THE METHODIST HOSPITALS INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- THE METHODIST HOSPITALS INC (EIN 35-0868133)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201623199349308182
- Schema version
- 2015v2.1
- 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 H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T14:50:08-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 750 Trade Centre Way Ste 300 | AddressLine1Txt |
| City | Portage | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350868133 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE METHODIST HOSPITALS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | METH | BusinessNameControlTxt |
| Phone | 2198864402 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 GRANT STREET | AddressLine1Txt |
| City | GARY | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46402 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATTHEW DOYLE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2198864549 | PhoneNum |
| Signature | 2016-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Carol LaLonde CPA | PreparerPersonNm |
| PTIN | P00181637 | PTIN |
| Phone | 2695674500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RAYMOND GRADY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 GRANT STREET | AddressLine1Txt |
| City | GARY | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $364,042,549 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.METHODISTHOSPITALS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1941 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | THE METHODIST HOSPITALS, INC. (METHODIST) IS AN INDIANA NONPROFIT CORPORATION OPERATING TWO GENERAL ACUTE CARE HOSPITALS IN NORTHWEST INDIANA. AS GENERAL ACUTE CARE FACILITIES, METHODIST PROVIDES A BROAD RANGE OF DIAGNOSTIC, THERAPEUTIC, EMERGENCY, REHABILITATION, INPATIENT, OUTPATIENT, AND ANCILLARY SERVICES. METHODIST'S MISSION IS TO PROVIDE HIGH QUALITY HEALTHCARE TO ALL PERSONS REGARDLESS OF THEIR RACE, RELIGION, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. METHODIST STRIVES TO PROVIDE APPROPRIATE HEALTH EDUCATION, WELLNESS, AND PREVENTATIVE SERVICES. IN ADDITION, METHODIST IS COMMITTED TO BEING A RESPONSIBLE MEMBER OF THE COMMUNITY, OFFERING ITS RESOURCES TO ASSIST IN THE ACCOMPLISHMENT OF COMMUNITY OBJECTIVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 2843 | TotalEmployeeCnt |
| Total Volunteers | 100 | TotalVolunteersCnt |
| Total Gross UBI | $12,281 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $255,401 | PYContributionsGrantsAmt |
| CY Contributions Grants | $178,311 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $347,018,545 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $357,287,620 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,145,622 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,926,950 | CYInvestmentIncomeAmt |
| PY Other Revenue | $404,633 | PYOtherRevenueAmt |
| CY Other Revenue | $314,284 | CYOtherRevenueAmt |
| PY Total Revenue | $355,824,201 | PYTotalRevenueAmt |
| CY Total Revenue | $363,707,165 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $695,168 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $473,020 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $168,686,189 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $174,017,859 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $176,133,321 | PYOtherExpensesAmt |
| CY Other Expenses | $178,017,721 | CYOtherExpensesAmt |
| PY Total Expenses | $345,514,678 | PYTotalExpensesAmt |
| CY Total Expenses | $352,508,600 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,309,523 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,198,565 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $381,811,434 | TotalAssetsBOYAmt |
| Total Assets EOY | $366,449,985 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $150,775,803 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $134,519,367 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $231,035,631 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $231,930,618 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE METHODIST HOSPITALS, INC'S MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE SERVICES TO ALL THOSE IN NEED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $314,136,022 | ExpenseAmt |
| Grant | $473,020 | GrantAmt |
| Revenue | $357,275,339 | RevenueAmt |
| Desc | THE METHODIST HOSPITALS, INC. HAS A COMMITMENT TO RESPOND TO THE NEEDS OF ITS DIVERSE COMMUNITIES THROUGH QUALITY SERVICES. ITS REGIONAL REPUTATION FOR EXCELLENCE SINCE 1923 CONTINUES TO SUPPORT THE MARKET POSITION.METHODIST HOSPITALS IS AN INDIANA NOT-FOR-PROFIT CORPORATION, 636 BED COMMUNITY-BASED HEALTHCARE SYSTEMS GOVERNED BY A BOARD OF DIRECTORS. STEWARDS OF THE MISSION, REINVESTMENT IN THE COMMUNITIES IS CARRIED OUT THROUGH CHARITABLE GIVING, COMMUNITY EDUCATION PROGRAMS, ECONOMIC DEVELOPMENT FORUMS, SUPPORT SERVICES, SCREENINGS, AND ADVOCATING QUALITY CARE FOR THE MOST VULNERABLE AND UNDERSERVED. METHODIST HOSPITALS CONTINUES TO BE A FRONTRUNNER IN PROMOTING COMMUNITY HEALTH INITIATIVES AND SERVING POPULATIONS WITH HIGH INCIDENTS OF ACUTE ILLNESSES. METHODIST HOSPITALS HAS TWO FULL SERVICE ACUTE CARE CAMPUSES, 14 MILES APART. NORTHLAKE IS THE URBAN CAMPUS IN GARY, WHILE SOUTHLAKE CAMPUS IN MERRILLVILLE IS LOCATED NEAR ONE OF THE MIDWEST'S BUSIEST RETAIL AREAS. COMBINED CAMPUS BED CAPACITY IS 636 INCLUDING NURSERIES. METHODIST PROVIDES A BROAD RANGE OF DIAGNOSTIC, THERAPEUTIC, EMERGENCY, REHABILITATION, INPATIENT, OUTPATIENT AND ANCILLARY SERVICES.MIDLAKE CAMPUS IS AN OUTPATIENT FACILITY IN GARY CONVENIENTLY LOCATED BETWEEN NORTHLAKE AND SOUTHLAKE CAMPUSES, PARALLEL TO INTERSTATE 94. THE REHAB CENTERS, PROVIDING OUTPATIENT REHABILITATION SERVICES AT MIDLAKE, OPENED IN 2003. LOCATED ADJACENT TO THE MAIN ENTRANCE OF THE SOUTHLAKE CAMPUS IN MERRILLVILLE, IS THE DIAGNOSTIC OUTPATIENT CENTER AND MEDICAL OFFICE BUILDING. THIS FACILITY PROVIDES ADVANCED DIAGNOSTIC, IMAGING SERVICES, AND LABORATORY SERVICES AS WELL AS PROFESSIONAL OFFICES FOR MANY OF THE MEDICAL STAFF.THE MEDICAL STAFF OF MORE THAN 500 PHYSICIANS REPRESENTS NEARLY 40 MEDICAL SPECIALTIES. METHODIST HOSPITALS IS ONE OF THE TOP EMPLOYERS IN NORTHWEST INDIANA WITH OVER 2,200 EMPLOYEES. MISSIONTTHE MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE SERVICES TO ALL THOSE IN NEED.VISIONTTHE VISION IS TO BE THE BEST PLACE FOR EMPLOYEES TO WORK, THE BEST PLACE FOR PATIENTS TO RECEIVE CARE AND THE BEST PLACE FOR PHYSICIANS TO PRACTICE MEDICINE. | Desc |
