2015-05-14T13:05:29-05:00 2014-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2013-07-01 351107009 MUNSTER MEDICAL RESEARCH FOUNDATION INC % MARY ANN SHACKLETT MUNS 2198361600 901 MACARTHUR BOULEVARD Suite MUNSTER IN 46321 MARY ANN SHACKLETT SR VP FINANCE & CFO 2015-05-14 Ben Pitchkites P00362066 2013 2016-02-25 16:41:14Z THE COMMUNITY HOSPITAL MARY ANN SHACKLETT 10010 DONALD S POWERS DR 201 MUNSTER IN 46321 465934980 false X www.comhs.org X 1964 IN THE COMMUNITY HOSPITAL IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE IN THE MOST COST-EFFICIENT MANNER, RESPECTING THE DIGNITY OF THE INDIVIDUAL. 20 9 3445 180 2385437 -37147 6810416 480129 430222270 451261577 302984 491312 12616068 13180674 449951738 465413692 112479 106688 0 0 203119789 192868265 0 0 0 223143074 236118197 426375342 429093150 23576396 36320542 263153560 289849570 162116077 112495553 101037483 177354017 X Munster Medical Research Foundation, Inc. is committed to providing the highest quality care in the most cost-efficient manner, respecting the dignity of the individual, providing for the well-being of the community and serving the needs of all people, including the poor and disadvantaged. false false 70760702 202966338 Munster Medical Research Foundation, inc. performed 23,257 surgeries. Munster Medical Research Foundation, inc. offers a wide range of surgical services, including gastroenterology, orthopedics, general surgery, bariatric surgery, urology, cardiovascular and gynecology. Our outpatient surgery center also includes services in ophthalmology, pain management, plastics and cosmetic. 66443710 123588778 Munster Medical Research Foundation, inc. has a 427 bed capacity. Nursing staff work to ensure the delivery of optimal and excellent patient care services in population and acuity specific areas ranging from ICU, IMCU, telemetry, medical, surgical, pediatric, labor and delivery, and neonatology. 45800774 191775883 Munster Medical Research Foundation, inc. had 301,862 outpatient visits from its three locations. The majority of these visits were for laboratory services and radiology services. 32766550 119624436 CARDIOLOGY - 16,541 VISITS 31844248 102343512 PHARMACY - 7,150,635 DOSES 21749381 166043381 LABORATORY - 1,587,623 SPECIMENS COLLECTED 17704414 34511722 IMCU - 15,516 PATIENT DAYS 15474257 156443389 RADIOLOGY - 203,297 PROCEDURES 13381803 44626773 PT OT SPEECH - 524,908 PROCEDURES 11255372 83865255 EMERGENCY DEPARTMENT - 60,726 VISITS & ADMISSIONS 9994104 17064 DIETARY - 387,070 IP MEALS 6811504 9100500 ICU - 4,863 PATIENT DAYS 6581564 1647356 ADMITTING - 21,915 IP ADMISSIONS 6267353 30024574 RESPIRATORY THERAPY 6233655 HIM 6045721 4171871 FITNESS POINTE - 6,039 MEMBERS 5983295 CENTRAL STERILIZATION 5364887 6549069 HOME HEALTH - 36,300 VISITS 3664857 5396583 CVU - 2,582 PROCEDURES 2964871 PATIENT SERVICES - 109,629 VISITS 2681553 15174098 NUCLEAR MEDICINE 2487759 SECURITY 1300573 PUBLIC RELATIONS 1214624 MEDICAL STAFF 1089627 SOCIAL SERVICES 973196 CENTRAL SUPPLY 794754 CANCER RESEARCH 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WICKER AVENUE ST JOHN IN 46373 OUTPATIENT CENTER