ST CATHERINE HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ST CATHERINE HOSPITAL INC (EIN 35-1738708)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201211369349306181
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T15:17:47-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351738708 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST CATHERINE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STCA | NameControl |
| Phone | 2193921700 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 FIR STREET | AddressLine1 |
| City | EAST CHICAGO | City |
| State | IN | State |
| ZIP Code | 46312 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARY ANN SHACKLETT | Name |
| Title | SENIOR VP FINANCE & CFO | Title |
| Phone | 2199348250 | Phone |
| Date Signed | 2012-05-10 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JO ANN BIRDZELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 FIR STREET | AddressLine1 |
| City | EAST CHICAGO | City |
| State | IN | State |
| ZIP Code | 46312 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 160052996 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.comhs.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1928 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | St. 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 note on mission statement) | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1440 | TotalNbrEmployees |
| Total Nbr Volunteers | 60 | TotalNbrVolunteers |
| Total Gross UBI | 1286409 | TotalGrossUBI |
| Contributions Grants Prior Year | 911403 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 280420 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 160766147 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 156492325 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -80741 | InvestmentIncomePriorYear |
| Investment Income Current Year | 59752 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3032334 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3117084 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 164629143 | TotalRevenuePriorYear |
| Total Revenue Current Year | 159949581 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 66994046 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 72563824 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 99384704 | OtherExpensePriorYear |
| Other Expenses Current Year | 94689895 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 166378750 | TotalExpensesPriorYear |
| Total Expenses Current Year | 167253719 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1749607 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -7304138 | RevenuesLessExpensesCY |
| Total Assets BOY | 62838910 | TotalAssetsBOY |
| Total Assets EOY | 54867614 | TotalAssetsEOY |
| Total Liabilities BOY | 26664546 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 22333865 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 36174364 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 32533749 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | ST. 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 Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 60805541 | Expense |
| Revenue | 57841518 | Revenue |
| Description | NURSING - 25,070 PATIENT DAYS DIALYSIS PROCEDURES - 1,742 DIABETES CENTER VISITS - 1,671 (continued on Schedule O) | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 16133611 | Expense |
| Revenue | 43637189 | Revenue |
| Description | SURGERY - 5,373 IP AND OP SURGERIES | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10055674 | Expense |
| Revenue | 12302648 | Revenue |
| Description | PHYSICIAN - VISITS | Description |
Activity Other ActivityOther (29 entries)
| ExpenseExpense | RevenueRevenue | DescriptionDescription |
|---|---|---|
| 8279086 | 31977456 | CARDIOLOGY - 29,239 VISITS |
| 6859703 | 28911300 | PHARMACY - 913,448 DOSES ADMINISTERED |
| 6644161 | 47964480 | LAB - 571,573 SPECIMENS COLLECTED |
| 5882370 | 9270666 | IMCU - 9,800 PATIENT DAYS |
| 5570554 | 27484442 | ER 30,382 VISITS WITH 5,005 ADMISSIONS |
| 4247396 | 12932261 | PT OT SPEECH - 117,116 PROCEDURES |
