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      <ProgramServiceRevenue>
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      <FeesForServicesLobbying>
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          <BusinessNameLine1>MICHAEL KOVACICH MD</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>200 E 80TH PLACE</AddressLine1>
          <City>MERRILLVILLE</City>
          <State>IN</State>
          <ZIPCode>46410</ZIPCode>
        </Address>
        <Other>PHYSICIAN PRACTICE</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>WASAS CHILDRENS PARTNERSHIP</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>155 W 86TH AVENUE</AddressLine1>
          <City>MERRILLVILLE</City>
          <State>IN</State>
          <ZIPCode>46410</ZIPCode>
        </Address>
        <Other>PHYSICIAN PRACTICE</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>SAGR LLC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>PO BOX 2001</AddressLine1>
          <City>VALPARAISO</City>
          <State>IN</State>
          <ZIPCode>46385</ZIPCode>
        </Address>
        <Other>PHYSICIAN PRACTICE</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>C&amp;E INVESTMENTS CO NW PROP MGMT</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>209 E 86TH COURT SUITE D</AddressLine1>
          <City>MERRILLVILLE</City>
          <State>IN</State>
          <ZIPCode>46410</ZIPCode>
        </Address>
        <Other>Outpatient Services</Other>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>ST MARY MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1500 SOUTH LAKE PARK AVENUE</AddressLine1>
          <City>HOBART</City>
          <State>IN</State>
          <ZIPCode>46342</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Er24Hours>X</Er24Hours>
        <Other>HOSPITAL</Other>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>ST MARY MEDICAL CENTER AT LAKE PARK</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>7921 Grand Blvd</AddressLine1>
          <City>Hobart</City>
          <State>IN</State>
          <ZIPCode>46342</ZIPCode>
        </Address>
        <Other>Outpatient Ancillary Services</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <AnnualCommunityBenefitExpln>The Community Benefit Report is available via IHA state reporting.</AnnualCommunityBenefitExpln>
        <CostingMethodUsed>The methodology used was from the cost accounting system which uses a relative value approach to costing.</CostingMethodUsed>
        <SubsidizedHealthServicesExpln>The methodology used was from the cost accounting system which uses a relative value approach to costing. It is for inpatient only and excludes Medicaid, Charity and Bad Debt.</SubsidizedHealthServicesExpln>
        <BadDebtFootnote>The Hospital reports accounts receivable for services rendered at net realizable amounts from third-party payers, patients and others. The Hospital provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information, and existing economic conditions and trends. The methodology used was from the cost accounting system which uses a relative value approach to costing.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>The methodology used was from the cost accounting system which uses a relative value approach to costing. The amount includes the loss on Medicare patients at cost after removing amounts already included in Part I, lines 7a, 7b, and 7g; and Part III, lines 2 and 3.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>SEE ATTACHED- COLLECTION POLICY</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>Physician Practices - 7; Outpatient Ancillary - 5</NumberOfFacilityTypeExpln>
        <NeedsAssessment>St. Mary Medical Center uses a third-party consulting firm to access the health needs in the community.</NeedsAssessment>
        <PatientEducationAssistance>Patient who are admitted without insurance are directed to the hospital financial counselors. Additionally, the policy is posted in the Emergency Room area.</PatientEducationAssistance>