COMMUNITY CARDIOLOGY CENTER 801 MACARTHUR BOULEVARD MUNSTER IN 46321 OUTPATIENT CENTER FITNESS POINTE 9550 COLUMBIA AVENUE MUNSTER IN 46321 REHABILITATION COMMUNITY HOME HEALTH SERVICES 9104 COLUMBIA AVENUE MUNSTER IN 46321 HOME HEALTH SCHERERVILLE OUTPATIENT CENTER 7651 HARVEST DRIVE SCHERERVILLE IN 46375 OUTPATIENT CENTER Part I, Line 3c - Factors other than FPG used to determine FAP eligibility N/A - FPG is the only factor used PART I, LINE 6A - Was a Community Benefit report prepared: THE STATE OF INDIANA ACCEPTS FORM 990 SCHEDULE H IN LIEU OF A COMMUNITY BENEFIT REPORT. Community Hospital makes its 990 available to the public. PART I, LINE 7 - Financial assistance & other community benefits at cost: COST ACCOUNTING SYSTEM WAS USED FOR COMPUTATIONS. BAD DEBT IS EXCLUDED FROM THE CALCULATION. MEDICAID DIRECT OFFSETTING REVENUE INCLUDES THE INCREASED HAF REIMBURSEMENT. THE EXPENSE INCLUDES THE HAF FEE. PART II - COMMUNITY BUILDING ACTIVITIES: Community Support (line 3) This category can include "disaster readiness and public health emergency activities, such as readiness training beyond what is required by accrediting bodies or government entities." Expenses and revenues relating to the Bio-terrorism department of the hospital have been included in this category. Leadership development and training for community member (line 5) This category includes "training in conflict resolution; civic, cultural or language skills; and medical interpreter skills for community residents." The costs reported here relate to the providing of deaf interpretation services to patients. PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT AT COST: THE COST TO CHARGE RATIO PER THE S-10 WORKSHEET OF THE MEDICARE COST REPORT IS USED TO ESTIMATE BAD DEBT AT COST. PART III, LINE 3 - BAD DEBT EXPENSE ATTRIBUTABLE TO FAP ELIGIBLE PATIENTS: WE ESTIMATE 1% OF THE BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART III, LINE 4 - BAD DEBT EXPENSE FOOTNOTE FROM AUDIT: Patient service revenue, net of contractual allowances and discounts, is reduced by the provision for bad debts, and net accounts receivable are reduced by an allowance for uncollectible accounts. The provision for bad debts is based upon management's assessment of historical and expected net collections, taking into consideration the trends in health care coverage, economic trends, and other collection indicators. Management regularly assesses the adequacy of the allowances based upon historical write-off experience by major payor category and aging bucket. The results of the review are then utilized to make modifications, as necessary, to the provision for bad debts to provide for an appropriate allowance for bad debts. A significant portion of the hospitals' uninsured patients will be unable or unwilling to pay for services provided, and a significant portion of the hospitals' insured patients will be unable or unwilling to pay for co-payments and deductibles. Thus, the hospitals record a significant provision for bad debts related to uninsured patients in the period the services are provided. After all reasonable collection