2021-11-04T13:59:47-05:00 2020-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2020-01-01 350868133 THE METHODIST HOSPITALS INC METH 2198864402 600 GRANT STREET GARY IN 46402 MATTHEW DOYLE CHIEF EXECUTIVE OFFICER 2198864000 2021-11-01 1 MATTHEW DOYLE 999009999 DAVID LOWENTHAL P00378651 3122071040 2021-11-01 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MATTHEW DOYLE 600 GRANT STREET GARY IN 46402 422524317 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. 14 13 2721 65 11360 0 522636 33629197 378660323 370601257 3691297 5212102 440518 428628 383314774 409871184 188843 88955 0 0 186532432 187650524 0 0 0 202604425 209065693 389325700 396805172 -6010926 13066012 368092378 450659553 125194798 195355672 242897580 255303881 X THE METHODIST HOSPITALS, INC'S MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE SERVICES TO ALL THOSE IN NEED. 0 0 346494266 88955 370589897 THE METHODIST HOSPITALS, INC. HAS A COMMITMENT 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, 562 BED COMMUNITY-BASED HEALTHCARE SYSTEMS GOVERNED BY A BOARD OF DIRECTORS. AS 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 562 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 80/94. 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, IMAGING SERVICES, AND LABORATORY SERVICES AS WELL AS PROFESSIONAL OFFICES FOR MANY OF THE MEDICAL STAFF. THE MEDICAL STAFF OF MORE THAN 400 PHYSICIANS REPRESENTS NEARLY 40 MEDICAL SPECIALTIES. METHODIST HOSPITALS IS ONE OF THE TOP EMPLOYERS IN NORTHWEST INDIANA WITH OVER 2,000 EMPLOYEES. MISSION THE 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. 346494266 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 184 0 1 2721 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 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 BHARAT H BARAI MD BOARD MEMBER 2.00 0.00 X 59170 0 0 ROBERT E JOHNSON III BOARD CHAIRMAN 2.20 0.00 X X 6000 0 0 JOHN A LOWENSTINE CPA BOARD VICE-CHAIRMAN 2.20 0.00 X X 6000 0 0 MATTISON A DILTS BOARD TREASURER 2.20 0.40 X X 6000 0 0 GLENN S VICIAN BOARD SECRETARY 2.20 0.40 X X 6000 0 0 SCOTT J MAY CPA BOARD MEMBER 2.00 0.00 X 6000 0 0 CHERYL L PRUITT PHD BOARD MEMBER 2.00 0.00 X 6000 0 0 SCOTT T RIBORDY BOARD MEMBER 2.20 0.00 X 6000 0 0 KATRINA WRIGHT MD BOARD MEMBER 2.00 0.00 X 6000 0 0 SANETA MAIKO PHD BOARD MEMBER 2.00 0.00 X 4500 0 0 RITA R JACKSON BOARD MEMBER 2.00 0.00 X 4000 0 0 SHELICE R TOLBERT BOARD MEMBER (BEG. 6-2020) 2.00 0.00 X 3500 0 0 CURTIS WHITTAKER SR CPA BOARD MEMBER (BEG. 6-2020) 2.00 0.00 X 3500 0 0 CHARLES D BROOKS JR BOARD MEMBER (THRU 1-2020) 2.00 0.00 X 500 0 0 MAMON POWERS JR BOARD MEMBER 2.00 0.00 X 0 0 0 RAYMOND GRADY CEO (THRU 4-2020) 40.00 0.10 X 886386 0 10200 MATTHEW DOYLE CFO (THRU 4-2020); CEO (BEG. 5-2020) 40.00 0.70 X 487938 0 20453 VINCENT SEVIER MD CHIEF MEDICAL OFFICER 40.00 0.00 X 372602 0 33785 JAMES RENNEKER CHIEF NURSING OFFICER (THRU 7-2020) 40.00 0.00 X 351632 0 12556 MARLA HOYER-LAREAU CHIEF ADMINISTRATIVE OFFICER 