        <CommunityBuildingActivities>Alzheimer's Support Group - Alzheimer's Support Group meets the third Tuesday of each month at St. Mary Medical Center. 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. Share &amp; Care Support Group - This group meets the first Thursday of each month in the Pastoral Care Conference Room. The group is for parents who have lost adult children. Consoling Hearts Grief Support Group - Support group meets the first Thursday of each month for those suffering from the loss of a loved one. Meetings take place at St. Joan of Arc in Merrillville. Healing Hearts Education Group - Education group meets at St. Mary Medical Center every other month for those dealing with heart failure. Hope Network Cancer Support Group - Education, thoughts, feelings and ideas are shared in this support group that meets the last Wednesday of each month in the Education Classroom of St. Mary Medical Center. Lupus Support Group - Group meets the fourth Monday of each month at St. Mary Medical Center for those with Lupus/autoimmune diseases. Gluten Intolerance Group of Northwest Indiana - For those dealing with gluten intolerances meets second Monday of each month at St. Mary Medical Center in the auditorium. Pulmonary Rehab "Breathless" Support Group - Group meets the second Monday of each month at the Spectrum of St. Mary Medical Center to answer questions and help patients who have medical problems associated with their lungs. New Beginnings Transplant Support Group - Provides educational information, and maintains contact with donor families, transplant recipients, patients waiting and dialysis patients. Mended Hearts - Recovered cardiac patients visit newly diagnosed cardiac patients to offer support and education at St. Mary Medical Center on the third Tuesday of each month. Ongoing Programs/Classes Birthing Suite Tours - Free tours of St. Mary Medical Center birthing suites. Doula Labor Assistant Program - Volunteer woman who provides continuous non-medical emotional and physical support during labor. Her skills include relaxation and breathing techniques, positioning to reduce pain, massage and enhanced labor progress. Free program for anyone interested in becoming a Doula at St. Mary Medical Center. Doula Post Partum Assistant Program - Woman who is professionally trained to support the family after birth with breastfeeding skills, support for the partner, education on newborn care, support of the woman with postpartum depression, grief or loss. Free program at St. Mary Medical Center. Lamaze Classes - Six week class that includes information on comfort measures and medication available for pain. To be attended during the last trimester of pregnancy to prepare you to make good decisions regarding labor and delivery. $60/couple or $25 for refresher course held in the conference rooms at St. Mary Medical Center. Teen Childbirth Education Lamaze - Six week class for teenagers to learn about labor and delivery, nutrition, pain relief options, recovery, and valuable resources for support. Free program held in the conference rooms at St. Mary Medical Center. State Health Insurance Assistance Program (SHIP) - Free assistance to help seniors get more value from their health insurance. Nutrition Counseling - Dietary evaluation and counseling by a registered dietician. Physician referral required. Cooking Demonstrations - Once a month Chef Ryan C. Smith demonstrates delectable appetizers, salads, entrees, desserts and more in these fun and interactive demonstrations. TOPS (Taking off Pounds Sensibly) - Meetings every Monday to support those who desire maintenance of a healthy weight. Held in Conference Room 3 at St. Mary Medical Center. $26 annual dues plus $1 per week. I Quit! Smoking Cessation - Eight week class held at St. Mary Medical Center for instruction, counseling and behavior modification for those who want to quit smoking. Fee: $50 with a $30 refund at completion of class. Coronary Scan - Uses the most advanced CT imaging to take x-ray pictures of your heart that detect calcium deposits, which are signs of heart disease. This non-invasive test is fast, painless and recommended for individuals with one or more risk factors for heart disease. Physician order required. Fee: $200/person. Coumadin: A Delicate Balance - Pharmacist and dietician discuss diet and medications to avoid while taking Coumadin. Free held at St. Mary Medical Center in conference room. Moving Forward - Stroke Education - Class held every other week to discuss prevention of future strokes through risk detection and management. Free. Peripheral Arterial Disease Rehabilitation - Two classes per week of supervised exercise and education about PAD held at Spectrum of St. Mary Medical Center. Orientation fee: $55 Monthly fee: $35 Coronary Health Appraisal - Screening for risk of heart disease that includes: cholesterol (total HDL, LDL, triglycerides), blood sugar, metabolic syndrome, blood pressure, body mass index and a Heart Health Profile. 