2012-11-09T16:17:55-06:00 2011-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2011-01-01 350868133 THE METHODIST HOSPITALS INC METH 2198864402 600 GRANT STREET GARY IN 46402 MATTHEW DOYLE 2198864549 2012-11-06 1 CAROL LALONDE CPA P00181637 2695674500 2011 2016-02-24 21:20:13Z IAN MCFADDEN 600 GRANT STREET GARY IN 46402 307026044 0 X WWW.METHODISTHOSPITALS.ORG X 1941 IN THE METHODIST HOSPITALS, INC. (METHODIST) IS AN INDIANA NONPROFIT CORPORATION OPERATING TWO GENERAL ACUTE CARE HOSPITALS IN NORTHWEST INDIANA. AS GENERAL ACUTE CARE FACILITIES, METHODIST PROVIDES A BROAD RANGE OF DIAGNOSTIC, THERAPEUTIC, EMERGENCY, REHABILITATION, INPATIENT, OUTPATIENT, AND ANCILLARY SERVICES. METHODIST'S MISSION IS TO PROVIDE HIGH QUALITY HEALTHCARE TO ALL PERSONS REGARDLESS OF THEIR RACE, RELIGION, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. METHODIST STRIVES TO PROVIDE APPROPRIATE HEALTH EDUCATION, WELLNESS, AND PREVENTATIVE SERVICES. IN ADDITION, METHODIST IS COMMITTED TO BEING A RESPONSIBLE MEMBER OF THE COMMUNITY, OFFERING ITS RESOURCES TO ASSIST IN THE ACCOMPLISHMENT OF COMMUNITY OBJECTIVES. 16 13 2501 157 96000 0 173892 187079 278983138 297829605 4401960 3311615 -3093977 3170054 280465013 304498353 238990 325161 0 0 130936220 133520463 0 0 0 139333163 147791031 270508373 281636655 9956640 22861698 336648957 346079611 156705075 162600717 179943882 183478894 X THE METHODIST HOSPITALS, INC'S MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE SERVICES TO ALL THOSE IN NEED. 0 0 251831334 220153 302828603 THE METHODIST HOSPITALS, INC. HAS A COMMITMENT TO RESPOND TO THE NEEDS OF ITS DIVERSE COMMUNITIES THROUGH QUALITY SERVICES. ITS REGIONAL REPUTATION FOR EXCELLENCE SINCE 1923 CONTINUES TO SUPPORT THE MARKET POSITION.METHODIST HOSPITALS IS AN INDIANA NOT-FOR-PROFIT CORPORATION, 634 BED COMMUNITY-BASED HEALTHCARE SYSTEMS GOVERNED BY A BOARD OF DIRECTORS. STEWARDS OF THE MISSION, REINVESTMENT IN THE COMMUNITIES IS CARRIED OUT THROUGH CHARITABLE GIVING, COMMUNITY EDUCATION PROGRAMS, ECONOMIC DEVELOPMENT FORUMS, SUPPORT SERVICES, SCREENINGS, AND ADVOCATING QUALITY CARE FOR THE MOST VULNERABLE AND UNDERSERVED. METHODIST HOSPITALS CONTINUES TO BE A FRONTRUNNER IN PROMOTING COMMUNITY HEALTH INITIATIVES AND SERVING POPULATIONS WITH HIGH INCIDENTS OF ACUTE ILLNESSES. METHODIST HOSPITALS HAS TWO FULL SERVICE ACUTE CARE CAMPUSES, 14 MILES APART. NORTHLAKE IS THE URBAN CAMPUS IN GARY, WHILE SOUTHLAKE CAMPUS IN MERRILLVILLE IS LOCATED NEAR ONE OF THE MIDWEST'S BUSIEST RETAIL AREAS. COMBINED CAMPUS BED CAPACITY IS 634 INCLUDING NURSERIES. METHODIST PROVIDES A BROAD RANGE OF DIAGNOSTIC, THERAPEUTIC, EMERGENCY, REHABILITATION, INPATIENT, OUTPATIENT AND ANCILLARY SERVICES.MIDLAKE CAMPUS IS AN OUTPATIENT FACILITY IN GARY CONVENIENTLY LOCATED BETWEEN NORTHLAKE AND SOUTHLAKE CAMPUSES, PARALLEL TO INTERSTATE 94. THE REHAB CENTERS, PROVIDING OUTPATIENT REHABILITATION SERVICES AT MIDLAKE, OPENED IN 2003. LOCATED ADJACENT TO THE MAIN ENTRANCE OF THE SOUTHLAKE CAMPUS IN MERRILLVILLE, IS THE DIAGNOSTIC OUTPATIENT CENTER