efforts have been exhausted in accordance with CFNI's policy, accounts receivable are written off and charged against the allowance for bad debts. PART III, LINE 8 - Why Medicare shortfall should be community benefit: WE PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICE PROVIDED OR THE REIMBUSEMENT RECEIVED FROM MEDICARE, QUALIFYING THE SHORTFALL AS A COMMUNITY BENEFIT. THE Medicare allowable costs of care were CALCULATED BY USING INFORMATION FROM THE COST ACCOUNTING SYSTEM. PART III, LINE 9B - COLLECTION PRACTICES FOR QUALIFYING FA PATIENTS: COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE COLLECTION PROCEDURES BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW. 2. NEEDS ASSESSMENT IN COLLABORATION WITH COMMUNITY HEALTHCARE SYSTEM, FRANCISCAN ALLIANCE, AND THE METHODIST HOSPITALS, Inc., COMMUNITY HOSPITAL CONTRACTED WITH A THIRD PARTY TO PERFORM OUR COMMUNITY HEALTH NEEDS ASSESSMENT AS PER REGULATION 501(R). The most recent CHNA was conducted in 2013 and is available ON the following websites: HTTP//WWW.COMHS.ORG/COMMUNITY HTTP//WWW.CHSCOMMUNITY.HEALTHFORECAST.NET 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS WHO ARE ADMITTED WITHOUT INSURANCE ARE DIRECTED TO THE HOSPITAL'S FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS PERFORM AN INTERVIEW WITH THE PATIENTS TO EXPLAIN TO THEM THE PROCESS NECESSARY TO RECEIVE FINANCIAL ASSISTANCE. THIS PROCESS INCLUDES APPLYING FOR MEDICAID OR OTHER GOVERNMENT AID. THE APPLICANT THEN MUST FILL OUT A FINANCIAL INFORMATION WORKSHEET AND SUBMIT VARIOUS INFORMATION TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. THE POLICY IS POSTED IN THE EMERGENCY ROOM AREA AS WELL AS AT EACH INPATIENT WAITING DESK. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. 4. COMMUNITY INFORMATION LOCATED IN MUNSTER, INDIANA, THE COMMUNITY SERVED INCLUDES NORTHWEST INDIANA. LATEST U.S. CENSUS BUREAU DEMOGRAPHIC INFORMATION COMPARING MUNSTER TO THE STATE OF INDIANA: Munster Indiana Persons under 18 years, percent, 2010 23.4% 24.8% Persons 65 years and over, percent, 2010 18.7% 13.0% White alone, percent, 2010 (a) 85.6% 84.3% Black or African American alone, percent, 2010 (a) 3.5% 9.1% Hispanic or Latino, percent, 2010 (b) 10.2% 6.0% White alone, not Hispanic or Latino, percent, 2010 79.2% 81.5% High school graduate or higher, age 25+, 2009-2013 94.2% 87.2% Bachelor's degree or higher, age 25+, 2009-2013 40.6% 23.2% Median household income, 2009-2013 $72,583 $48,248 Persons below poverty level, percent, 2009-2013 6.6% 15.4% (a) Includes persons reporting only one race. (b) Hispanics may be of any race, so also are included in applicable race categories 5. PROMOTION OF COMMUNITY HEALTH Community Hospital in Munster, Indiana, is a not-for-profit, non-sectarian, acute care facility recognized for meeting this nation's highest health care standards. The Joint Commission on Accreditation of Health Care Organizations has awarded Community Hospital Accreditation with Commendation, its highest honor, recognizing the hospital's exemplary performance. Community Hospital is the area's first choice in health care, with more admissions