| 4054362 | 42971234 | RADIOLOGY - 59,229 PROCEDURES |
| 3826596 | 628 | DIETARY - 145,778 IP MEALS |
| 3290240 | PATIENT SERVICES - 43,016 VISITS | |
| 3092552 | 3257357 | ICU - 2,537 PATIENT DAYS |
| 2628918 | 2586073 | OCC HEALTH - 15,071 VISITS |
| 2498607 | HIM - 91,290 MEDICAL RECORDS CODED | |
| 2406352 | 2854197 | HOME HEALTH - 30,630 VISITS |
| 1972999 | 8307915 | RESPIRATORY THERAPY - 51,964 PROCEDURES |
| 1370448 | SECURITY | |
| 1306622 | ADMITTING - 9,270 IP ADMISSIONS | |
| 950808 | 5054965 | NUCLEAR MED - 2,062 PROCEDURES |
| 880477 | MEDICAL STAFF | |
| 733005 | 1364821 | PSYCH - 6,827 VISITS |
| 730477 | 1474115 | CENTRAL SUPPLY - 41,471 CHARGEABLE SUPPLIES |
| 608535 | 6334337 | CYBERKNIFE - 387 CLICKS |
| 424587 | PUBLIC RELATIONS | |
| 326734 | 1382646 | OUTPATIENT SERVICES - 91,055 VISITS |
| 320496 | CENTRAL STERILIZATION - PROVIDE STERILE INSTRUMENT | |
| 179507 | 2989293 | EEG - 7,904 PROCEDURES |
| 115364 | POB | |
| 28055 | LTAC | |
| 457 | 278852 | MISC |
| -193023109 | CONTRACTUALS AND CHARITY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 69229468 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 44373929 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 156224294 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 174 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1440 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ST CATHERINE HOSPITAL INC | NamePerson |
| Telephone Number | 2193921700 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 FIR STREET | AddressLine1 |
| City | EAST CHICAGO | City |
| State | IN | State |
| ZIP Code | 46312 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JOHN ARTIS | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| MARIA LUZ-CORONA | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| JEFFREY DUBNOW MD | ||||||||
| BOARD MEMBER | 1.0 | X | 2800 | 0 | 0 | |||
| R LOUIE GONZALEZ | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| JUDITH GRESKO | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| HENRY HADIDIAN MD | ||||||||
| BOARD MEMBER | 1.0 | X | 74010 | 0 | 0 | |||
| DAVID HERBSTMAN MD | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| SR ANNEMARIE KAMPWERTH PHJC | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| THOMAS P KEILMAN | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| PASTOR R LLOBET MD | ||||||||
| BOARD MEMBER | 1.0 | X | 41000 | 0 | 0 | |||
| MONSIGNOR JOSEPH SEMANCIK | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 19200 | 0 | |||
| EDWARD WILLIAMS PH D | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 26363 | 0 | |||
| JOSEPH COSTANZA | ||||||||
| PRESIDENT | 1.0 | X | 0 | 17800 | 0 | X | ||
| PEGGY GERARD RN | ||||||||
| VICE PRESIDENT | 1.0 | X | 0 | 0 | 0 | X | ||
| KIMBERLY ARTHUR MD | ||||||||
| SECRETARY | 1.0 | X | 8720 | 0 | 0 | X | ||
| JOHN CABAN | ||||||||
| TREASURER | 1.0 | X | 0 | 0 | 0 | X | ||
| JOANN BIRDZELL | ||||||||
| ADMINISTRATOR | 40.0 | X | 580801 | 0 | 54367 | X | ||
| JOSEPH P WINTERHALER | ||||||||
| CFO | 40.0 | 242215 | 0 | 26055 | X | |||
| PAULA SWENSON | ||||||||
| CNO | 40.0 | 243389 | 0 | 14553 | X | |||
| CRAIG BOLDA | ||||||||
| COO | 40.0 | 0 | 190605 | 56398 | X | |||
| DANIEL SAAH MD | ||||||||
| PHYSICIAN | 40.0 | 468938 | 0 | 28448 | X | |||
| SUBHASH JOSHI MD | ||||||||
| PHYSICIAN | 40.0 | 390352 | 0 | 22058 | X | |||
| JUANITO DALISAN MD | ||||||||
| PHYSICIAN | 40.0 | 370868 | 0 | 13782 | X | |||
| JATIN PATEL MD | ||||||||
| PHYSICIAN | 40.0 | 316077 | 0 | 23718 | X | |||
| SURENDER DHIMAN MD | ||||||||
| PHYSICIAN | 40.0 | 310176 | 0 | 27298 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3049346 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 253968 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 266677 | TotalOtherCompensation |
| Number Individuals GT100 K | 53 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Rehab Care Group Inc | |||||
| PO BOX 502096 | ST LOUIS | MO | 63150 | REHAB SERVICES | 2383765 |
| cooperative managed care services l | |||||
| st francis hospital dept 9010 | BEECH GROVE | IN | 46107 | claims processing | 1571321 |