AND MEDICAL OFFICE BUILDING. THIS FACILITY PROVIDES ADVANCED DIAGNOSTIC AND IMAGING SERVICES AND LABORATORY SERVICES AS WELL AS PROFESSIONAL OFFICES FOR MANY OF THE MEDICAL STAFF.THE MEDICAL STAFF OF MORE THAN 500 PHYSICIANS REPRESENTS NEARLY 60 MEDICAL SPECIALTIES. METHODIST HOSPITALS IS ONE OF THE TOP EMPLOYERS IN NORTHWEST INDIANA WITH OVER 2,000 EMPLOYEES. MISSIONTHE MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE SERVICES TO ALL THOSE IN NEED.VISIONTHE VISION IS TO BE THE BEST PLACE FOR EMPLOYEES TO WORK, THE BEST PLACE FOR PATIENTS TO RECEIVE CARE AND THE BEST PLACE FOR PHYSICIANS TO PRACTICE MEDICINE. 251831334 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 0 0 0 1 249 0 1 2501 1 1 1 0 0 0 0 0 0 0 0 0 X 16 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 IN X MATTHEW DOYLE 2198864000 600 GRANT STREET GARY IN 46402 ADOLPHUS ANEKWE MD 2.00 X 56790 0 0 AMEAD ATASSI MD 2.00 X 72420 0 0 BHARAT BARAI MD 2.00 X 91930 0 0 CHARLES D BROOKS JR 2.00 X 5000 0 0 CHARLES O DAVIDSON MD 2.00 X 6000 0 0 DOUGE BARTHELEMY MD 2.00 X X 6150 0 0 F RITCHEY EIBEL 2.00 X 5500 0 0 GLENN C HANNAH 2.00 X 6000 0 0 IJ ROBERTS 2.00 X 4000 0 0 LOUISE E ELISHA 2.00 X 500 0 0 MAMON POWERS JR 2.00 X X 0 0 0 SCOTT T RIBORDY 2.00 X 6000 0 0 WILLIAM G BRAMAN 2.00 X X 6000 0 0 REV DR CYNTHIA REYNOLDS 2.00 X 5500 0 0 ROBERT E JOHNSON III 2.00 X 6963 0 0 GLENN S VICIAN 2.00 X 5000 0 0 JOHN A LOWENSTINE 2.00 X 5500 0 0 KATRINA WRIGHT MD 2.00 X 6665 0 0 FRANCES TAYLOR 2.00 X 1500 0 0 IAN MCFADDEN 40.00 X 596321 0 20551 LOREN CHANDLER 40.00 X 295816 0 4374 MATTHEW DOYLE 40.00 X 251264 0 12918 SHELLY MAJOR 40.00 X 306768 0 15212 MICHAEL DAVENPORT MD 40.00 X 392042 0 18605 JUANMIGUEL T LIMJOCO MD 40.00 X 316540 0 29586 ELIZABETH E SENGUPTA MD 40.00 X 292438 0 30240 JUDSON WOOD MD 40.00 X 395198 0 8747 LIBRADA VAZQUEZ MD 40.00 X 332157 0 8747 ARNITA REED 40.00 X 292006 0 16247 3767968 0 165227 61 0 1 0 CRAWFORD ANESTHESIA 301 N MADISON ST JOLIET MI 60435 ANESTHESIA MEDICAL SERVICES 8465372 COMPREHENSIVE PHARMACY SERVICES 6409 QUAIL HOLLOW ROAD MEMPHIS TN 38120 PHARMACY MANAGEMENT AND STAFFING 4843124 CROTHALL SERVICES GROUP 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 MAINTENANCE SERVICES 4474996 HODGES & DAVIS PC 8700 BROADWAY MERRILLVILLE IN 46410 LEGAL SERVICES 1336834 FIVE APPLES 400 N WALL STREET KANKAKEE IL 60901 INPATIENT PHYSICIAN SERVICES 1130000 52 11927 12757 162395 187079 HEALTHCARE AND SOCIAL 621500 246792771 246792771 DISPROPORTIONATE SHARE 621500 48552178 48552178 OTHER PATIENT SERVICES 621500 2484656 2388656 96000 297829605 3161207 3161207 571101 2496045 -1924944 -1924944 -1924944 182054 0 31646 182054 -31646 150408 150408 EMR INCENTIVE PAYMENTS 900099 5094998 5094998 5094998 304498353 302828603 96000 1386671 325161 325161 3798771 295923 3502848 103015103 94312148 8702955 2299238 2055943 243295 16679326 14902697 1776629 7728025 6841927 886098 1765333 1632343 132990 1585629 1417845 167784 174383 156801 17582 134672 134672 214032 191079 22953 36511992 33372558 3139434 936893 837953 98940 