| Total Program Service Expenses | $314,136,022 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 253 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2843 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATTHEW DOYLE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2198864000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 GRANT STREET | AddressLine1Txt |
| City | GARY | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46402 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN A LOWENSTINE CPA | |||||||||
| BOARD TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $6,000 | $0 | $0 | ||
| MAMON POWERS JR | |||||||||
| BOARD CHAIRMAN | 2.20 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SCOTT T RIBORDY | |||||||||
| BOARD VICE-CHAIRMAN | 2.00 | 1.70 | Yes (X) | Yes (X) | $6,000 | $0 | $0 | ||
| FRANCES TAYLOR | |||||||||
| BOARD SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $6,000 | $0 | $0 | ||
| RAIED ABDULLAH MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $7,285 | $0 | $0 | |||
| BHARAT H BARAI MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $89,100 | $0 | $0 | |||
| DOUGE BARTHELEMY MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $6,375 | $0 | $0 | |||
| WILLIAM G BRAMAN | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $6,000 | $0 | $0 | |||
| CHARLES D BROOKS JR | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $6,000 | $0 | $0 | |||
| MATTISON A DILTS | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $5,500 | $0 | $0 | |||
| F RITCHEY EIBEL | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $3,000 | $0 | $0 | |||
| GLENN C HANNAH | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $5,500 | $0 | $0 | |||
| ROBERT E JOHNSON III | |||||||||
| BOARD MEMBER | 2.00 | 1.70 | Yes (X) | $6,000 | $0 | $0 | |||
| IJ ROBERTS | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $5,500 | $0 | $0 | |||
| GLENN S VICIAN | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $6,000 | $0 | $0 | |||
| REV LARRY WHITEHEAD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $4,000 | $0 | $0 | |||
| KATRINA WRIGHT MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $6,723 | $0 | $0 | |||
| RITA RENAE JACKSON | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $1,500 | $0 | $0 | |||
| DR CHERYL L PRUITT | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $3,000 | $0 | $0 | |||
| ABDUL KAWAMLEH MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $6,880 | $0 | $0 | |||
| MICHAEL DAVENPORT MD | |||||||||
| INTERIM CEO (JAN/FEB) AND CMO | 40.00 | 0.00 | Yes (X) | $578,569 | $0 | $21,875 | |||
| MATTHEW DOYLE | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0.00 | Yes (X) | $412,974 | $0 | $18,174 | |||
| RAYMOND GRADY | |||||||||
| CHieF EXECUTIVE OFFICER | 40.00 | 0.00 | Yes (X) | $464,568 | $0 | $10,277 | |||
| ALEXANDER HORVATH | |||||||||
| VP HUMAN RESOURCES | 40.00 | 0.00 | $395,719 | $0 | $22,166 | Yes (X) | |||
| SHELLY MAJOR | |||||||||
| CHIEF NURSING OFFICER | 40.00 | 0.00 | $357,002 | $0 | $26,772 | Yes (X) | |||
| WRIGHT ALCORN | |||||||||
| VP OPERATIONS | 40.00 | 0.00 | $336,992 | $0 | $18,853 | Yes (X) | |||
| JAMES KIRCHNER | |||||||||
| VP PHYSICIAN INTEGRATION | 40.00 | 0.00 | $313,582 | $0 | $21,188 | Yes (X) | |||
| ANDRE ARTIS | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $915,891 | $0 | $25,060 | Yes (X) | |||
| KEVIN WALDRON | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $832,471 | $0 | $27,986 | Yes (X) | |||
| RAY SAWAQED | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $720,199 | $0 | $11,717 | Yes (X) | |||
| MIHAS KODENCHERY | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $721,198 | $0 | $23,528 | Yes (X) | |||
| VINEET SHAH | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $650,629 | $0 | $19,795 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,886,157 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $247,391 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 128 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Comprehensive Pharmacy SERVICES | |||||
| 6409 QUAIL HOLLOW ROAD | MEMPHIS | TN | 38120 | PHARMACY STAFF & SUPPLIES | $15,124,834 |
| AMERICAN ANESTHESIA ASSOCIATES OF ILLINO | |||||
| PO BOX 281034 | ATLANTA | GA | 30384 | ANESTHESIOLOGY SERVICES | $6,149,653 |
| CROTHALL SERVICES GROUP | |||||
| 955 CHESTERBROOK BLVD | WAYNE | PA | 19087 | BIO-MEDICAL STAFF & SERVICES | $4,458,347 |
| HLS-WHEELING LLC | |||||
| 45 W HINTZ ROAD | WHEELING | IL | 60090 | LAUNDRY SERVICES | $1,466,437 |
| NORTHWEST EMERGENCY ASSOCIATES LLC | |||||
| 900 ALDERBROOK CT | CROWN POINT | IN | 46307 | EMERGENCY DEPARTMENT PHYSICIAN SERVICES | $1,409,156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 28 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $81,577 | RelatedOrganizationsAmt |
| Government Grants | $45,514 | GovernmentGrantsAmt |
| All Other Contributions | $51,220 | AllOtherContributionsAmt |
| Total Contributions | $178,311 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| HEALTHCARE AND SOCIAL ASSISTANCe | 621500 | $303,045,789 | $303,045,789 | |
| disproportionate share | 621500 | $50,873,132 | $50,873,132 | |
| other patient services | 621500 | $3,321,418 | $3,321,418 | |
| EMR INCENTIVE PAYMENTS | 900099 | $35,000 | $35,000 | |
| PARTNERSHIP INCOME | 621500 | $12,281 | $12,281 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $357,287,620 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,734,269 | TotalRevenueColumnAmt |
| Exclusion | $3,734,269 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $649,668 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $335,384 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $314,284 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $314,284 | TotalRevenueColumnAmt |
| Exclusion | $314,284 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,945,298 | SecuritiesAmt |
| Other | $247,383 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,945,298 | SecuritiesAmt |
| Other | $247,383 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,192,681 | TotalRevenueColumnAmt |
| Exclusion | $2,192,681 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $363,707,165 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $357,275,339 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $12,281 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,241,234 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,020 | TotalAmt |