10-12 hour fast required. Fee: $30/person. PAD Screening - This simple, 15 minute screening explains Peripheral Arterial Disease (PAD) and screens for blockages in the arteries of the legs. Monday 11 am - 12 pm. Designated Thursdays from 10 am - 12 pm. Spectrum of St. Mary Medical Center Fee: $10/person Blood Profile Screening - Check your cholesterol, HDL, triglycerides or glucose. No physician order needed. 10-12 hour fast required. Fee $5 per test or $20 for panel. 5th floor Laboratory at St. Mary Medical Center Diabetic Screening - Dr. Forgey's office 109 E. 89th Ave., Merrillville. Free. Call office to register. Dr. Chhabra's Office Wednesdays; 9-11 am 6375 US Highway 6, Portage or 8777 Broadway, Suite D, Merrillville. Free. Call to register. Skin Cancer Screenings - Physician will look for indications of cancer or precancerous conditions. Dr. Forgey's office First Wednesday every month, 9 am - 12 pm 109 E. 89th Ave., Merrillville. Free. Call to register. Dr. Chhabra's office First Saturday of every month 6375 US Highway 6, Portage. Free. Call to register. Blood Profile Screening - Check your cholesterol, HDL, LDL, glucose and triglycerides. 12 hour fast required. Fee: $20 per panel. Appointment required. Wednesdays; 9 am - 12 pm Fridays; 9 am - 12 pm Dr. Chhabra's office 6375 US Highway 6, Portage or 8777 Broadway, Suite D, Merrillville. Call to register. Blood Pressure Screenings - First Thursday of each month; 10-11 am Spectrum of St. Mary Medical Center. Free Wednesdays; 9 am - 12 pm Dr. Chhabra's office 6375 US Highway 6, Portage or 8777 Broadway, Suite D, Merrillville. Free. Call to register. Dr. Forgey's office 109 E. 89th Ave. Merrillville Free. Call to register. Yoga - Every Wednesday. Gentle yoga to release stress, increase flexibility and increase strength. Fee: $25/four-class series; $20 four-class series for seniors; or $8 per class. Guided Meditation &amp; Healing Touch - Every Wednesday. Experience stress reduction and relaxation to benefit mind, body and spirit. Fee: $10 per session. Diabetic Management, Complications &amp; Glucose Monitoring &amp; Diet Planning - Free. Call Diabetes Educator for dates. Monthly Programs/Special Events February Hearts of Hope Valentine Tree Lighting Ceremony Wed, Feb 9; 4 p.m. A crimson light twinkles, and another life is saved. The lights on the Hearts of Hope trees outside St. Mary Medical Center represent donations made to Community Healthcare System Cardiovascular Research to fund clinical trials and studies for heart disease right here, close to home. Each light on the Hearts of Hope trees at St. Mary Medical Center shines in honor or memory of those who fill our hearts with love and joy. Honor someone close to your heart today. Visit www.comhs.org and click on "Ways to Give" for a donation form, or call 219-947-6041. MAY Stroke Symposium Tue, May 24 Vendors Open: 8:30 a.m. Speakers: 9 a.m.-1 p.m. St. Mary Medical Center West Patient Tower Auditorium &amp; Conference Rooms A neurologist, cardiologist, emergency medicine physician and rehabilitation coordinator will discuss signs, symptoms and causes of stroke. Topics will include prevention, nutrition, physical activity and medications. Browse a consortium of vendors providing helpful information and free screenings will also be available. Refreshments will be served. Free. JUNE Cancer Survivors Day Celebration Sun, June 5; 1-3 p.m. St. Mary Medical Center Waterfall Caf Courtyard Hobart Food, Fun Entertainment Join St. Mary Medical Center for a local celebration of this national event, honoring the strength and courage of those who have lived - and continue to live - with cancer. Free. SEPTEMBER Alzheimer's Symposium (conducted with the Alzheimer's Association) Vendors Open; 4 p.m. Speakers; 6-8 p.m. St. Mary Medical Center West Patient Tower Auditorium &amp; Conference Rooms Help for car</CommunityBuildingActivities>
        <OtherInformation>The community served includes both Lake and Porter counties of Northwest Indiana. St. Mary Medical center maintains approximately 65% of the primary service area market share, which is average in age and income as it relates to other markets in Northwest Indiana.</OtherInformation>
        <AffiliatedHealthCareSystem>St. Mary Medical Center is part of an affiliated healthcare system. Each hospital in the system provides medical services to their communities and to adjoining communities. Each entitys' purpose is to provide health care to those who need it including the insured and underinsured.</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>IN</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Mary Sudicky</NamePerson>