56475897 50703991 5771906 3832850 3437211 395639 9183861 7837552 1346309 451352 370138 81214 34607 31946 2661 5938160 5362443 575717 17015901 15479605 1536296 2185526 2014836 170690 BAD DEBT EXPENSE 10872377 9724549 1147828 DUES & SUBSCRIPTIONS 377155 294387 82768 LICENSES 100411 97626 2785 281636655 251831334 29805321 0 34133292 19095649 16591962 14326278 18322824 56967039 168908 127329 7544392 6990069 2907315 2783156 447189553 324371428 126084901 122818125 128691410 120158731 603475 519597 1600478 2293638 336648957 346079611 22306506 24033390 69472919 66141157 23704386 21310645 41221264 51115525 156705075 162600717 X 179405594 183223403 513288 230491 25000 25000 179943882 183478894 336648957 346079611 X 22861698 -19326686 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 36111 0 1 98561 134672 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: ENGAGED BARNES & THORNBURG AND BAKER & DANIELS AS FEDERAL LOBBYING COUNCIL TO REVIEW, DISCUSS, AND ADVOCATE RELATIVE TO MEDICARE GEOGRAPHICAL REIMBURSEMENT ISSUES. IN ADDITION, THEY WILL DRAFT LEGISLATION OR AMENDMENTS TO LEGISLATION, REVIEW PROPOSED RULES & REGULATIONS AND FILE ALL NECESSARY FORMS TO ENSURE THE HOSPITAL IS PROPERLY REGISTERED UNDER FEDERAL LOBBYING LAWS. IN ADDITION, THE VP OF GOVERNMENT & EXTERNAL AFFAIRS MEETS WITH STATE AND LOCAL LEGISLATORS ON ISSUES AFFECTING THE ORGANIZATION. A PORTION OF MEMBERSHIP DUES PAID TO THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) AND THE INDIANA HOSPITAL ASSOCIATION (IHA) IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE RESPECTIVE PERCENTAGES HAVE BEEN APPLIED, AS PROVIDED BY THE RESPECTIVE ORGANIZATIONS. PART IV, SUPPLEMENTAL INFORMATION: PART II-B, LINE 1(G): THE VP OF GOVERNMENT AND EXTERNAL AFFAIRS MEETS WITH STATE AND LOCAL LEGISLATORS ON ISSUES AFFECTING THE ORGANIZATION. 3745499 3745499 236672426 177577756 59094670 173886335 137806020 36080315 32885293 8987652 23897641 122818125 THIRD PARTY PAYOR SETTLEMENT 7398859 ESTIMATED SELF INSURANCE LIABILITY 7106418 ASBESTOS MITIGATION LIABILITY 470110 PENSION & POST RETIREMENT OBLIGATIONS 35342417 OTHER LIABILITES 797721 51115525 304498353 281636655 22861698 -3756254 -15570432 -19326686 3535012 303463551 -3756254 225407 -3530847 306994398 -2496045 -2496045 304498353 284490642 2853987 2853987 281636655 0 281636655 PART XI, LINE 8 - OTHER ADJUSTMENTS: PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST -15,570,432. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM FOUNDATION 225,407. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -2,496,045. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION EXPENSES 357,942. RENTAL EXPENSES 2,496,045. 1 1 X 1 X 1 X 1 1 1 0 1 1 14480618 14480618 0.05350 56047675 48552178 7495497 0.02770 3062424 3062424 0.01130 73590717 48552178 25038539 0.09250 49 749797 200 749597 0.00280 294605 550086 -255481 0.00000 220153 220153 0.00080 49 1264555 550286 714269 0.00360 49 74855272 49102464 25752808 0.09610 1 10872378 3926874 94949686 109736585 -14786899 X 1 1 2 1 THE METHODIST HOSPITALS INC