| Program Services | $473,020 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,183,788 | TotalAmt |
| Program Services | $185,078 | ProgramServicesAmt |
| Management And General | $2,998,710 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,776,460 | TotalAmt |
| Program Services | $124,701,419 | ProgramServicesAmt |
| Management And General | $14,075,041 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,190,254 | TotalAmt |
| Program Services | $2,850,878 | ProgramServicesAmt |
| Management And General | $339,376 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,110,126 | TotalAmt |
| Program Services | $16,818,339 | ProgramServicesAmt |
| Management And General | $2,291,787 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,757,231 | TotalAmt |
| Program Services | $8,536,606 | ProgramServicesAmt |
| Management And General | $1,220,625 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,113,680 | TotalAmt |
| Program Services | $983,365 | ProgramServicesAmt |
| Management And General | $130,315 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,145 | TotalAmt |
| Program Services | $175,842 | ProgramServicesAmt |
| Management And General | $23,303 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,009 | TotalAmt |
| Program Services | $168,658 | ProgramServicesAmt |
| Management And General | $22,351 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,308 | TotalAmt |
| Program Services | $223,668 | ProgramServicesAmt |
| Management And General | $29,640 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,942,265 | TotalAmt |
| Program Services | $31,968,120 | ProgramServicesAmt |
| Management And General | $3,974,145 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,055,932 | TotalAmt |
| Program Services | $932,563 | ProgramServicesAmt |
| Management And General | $123,369 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,854,026 | TotalAmt |
| Program Services | $55,418,196 | ProgramServicesAmt |
| Management And General | $7,435,830 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,854,282 | TotalAmt |
| Program Services | $4,279,763 | ProgramServicesAmt |
| Management And General | $574,519 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,847,565 | TotalAmt |
| Program Services | $7,882,720 | ProgramServicesAmt |
| Management And General | $1,964,845 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,397 | TotalAmt |
| Program Services | $266,172 | ProgramServicesAmt |
| Management And General | $46,225 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,299 | TotalAmt |
| Program Services | $83,772 | ProgramServicesAmt |
| Management And General | $26,527 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,025,310 | TotalAmt |
| Program Services | $3,591,797 | ProgramServicesAmt |
| Management And General | $433,513 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,449,183 | TotalAmt |
| Program Services | $16,321,183 | ProgramServicesAmt |
| Management And General | $2,128,000 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,914,306 | TotalAmt |
| Program Services | $3,559,001 | ProgramServicesAmt |
| Management And General | $355,305 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $23,054,758 | $23,054,758 | |
| MEDICAID ASSESSMENT FEE | $11,145,387 | $11,145,387 | |
| Dues & Subscriptions | $462,257 | $292,758 | $169,499 |
| Licenses | $232,612 | $222,959 | $9,653 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,508,600 | TotalAmt |
| Program Services | $314,136,022 | ProgramServicesAmt |
| Management And General | $38,372,578 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,501,673 | BOYAmt |
| EOY | $19,039,108 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,830,098 | BOYAmt |
| EOY | $8,733,130 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,295,649 | BOYAmt |
| EOY | $53,272,890 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,977,428 | BOYAmt |
| EOY | $11,481,883 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,335,524 | BOYAmt |
| EOY | $2,651,126 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $443,567,734 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $318,813,936 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,075,134 | BOYAmt |
| EOY | $124,753,798 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,999,778 | BOYAmt |
| EOY | $140,208,425 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,902 | BOYAmt |
| EOY | $328,217 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,446,248 | BOYAmt |
| EOY | $5,981,408 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,811,434 | BOYAmt |
| EOY | $366,449,985 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,937,324 | BOYAmt |
| EOY | $26,232,816 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,411,281 | BOYAmt |
| EOY | $50,217,604 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,417,505 | BOYAmt |
| EOY | $21,290,583 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,009,693 | BOYAmt |
| EOY | $36,778,364 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,775,803 | BOYAmt |
| EOY | $134,519,367 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,691,312 | BOYAmt |
| EOY | $231,541,298 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,319 | BOYAmt |
| EOY | $364,320 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
| EOY | $25,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,035,631 | BOYAmt |
| EOY | $231,930,618 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,811,434 | BOYAmt |
| EOY | $366,449,985 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,198,565 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,138,932 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,164,646 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $119,720 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $71,289 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $191,009 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II-B, Line 1: | ENGAGED FAEGRE BAKER DANIELS, LLP AS FEDERAL LOBBYING COUNCIL TO REVIEW, DISCUSS, AND ADVOCATE RELATIVE TO MEDICARE GEOGRAPHICAL REIMBURSEMENT ISSUES. IN ADDITION, THEY WILL DRAFT LEGISLATION OR AMENDMENTS TO LEGISLATION, REVIEW PROPOSED RULES & REGULATIONS AND FILE ALL NECESSARY FORMS TO ENSURE THE HOSPITAL IS PROPERLY REGISTERED UNDER FEDERAL LOBBYING LAWS. IN ADDITION, THE CHIEF CONSULTANT OF GOVERNMENTAL AFFAIRS MEETS WITH STATE AND LOCAL LEGISLATORS ON ISSUES AFFECTING THE ORGANIZATION. A PORTION OF MEMBERSHIP DUES PAID TO THE INDIANA HOSPITAL ASSOCIATION (IHA) IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE RESPECTIVE PERCENTAGES HAVE BEEN APPLIED, AS PROVIDED BY THE RESPECTIVE ORGANIZATIONS. |