than any single hospital in Lake County, Indiana. Community Hospital has been selected as the area's most preferred hospital for quality care in each of the last three annual national consumer surveys by Nebraska-based National Research Corporation. This unmatched record of quality health care is backed by some of the area's most respected medical professionals and some of the most advanced medical technology available. The 427-bed hospital has a medical staff of more than 575 physicians. Community Hospital operates among its services a 24-hour Emergency Department, Intensive Care, Intermediate Care, Pediatrics, Obstetrics and Neonatal units, Community Oncology Center, Women's Diagnostic Center, Pain Clinic, Rehabilitation Center, Orthopedics Unit and Outpatient Surgery. In November 1998, the hospital opened Fitness Pointe, a health club facility that encompasses general fitness, cardiac rehabilitation, physical therapy and sports medicine. This unique, medically-based fitness facility furthers the hospital's mission to improve the health and well-being of our community. The first patient was admitted to Community Hospital on Sept. 11, 1973, at which time it was a 104-bed medical surgical facility. Today, the not-for-profit hospital is the area's busiest, operating the largest heart and cancer programs as well as delivering some 2,400 babies a year. Community Hospital has invested since its opening more than $250 million to assemble an impressive network of health care services that span the illness-to-wellness spectrum. Community Hospital is a non-profit hospital operating as a part of the Community Healthcare System, which includes St. Catherine Hospital, Inc. in East Chicago, Indiana and St. Mary Medical Center, Inc. in Hobart, Indiana. The hospitals are committed to providing the highest quality healthcare in the most cost-efficient manner, respecting the dignity of the individual, providing for the well-being of the community and serving the needs of all people, including the poor and disadvantaged. Community Hospital takes pride in being responsive to the needs of our community. Below, we have listed current programs designed to meet those needs. THE DESIGNATED POPULATION THAT COMMUNITY HOSPITAL IS FOCUSING ON INCLUDES THOSE INDIVIDUALS WHOSE LIFE-STYLE BEHAVIORS PUT THEM AT RISK FOR DISEASE AND ILLNESS. OUR PRIMARY FOCUS THIS YEAR IS ON DISEASES THAT HAVE BEEN IDENTIFIED AS HEALTH DISCREPANCIES IN LAKE COUNTY, INDIANA - DIABETES, HEART DISEASE & STROKE, AND MATERNAL INFANT & CHILD HEALTH. THE INCIDENCE OF THESE DISEASES IN OUR REGION SURPASSED STATE AND NATIONAL AVERAGES, AND THEREFORE DEMANDED OUR PRIMARY FOCUS. ALL OF THESE AREAS HAVE A COMMON LINK TO MODIFIABLE LIFESTYLE RISK FACTORS, EDUCATION, PREVENTION AND ACCESS TO MEDICAL SERVICES. COMMUNITY HOSPITAL HAS INVESTED GREATLY IN RECENT YEARS IN TREATMENT AND EDUCATION PROGRAMS AND IN OFFERING PATIENTS ACCESS TO TREATMENTS NOT AVAILABLE ELSEWHERE IN THE COUNTY. WE ARE EXPANDING BEST PRACTICE EFFORTS THROUGH THE PRIMARY CARE SETTING, IN PARTICULAR OUR EMPLOYED PHYSICIANS GROUP. THE FOCUS OF OUR COMMUNITY BENEFIT IS TO USE RESOURCES TO REACH BEYOND THE TREATMENT OF THESE DISEASES TO HELP EDUCATE, SUPPORT AND EMPOWER INDIVIDUALS TO LOWER THEIR RISKS. 