600 GRANT STREET GARY IN 46402

X X X 2 THE METHODIST HOSPITALS INC

8701 BROADWAY MERRILLVILLE IN 46410

X X X THE METHODIST HOSPITAL INC 1 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X X X X 1 X X X 1 X X X X X X X 1 X 0 1 THE METHODIST HOSPITAL INC 2 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X X X X 1 X X X 1 X X X X X X X 1 X 0 1 6 THE METHODIST HOSPITALS INC

2269 WEST 25TH STREET GARY IN 46404

OUTPATIENT REHAB METHODIST SURGERY CENTER LLC

101 E 87TH AVENUE MERRILLVILLE IN 46410

OUTPATIENT SURGERY CENTER METHODIST HOSPITALS CARDIAC REHABILITATI

753 EAST 81ST AVE STE 4 MERRILLVILLE IN 46410

OUTPATIENT CARDIAC REHAB METHODIST HOSPITALS OUTPATIENT DIAG CENT

101 E 87TH AVENUE MERRILLVILLE IN 46410

IMAGING AND LAB SERVICES METHODIST HOSPITALS REHAB CENTER

303 E 89TH AVE MERRILLVILLE IN 46410

OUTPATIENT REHAB METHODIST HOME HEALTH CENTER

650 GRANT STREET GARY IN 46408

HOME HEALTH SERVICES PART I, LINE 7: METHODIST HOSPITALS, INC USES PUBLISHED FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR CHARITY. PART I, L7 COL(F): COLUMN F IS THE AMOUNT OF CHARITY CARE PROVIDED AS A PERCENTAGE OF EXPENSES SHOWN ON PART IX, LINE 25 LESS BAD DEBT EXPENSE OF $10,872,377. PART II: METHODIST HOSPITALS CONTINUED ITS PARTICIPATION IN THE NW INDIANA HEALTH DISPARITIES INITIATIVE REGION 1. THIS PARTNERSHIP WITH LAKE COUNTY MINORITY HEALTH COALITION AND BROTHERS UPLIFTING BROTHERS INCLUDES 7 COUNTIES (LAKE, PORTER, JASPER, NEWTON, LAPORTE, STARKE, AND PULASKI). FIVE MAJOR HEALTH PROGRAMS WERE HELD FOCUSING ON HEART HEALTH, OBESITY, AND HIV/AIDS. METHODIST CONCLUDED ITS SERIES OF MONTHLY HEALTH EDUCATION SEMINARS, HEALTH MATTERS, IN COOPERATION WITH THE YWCA OF NORTHWEST INDIANA. THESE PROGRAMS FOCUSED ON MONTHLY NATIONAL HEALTH AWARENESS THEMES. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THE ENTIRE AMOUNT SHOULD BE TREATED AS BAD DEBT. PART III, LINE 8: METHODIST HOSPITALS PROVIDES SERVICE TO ALL PATIENTS REGARDLESS OF ONES ABILITY TO PAY FOR SERVICE. WE ARE ONE OF THE LARGEST SAFETY NET HOSPITALS IN THE STATE OF INDIANA. SERVICES THAT ARE PROVIDED TO OUR PATIENTS REQUIRE A FINANCIAL SUBSIDY BY THE HOSPITAL IN ORDER TO PROVIDE CRITICAL CARE TO OUR PATIENTS. THESE SERVICES INCLUDE PHYSICIAN COVERAGE IN THE FOLLOWING AREAS: EMERGENCY SERVICES, ANESTHESIA SERVICES, SURGICAL, OBSTETRICAL CARE AND MANY OTHER PHYSICIAN SPECIALTIES.IN ADDITION TO EMPLOYING PHYSICIANS, METHODIST PROVIDES BOTH PUBLIC HEALTH AND SPECIALTY SERVICES THAT ARE DISPROPORTIONATELY PROVIDED BY OUR HOSPITALS THAT ARE ALSO HIGH-COST AND/OR UNPROFITABLE SERVICES. THESE SERVICES ATTRACT POTENTIALLY DIFFICULT-TO-TREAT PATIENT POPULATIONS, INCLUDING