| ism security management | |||||
| 905 w glen park avenue | GRIFFITH | IN | 46319 | security | 925395 |
| emergency medical services | |||||
| 944 s roberts dr ste 204 | PALOS HILLS | IL | 60465 | emergency room svcs | 689000 |
| Mayo Collaborative Services Inc | |||||
| Laboratory Services | 474316 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 25 | NumberOfContractorsGT100K |
| Government Grants | 138075 | GovernmentGrants |
| All Other Contributions | 142345 | AllOtherContributions |
| Total Contributions | 280420 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | 125336555 | 124050146 | 1286409 |
| CAPITATION REVENUE | 900099 | 31155770 | 31155770 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 156492325 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 80519 | TotalRevenueColumn |
| Exclusion | $80,519 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 847416 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 847416 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 847416 | TotalRevenueColumn |
| Exclusion | $847,416 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 82648 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 103415 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -20767 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -20767 | TotalRevenueColumn |
| Exclusion | -$20,767 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| OCC HEALTH OFFSITE STAFFING | 900099 | 1290356 | 1290356 | |
| CAFETERIA | 900099 | 597551 | $597,551 | |
| PSYCHIATRIC SUBSIDY | 900099 | 93750 | 93750 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 288011 | TotalRevenueColumn |
| Related Or Exempt Function Income | 278853 | RelatedOrExemptFunctionIncome |
| Exclusion | $9,158 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2269668 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 159949581 | TotalRevenueColumn |
| Related Or Exempt Function Income | 156868875 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1286409 | UnrelatedBusinessRevenue |
| Exclusion | $1,513,877 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1729568 | Total |
| Program Services | 575488 | ProgramServices |
| Management And General | 1154080 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61715 | Total |
| Program Services | 15118 | ProgramServices |
| Management And General | 46597 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55761108 | Total |
| Program Services | 51866967 | ProgramServices |
| Management And General | 3894141 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2813638 | Total |
| Program Services | 2569190 | ProgramServices |
| Management And General | 244448 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8047032 | Total |
| Program Services | 7394736 | ProgramServices |
| Management And General | 652296 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4150763 | Total |
| Program Services | 3786873 | ProgramServices |
| Management And General | 363890 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1912056 | Total |
| Program Services | 1814848 | ProgramServices |
| Management And General | 97208 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158505 | Total |
| Program Services | 21162 | ProgramServices |
| Management And General | 137343 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12021 | Total |
| Program Services | 165 | ProgramServices |
| Management And General | 11856 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1844 | Total |
| Management And General | 1844 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8867531 | Total |
| Program Services | 7671574 | ProgramServices |
| Management And General | 1195957 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 331039 | Total |
| Program Services | 320932 | ProgramServices |
| Management And General | 10107 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22170069 | Total |
| Program Services | 21213184 | ProgramServices |
| Management And General | 956885 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74643 | Total |
| Program Services | 48861 | ProgramServices |