2013-2014 ANNUAL PROGRESS REPORT A. THE COMMUNITY HOSPITAL FITNESS POINTE - THE GOAL OF FITNESS POINTE IS TO PROVIDE OPPORTUNITIES FOR PERSONS OF NORTHWEST INDIANA TO IMPROVE AND MAINTAIN THEIR HEALTHY LIFE-STYLE HABITS, LOWERING THEIR RISKS FOR HEART DISEASE, STROKES, AND DIABETES. THE FACILITY WAS DEVELOPED TO ADDRESS FINDINGS OF OUR 1995 HEALTH NEEDS ASSESSMENT THAT IDENTIFIED OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. COMMUNITY HOSPITAL OPENED FITNESS POINTE ON NOVEMBER 1, 1998. THE APPROXIMATE 73,000 SQUARE FOOT FACILITY HOUSES THE HOSPITAL'S OUTPATIENT PHYSICAL THERAPY, DIZZINESS AND SPINAL THERAPY, OUTPATIENT DIETARY COUNSELING, OUTPATIENT DIABETIC EDUCATION, CARDIAC REHABILITATION PHASE III AND REHAB PLUS, AND THE FITNESS POINTE DEPARTMENTS. FITNESS POINTE PROGRAMS ADDRESS HEALTH EDUCATION/WELLNESS, AND FITNESS-RELATED CONTENT AREAS. THE COMMUNITY EDUCATION OFFERINGS AND THE CONTRIBUTIONS OF THE HOSPITAL EMPLOYEES AND MEDICAL STAFF ARE VITAL PIECES IN ADDRESSING THE HEALTH DISPARITIES IN LAKE COUNTY, SUPPORTING A VARIETY OF DISEASE PREVENTION GOALS. MANY OF THE COMMUNITY EDUCATION CLASSES ORIGINALLY DEVELOPED AT FITNESS POINTE ARE NOW ALSO OFFERED AT COMMUNITY HOSPITAL OUTPATIENT CENTRE IN ST. JOHN, VALPARAISO HEALTH CENTER AND PORTAGE YMCA FURTHER EXPANDING THE SCOPE OF SERVICES. HEALTH EDUCATION/WELLNESS SERVICES - THE COMMUNITY HEALTH NEEDS ASSESSMENT INDICATED LAKE COUNTY RESIDENTS HAVE INCREASED RISK FOR HEART DISEASE AND CANCER COMPARED TO STATE AND NATIONAL STATISTICS. A VARIETY OF HEALTH EDUCATION AND WELLNESS PROGRAMS ARE OFFERED TO THE COMMUNITY AT LITTLE OR NO CHARGE TO IMPROVE KNOWLEDGE AND AWARENESS OF LIFE-STYLE RELATED RISKS FOR THESE DISEASES. FITNESS POINTE PROVIDES A SUPPORTIVE ENVIRONMENT FOR AREA RESIDENTS TO MAINTAIN HEALTHY HABITS. RESEARCH INDICATES CERTAIN INDIVIDUALS ARE AT GREATER RISK FOR LIFE-STYLE RELATED DISEASES SUCH AS HEART DISEASE AND DIABETES BASED ON PHYSICAL MEASURES. FITNESS POINTE SCREENINGS FOR THESE RISKS DURING MANDATORY FITNESS PROFILES ARE PERFORMED ON ALL NEW PROGRAM PARTICIPANTS. IN A STUDY IN CONJUNCTION WITH VALPARAISO UNIVERSITY AND THE HEART CENTER AT COMMUNITY HOSPITAL, FITNESS POINTE IDENTIFIED 1,321 INDIVIDUALS AT A SIGNIFICANTLY INCREASED RISK FOR DIABETES AND HEART DISEASE. OF THESE INDIVIDUALS, 700 OF THEM AT THE HIGHEST RISK LEVELS FOR HEART DISEASE AND DIABETES WERE INVITED TO UNDERGO ADDITIONAL SCREENING FOR BLOOD CHOLESTEROL, BODY MASS INDEX AND BLOOD PRESSURE. SOME OTHERS AT MODERATE TO HIGH RISK WERE TARGETED, THROUGH ADDITIONAL SCREENING AND LIFE-STYLE MODIFICATION, FOR INTERVENTION TO REDUCE THEIR RISK OF DISEASE. WITH 25% OF WHITE CHILDREN AND 33% OF AFRICAN AMERICAN AND HISPANIC CHILDREN BEING OVERWEIGHT ACCORDING TO 2001 STATISTICS, FITNESS POINTE HAS DEVELOPED PROGRAMS TO HELP ADDRESS THIS ISSUE. "FIT TRIP" IS A PROGRAM THAT BRINGS 1ST-3RD GRADE STUDENTS TO FITNESS POINTE FOR A 90 MINUTE INTRODUCTION AND EXPERIENCE WITH DIFFERENT TYPES OF EXERCISE COMBINED