A BROAD RANGE OF PSYCHIATRIC AND NEO-NATAL SERVICES. METHODIST EMPLOYS 2 INDIVIDUALS WHO SPEND 100% OF THEIR TIME PROVIDING SERVICES TO THE GARY LITERACY COALITION, FREE OF CHARGE. PART III, LINE 9B: LIABILITIES FOR NON-COVERED SERVICES, INSURANCE RESIDUALS AND PURE SELF PAY LIABILITIES ARE DUE WITHIN 30 DAYS OF DISCHARGE. ATTEMPTS ARE MADE TO COLLECT DEDUCTIBLES PRE-SERVICE AND DEPOSITS OR PAYMENT IN-FULL PRE-SERVICE FOR SELF-PAY PATIENTS. IF A PATIENT CANNOT PAY THE ENTIRE BALANCE WITHIN 30 DAYS, PAYMENT PLANS ARE AVAILABLE. IF THE PATIENT CANNOT PAY AT ALL, THE HOSPITAL OFFERS NEED-BASED FINANCIAL ASSISTANCE BASED ON HOUSEHOLD INCOME AS A PERCENT OF THE FPG. PATIENTS WHO HAVE THE ABILITY TO PAY, YET DEFAULT ON PAYMENT PLANS ARE SENT TO COLLECTIONS (BAD DEBT). ACCOUNTS SENT TO BAD DEBT ARE PERIODICALLY RE-SCREENED FOR PRESUMPTIVE CHARITY QUALIFICATION AND IF QUALIFIED, ARE REMOVED FROM THE COLLECTION PROCESS. MEDICARE RESIDUALS ARE INVOICED TO THE PATIENT AND SENT THROUGH A BAD DEBT COLLECTION CYCLE. IF COLLECTION ATTEMPTS ARE UNSUCCESSFUL, THE MEDICARE ACCOUNT IS REMOVED FROM COLLECTIONS AND IS REPORTED AS MEDICARE BAD DEBT. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 11H: FAMILY UNIT - NUMBER AND EXPENSES THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 11H: FAMILY UNIT - NUMBER AND EXPENSES THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 19D: SELF PAY POLICY DEFINES FLAT PERCENTAGES; THE ONLY QUALIFICATION IS NO INSURANCE. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 19D: SELF PAY POLICY DEFINES FLAT PERCENTAGES; THE ONLY QUALIFICATION IS NO INSURANCE. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 21: THE HOSPITAL CHARGES ALL PATIENTS THE SAME RATES REGARDLESS OF INCOME LEVELS. THE HOSPITAL WILL WRITE-OFF THE CHARGE ACCORDING TO FAP POLICY LEVELS MAINTAINED IN THE HELPING HEART FINANCIAL ASSISTANCE PROGRAM. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 21: THE HOSPITAL CHARGES ALL PATIENTS THE SAME RATES REGARDLESS OF INCOME LEVELS. THE HOSPITAL WILL WRITE-OFF THE CHARGE ACCORDING TO FAP POLICY LEVELS MAINTAINED IN THE HELPING HEART FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 2: METHODIST HOSPITAL, INC ASSESSES THE SERVICES NEEDED BASED UPON A REVIEW OF DEMOGRAPHIC AND CLINICAL FACTORS. BASED UPON THE DATA, THE HEALTHCARE NEEDS ARE THEN COMPARED TO THE SERVICES CURRENTLY PROVIDED OR AVAILABLE IN THE COMMUNITY AND SURROUNDING COMMUNITIES. PART VI, LINE 3: METHODIST HOSPITALS, INC USES PUBLISHED FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR CHARITY.METHODIST PROVIDES PATIENTS WITH A PAYMENT OPTIONS BROCHURE AND "FINANCIALLY CLEARS" PATIENTS PRIOR