| Management And General | 25782 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2243213 | Total |
| Program Services | 2074066 | ProgramServices |
| Management And General | 169147 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153893 | Total |
| Program Services | 144131 | ProgramServices |
| Management And General | 9762 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70584 | Total |
| Program Services | 64784 | ProgramServices |
| Management And General | 5800 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1942081 | Total |
| Program Services | 1942081 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5388809 | Total |
| Program Services | 4916382 | ProgramServices |
| Management And General | 472427 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2371164 | Total |
| Program Services | 2163288 | ProgramServices |
| Management And General | 207876 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CAPITATION EXPENSE | 23762984 | 23762984 | |
| CORP SUPP SRVCS ALLOCATION | 10662355 | 9727606 | 934749 |
| PROVISION FOR UNCOLLECTIBLE | 8953366 | 8953366 | |
| MEDICAL FEES | 2542611 | 2542611 | |
| REPAIRS AND MAINTENANCE | 1393443 | 1271282 | 122161 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1677684 | Total |
| Program Services | 1362615 | ProgramServices |
| Management And General | 315069 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167253719 | Total |
| Program Services | 156224294 | ProgramServices |
| Management And General | 11029425 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2997566 | BOY |
| EOY | 5642445 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113141 | BOY |
| EOY | 136076 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14173552 | BOY |
| EOY | 15811128 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4343267 | BOY |
| EOY | 4320457 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 823876 | BOY |
| EOY | 668885 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 62814538 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 36714694 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26845848 | BOY |
| EOY | 26099844 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13541660 | BOY |
| EOY | 2188779 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62838910 | BOY |
| EOY | 54867614 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25604265 | BOY |
| EOY | 20737503 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 336026 | BOY |
| EOY | 372864 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 724255 | BOY |
| EOY | 1223498 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26664546 | BOY |
| EOY | 22333865 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35993589 | BOY |
| EOY | 32317614 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 180775 | BOY |
| EOY | 216135 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36174364 | BOY |
| EOY | 32533749 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62838910 | BOY |
| EOY | 54867614 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -7304138 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3663523 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $1,844 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1844 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | PT II-B LINE 1i THE INDIANA HOSPITAL ASSOCIATION ESTIMATED THAT 5.29% OF ITS DUES ARE ATTRIBUTABLE TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25245 | OtherCostOrOtherBasis |
| Book Value | 25245 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28580427 | OtherCostOrOtherBasis |
| Depreciation | 15098710 | Depreciation |
| Book Value | 13481717 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 32579609 | OtherCostOrOtherBasis |
| Depreciation | 20556005 | Depreciation |
| Book Value | 12023604 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1629257 | OtherCostOrOtherBasis |
| Depreciation | 1059979 | Depreciation |
| Book Value | 569278 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26099844 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASES-CURRENT PORTION | $36,645 |
