsive to the needs of our community. Over the last several years, focused efforts have been made to develop outreach education programs and offer health screenings that address challenges unique in our neighborhoods. STOP Diabetes in East Chicago, teen Lamaze classes, Lupus education, a support group for those dealing with the aftermath of a violent incident, the Well Walkers' Club, and free car seats provided to all families who deliver at St. Catherine Hospital are just a few of these programs. When possible, our community outreach team embraces innovative approach-taking programs out of the hospital and into local churches, community centers and the workplace. This approach allows us to serve more people in settings they find comfortable and convenient. A.A. Support Group-Our Alcoholics Anonymous support groups are open meetings for anyone wanting to learn how Alcoholics Anonymous functions. These meetings are run by licensed members of our behavioral health program and are free to the public. Alzheimer's Support Group-Alzheimer's Support Group meets the third Tuesday of each month at St. Catherine Hospital. This group is for patients, family and friends dealing with Alzheimer's. Participants in support groups receive emotional support, practical assistance in coping with the issues they face and the latest information about research. Alzheimer's Symposium-Support and resources are provided to help caregivers and those in very early stages of Alzheimer's learn about and navigate the medical and legal issues of this diagnosis. Speakers range from physicians to attorneys and participants may also browse a consortium of vendors providing information about everything from assisted living to home monitoring. Blood Profile Screening-These screenings offer a way for those concerned about heart health to monitor cholesterol, HDL, triglycerides or glucose. No physician order is necessary for the screening. Cancer Survivors Day-The Cancer Resource Centre and St. Catherine Hospital provide a local celebration of this national event, honoring the strength and courage of those who have lived - and continue to live - with cancer. Prizes are raffled and each attendee receives a strength gift. Food and entertainment are also provided. Cardiac Rehab-Informational sessions are held that give patients an opportunity to ask a pharmacist questions regarding their cardiac medications. Handouts are provided to patients comparing certain blood pressure medications. Consoling Hearts Grief Support-This support group is offered to those suffering from the loss of a loved one. Participants include family members, friends, or those who are having a difficulty dealing with the loss of a loved one. Coronary Health Appraisal-This appraisal helps to determine risk for heart disease and other related medical conditions. Screening includes: cholesterol (total, HDL, LDL, triglycerides), blood sugar, metabolic syndrome, blood pressure, body mass index and a Heart Health Profile. Hope Network Cancer Support Group-The last Wednesday of each month this group meets for informative sessions where they can share thoughts and feelings in a comfortable and confidential atmosphere. Keeping Baby Safe and Healthy-Pediatrician, Dr. Iyer, discusses when to call the doctor, child-proofing the house, what to do in an emergency and nutritional needs of babies. Information on child seat safety is also available. Lamaze-Six educational classes are offered each session for those in their last trimester of pregnancy. Classes include informative lectures about comfort measures and medication available for pain. The last session focuses on management of breast-feeding and newborn behavior patterns. Look Good Feel Better-A program for women undergoing radiation and/or chemotherapy. Beauty techniques are taught to help restore appearances and self image during the course of treatment. Moving Forward-Stroke Education-This five part series helps Stroke survivors and caregivers learn to prevent future strokes through risk detection and management. N.A. Support-Narcotics Anonymous offers hope for anyone with the desire to stop using narcotics and a willingness to try a new way of life. Nutrition Counseling-Dietary evaluation and counseling is provided by a registered dietitian. PAD-What's It All About?-The Cardiac Rehabilitation Medical Director discusses peripheral arterial disease (PAD). Attendees learn the signs, symptoms, causes and treatment of this serious disease. Skin Cancer Screenings-Physician examines any questionable areas of the body to look for indications of cancer or pre-cancerous conditions. This screening takes place at a participating St. Catherine Hospital physician's office on a monthly basis. Transplant Support Group-A program committed to providing and distributing educational information and maintaining contact with donor families, transplant recipients, patients waiting an dialysis patients.
Collection PolicySchedule H Part III Line 9BCollection 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.
PART VI Line 7aCommunity Foundation of Northwest Indiana Inc is the parent company of St Catherine Hospital Inc and has control to elect members of their governing body.
PART VI Line 7bCommunity Foundation of Northwest Indiana Inc is the parent of St Catherine Hospital Inc and has the rights to approve decisions made by St Catherine Hospital Inc.
PART VI Line 11aTHE 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 12cAS PART OF THE ORGANIZATION'S ANNUAL MONITORING AND ENFORCEMENT PROCEDURES RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED AND THOSE OFFICERS, DIRECTORS, OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION.
PART VI Line 15a and 15bTHE CFNI BOARD HAS ADOPTED EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SURVEYS.
PART VI Line 19ST CATHERINE HOSPITAL INC DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, ST CATHERINE HOSPITAL INC THROUGH COMMUNITY FOUNDATION OF NORTHWEST INDIANA MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH NRMSIR'S DATABASE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COMMUNITY FOUNDATION OF NW INDIANA INC
10010 DONALD POWERS DRMUNSTERIN46321311128781SUPPORTNG ORGIN501(C)(3)11(C)NA
MUNSTER MEDICAL RESEARCH FOUNDATION INC
800 MACARTHUR BLVDMUNSTERIN46321351107009HOSPITALIN501(C)(3)3CFNI
ST MARY MEDICAL CENTER
1500 SOUTH LAKE PARK AVEHOBARTIN46342352007327HOSPITALIN501(C)(3)3CFNI
COMMUNITY CANCER RESEARCH FOUNDATION
901 MACARTHUR BLVDMUNSTERIN46321352146374CANCER FUNDRAIN501(C)(3)7NA
COMMUNITY VILLAGE INC
10000 COLUMBIA AVEMUNSTERIN46321351956395RETIREMT HOMEIN501(C)(3)9CFNI
RIDGEWOOD ARTS FOUNDATION
905 RIDGE RDMUNSTERIN46321351939427CONCERTSIN501(C)(3)9CFNI
CVPA HOLDING COMPANY
905 RIDGE RDMUNSTERIN46321351938136SUPPORTNG ORGIN501(C)(2)N/ACFNI

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerShare Of Total IncomeShareOfTotalIncome
COMMUNITY SURGERY CENTER LLC
901 MACARTHUR BLVDMUNSTERIN46321352049088SURGERY CENTERINNAN/Afalsefalse
ST CATHERINE HOSPITAL CYBERKNIFE CENTER
4321 FIR STREETEAST CHICAGOIN46312202756806CYBERKNIFE CENTERINSCHRELATEDfalsefalse1773199
COMMUNITY CARDIOLOGY CENTER
901 MACARTHUR BLVDMUNSTERIN46321202147241CARDIOLOGY CENTERINNAN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY RESOURCES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1907 RIDGE RDAddressLine1
CityMUNSTERCity
StateINState
ZIP Code46321ZIPCode
FieldValueIRS element (for citing)
EIN351727711EIN
Primary Activitymgmt services orgPrimaryActivity
Legal Domicile StateINLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
MUNSTER MEDICAL RESEARCH FOUNDATION INC
n355648
ST MARY MEDICAL CENTER
n1125263
MUNSTER MEDICAL RESEARCH FOUNDATION INC
o702553
ST MARY MEDICAL CENTER
o456594
MUNSTER MEDICAL RESEARCH FOUNDATION INC
p57552
ST MARY MEDICAL CENTER
p169123