TO SERVICE DELIVERY. FINANCIAL CLEARANCE INVOLVES ESTIMATING THE PATIENT LIABILITY, EDUCATING THE PATIENT ABOUT INSURANCE BENEFITS AND OUT-OF-POCKET EXPENSES AND AGREEING TO A PLAN WITH THE PATIENT FOR HOW THAT LIABILITY WILL BE COVERED. SELF PAY PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FEDERAL, STATE AND LOCAL PAYMENT SOURCES. PART VI, LINE 4: METHODIST HOSPITALS, INC SERVES NORTHWEST INDIANA WITH THE PRIMARY GEOGRAPHIC AREA BEING SERVED AS LAKE COUNTY, INDIANA. PORTER COUNTY, INDIANA COMPRISES MOST OF THE SECONDARY SERVICE AREA. THE DEMOGRAPHIC AREA OF THE REGION IS VERY DIVERSE, RANGING FROM THE VERY AFFLUENT TO A SIGNIFICANT INDIGENT POPULATION. PART VI, LINE 5: METHODIST HOSPITALS, INC PROVIDES MONTHLY STROKE AND CANCER SCREENINGS, PREVENTATIVE HEALTHCARE SCREENINGS, EDUCATIONAL SEMINARS, AND HOSTS SEVERAL SUPPORT GROUPS TO THE COMMUNITY MEMBERS ROUTINELY THROUGHOUT THE YEAR. PART VI, LINE 6: N/A REPORTS FILED WITH STATES PART VI, LINE 7 IN 0 INDIAN MEDICAL ASSOC OF NWI 202 E 86TH PL MERRILLVILLE IN 46410 314130002 501C(3) 30000 SCHOLARSHIP INDIAN AMERICAN CULTURAL CENTER 8605 MERRILLVILLE ROAD MERRILLVILLE IN 46410 351981658 501C(3) 20000 CULTURAL ARTS PROGRAM MARCH OF DIMES FOUNDATION 2612 W US HWY 30 MERRILVILLE IN 46410 131846366 501C(3) 5000 SUPPORT BIRTH DEFECT RESEARCH PROGRAMS AMERICAN HEART ASSOCIATION 405 BOARDWALK HEBRON IN 46341 135613797 501C(3) 37500 HEART DISEASE AWARENESS/PREVENTION PROGRAMS TOWN OF MERRILLVILLE 7820 BROADWAY GARY IN 46410 351288379 115 5000 COMMUNITY EVENTS NORTHWEST INDIANA SYMPHONY SOCIETY 1040 RIDGE ROAD MUNSTER IN 46321 351359750 501C(3) 5000 CULTURAL ARTS PROGRAMS JUVENILLE DIABETICS RESEARCH FOUNDATION 26 BROADWAY-14TH FLR NEW YORK NY 10004 231907729 501C(3) 14147 JUVENILLE DIABETES RESEARCH/PREVENTION PROGRAMS GARY BRANCH-NAACP PO BOX 64843 GARY IN 46401 356072056 501C(3) 5000 HIGHER EDUCATION AWARENESS PROGRAMS GARY LITERACY COALITION 650 GRANT STREET GARY IN 464041533 201323689 501C(3) 117087 PROGRAM SUPPORT 8 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORGANIZATION DOES NOT MONITOR HOW THE GRANTS ARE USED BY THE ORGANIZATION RECEIVING THE FUNDS. X X X X X X 0 0 0 0 0 0 0 0 0 IAN MCFADDEN 459180 0 123200 0 13941 0 11804 0 8747 0 616872 0 0 0 LOREN CHANDLER 225116 0 59400 0 11300 0 0 0 4374 0 300190 0 0 0 MATTHEW DOYLE 219160 0 32104 0 0 0 4171 0 8747 0 264182 0 0 0 SHELLY MAJOR 259474 0 47294 0 0 0 6465 0 8747 0 321980 0 0 0 MICHAEL DAVENPORT MD 327562 0 64480 0 0 0 9858 0 8747 0 410647 0 0 0 JUANMIGUEL T LIMJOCO MD 316540 0 0 0 0 0 20839 0 8747 0 346126 0 0 0 ELIZABETH E SENGUPTA MD 292438 0 0 0 0 0 21493 0 8747 0 322678 0 0 0 JUDSON WOOD MD 375198 0 