WITH BASIC NUTRITION TIPS. "TAKE 5 FOR LIFE" IS A PROGRAM DEVELOPED FOR 5TH GRADERS TO TEACH GOOD HEALTH, NUTRITION AND FITNESS HABITS WITHIN THE SCHOOL SETTING, AS WELL AS TO ENCOURAGE ACTIVITY. BASED ON THE HEALTH NEEDS AND INTERESTS OF THOSE PROGRAM ATTENDEES, PROGRAMS WERE DEVELOPED IN THE AREAS OF: WOMEN'S HEALTH, NUTRITION AND HEALTHY COOKING, RELAXATION, WEIGHT MANAGEMENT, SENIOR HEALTH, BACK AND OTHER ORTHOPEDIC HEALTH ISSUES, DIABETES MANAGEMENT, CANCER AWARENESS AND PREVENTION, HEART DISEASE RISK FACTOR AWARENESS AND SCREENING, MENTAL HEALTH, AND SMOKING CESSATION. THROUGH THE COLLABORATIVE EFFORTS OF THE COMMUNITY HOSPITAL'S WELLNESS SERVICES, PUBLIC RELATIONS, DIETARY SERVICES THERAPY, REHABILITATION, EDUCATION DEPARTMENT, NURSING SERVICES AND OTHERS, A QUARTERLY COMMUNITY EDUCATION CALENDAR CALLED "TAKE CARE!" IS CREATED. THE CALENDAR IS DISTRIBUTED TO MORE THAN 75,000 HOUSEHOLDS IN THE HOSPITAL'S SERVICE AREA, AND TO COMMUNITY CENTERS, PHYSICIAN OFFICES, LIBRARIES AND OTHER PUBLIC LOCATIONS. IT FEATURES EDUCATIONAL AND SUPPORT PROGRAMS DESIGNED TO IMPROVE THE PHYSICAL, MENTAL, SAFETY, NUTRITIONAL AND SOCIAL WELL-BEING OF THE COMMUNITY. WELLNESS EDUCATION PROGRAM AREAS 1. HEART DISEASE-RELATED PROGRAMMING INCLUDES ONGOING DAILY BLOOD PRESSURE SCREENING BY THE EXERCISE STAFF, BLOOD PRESSURE SCREENING OFFERED DURING PERIODIC EVENTS, A COMPREHENSIVE SERIES ABOUT CHOLESTEROL THAT INCLUDES A SCREENING AND EDUCATION ON CHOLESTEROL MANAGEMENT, SMOKING CESSATION CLASS, A STROKE AWARENESS LECTURE, A PRESENTATION ON NEW ADVANCED GENETIC TESTING FOR HEART DISEASE, PERIPHERAL ARTERIAL DISEASE SCREENINGS, AND A CLASS THAT HELPS INDIVIDUALS MAINTAIN THEIR HEALTH WHILE ON HEART MEDICATIONS. HEART DISEASE-RELATED SUPPORT GROUPS INCLUDE A HEART FAILURE SUPPORT GROUP, A GROUP FOR WOMEN WITH HEART DISEASE, AND MENDED HEARTS - A NATIONAL ORGANIZATION WHERE SEASONED HEART DISEASE PATIENTS VISIT NEWLY DIAGNOSED PATIENTS IN THE HOSPITAL AFTER SURGERY OR A PROCEDURE. OTHER COMMUNITY PROGRAMS RELATED TO THE HEART INCLUDED HOW TO RAISE A HEART-SMART CHILD, PROPER NUTRITION FOR LOWERING CHOLESTEROL, INFANT-CHILD CPR, DIABETES AS IT RELATES TO THE HEART, AND A SERIES OF PROGRAMS FOR WOMEN AND HEART DISEASE. 2. CANCER AWARENESS AND PREVENTION PROGRAMS INCLUDE 6. AFFILIATED HEALTH CARE SYSTEM COMMUNITY HOSPITAL IS PART OF AN AFFILIATED SYSTEM. EACH HOSPITAL IN THE SYSTEM PROVIDES MEDICAL SERVICES TO THEIR COMMUNITIES AND ADJOINING COMMUNITIES. EACH ENTITY'S PURPOSE IS TO PROVIDE HEALTH CARE TO THOSE WHO NEED IT, INCLUDING THE UNINSURED OR UNDERINSURED. 7. STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA false PURDUE UNIVERSITY CALUMET 2200 169TH STREET HAMMOND IN 46323 356002041 501(C)3 33000 SPONSORSHIP CALUMET COUNCIL BOY SCOUTS OF AMERICA 8751 CALUMET AVENUE MUNSTER IN 46321 350867968 501(C)3 10400 SPONSORSHIP MUNSTER HIGH SCHOOL 8808 COLUMBIA AVENUE MUNSTER IN 46321 356002675 501(C)3 5850 SPONSORSHIP 3 SUPPLEMENTAL INFORMATION REQUESTS FOR DONATIONS FROM QUALIFIED 501(C)(3) CHARITIES AND UNIVERSITIES ARE EVALUATED AS TO WHETHER THE POTENTIAL DONEE ORGANIZATION WILL USE THE FUNDS