2012-05-15T15:17:47-05:00 2011-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-07-01 351738708 ST CATHERINE HOSPITAL INC STCA 2193921700 4321 FIR STREET EAST CHICAGO IN 46312 MARY ANN SHACKLETT 2199348250 2012-05-10 3176817000 2010 2016-02-24 21:20:13Z JO ANN BIRDZELL 4321 FIR STREET EAST CHICAGO IN 46312 160052996 false X www.comhs.org X 1928 IN 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) 17 12 1440 60 1286409 911403 280420 160766147 156492325 -80741 59752 3032334 3117084 164629143 159949581 0 0 0 0 66994046 72563824 0 0 0 99384704 94689895 166378750 167253719 -1749607 -7304138 62838910 54867614 26664546 22333865 36174364 32533749 X 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. false false 60805541 57841518 NURSING - 25,070 PATIENT DAYS DIALYSIS PROCEDURES - 1,742 DIABETES CENTER VISITS - 1,671 (continued on Schedule O) 16133611 43637189 SURGERY - 5,373 IP AND OP SURGERIES 10055674 12302648 PHYSICIAN - VISITS 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 69229468 44373929 156224294 true true false true false false false false false true false false false true false false true false false false false false false false false true true false false true false false false false false true true true false false false false false true true true false false true 174 0 true 1440 true true true false false false false false false false false false X 17 12 false false false false true true true true true false false true true true true true true true true false IN X ST CATHERINE HOSPITAL INC 2193921700 4321 FIR STREET EAST CHICAGO IN 46312 JOHN ARTIS 1.0 X 0 0 0 MARIA LUZ-CORONA 1.0 X 0 0 0 JEFFREY DUBNOW MD 1.0 X 2800 0 0 R LOUIE GONZALEZ 1.0 X 0 0 0 JUDITH GRESKO 1.0 X 0 0 0 HENRY HADIDIAN MD 1.0 X 74010 0 0 DAVID HERBSTMAN MD 1.0 X 0 0 0 SR ANNEMARIE KAMPWERTH PHJC 1.0 X 0 0 0 THOMAS P KEILMAN 1.0 X 0 0 0 PASTOR R LLOBET MD 1.0 X 41000 0 0 MONSIGNOR JOSEPH SEMANCIK 1.0 X 0 19200 0 EDWARD WILLIAMS PH D 1.0 X 0 26363 0 JOSEPH COSTANZA 1.0 X X 0 17800 0 PEGGY GERARD RN 1.0 X X 0 0 0 KIMBERLY ARTHUR MD 1.0 X X 8720 0 0 JOHN CABAN 1.0 X X 0 0 0 JOANN BIRDZELL 40.0 X X 580801 0 54367 JOSEPH P WINTERHALER 40.0 X 242215 0 26055 PAULA SWENSON 40.0 X 243389 0 14553 CRAIG BOLDA 40.0 X 0 190605 56398 DANIEL SAAH MD 40.0 X 468938 0 28448 SUBHASH JOSHI MD 40.0 X 390352 0 22058 JUANITO DALISAN MD 40.0 X 370868 0 13782 JATIN PATEL MD 40.0 X 316077 0 23718 SURENDER DHIMAN MD 40.0 X 310176 0 27298 3049346 253968 266677 53 false true false 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 25 138075 142345 280420 NET PATIENT SERVICE REVENUE 900099 125336555 124050146 1286409 CAPITATION REVENUE 900099 31155770 31155770 156492325 80519 80519 0 0 847416 847416 847416 847416 82648 103415 -20767 -20767 -20767 0 0 0 OCC HEALTH OFFSITE STAFFING 900099 1290356 1290356 CAFETERIA 900099 597551 597551 PSYCHIATRIC SUBSIDY 900099 93750 93750 288011 278853 9158 2269668 159949581 156868875 1286409 1513877 0 0 0 0 1729568 575488 1154080 61715 15118 46597 55761108 51866967 3894141 2813638 2569190 244448 8047032 7394736 652296 4150763 3786873 363890 1912056 1814848 97208 158505 21162 137343 12021 165 11856 1844 1844 0 0 8867531 7671574 1195957 331039 320932 10107 22170069 21213184 956885 74643 48861 25782 0 2243213 2074066 169147 153893 144131 9762 0 70584 64784 5800 1942081 1942081 0 5388809 4916382 472427 2371164 2163288 207876 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 1677684 1362615 315069 167253719 156224294 11029425 0 2997566 5642445 113141 136076 14173552 15811128 4343267 4320457 823876 668885 62814538 36714694 26845848 26099844 13541660 2188779 62838910 54867614 25604265 20737503 336026 372864 724255 1223498 26664546 22333865 X 35993589 32317614 180775 216135 36174364 32533749 62838910 54867614 X -7304138 3663523 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1844 1844 false SUPPLEMENTAL INFORMATION PT II-B LINE 1i THE INDIANA HOSPITAL ASSOCIATION ESTIMATED THAT 5.29% OF ITS DUES ARE ATTRIBUTABLE TO LOBBYING. 25245 25245 28580427 15098710 13481717 32579609 20556005 12023604 1629257 1059979 569278 26099844 0 CAPITAL LEASES-CURRENT PORTION 36645 ASSET RETIREMENT OBLIGATION 566115 3RD PARTY SETTLEMENTS 566115 CAPITAL LEASES-LT PORTION 54623 1223498 SUPPLEMENTAL INFORMATION PART X THE ADOPTION OF ASC-740 DID NOT MATERIALLY IMPACT THE FINANCIAL STATEMENTS. true true X true X true X true true true false true true 945 2969734 1101431 1868303 0.01180 30651 29695721 24151576 5544145 0.03500 31596 32665455 25253007 7412448 0.04680 14827 409461 2665 397796 0.00260 1651 13879348 13660418 218930 0.00140 16478 14288809 13663083 616726 0.00400 48074 46954264 38916090 8029174 0.05080 true 3373628 159786 46930788 46417593 513195 X true true 1 1 ST CATHERINE HOSPITAL INC

4321 FIR STREET EAST CHICAGO IN 46312

X X ST CATHERINE HOSPITAL INC 1 8 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 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 990 SCHEDULE H, PART VI IN, X true true X X X X X false false false false false false false false false 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 SUPPLEMENTAL INFORMATION 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. 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 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. 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 COMMUNITY RESOURCES INC 907 RIDGE RD MUNSTER IN 46321 351727711 MGMT SERVICES IN NA C CORP false true true false false false false false true false false false false true true true false false 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