20000 0 0 0 0 0 8747 0 403945 0 0 0 LIBRADA VAZQUEZ MD 332157 0 0 0 0 0 0 0 8747 0 340904 0 0 0 ARNITA REED 236392 0 55614 0 0 0 7500 0 8747 0 308253 0 0 0 IAN MCFADDEN ADVANCEMENT OF COMPENSATION X 100000 59378 0 1 1 LOREN CHANDLER ADVANCEMENT OF COMPENSATION X 135000 67951 0 1 1 127329 POWERS SONS CONSTRUCTION CO BOARD MEMBER 547677 THE ORGANIZATION CONTRACTED CONSTRUCTION SERVICES FROM A COMPANY OWNED BY MR. POWERS, A BOARD MEMBER. 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CONTROLLER AND CFO OF THE ORGANIZATION AND THEN SENT TO MEMBERS OF THE GOVERNING BODY FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD PASSED A RESOLUTION IN 1994 WHICH REQUIRES EACH BOARD MEMBER TO ANNUALLY DISCLOSE ALL SITUATIONS WHERE A POTENTIAL CONFLICT OF INTEREST MAY EXIST. THE CONFLICT OF INTEREST/RELATED PARTY QUESTIONNARIES ARE COMPLETED AND REVIEWED ON AN ANNUAL BASIS. ANY POTENTIALLY CONFLICTED DIRECTORS ARE PROHIBITED FROM PARTICIPATING IN THE DISCUSSION ABOUT OR VOTING ON ANY CONFLICTED ISSUE. FORM 990, PART VI, SECTION B, LINE 15 THE HR AND GOVERNANCE COMMITTEE USES INDEPENDENT AND EXTERNAL RESOURCES FOR THE ESTABLISHMENT OF COMPENSATION FOR OFFICERS AND OTHER KEY EMPLOYEES. THE COMMITTEE USES COMPARABILITY DATA AND MARKET COMPARISONS INCLUDING COMPENSATION SURVEYS AND FORM 990 INFORMATION FROM OTHER ORGANIZATIONS AS PART OF THE COMPENSATION DETERMINATION PROCESS. THE COMPENSATION APPROACH, PROCESS, AND DATA ARE THOROUGHLY DISCUSSED IN THE COMMITTEE MEETINGS AND THE REVIEW AND APPROVALS ARE DOCUMENTED THROUGHOUT THE PROCESS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2011. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -3,756,254. PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST -15,570,432. TOTAL TO FORM 990, PART XI, LINE 5: -19,326,686. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. METHODIST PATHOLOGY LLC 600 GRANT ST GARY IN 46402 203642476 PATHOLOGY SERVICES IN 803896 91832 THE METHODIST HOSPITALS INC METHODIST ANESTHESIA LLC 600 GRANT ST GARY IN 46402 201954536 ANESTHESIA SERVICES IN 2444057 361076 THE METHODIST HOSPITALS INC METHODIST CARDIOGRAPHICS LLC 600 GRANT ST GARY IN 46402 201349870 READING CARDIOGRAMS IN 1841913 63444 THE METHODIST HOSPITALS INC NORTHWEST EMERGENCY ASSOSCIATES LLC 600 GRANT ST GARY IN 46402 205290680 EMERGENCY ROOM MEDICAL SERVICES IN 0 102738 THE METHODIST HOSPITALS INC METHODIST AUXILIARY 600 GRANT ST GARY IN 46402 SUPPORT IN 0 0 THE METHODIST HOSPITALS INC THE METHODIST HOSPITALS FOUNDATION 600 GRANT STREET GARY IN 46402 271495289 SUPPORTING ORGANIZATION IN 501(C)(3) LINE 11A, I THE METHODIST HOSPITALS INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0