IN A MANNER CONSISTENT WITH OUR CHARITABLE MISSION AND THE INTENTION OF THE CONTRIBUTION. OUR DONATIONS/CONTRIBUTIONS ARE PRIMARILY MADE TO LOCAL ORGANIZATIONS. SINCE THESE ARE NOT GRANTS, THERE IS NO NEED TO MONITOR. X true true false false false false false false false true false S N MAKAM MD DIRECTOR 46440 152220 0 0 0 0 0 0 0 0 46440 152220 0 0 DONALD S POWERS DIRECTOR 0 840009 0 244372 0 2816 0 36490 0 14650 0 1138337 0 0 DONALD P FESKO ADMINISTRATOR 0 434516 0 154414 0 26045 0 11325 0 27219 0 653519 0 0 MARY ANN SHACKLETT SR VP & SYSTEM CFO 0 387425 0 265149 0 26847 0 36490 0 23000 0 738911 0 0 LUIS MOLINA VP OF FINANCE/CFO 349156 0 208894 0 11353 0 43120 0 20152 0 632675 0 0 0 RONDA MCKAY VP & CNO 203305 0 88620 0 1355 0 7500 0 2692 0 303472 0 0 0 RICHARD BERKOWITZ MD PHYSICIAN & MEDICAL DIRECTOR 564649 0 0 0 2322 0 36490 0 26896 0 630357 0 0 0 PANTHIRUVELIL S MOHAN-THOMAS MD PHYSICIAN 431863 0 0 0 3060 0 11325 0 19017 0 465265 0 0 0 ROBERT JOSEPH GRONEMEYER MD PHYSICIAN 429243 0 0 0 1994 0 11325 0 24945 0 467507 0 0 0 AZAD CHALLAPALLI MD PHYSICIAN 413645 0 0 0 23388 0 36490 0 18680 0 492203 0 0 0 MICHAEL A BRODY MD PHYSICIAN 429243 0 0 0 696 0 36490 0 24945 0 491374 0 0 0 WILLIAM SCHENCK DIRECTOR END 4-30-2014 0 6100 0 0 0 8012 0 0 0 0 0 14112 0 0 PART I, LINE 1A THE ORGANIZATION PAYS HEALTH/SOCIAL CLUB DUES ON BEHALF OF CERTAIN OFFICERS, KEY EMPLOYEES AND FIVE HIGHEST PAID EMPLOYEES, WHICH IS THEN TAXED AS A FRINGE BENEFIT TO THE INDIVIDUAL. PART I, LINE 3 MUNSTER MEDICAL RESEARCH FOUNDATION, INC. FOLLOWS ITS PARENT, (CFNI), COMPENSATION POLICIES. THE CFNI BOARD HAS ADOPTED EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SURVEYS. PART I, LINE 7 DISCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES. COMMUNITY CARDIOLOGY CENTER SN MAKAM, MD PRTNR MORE 5429532 INDEPENDENT CONTRACTOR false COMM CARD CTNR CON'T THAN 5% OWNED INDEPENDENT CONTRACTOR HASSE CONSTRUCTION OWNED BY WILLIAM HASSE 791876 INDEPENDENT CONTRACTOR false SARN II DR. SHABEEB PART-OWNER 217368 RENTAL OF OFFICE SPACE false CARDIOLOGY ASSOC OF NW IN SN MAKAM, MD OFFICER 118150 INDEPENDENT CONTRACTOR false KAY TORRENGA FAM MEM OF DONALD TORRENG 69958 EMPLOYMENT false GARY MCKAY FAM MEM OF RONDA MCKAY 66197 EMPLOYMENT false STEVEN PAUL CHOVANEC FAM MEM STEVEN G CHOVANEC 55187 EMPLOYMENT false RYAN TORRENGA FAM MEM OF DONALD TORRENG 11249 EMPLOYMENT false PART VI, LINE 2 - FAMILY OR BUSINESS RELATIONSHIPS Frankie Fesko is a family member of Donald P. Fesko and Donald S. Powers. PART VI, LINE 6 - Members or stockholders Community Foundation of Northwest Indiana, Inc. (CFNI) is the sole member or stockholder. PART VI, LINE 7A - WHO HAS THE POWER TO ELECT MEMBERS OF GOVERNING BODY COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. (CFNI) IS THE PARENT COMPANY OF MUNSTER MEDICAL RESEARCH FOUNDATION, INC. (MMRF) AND HAS CONTROL TO ELECT MEMBERS OF THE GOVERNING BODY. PART VI, LINE 7B - GOVERNENCE DECISIONS RESERVED OTHER THAN GOVERNING BODY COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. IS THE PARENT COMPANY OF MUNSTER MEDICAL RESEARCH FOUNDATION, INC. AND HAS RIGHTS TO APPROVE DECISIONS