40.00 0.00 X 296280 0 22104 WRIGHT ALCORN VP OF OPERATIONS 40.00 0.00 X 272250 0 21848 TRACEY CRANDALL VP OF HUMAN RESOURCES (THRU 9-2020) 40.00 0.00 X 212811 0 18172 ANDRE ARTIS MD PHYSICIAN 40.00 0.00 X 817960 0 26597 MIHAS KODENCHERY MD PHYSICIAN 40.00 0.00 X 766201 0 29872 VINEET SHAH MD PHYSICIAN 40.00 0.00 X 692411 0 34779 HARISH A SHAH MD PHYSICIAN 40.00 0.00 X 665991 0 29447 THACH NGUYEN MD PHYSICIAN 40.00 0.00 X 561206 0 11561 6506838 0 271374 210 0 1 0 COMPREHENSIVE PHARMACY SERVICES LLC PO BOX 638316 CINCINNATI OH 45263 PHARMACY MANAGEMENT SVCS 13857831 SODEXOMAGIC LLC PO BOX 360170 PITTSBURG PA 15251 FOOD SVCS AND FACILITY SVCS MANAGEMENT 8256530 CROTHALL SERVICES GROUP 13028 COLLECTION CENTER DR CHICAGO IL 60693 BIOMEDICAL SERVICES 4238350 MEDICAL SOLUTIONS LLC PO BOX 310737 DES MOINES IA 50331 CONTRACTED NURSING LABOR 3893419 AMERICAN ANESTHESIOLOGY ASSOCIATES OF IL PO BOX 281034 ATLANTA GA 30384 ANESTHESIOLOGY SERVICES 3632880 81 198700 32981752 448745 33629197 HEALTHCARE AND SOCIAL ASSISTANCE 621500 300920518 300920518 DISPROPORTIONATE SHARE 621500 63310370 63310370 OTHER PATIENT SERVICES 621500 6320342 6320342 EMR INCENTIVE PAYMENTS 900099 38667 38667 PARTNERSHIP INCOME 621500 11360 11360 370601257 3278328 3278328 899540 470912 428628 428628 428628 14094266 21729 11920148 262073 2174118 -240344 1933774 1933774 409871184 370589897 11360 5640730 X 88955 88955 3141687 823746 2317941 146032724 126958265 19074459 4496244 3858033 638211 23813958 20192362 3621596 10165911 8646751 1519160 2093654 1544535 549119 1563040 1207443 355597 221700 221700 182458 182458 54319195 47134572 7184623 965932 826204 139728 73776807 67941517 5835290 7161722 5912592 1249130 9871835 5703167 4168668 173764 162413 11351 13737 12153 1584 2611542 2239531 372011 17798395 15517069 2281326 2795912 2550423 245489 BAD DEBT EXPENSE 18154636 18154636 MEDICAID ASSESSMENT FEE 16695496 16695496 DUES & SUBSCRIPTIONS 524421 294451 229970 REORGANIZATION COSTS 141447 29952 111495 396805172 346494266 50310906 0 23491118 111181633 8822929 8510135 65511578 49044634 13016086 12739123 5320361 3884320 522277293 384093653 143521965 138183640 102053375 109992041 6354966 17124027 368092378 450659553 32802806 39944538 0 53227603 52226704 72515662 18800001 0 21365287 29667869 125194798 195355672 X 242645213 254561753 252367 742128 242897580 255303881 368092378 450659553 X 13066012 3017551 -3677262 X X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 126720 0 1 8366 135086 0 PART II-B, LINE 1: A PORTION OF MEMBERSHIP DUES PAID TO THE INDIANA HOSPITAL ASSOCIATION (IHA) IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. A PERCENTAGE HAS BEEN APPLIED, AS PROVIDED BY THE ORGANIZATION. PART II-B, LINE 1(G): THE CHIEF CONSULTANT OF GOVERNMENTAL AFFAIRS MEETS WITH STATE AND LOCAL LEGISLATORS ON ISSUES AFFECTING THE ORGANIZATION. 