| PART II-B, LINE 1(G): | THE CHIEF CONSULTANT OF GOVERNMENTAL AFFAIRS MEETS WITH STATE AND LOCAL LEGISLATORS ON ISSUES AFFECTING THE ORGANIZATION. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,745,499 | OtherCostOrOtherBasisAmt |
| Book Value | $3,745,499 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $256,898,993 | OtherCostOrOtherBasisAmt |
| Depreciation | $198,883,546 | DepreciationAmt |
| Book Value | $58,015,447 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $147,818,665 | OtherCostOrOtherBasisAmt |
| Depreciation | $124,589,185 | DepreciationAmt |
| Book Value | $23,229,480 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,104,577 | OtherCostOrOtherBasisAmt |
| Depreciation | -$4,658,795 | DepreciationAmt |
| Book Value | $39,763,372 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $124,753,798 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY PAYOR SETTLEMENT | $4,768,788 |
| ESTIMATED SELF INSURANCE LIABILITY | $7,870,993 |
| ASBESTOS MITIGATION LIABILITY | $558,056 |
| Pension & Post Retirement Obligations | $22,477,140 |
| Other Liabilites | $959,637 |
| GUARANTEES TO PHYSICIANS | $143,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $36,778,364 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $334,122,443 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$7,138,932 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$22,781,174 | OtherRevenueAmt |
| Revenue Not Reported | -$29,920,106 | RevenueNotReportedAmt |
| Revenue Subtotal | $364,042,549 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$335,384 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$335,384 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $363,707,165 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $330,001,427 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $547,585 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $547,585 | ExpensesNotReportedAmt |
| Expenses Subtotal | $329,453,842 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $23,054,758 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $23,054,758 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $352,508,600 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | REVENUE FROM FOUNDATION 1,023,584. BAD DEBT EXPENSE -23,054,758. TRANSFER TO THE METHODIST HOSPITALS FOUNDATION, INC. -750,000. |
| Part XI, Line 4b - Other Adjustments: | RENTAL EXPENSE -335,384. |
| Part XII, Line 2d - Other Adjustments: | FOUNDATION EXPENSES 212,201. RENTAL EXPENSE 335,384. |
| Part XII, Line 4b - Other Adjustments: | BAD DEBT EXPENSE 23,054,758. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,795,333 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,795,333 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03060 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,092,250 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $92,362,666 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$270,416 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $102,887,583 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $92,362,666 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,524,917 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03060 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Persons Served | 7890 | PersonsServedCnt |
| Total Community Benefit Expns | $552,710 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $552,710 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 70 | PersonsServedCnt |
| Total Community Benefit Expns | $724,225 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $212,886 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $511,339 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 19 | PersonsServedCnt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $473,020 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $473,020 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 7979 | PersonsServedCnt |
| Total Community Benefit Expns | $1,749,955 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $212,886 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,537,069 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 7979 | PersonsServedCnt |
| Total Community Benefit Expns | $104,637,538 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $92,575,552 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,061,986 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03500 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $23,054,758 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,570,714 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $101,924,236 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $104,733,083 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,808,847 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|
| THE METHODIST HOSPITALS INC | ||||||||
| 1 | 600 GRANT STREET | GARY | IN | 46402 | 15-005002-1 | Yes (X) | Yes (X) | Yes (X) |
| THE METHODIST HOSPITALS INC | ||||||||
| 2 | 8701 BROADWAY | MERRILLVILLE | IN | 46410 | 15-005002-1 | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | OtherOtherInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Other MethodOtherMethodInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE METHODIST HOSPITALS INC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | http://www.methodisthospitals.org/about_methodist/community-health-needs-as | Yes (X) | Yes (1) | 12 | 0 | Yes (1) | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | http://www.methodisthospitals.org/billing_info/obtaining-financial-assistan | Yes (X) | http://methodisthospitals.org/wp-content/uploads/2014/10/finassist1.pdf | Yes (X) | HTTP://WWW.METHODISTHOSPITALS.ORG/BILLING_INFO/OBTAINING-FINANCIAL-ASSISTAN | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) |
| the METHODIST HOSPITALS INC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | http://www.methodisthospitals.org/about_methodist/community-health-needs-as | Yes (X) | Yes (1) | 12 | 0 | Yes (1) | 0 | Yes (1) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | http://www.methodisthospitals.org/billing_info/obtaining-financial-assistan | Yes (X) | http://methodisthospitals.org/wp-content/uploads/2014/10/finassist1.pdf | Yes (X) | HTTP://WWW.METHODISTHOSPITALS.ORG/BILLING_INFO/OBTAINING-FINANCIAL-ASSISTAN | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) |