        <BaseCompensationFilingOrg>161112</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
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        <NamePerson>Janice Ryba</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Michael Kovacich MD</NamePerson>
        <BaseCompensationFilingOrg>187585</BaseCompensationFilingOrg>
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        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>938</OtherCompensationFilingOrg>
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        <NontaxableBenefitsFilingOrg>18051</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ibrahim G Zabaneh MD</NamePerson>
        <BaseCompensationFilingOrg>231949</BaseCompensationFilingOrg>
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        <BonusFilingOrg>65696</BonusFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>Mark Carter MD</NamePerson>
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        <NamePerson>John E Carter MD</NamePerson>
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        <NamePerson>Milt J Triana</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>PT I LINE 1A THE ORGANIZATION PAYS HEALTH/SOCIAL DUES ON BEHALF OF CERTAIN OFFICERS, KEY EMPLOYEES, AND FIVE HIGHEST PAID EMPLOYEES WHICH IS THEN TAXED AS A FRINGE BENEFIT TO THE INDIVIDUAL.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Carol Shingler</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Fam Member-Linda Buzinec</Relationship>
        <AmountOfTransaction>67850</AmountOfTransaction>
        <DescriptionOfTransaction>Employee</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS</Identifier>
        <ReturnReference>PT VI-A LINE 7A</ReturnReference>
        <Explanation>COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC IS THE PARENT COMPANY OF ST MARY MEDICAL CENTER AND HAS CONTROL TO ELECT MEMBERS OF THEIR GOVERNING BODY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR &amp; TYPE OF VOTING RIGHTS</Identifier>
        <ReturnReference>PT VI-A LINE 7B</ReturnReference>
        <Explanation>COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC IS THE PARENT COMPANY OF ST MARY MEDICAL CENTER AND HAS RIGHTS TO APPROVE DECISIONS MADE BY ST MARY MEDICAL CENTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990</Identifier>
        <ReturnReference>PT VI-A LINE 11A</ReturnReference>
        <Explanation>A COPY OF THE FORM 990 IS REVIEWED PRIOR TO FILING THE 990 BY THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE, AND THE AUDIT COMMITTEE WHICH ARE SUBSETS OF THE BOARD OF DIRECTORS. THE SALARY AND COMPENSATION COMMITTEE REVIEWS PART VII AND SCHEDULE J OF FORM 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</Identifier>
        <ReturnReference>PT VI-B LINE 12C</ReturnReference>
        <Explanation>AN OFFICER, DIRECTOR OR KEY EMPLOYEE THAT HAS A POTENTIAL CONFLICT OF INTEREST IS REQUIRED TO DISCLOSE THIS AND THE BOARD OF DIRECTORS, ONE OF THE COMMITTEES OR A DESIGNATED PERSON (SUCH AS THE CHIEF COMPLIANCE OFFICER) WILL REVIEW THE POTENTIAL CONFLICT OF INTEREST TO DETERMINE IF IT EXISTS. IF IT DOES EXIST, THE INVOLVED DIRECTOR, OFFICER OR KEY EMPLOYEE IS ASKED TO LEAVE THE MEETING WITH NO VOTE ON THE TOPIC. THE MEETING MINUTES WILL REFLECT THAT THE INVOLVED PERSON MADE THE DISCLOSURE, LEFT THE MEETING AND HAD NO VOTE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN</Identifier>
        <ReturnReference>PT VI-B LINE 15</ReturnReference>
        <Explanation>THE SALARY AND BENEFIT COMMITTEE OF THE BOARD REQUEST A REVIEW OF THE COMPENSATION AND BENEFITS TO ASSESS THE REASONABLENESS COMPARED TO MARKET DATA ASSEMBLED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTING FIRM. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA ARE CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC</Identifier>
        <ReturnReference>PT VI-C LINE 19</ReturnReference>
        <Explanation>ST MARY MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, ST MARY MEDICAL CENTER THROUGH COMMUNITY FOUNDATION OF NORTHWEST INDIANA MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH NRMSIR'S DATABASE.</Explanation>
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      <GeneralExplanation>
        <Identifier>Collection Policy</Identifier>
        <Explanation>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.</Explanation>
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</Return>