| ASSET RETIREMENT OBLIGATION | $566,115 |
| 3RD PARTY SETTLEMENTS | $566,115 |
| CAPITAL LEASES-LT PORTION | $54,623 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1223498 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | PART X THE ADOPTION OF ASC-740 DID NOT MATERIALLY IMPACT THE FINANCIAL STATEMENTS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 945 | PersonsServed |
| Total Community Benefit Expense | 2969734 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1101431 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1868303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01180 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30651 | PersonsServed |
| Total Community Benefit Expense | 29695721 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24151576 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5544145 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03500 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 31596 | PersonsServed |
| Total Community Benefit Expense | 32665455 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25253007 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7412448 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04680 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14827 | PersonsServed |
| Total Community Benefit Expense | 409461 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2665 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 397796 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1651 | PersonsServed |
| Total Community Benefit Expense | 13879348 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13660418 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 218930 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16478 | PersonsServed |
| Total Community Benefit Expense | 14288809 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13663083 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 616726 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 48074 | PersonsServed |
| Total Community Benefit Expense | 46954264 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38916090 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8029174 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $3,373,628 | BadDebtExpenseAmount |
| Amount Attributable To | 159786 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 46930788 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 46417593 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 513195 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST CATHERINE HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 FIR STREET | AddressLine1 |
| City | EAST CHICAGO | City |
| State | IN | State |
| ZIP Code | 46312 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST CATHERINE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 8 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (8 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| NORTHWEST FAMILY HEALTHCARE CENTER | ||||
| 6924 INDIANAPOLIS BLVD | HAMMOND | IN | 46324 | PHYSICIAN PRACTICE |
| COMMUNITY HEALTHCARE SYSTEM CARE NETWORK | ||||
| 521 WEST CHICAGO AVENUE | EAST CHICAGO | IN | 46312 | PHYSICIAN PRACTICE |
| FAMILY HEALTH AND WELLNESS CENTER | ||||
| 8141 KENNEDY AVENUE | HIGHLAND | IN | 46322 | PHYSICIAN PRACTICE |
| COMMUNITY HEALTHCARE SYSTEM CARE NETWORK | ||||
| 4035 ELM STREET | EAST CHICAGO | IN | 46312 | PHYSICIAN PRACTICE |
| CENTER OF HOPE | ||||
| 100 WEST CHICAGO AVENUE | EAST CHICAGO | IN | 46312 | PHYSICIAN PRACTICE |
| OCCUPATIONAL HEALTH | ||||
| 4320 FIR STREET STE 313 | EAST CHICAGO | IN | 46312 | PHYSICIAN PRACTICE |
| ENT | ||||
| 4320 FIR STREET STE 210 | EAST CHICAGO | IN | 46312 | PHYSICIAN PRACTICE |
| ORTHOPEDIC CLINIC | ||||
| 4320 FIR STREET STE 201 | EAST CHICAGO | IN | 46312 | PHYSICIAN PRACTICE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (28 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C | N/A | |
| PART I, LINE 6A | N/A | |
| PART I, LINE 7G | COMPLETED THE IRS WORKSHEETS AND USED COST ACCOUNTING FOR THE METHODOLOGY. WE DID NOT INCLUDE ANY PHYSICIAN PRACTICE INFORMATION WHEN CALCULATING SUBSIDIZED SERVICES. | |