Supplemental Information SupplementalInformationGrp (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| THE METHODIST HOSPITALS, INC. | Part V, Section B, Line 3j: THE CHNA THAT WAS CONDUCTED IN 2012 CONTAINED: THE SIGNIFICANT HEALTH NEEDS OF THE SURROUNDING COMMUNITY; THE GENERAL HEALTH STATUS; DEATH, DISEASE, AND CHRONIC CONDITIONS THAT ARE PREVALENT; MODIFIABLE HEALTH RISKS; IDENTIFIES POTENTIAL HEALTHCARE ACCESS ISSUES; AND IDENTIFIES WHAT SOURCES COMMUNITY MEMBERS USE TO ACCESS HEALTHCARE INFORMATION. |
| the METHODIST HOSPITALS, INC. | Part V, Section B, Line 3j: THE CHNA THAT WAS CONDUCTED IN 2012 CONTAINED: THE SIGNIFICANT HEALTH NEEDS OF THE SURROUNDING COMMUNITY; THE GENERAL HEALTH STATUS; DEATH, DISEASE, AND CHRONIC CONDITIONS THAT ARE PREVALENT; MODIFIABLE HEALTH RISKS; IDENTIFIES POTENTIAL HEALTHCARE ACCESS ISSUES; AND IDENTIFIES WHAT SOURCES COMMUNITY MEMBERS USE TO ACCESS HEALTHCARE INFORMATION. |
| THE METHODIST HOSPITALS, INC. | Part V, Section B, Line 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED A TELEPHONE SURVEY OF 473 RESIDENTS OF METHODIST HOSPITALS' NORTHLAKE CAMPUS SERVICE AREA AND 801 RESIDENTS OF THE SOUTHLAKE CAMPUS SERVICE AREA. ALL INTERVIEWS WERE OF ADULTS AGED 18 PLUS. THE SURVEY DATA WERE WEIGHTED IN ORDER TO ENSURE THAT THE RESULTS WERE GEOGRAPHICALLY AND DEMOGRAPHICALLY REPRESENTATIVE OF OUR SERVICE AREA POPULATIONS. IN ADDITION, FIVE FOCUS GROUPS WERE CONDUCTED WITH PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, COMMUNITY AND BUSINESS LEADERS, AND LEADERS OF AREA SOCIAL SERVICE AGENCIES. |
| the METHODIST HOSPITALS, INC. | Part V, Section B, Line 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED A TELEPHONE SURVEY OF 473 RESIDENTS OF METHODIST HOSPITALS' NORTHLAKE CAMPUS SERVICE AREA AND 801 RESIDENTS OF THE SOUTHLAKE CAMPUS SERVICE AREA. ALL INTERVIEWS WERE OF ADULTS AGED 18 PLUS. THE SURVEY DATA WERE WEIGHTED IN ORDER TO ENSURE THAT THE RESULTS WERE GEOGRAPHICALLY AND DEMOGRAPHICALLY REPRESENTATIVE OF OUR SERVICE AREA POPULATIONS. IN ADDITION, FIVE FOCUS GROUPS WERE CONDUCTED WITH PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, COMMUNITY AND BUSINESS LEADERS, AND LEADERS OF AREA SOCIAL SERVICE AGENCIES. |
| THE METHODIST HOSPITALS, INC. | Part V, Section B, Line 6a: THE METHODIST HOSPITALS, INC'S CHNA WAS CONDUCTED JOINTLY WITH THE FOLLOWING OTHER HOSPITAL ORGANIZATIONS: COMMUNITY HEALTHCARE SYSTEM AND FRANCISCAN ALLIANCE OF NORTHWEST INDIANA. |
| the METHODIST HOSPITALS, INC. | Part V, Section B, Line 6a: THE METHODIST HOSPITALS, INC'S CHNA WAS CONDUCTED JOINTLY WITH THE FOLLOWING OTHER HOSPITAL ORGANIZATIONS: COMMUNITY HEALTHCARE SYSTEM AND FRANCISCAN ALLIANCE OF NORTHWEST INDIANA. |
| THE METHODIST HOSPITALS, INC. | Part V, Section B, Line 11: METHODIST HOSPITALS USED THE CHNA TO IDENTIFY ISSUES OF GREATEST CONCERN AND DEVELOPED ACTION PLANS ON KEY FOCUS AREAS IN WHICH TO COMMIT RESOURCES IN ORDER TO IMPROVE RESIDENT'S HEALTH, IMPROVE QUALITY OF LIFE, REDUCE HEALTH DISPARITIES AND TO INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES. IN 2015 PROGRAMS AND SERVICES ENACTED BASED ON NEEDS IDENTIFIED IN THE CHNA INCLUDED THE FOLLOWING FOCUS AREAS: VIOLENCE AND INJURY PREVENTION, TEEN BIRTH, NUTRITION AND PHYSICAL ACTIVITY, KIDNEY DISEASE, HEART DISEASE AND STROKE, DIABETES, AND CANCER. METHODIST HOSPITALS DOES NOT CURRENTLY HAVE PROGRAMS THAT SPECIFICALLY ADDRESS THE REGION'S HIGHER THAN AVERAGE TOBACCO USE RATES OR PERCEIVED LACK OF DENTAL CARE. THE TASK FORCE CHARGED WITH DEVELOPING ACTION PLANS BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL DEVELOP PRIORITIES AND FUTURE PLANS FOR ADDRESSING THESE UNMET NEEDS. |
| the METHODIST HOSPITALS, INC. | Part V, Section B, Line 11: METHODIST HOSPITALS USED THE CHNA TO IDENTIFY ISSUES OF GREATEST CONCERN AND DEVELOPED ACTION PLANS ON KEY FOCUS AREAS IN WHICH TO COMMIT RESOURCES IN ORDER TO IMPROVE RESIDENT'S HEALTH, IMPROVE QUALITY OF LIFE, REDUCE HEALTH DISPARITIES AND TO INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES. IN 2015 PROGRAMS AND SERVICES ENACTED BASED ON NEEDS IDENTIFIED IN THE CHNA INCLUDED THE FOLLOWING FOCUS AREAS: VIOLENCE AND INJURY PREVENTION, TEEN BIRTH, NUTRITION AND PHYSICAL ACTIVITY, KIDNEY DISEASE, HEART DISEASE AND STROKE, DIABETES, AND CANCER. METHODIST HOSPITALS DOES NOT CURRENTLY HAVE PROGRAMS THAT SPECIFICALLY ADDRESS THE REGION'S HIGHER THAN AVERAGE TOBACCO USE RATES OR PERCEIVED LACK OF DENTAL CARE. THE TASK FORCE CHARGED WITH DEVELOPING ACTION PLANS BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL DEVELOP PRIORITIES AND FUTURE PLANS FOR ADDRESSING THESE UNMET NEEDS. |
| THE METHODIST HOSPITALS, INC. | Part V, Section B, Line 13h: FAMILY SIZE AND COMPOSITION. |
| the METHODIST HOSPITALS, INC. | Part V, Section B, Line 13h: FAMILY SIZE AND COMPOSITION |
| THE METHODIST HOSPITALS, INC. | Part V, Section B, Line 15e: METHODIST HOSPITALS MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE INDIVIDUAL ASSESSMENTS OF FINANCIAL NEED. METHODIST MAY UTILIZE A THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED USING A HEALTHCARE INDUSTRY-RECOGNIZED MODEL BASED ON PUBLIC RECORD DATABASES. IN ADDITION, METHODIST HOSPITALS PROVIDES WEB LINKS TO STATE AND FEDERAL INSURANCE PROGRAMS GEARED TOWARDS THE UNINSURED. |
| the METHODIST HOSPITALS, INC. | Part V, Section B, Line 15e: METHODIST HOSPITALS MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE INDIVIDUAL ASSESSMENTS OF FINANCIAL NEED. METHODIST MAY UTILIZE A THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED USING A HEALTHCARE INDUSTRY-RECOGNIZED MODEL BASED ON PUBLIC RECORD DATABASES. IN ADDITION, METHODIST HOSPITALS PROVIDES WEB LINKS TO STATE AND FEDERAL INSURANCE PROGRAMS GEARED TOWARDS THE UNINSURED. |
| THE METHODIST HOSPITALS, INC. | Part V, Section B, Line 16i: METHODIST HOSPITALS' FINANCIAL ASSISTANCE POLICY AND INSTRUCTIONS ON HOW TO CONTACT METHODIST FOR ASSISTANCE AND FURTHER INFORMATION IS POSTED IN THE HOSPITAL AND CLINIC REGISTRATION AND ADMITTING LOCATIONS, AND IN THE EMERGENCY DEPARTMENT AND ON THE HOSPITAL'S WEBSITE. INFORMATION MAY ALSO BE OBTAINED FROM FINANCIAL COUNSELORS. IN ADDITION, METHODIST HOSPITALS INCLUDES A REFERENCE TO THE PAYMENT POLICIES AND FINANCIAL ASSISTANCE ON ALL PRINTED MONTHLY STATEMENTS AND COLLECTION LETTERS. |