MADE BY MMRF. PART VI, LINE 11B - GOVERNING BODY 990 REVIEW PROCESS THE 990 IS SUBMITTED TO THE SENIOR VP AND CFO FOR REVIEW. ONCE THIS REVIEW IS COMPLETE THE RETURNS ARE THEN PRESENTED TO SENIOR LEADERSHIP FOR REVIEW. THE 990 IS ALSO REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM BEFORE IT IS POSTED TO A SECURE WEBSITE TO ALLOW THE BOARD OF DIRECTORS TO REVIEW PRIOR TO FILING. PART VI, LINE 12C - PROCESS TO MONITOR CONFLICT OF INTEREST AS PART OF THE ORGANIZATION'S ANNUAL MONITORING & ENFORCEMENT PROCEDURE RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VP OF CORPORATE COMPLIANCE AND THOSE OFFICERS, DIRECTORS, OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION. PART VI, LINE 15 - PROCESS TO DETERMINE OFFICER & KEY PERSON COMPENSATION THE CFNI BOARD ADOPTED EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SURVEYS. PART VI, LINE 19 - PUBLIC AVAILABILITY OF FS, COI POLICY, & GOVERNING DOCS MUNSTER MEDICAL RESEARCH FOUNDATION, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, MMRF THROUGH CFNI MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE. PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS MINIMUM PENSION LIABILITY ADJUSTMENT 53,624,702 INCOME ON RESTRICTED FUNDS 7,822 TRANSFER TO CFNI(PARENT) (13,556,532) TRANSFER TO TATC (80,000) TOTAL CHANGES IN NET ASSETS 39,995,992 COMMUNITY FOUNDATION OF NW INDIANA INC 10010 DONALD S POWERS DR 201 MUNSTER IN 46321 311128781 SUPPORTNG ORG IN 501(c)(3) 11(c) NA false ST CATHERINE HOSPITAL INC 4321 FIR STREET EAST CHICAGO IN 46312 351738708 HOSPITAL IN 501(c)(3) 3 CFNI true ST MARY MEDICAL CENTER INC 1500 South LAKE PARK AVEnue HOBART IN 46342 352007327 HOSPITAL IN 501(c)(3) 3 CFNI true COMMUNITY CANCER RESEARCH FNDN INC 901 MACARTHUR BOULEVARD MUNSTER IN 46321 352146374 CANCER FUNDRA IN 501(c)(3) 7 MMRF true COMMUNITY VILLAGE INC 10000 COLUMBIA AVENUE MUNSTER IN 46321 351956395 RETRMT HOME IN 501(c)(3) 9 CFNI true CVPA HOLDING CORPORATION 1040 RIDGE ROAD MUNSTER IN 46321 351938136 TITLE HLDG CO IN 501(c)(2) N/A CFNI true THEATRE AT THE CENTER INC 905 RIDGE ROAD MUNSTER IN 46321 351939427 PLAYS & ARTS IN 501(c)(3) 9 CFNI true COMMUNITY CARE NETWORK INC 901 MACARTHUR BOULEVARD MUNSTER IN 46321 454158203 PHYS SERVICES IN 501(c)(3) 3 MMRF SCH SMM true COMMUNITY RESOURCES INC 907 RIDGE ROAD MUNSTER IN 46321 351727711 MGMT SERVICES IN NA C CORP true false true true false false false true true true true false false false true true true false false THEATRE AT THE CENTER INC B 80000 FMV COMMUNITY CANCER RESEARCH FOUNDATION INC C 252000 FMV COMMUNITY CARE NETWORK INC H 466752 FMV COMMUNITY CARE NETWORK INC I 270000 FMV COMMUNITY CARE NETWORK INC J 783591 FMV COMMUNITY CARE NETWORK INC K 59807 FMV COMMUNITY CANCER RESEARCH FOUNDATION INC O 175185 FMV COMMUNITY CARE NETWORK INC O 3789997 FMV ST CATHERINE HOSPITAL INC O 796500 FMV ST MARY MEDICAL CENTER INC O 647222 FMV COMMUNITY CARE NETWORK INC P 6024232 FMV ST CATHERINE HOSPITAL INC P 1664911 FMV ST MARY MEDICAL CENTER INC P 219879 FMV COMMUNITY CARE NETWORK INC Q 280653 FMV ST CATHERINE HOSPITAL INC Q 1395825 FMV ST MARY MEDICAL CENTER INC Q 1475668 FMV