| PART I, LINE 7, COLUMN F | BAD DEBT OF $8,953,366 IS EXCLUDED FROM THE CALCULATION. | |
| PART I, LINE 7 | THE METHODOLOGY USED WAS FROM THE COST ACCOUNTING SYSTEM WHICH USES A RELATIVE VALUE UNIT APPROACH TO COSTING. IT IS FOR THE INPATIENTS ONLY AND EXCLUDES MEDICAID AND CHARITY. | |
| PART III, LINE 4 | ST. CATHERINE HOSPITAL EVALUATES THE COLLECTIBILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING AND THE ANTICIPATED FUTURE UNCOLLECTIBLE AMOUNTS BASED ON HISTORICAL EXPERIENCE. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. ST. CATHERINE HOSPITAL DOES NOT REQUIRE COLLATERAL. | |
| PART III, LINE 8 | THE TOTAL REVENUE RECEIVED FROM MEDICARE WAS CALCULATED BY USING INFORMATION FROM THE COST ACCOUNTING SYSTEM. WE PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICE PROVIDED OR THE REIMBURSEMENT RECEIVED FROM MEDICARE, QUALIFYING THE $563,190 OF MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. | |
| PART III, LINE 9B | COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE COLLECTION PROCEDURES BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW. | |
| PART V, LINE 1J | N/A | |
| PART V, LINE 3 | N/A | |
| PART V, LINE 5C | N/A | |
| PART V, LINE 6I | N/A | |
| PART V, LINE 7 | N/A | |
| PART V, LINE 11H | N/A | |
| PART V, LINE 13G | N/A | |
| PART V, LINE 15E | N/A | |
| PART V, LINE 16E | N/A | |
| PART V, LINE 17E | N/A | |
| PART V, LINE 18D | N/A | |
| PART V, LINE 19D | N/A | |
| PART V, LINE 20 | N/A | |
| PART V, LINE 21 | N/A | |
| NEEDS ASSESSMENT | ST. CATHERINE HOSPITAL USES A THIRD-PARTY CONSULTING FIRM TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY. ST. CATHERINE HOSPITAL SERVES ONE OF THE LARGEST POPULATIONS IN NW INDIANA AND IS THE OLDEST POPULATION IN THE AREA WITH AN EXPECTED LOSS OF POPULATION IN THE NEXT FIVE YEARS. ST. CATHERINE HAS DOMINANT MARKET POSITION IN ALL PRODUCT LINES AND CONTINUES TO SEE GROWTH IN AREAS SUCH AS ORTHOPEDICS, ONCOLOGY AND GENERAL SURGERY. | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PATIENTS 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 THEN MUST FILL OUT A FINANCIAL INFORMATION WORKSHEET AND SUBMIT VARIOUS INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. THE CHARITY CARE POLICY IS POSTED AT EACH INPATIENT WAITING DESK. | |
| COMMUNITY INFORMATION | THE COMMUNTIY 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% UNINNSURED OR MEDICAID. | |
| PROMOTION OF COMMUNITY HEALTH | SEE COMMUNITY BENEFITS STATEMENT IN SCHEDULE O | |
| AFFILIATED HEALTH CARE SYSTEM | ST. CATHERINE HOSPITAL IS PART OF AN AFFILIATED SYSTEM. EACH HOSPITAL IN THE SYSTEM PROVIDES MEDICAL SERVICES TO THEIR COMMUNITIES AND ADJOINING COMMUNITIES. EACH ENTITY'S PURPOSE IS TO PROVIDE HEALTH CARE TO THOSE WHO NEED IT, INCLUDING THE UNINSURED OR UNDERINSURED. | |
| STATE FILING OF COMMUNITY BENEFIT REPORT | IN, | 990 SCHEDULE H, PART VI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOANN BIRDZELL | |||||||||||||
| 380875 | 0 | 178423 | 0 | 21503 | 0 | 34474 | 0 | 19893 | 0 | 635168 | 0 | 0 | 0 |
| JOSEPH P WINTERHALER | |||||||||||||
| 169696 | 0 | 72015 | 0 | 504 | 0 | 7330 | 0 | 18725 | 0 | 268270 | 0 | 0 | 0 |
| PAULA SWENSON | |||||||||||||
| 171156 | 0 | 71720 | 0 | 513 | 0 | 7350 | 0 | 7203 | 0 | 257942 | 0 | 0 | 0 |
| CRAIG BOLDA | |||||||||||||
| 0 | 163021 | 0 | 26460 | 0 | 1124 | 0 | 34693 | 0 | 21705 | 0 | 247003 | 0 | 0 |
| DANIEL SAAH MD | |||||||||||||
| 466519 | 0 | 0 | 0 | 2419 | 0 | 7350 | 0 | 21098 | 0 | 497386 | 0 | 0 | 0 |
| SUBHASH JOSHI MD | |||||||||||||
| 387933 | 0 | 0 | 0 | 2419 | 0 | 7350 | 0 | 14708 | 0 | 412410 | 0 | 0 | 0 |
| JUANITO DALISAN MD | |||||||||||||
| 367749 | 0 | 0 | 0 | 3119 | 0 | 0 | 0 | 13782 | 0 | 384650 | 0 | 0 | 0 |
| JATIN PATEL MD | |||||||||||||
| 315717 | 0 | 0 | 0 | 360 | 0 | 7350 | 0 | 16368 | 0 | 339795 | 0 | 0 | 0 |
| SURENDER DHIMAN MD | |||||||||||||
| 306463 | 0 | 0 | 0 | 3713 | 0 | 7350 | 0 | 19948 | 0 | 337474 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Explanation | PART 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)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Emergency Medical Services PC | |||