| the METHODIST HOSPITALS, INC. | Part V, Section B, Line 16i: METHODIST HOSPITALS' FINANCIAL ASSISTANCE POLICY AND INSTRUCTIONS ON HOW TO CONTACT METHODIST FOR ASSISTANCE AND FURTHER INFORMATION IS POSTED IN THE HOSPITAL AND CLINIC REGISTRATION AND ADMITTING LOCATIONS, AND IN THE EMERGENCY DEPARTMENT AND ON THE HOSPITAL'S WEBSITE. INFORMATION MAY ALSO BE OBTAINED FROM FINANCIAL COUNSELORS. IN ADDITION, METHODIST HOSPITALS INCLUDES A REFERENCE TO THE PAYMENT POLICIES AND FINANCIAL ASSISTANCE ON ALL PRINTED MONTHLY STATEMENTS AND COLLECTION LETTERS. |
| THE METHODIST HOSPITALS, INC. | Part V, Section B, Line 22d: THE AMOUNT GENERALLY BILLED IS THE EXPECTED PAYMENT FOR EMERGENCY OR MEDICALLY NECESSARY SERVICES. FOR QUALIFYING PATIENTS, THIS AMOUNT WILL NOT EXCEED A RATE THAT WILL BE DETERMINED UTILIZING THE LOOK BACK METHOD AS DESCRIBED IN SEC 1.501(r)-5(b)(3) OF THE INTERNAL REVENUE CODE. THE LOOK BACK METHOD WILL BE BASED ON ACTUAL PAST CLAIMS PAID TO METHODIST BY MEDICARE FEE-FOR-SERVICE. THE CLAIMS TO BE INCLUDED IN THE AGB CALCULATION WILL BE CLAIMS ALLOWED DURING THE PRIOR CALENDAR YEAR. |
| the METHODIST HOSPITALS, INC. | Part V, Section B, Line 22d: THE AMOUNT GENERALLY BILLED IS THE EXPECTED PAYMENT FOR EMERGENCY OR MEDICALLY NECESSARY SERVICES. FOR QUALIFYING PATIENTS, THIS AMOUNT WILL NOT EXCEED A RATE THAT WILL BE DETERMINED UTILIZING THE LOOK BACK METHOD AS DESCRIBED IN SEC 1.501(r)-5(b)(3) OF THE INTERNAL REVENUE CODE. THE LOOK BACK METHOD WILL BE BASED ON ACTUAL PAST CLAIMS PAID TO METHODIST BY MEDICARE FEE-FOR-SERVICE. THE CLAIMS TO BE INCLUDED IN THE AGB CALCULATION WILL BE CLAIMS ALLOWED DURING THE PRIOR CALENDAR YEAR. |
| THE METHODIST HOSPITALS, INC. | Part V, Section B, Line 24: THE HOSPITAL CHARGES ALL PATIENTS THE SAME RATES REGARDLESS OF INCOME LEVELS. THE HOSPITAL WILL WRITE-OFF THE CHARGE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY LEVELS MAINTAINED IN THE HELPING HEART FINANCIAL ASSISTANCE PROGRAM. |
| the METHODIST HOSPITALS, INC. | Part V, Section B, Line 24: THE HOSPITAL CHARGES ALL PATIENTS THE SAME RATES REGARDLESS OF INCOME LEVELS. THE HOSPITAL WILL WRITE-OFF THE CHARGE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY LEVELS MAINTAINED IN THE HELPING HEART FINANCIAL ASSISTANCE PROGRAM. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 20 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - METHODIST HOSPITALS MEDICAL OFFICE BUILDIN | ||||
| 101 E 87TH AVE | MERRILLVILLE | IN | 46410 | IMAGING AND LAB SERVICES; OUTPATIENT SURGERY CENTER; BREAST CENTER; PHYSICIA |
| 2 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 5800 BROADWAY | MERRILLVILLE | IN | 46410 | PHYSICIAN OFFICES-CARDIOLOGY |
| 3 - METHODIST HOSPITALS ENDOSCOPY CENTER | ||||
| 8895 BROADWAY | MERRILLVILLE | IN | 46410 | OUTPATIENT ENDOSCOPY CENTER |
| 4 - METHODIST HOSPITALS INC | ||||
| 2269 WEST 25TH STREET | GARY | IN | 46404 | OUTPATIENT REHAB/PHYSICIAN OFFICES |
| 5 - METHODIST HOSPITALS CENTER FOR ADVANCED CL | ||||
| 200 E 89TH AVE | MERRILLVILLE | IN | 46410 | PHYSICIAN OFFICES-NEUROSCIENCES AND ORTHOPEDICS |
| 6 - METHODIST HOSPITALS HOME HEALTH CENTER | ||||
| 650 GRANT ST | GARY | IN | 46408 | PHYSICIAN OFFICE - UROLOGY |
| 7 - METHODIST HOSPITALS REHAB CENTER | ||||
| 303 E 89TH AVE | MERRILLVILLE | IN | 46410 | OUTPATIENT REHAB |
| 8 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 8777 BROADWAY | MERRILLVILLE | IN | 46410 | PHYSICIAN OFFICES-FAMILY MEDICINE, INTERNAL MEDICINE, AND OB/GYN |
| 9 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 6101 MILLER AVE | GARY | IN | 46403 | PHYSICIAN OFFICE-INTERNAL MEDICINE |
| 10 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 3195 BROADWAY | GARY | IN | 46403 | PHYSICIAN OFFICE-INTERNAL MEDICINE |
| 11 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 6111 HARRISON ST - STE 252 | MERRILLVILLE | IN | 46410 | PHYSICIAN OFFICE-GENERAL SURGERY |
| 12 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 801 WEST GLEN PARK AVE | GRIFFITH | IN | 46319 | PHYSICIAN OFFICES-GENERAL SURGEON |
| 13 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 704 SOUTH STATE ROAD 2 | HEBRON | IN | 46341 | PHYSICIAN OFFICE-FAMILY MEDICINE |
| 14 - METHODIST HOSPITALS CARDIAC REHABILITATI | ||||
| 753 EAST 81ST AVE-STE 4 | MERRILLVILLE | IN | 46410 | OUTPATIENT CARDIAC REHAB |
| 15 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 2200 GRANT ST | GARY | IN | 46404 | PHYSICIAN OFFICE-OB/GYN |
| 16 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 10 NMICHIGAN | HOBART | IN | 46342 | PHYSICIAN OFFICE-INTERNAL MEDICINE |
| 17 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 11496 BROADWAY | CROWN POINT | IN | 46307 | PHYSICIAN OFFICES-FAMILY MEDICINE |
| 18 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 9105-A INDIANAPOLIS BLVD | HIGHLAND | IN | 46322 | PHYSICIAN OFFICE-PODIATRY |
| 19 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 10200 WICKER AVE-STE 1 | ST JOHN | IN | 46375 | PHYSICIAN OFFICE-INTERNAL MEDICINE |
| 20 - METHODIST HOSPITALS PHYSICIAN GROUP | ||||
| 1201 CUMBERLAND CROSSING DR | VALPARAISO | IN | 46383 | PHYSICIAN OFFICES - FAMILY MEDICINE |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | METHODIST HOSPITALS USES PUBLISHED FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR CHARITY OR MAY BE ELIGIBLE FOR SLIDING-SCALE FINANCIAL RELIEF. IF A PATIENT IS DEEMED TO HAVE A CATASTROPHIC BALANCE WHICH IS A BALANCE DUE TO METHODIST HOSPITALS THAT IS GREATER THAN 25% OF THE PATIENT'S ANNUAL FAMILY INCOME AS DETERMINED OVER A 12 MONTH PERIOD, THE PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. |
| Part I, Line 7: | THE METHODOLOGY USED IS A COST-TO-CHARGE-RATIO. |
| Part I, Ln 7 Col(f): | COLUMN F IS THE AMOUNT OF CHARITY CARE PROVIDED AS A PERCENTAGE OF EXPENSES SHOWN ON PART IX, LINE 25, LESS BAD DEBT EXPENSE OF $23,054,758. |
| Part II, Community Building Activities: | METHODIST HOSPITALS CONTINUES ITS PARTICIPATION IN THE NW INDIANA HEALTH DISPARITIES COUNCIL WHOSE GOAL IS TO IMPROVE ACCESS TO HEALTHCARE FOR THE UNDERSERVED POPULATION OF THIS REGION. METHODIST HOSPITALS' COMMUNITY ENGAGEMENT INCLUDES A BROAD RANGE OF PARTNERSHIPS INCLUDING THE GARY YWCA, GARY LITERACY COALITION,CITY OF GARY, LOCAL CHAMBERS OF COMMERCE, COMMUNITY ORGANIZATIONS FOR FAMILIES AND YOUTH, THE VALPARAISO YMCA, AND THE MERRILLVILLE HIGH SCHOOL INTERNSHIP PROGRAM. THE HOSPITAL IS ALSO A LEADER IN THE SUPPORT OF A NUMBER OF HEALTH ADVOCACY ORGANIZATION INCLUDING THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, PINK RIBBON SOCIETY, MULTIPLE SCLEROSIS SOCIETY, JUVENILE DIABETES RESEARCH FOUNDATION, PARKINSON'S FOUNDATION, AND THE MARCH OF DIMES. METHODIST ALSO DEMONSTRATES ITS COMMITMENT TO THE HEALTH OF ITS SURROUNDING COMMUNITIES THROUGH A WIDE ARRAY OF COMMUNITY OUTREACH PROGRAMS INCLUDING: VARIOUS SCREENING PROGRAMS, SUPPORT GROUPS, FREE HEALTH FAIRS, AND EDUCATION SEMINARS. |