| ENTITY MORE THAN 35% OWN | 570000 | INDEPENDENT CONTRACTOR | false |
| Emergency Medical Services PC CONT | |||
| BY J. DUBNOW | |||
| TERESA PEDROZA | |||
| FAMLY MEMB/LOUIE Gonzalez | 46597 | EMPLOYMENT | false |
| PATRICK WINTERHALER | |||
| FAMLY MEMB/J. WINTERHALER | 15118 | EMPLOYMENT | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SUPPLEMENTAL INFORMATION | Part III Line 4a and Schedule H - Other Information | In 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. The Joint Academy and Hand Center provides 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. 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 Policy | Schedule H Part III Line 9B | Collection policies are the same for all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. If at any point in the collection process, documentation is received that indicates the patient is potentially eligible for financial assistance but has not applied for it, the account is referred back for a financial assistance review. |
| PART VI Line 7a | Community 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 7b | Community 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 11a | THE 990 IS SUBMITTED TO THE SENIOR VP AND CFO FOR REVIEW. ONCE THIS REVIEW IS COMPLETE THE RETURNS ARE THEN PRESENTED TO SENIOR LEADERSHIP FOR REVIEW. THE 990 IS ALSO REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM BEFORE IT IS POSTED TO A SECURE WEBSITE TO ALLOW THE BOARD OF DIRECTORS TO REVIEW PRIOR TO FILING. | |
| PART VI Line 12c | AS PART OF THE ORGANIZATION'S ANNUAL MONITORING AND ENFORCEMENT PROCEDURES RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED AND THOSE OFFICERS, DIRECTORS, OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION. | |
| PART VI Line 15a and 15b | THE CFNI BOARD HAS ADOPTED EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SURVEYS. | |
| PART VI Line 19 | ST CATHERINE HOSPITAL INC DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, ST CATHERINE HOSPITAL INC THROUGH COMMUNITY FOUNDATION OF NORTHWEST INDIANA MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH NRMSIR'S DATABASE. | |
| Part XI Line 5 Other Changes in Net Assets | AMOUNT TRANSFERED FROM COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. (PARENT) $3,663,523. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY FOUNDATION OF NW INDIANA INC | |||||||||
| 10010 DONALD POWERS DR | MUNSTER | IN | 46321 | 311128781 | SUPPORTNG ORG | IN | 501(C)(3) | 11(C) | NA |
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | |||||||||
| 800 MACARTHUR BLVD | MUNSTER | IN | 46321 | 351107009 | HOSPITAL | IN | 501(C)(3) | 3 | CFNI |
| ST MARY MEDICAL CENTER | |||||||||
| 1500 SOUTH LAKE PARK AVE | HOBART | IN | 46342 | 352007327 | HOSPITAL | IN | 501(C)(3) | 3 | CFNI |
| COMMUNITY CANCER RESEARCH FOUNDATION | |||||||||
| 901 MACARTHUR BLVD | MUNSTER | IN | 46321 | 352146374 | CANCER FUNDRA | IN | 501(C)(3) | 7 | NA |
| COMMUNITY VILLAGE INC | |||||||||
| 10000 COLUMBIA AVE | MUNSTER | IN | 46321 | 351956395 | RETIREMT HOME | IN | 501(C)(3) | 9 | CFNI |
| RIDGEWOOD ARTS FOUNDATION | |||||||||
| 905 RIDGE RD | MUNSTER | IN | 46321 | 351939427 | CONCERTS | IN | 501(C)(3) | 9 | CFNI |
| CVPA HOLDING COMPANY | |||||||||
| 905 RIDGE RD | MUNSTER | IN | 46321 | 351938136 | SUPPORTNG ORG | IN | 501(C)(2) | N/A | CFNI |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY RESOURCES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 907 RIDGE RD | AddressLine1 |
| City | MUNSTER | City |
| State | IN | State |
| ZIP Code | 46321 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351727711 | EIN |
| Primary Activity | MGMT SERVICES | PrimaryActivity |
| Legal Domicile State | IN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | |
| N | 876691 |
| ST MARY MEDICAL CENTER | |
| N | 1467404 |
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | |
| O | 745564 |
| ST MARY MEDICAL CENTER | |
| O | 894741 |
| MUNSTER MEDICAL RESEARCH FOUNDATION INC | |
| P | 1306432 |
| ST MARY MEDICAL CENTER | |
| P | 90987 |