| Part III, Line 2: | A SIGNIFICANT PORTION OF UNINSURED PATIENTS ARE UNABLE OR UNWILLING TO PAY FOR SERVICES RENDERED BY THE HOSPITAL. FOR THOSE PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, BASED ON HISTORICAL EXPERIENCE, A PROVISION FOR BAD DEBTS IS RECORDED RELATED TO THESE PARTICULAR PATIENTS. |
| Part III, Line 3: | FOR UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE DUE TO INCOMPLETE APPLICATIONS, A PROVISON FOR BAD DEBT IS RECORDED BASED UPON HISTORICAL EXPERIENCE. |
| Part III, Line 4: | ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. |
| Part III, Line 8: | THE HOSPITAL DOES NOT REPORT ANY SHORTFALL WITH MEDICARE AS A COMMUNITY BENEFIT. |
| Part III, Line 9b: | LIABILITIES FOR NON-COVERED SERVICES, INSURANCE RESIDUALS AND PURE SELF PAY LIABILITIES ARE DUE WITHIN 30 DAYS OF DISCHARGE. ATTEMPTS ARE MADE TO COLLECT DEDUCTIBLES PRE-SERVICE AND DEPOSITS OR PAYMENT IN-FULL PRE-SERVICE FOR SELF-PAY PATIENTS. IF A PATIENT CANNOT PAY THE ENTIRE BALANCE WITHIN 30 DAYS, PAYMENT PLANS ARE AVAILABLE. IF THE PATIENT CANNOT PAY AT ALL, THE HOSPITAL OFFERS NEED-BASED FINANCIAL ASSISTANCE BASED ON HOUSEHOLD INCOME AS A PERCENT OF THE FPL. PATIENTS WHO HAVE THE ABILITY TO PAY, YET DEFAULT ON PAYMENT PLANS ARE SENT TO COLLECTIONS (BAD DEBT). ACCOUNTS SENT TO BAD DEBT ARE PERIODICALLY RE-SCREENED FOR PRESUMPTIVE CHARITY QUALIFICATION AND IF QUALIFIED, ARE REMOVED FROM THE COLLECTION PROCESS. MEDICARE RESIDUALS ARE INVOICED TO THE PATIENT AND SENT THROUGH A BAD DEBT COLLECTION CYCLE. IF COLLECTION ATTEMPTS ARE UNSUCCESSFUL, THE MEDICARE ACCOUNT IS REMOVED FROM COLLECTIONS AND IS REPORTED AS MEDICARE BAD DEBT. |
| Part VI, Line 2: | METHODIST HOSPITALS, INC. ASSESSES THE SERVICES NEEDED BASED UPON A REVIEW OF DEMOGRAPHIC AND CLINICAL FACTORS. BASED UPON THE DATA, THE HEALTHCARE NEEDS ARE THEN COMPARED TO THE SERVICES CURRENTLY PROVIDED OR AVAILABLE IN THE IMMEDIATE AREA AND SURROUNDING COMMUNITIES. METHODIST HOSPITAL ALSO HAD AN INDEPENDENT COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED TO DETERMINE THE HEALTH STATUS, BEHAVIORS, AND NEEDS OR RESIDENTS IN THE HOSPITAL'S SERVICE AREAS. |
| Part VI, Line 3: | METHODIST PROVIDES PATIENTS WITH A PAYMENT OPTIONS BROCHURE AND "FINANCIALLY CLEARS" PATIENTS PRIOR TO SERVICE DELIVERY. FINANCIAL CLEARANCE INVOLVES ESTIMATING THE PATIENT LIABILITY, EDUCATING THE PATIENT ABOUT INSURANCE BENEFITS AND OUT-OF-POCKET EXPENSES AND AGREEING TO A PLAN WITH THE PATIENT FOR HOW THAT LIABILITY WILL BE COVERED. SELF PAY PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FEDERAL, STATE AND LOCAL PAYMENT SOURCES. IN ADDITION, METHODIST PUBLICIZES ON ITS WEBSITE INFORMATION ABOUT THE VARIOUS FINANCIAL ASSISTANCE PLANS THAT A PATIENT MAY BE ELIGIBLE FOR ALONG WITH THE NECESSARY APPLICATIONS. |
| Part VI, Line 4: | METHODIST HOSPITALS SERVES NORTHWEST INDIANA WITH THE PRIMARY GEOGRAPHIC AREA BEING SERVED AS LAKE COUNTY, INDIANA. PORTER COUNTY, INDIANA COMPRISES MOST OF THE SECONDARY SERVICE AREA. THE DEMOGRAPHIC AREA OF THE REGION IS VERY DIVERSE, RANGING FROM THE VERY AFFLUENT TO A SIGNIFICANT INDIGENT POPULATION. |
| Part VI, Line 5: | METHODIST HOSPITALS, INC. PROVIDES MONTHLY STROKE AND CANCER SCREENINGS, AND THROUGHOUT THE YEAR OFFERS: PREVENTATIVE HEALTHCARE SCREENINGS, WORKSHOPS, INTERNSHIPS FOR HIGHSCHOOL STUDENTS, EDUCATIONAL SEMINARS, AND HOSTS VARIOUS SUPPORT GROUPS THAT COMMUNITY MEMBERS CAN ATTEND. THE MAJORITY OF THE GOVERNING BODY MEMBERS LIVE AND/OR WORK WITHIN METHODIST HOSPITALS'S SERVICE AREAS. |
| Part VI, Line 6: | N/A |
| Part VI, Line 7, Reports Filed With States | IN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION | |||||||
| 405 BOARDWALK | HEBRON | IN | 46341 | 135613797 | 501(C)(3) | $75,000 | HEART DISEASE AWARENESS/PREVENTION PROGRAMS |
| ASIAN AMERICAN MEDICAL SOCIETY | |||||||
| PO BOX 10039 | MERRILLVILLE | IN | 46411 | 351487544 | 501(C)(6) | $5,000 | SUPPORT LOCAL CHARITABLE ORGANIZATIONS |
| BOYS & GIRLS CLUB OF NW IND | |||||||
| 8392 MISSISSIPPI STREET | MERRILLVILLE | IN | 46410 | 350941137 | 501(C)(3) | $11,000 | SUPPORT TOLLESTON COMMUNITY CENTER PROGRAMS |
| GARY LITERACY COALITION | |||||||
| 650 GRANT STREEET SUITE 8 | GARY | IN | 46402 | 201323689 | 501(C)(3) | $91,908 | SUPPORT LITERACY PROGRAMS |
| INDIAN MEDICAL ASSOC OF NWI | |||||||
| 8605 MERRILLVILLE ROAD | MERRILLVILLE | IN | 46410 | 314130002 | 501(C)(3) | $15,000 | SCHOLARSHIP PROGRAMS |
| INDIANA UNIVERSITY-PURDUE UNIV | |||||||
| PO BOX 78000 | DETROIT | MI | 48278 | 356001673 | 501(C)(3) | $10,000 | RESIDENCY PROGRAM |
| MARCH OF DIMES | |||||||
| 2612 W US Hwy 30 | MERRILLVILLE | IN | 46410 | 131846366 | 501(C)(3) | $5,000 | PROGRAM SUPPORT TO IMPROVE MATERNAL AND CHILD HEALTH |
| NORTHWEST INDIANA PUBLIC BROADCASTING INC | |||||||
| 8625 INDIANA PL | MERRILLVILLE | IN | 46410 | 310960136 | 501(C)(3) | $5,150 | WOMEN'S CONFERENCES |
| NWIHRC | |||||||
| 8605 MERRILLVILLE RD | MERRILLVILLE | IN | 46410 | 351981658 | 501(C)(3) | $21,000 | SUPPORT CULTURAL ARTS PROGRAMS |
| PORTER COUNTY COMMUNITY FOUNDATION | |||||||
| PO BOX 302 | VALPARAISO | IN | 46384 | 352000788 | 501(C)(3) | $5,500 | SUPPORT LOCAL CHARITABLE ORGANIZATIONS |
| VALPARAISO FAMILY YMCA | |||||||
| 1201 CUMBERLAND CROSSING DRIVE | VALPARAISO | IN | 46383 | 350876401 | 501(C)(3) | $76,250 | SUPPORT WELLNESS PROGRAMS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 10 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION DOES NOT MONITOR HOW THE GRANTS ARE USED BY THE ORGANIZATION RECEIVING THE FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL DAVENPORT MD | ||||||||||||||
| INTERIM CEO (JAN/FEB) AND CMO | $395,569 | $0 | $183,000 | $0 | $0 | $0 | $7,950 | $0 | $13,925 | $0 | $600,444 | $0 | $0 | $0 |
| MATTHEW DOYLE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $333,459 | $0 | $79,515 | $0 | $0 | $0 | $4,500 | $0 | $13,674 | $0 | $431,148 | $0 | $0 | $0 |
| RAYMOND GRADY | ||||||||||||||
| CHieF EXECUTIVE OFFICER | $464,568 | $0 | $0 | $0 | $0 | $0 | $3,429 | $0 | $6,848 | $0 | $474,845 | $0 | $0 | $0 |
| ALEXANDER HORVATH | ||||||||||||||
| VP HUMAN RESOURCES | $305,140 | $0 | $90,579 | $0 | $0 | $0 | $6,750 | $0 | $15,416 | $0 | $417,885 | $0 | $0 | $0 |
| SHELLY MAJOR | ||||||||||||||
| CHIEF NURSING OFFICER | $289,928 | $0 | $67,074 | $0 | $0 | $0 | $7,883 | $0 | $18,889 | $0 | $383,774 | $0 | $0 | $0 |
| WRIGHT ALCORN | ||||||||||||||
| VP OPERATIONS | $271,102 | $0 | $65,890 | $0 | $0 | $0 | $0 | $0 | $18,853 | $0 | $355,845 | $0 | $0 | $0 |
| JAMES KIRCHNER | ||||||||||||||
| VP PHYSICIAN INTEGRATION | $254,587 | $0 | $58,995 | $0 | $0 | $0 | $7,909 | $0 | $13,279 | $0 | $334,770 | $0 | $0 | $0 |
| ANDRE ARTIS | ||||||||||||||
| PHYSICIAN | $661,097 | $0 | $254,794 | $0 | $0 | $0 | $5,300 | $0 | $19,760 | $0 | $940,951 | $0 | $0 | $0 |
| KEVIN WALDRON | ||||||||||||||
| PHYSICIAN | $832,471 | $0 | $0 | $0 | $0 | $0 | $7,950 | $0 | $20,036 | $0 | $860,457 | $0 | $0 | $0 |
| RAY SAWAQED | ||||||||||||||
| PHYSICIAN | $573,974 | $0 | $146,225 | $0 | $0 | $0 | $7,950 | $0 | $3,767 | $0 | $731,916 | $0 | $0 | $0 |
| MIHAS KODENCHERY | ||||||||||||||
| PHYSICIAN | $468,626 | $0 | $252,572 | $0 | $0 | $0 | $3,975 | $0 | $19,553 | $0 | $744,726 | $0 | $0 | $0 |
| VINEET SHAH | ||||||||||||||
| PHYSICIAN | $650,629 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,795 | $0 | $670,424 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA FINANCE AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 351602316 | BondIssuerEIN |
| CUSIP | 45471AMK5 | CUSIPNum |
| Bond Issued | 2014-08-27 | BondIssuedDt |
| Issue Price | $52,517,507 | IssuePriceAmt |
| Purpose | REFUND PRIOR ISSUE DATED 8/15/2001 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,875,000 | RetiredAmt |
| Total Proceeds | $52,252,853 | TotalProceedsAmt |
| In Reserve Fund | $4,332,916 | InReserveFundAmt |
| Issuance Costs From Proceeds | $425,250 | IssuanceCostsFromProceedsAmt |
| Substantial Completion | 2005 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mamon Powers | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Board Member | RelationshipDescriptionTxt |
| Transaction | $230,714 | TransactionAmt |
| Transaction | OWNS Powers & sons Construction WHICH PROVIDED SERVICES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | THE FORM 990 IS REVIEWED BY THE CONTROLLER AND CFO OF THE ORGANIZATION AND THEN SENT TO MEMBERS OF THE GOVERNING BODY FOR REVIEW PRIOR TO FILING. |
| Form 990, Part VI, Section B, line 12c | THE BOARD PASSED A RESOLUTION IN 1994 WHICH REQUIRES EACH BOARD MEMBER TO ANNUALLY DISCLOSE ALL SITUATIONS WHERE A POTENTIAL CONFLICT OF INTEREST MAY EXIST. THE CONFLICT OF INTEREST/RELATED PARTY QUESTIONNAIRES ARE COMPLETED AND REVIEWED ON AN ANNUAL BASIS. ANY POTENTIALLY CONFLICTED DIRECTORS ARE PROHIBITED FROM PARTICIPATING IN THE DISCUSSION ABOUT OR VOTING ON ANY CONFLICTED ISSUE. |
| Form 990, Part VI, Section B, line 15 | THE HR AND GOVERNANCE COMMITTEE USES INDEPENDENT AND EXTERNAL RESOURCES FOR THE ESTABLISHMENT OF COMPENSATION FOR OFFICERS AND OTHER KEY EMPLOYEES. THE COMMITTEE USES COMPARABILITY DATA AND MARKET COMPARISONS INCLUDING COMPENSATION SURVEYS AND FORM 990 INFORMATION FROM OTHER ORGANIZATIONS AS PART OF THE COMPENSATION DETERMINATION PROCESS. THE COMPENSATION APPROACH, PROCESS, AND DATA ARE THOROUGHLY DISCUSSED IN THE COMMITTEE MEETINGS AND THE REVIEW AND APPROVALS ARE DOCUMENTED THROUGHOUT THE PROCESS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2015. |
| Form 990, Part VI, Section C, line 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| Form 990, Part IX, line 11g | CONTRACT LABOR: Program service expenses 361,783. Management and general expenses 93,001. Fundraising expenses 0. Total expenses 454,784. CONSULTING: Program service expenses 699,891. Management and general expenses 95,475. Fundraising expenses 0. Total expenses 795,366. PROFESSIONAL FEES: Program service expenses 9,085,050. Management and general expenses 14,670. Fundraising expenses 0. Total expenses 9,099,720. PURCHASED SERVICES: Program service expenses 18,383,609. Management and general expenses 3,096,888. Fundraising expenses 0. Total expenses 21,480,497. BILLING: Program service expenses 182,509. Management and general expenses 442,536. Fundraising expenses 0. Total expenses 625,045. SECURITY: Program service expenses 10,778. Management and general expenses 12,469. Fundraising expenses 0. Total expenses 23,247. MARKETING: Program service expenses 102,277. Management and general expenses 13,554. Fundraising expenses 0. Total expenses 115,831. TRANSCRIPT: Program service expenses 210,390. Management and general expenses 27,881. Fundraising expenses 0. Total expenses 238,271. REFERENCE: Program service expenses 1,499,126. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,499,126. TRANSPORT: Program service expenses 95,093. Management and general expenses 0. Fundraising expenses 0. Total expenses 95,093. RECRUITMENT: Program service expenses 651,680. Management and general expenses 86,776. Fundraising expenses 0. Total expenses 738,456. FEES: Program service expenses 685,934. Management and general expenses 90,895. Fundraising expenses 0. Total expenses 776,829. |
| Form 990, Part XI, line 9: | Pension Related Changes Other Than Net Periodic Cost -2,414,646. TRANSFER TO THE METHODIST HOSPITALS FOUNDATION, INC. -750,000. |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| METHODIST PATHOLOGY LLC | |||||||||
| 600 GRANT ST | GARY | IN | 46402 | 203642476 | PATHOLOGY SERVICES | IN | $0 | $0 | THE METHODIST HOSPITALS INC |
| METHODIST ANESTHESIA LLC | |||||||||
| 600 GRANT ST | GARY | IN | 46402 | 201954536 | ANESTHESIA SERVICES | IN | $0 | $0 | THE METHODIST HOSPITALS INC |
| METHODIST CARDIOGRAPHICS LLC | |||||||||
| 600 GRANT ST | GARY | IN | 46402 | 201349870 | READING CARDIOGRAMS | IN | $519,156 | $54,906 | THE METHODIST HOSPITALS INC |
| METHODIST AUXILIARY | |||||||||
| 600 GRANT ST | GARY | IN | 46402 | SUPPORTING ORGANIZATION | IN | $13,211 | $45,562 | THE METHODIST HOSPITALS INC | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE METHODIST HOSPITALS FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 GRANT STREET | AddressLine1Txt |
| City | GARY | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271495289 | EIN |
| Primary Activities | SUPPORTING ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 11a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE METHODIST HOSPITALS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| METHODIST FOUNDATION | ||
| C | $81,577 | CASH |
| METHODIST FOUNDATION | ||
| Q | $250,794 | ACTUAL COST |
| METHODIST FOUNDATION | ||
| B | $750,000 | ACTUAL COST |