5373674 5373674 315182414 228466075 86716339 1230154 662548 567606 196043759 154965030 41078729 4447292 4447292 138183640 THIRD PARTY PAYOR SETTLEMENT 2242131 ESTIMATED SELF INSURANCE LIABILITY 6416732 ASBESTOS MITIGATION LIABILITY 695089 PENSION & POST RETIREMENT OBLIGATIONS 8956432 OTHER LIABILITIES 635375 RIGHT OF USE OPERATING LEASE OBLIGATION 10722110 29667869 389453837 3017551 -23723352 -20705801 410159638 182458 -470912 -288454 409871184 376855861 567866 567866 376287995 182458 20334719 20517177 396805172 PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM FOUNDATION 288,629. BAD DEBT EXPENSE -18,154,637. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC COST -2,997,262. GOODWILL IMPAIRMENT -680,000. PENSION-RELATED CHARGES NETTED WITH REVENUE -2,180,082. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -470,912. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION EXPENSES 96,954. RENTAL EXPENSE 470,912. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 18,154,637. PENSION RELATED CHARGES NETTED WITH REVENUE 2,180,082. 1 1 X 1 X 1 X 1 1 0 1 1 6259099 0 6259099 0.01650 108637896 133096092 0 0.00000 114896995 133096092 6259099 0.01650 5 2069 521936 0 521936 0.00140 3 83 695479 213825 481654 0.00130 131110 131110 0.00030 130720 0 130720 0.00030 8 2152 1479245 213825 1265420 0.00330 8 2152 116376240 133309917 7524519 0.01980 1 18154636 2459124 69717555 81080829 -11363274 X 1 1 2 1 THE METHODIST HOSPITALS INC 600 GRANT STREET GARY IN 46402 WWW.METHODISTHOSPITALS.ORG 20-005002-1 X X X 2 THE METHODIST HOSPITALS INC 8701 BROADWAY MERRILLVILLE IN 46410 WWW.METHODISTHOSPITALS.ORG 20-005002-1 X X X THE METHODIST HOSPITALS INC (NORTHLAKE 1 0 0 1 X X X X X X X X X X 19 1 1 0 1 X TINYURL.COM/YT838HNJ X X 1 19 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X X 1 1 X X X X X 1 X TINYURL.COM/58HM9H77 X TINYURL.COM/3HH9RYDT X TINYURL.COM/FD222BD8 X X X X X X X 1 X 0 X X X X 1 X 0 0 THE METHODIST HOSPITALS INC (SOUTHLAKE 2 0 0 1 X X X X X X X X X X 19 1 1 0 1 X TINYURL.COM/YT838HNJ X X 1 19 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X X X 1 1 X X X X X 1 X TINYURL.COM/58HM9H77 X TINYURL.COM/3HH9RYDT X TINYURL.COM/FD222BD8 X X X X X X X 1 X 0 X X X X 1 X 0 0 THE METHODIST HOSPITALS, INC (NORTHLAKE CAMPUS) PART V, SECTION B, LINE 3J: THE CHNA THAT WAS CONDUCTED CONTAINED: THE TOP COMMUNITY HEALTH AND SOCIAL PROBLEMS, BARRIERS TO GOOD HEALTH, DEMOGRAPHICS OF THE PRIMARY SERVICE AREAS AS COMPARED TO THE STATE AND COUNTY THE HOSPITAL IS LOCATED IN; DEATH, DISEASE, AND CHRONIC CONDITIONS THAT ARE PREVALENT IN THE PRIMARY SERVICE AREA. THE SURVEY ALSO DEFINES THE SAMPLE AND DATA COLLECTION METHODOLOGY USED ALONG WITH A COPY OF THE SURVEY. THE METHODIST HOSPITALS, INC (SOUTHLAKE CAMPUS) PART V, SECTION B, LINE 3J: THE CHNA THAT WAS CONDUCTED CONTAINED: THE TOP COMMUNITY HEALTH AND SOCIAL PROBLEMS, BARRIERS TO GOOD HEALTH, DEMOGRAPHICS OF THE PRIMARY SERVICE AREAS AS COMPARED TO THE STATE AND COUNTY THE HOSPITAL IS LOCATED IN; DEATH, DISEASE, AND CHRONIC CONDITIONS THAT ARE PREVALENT IN THE PRIMARY SERVICE AREA. THE SURVEY ALSO DEFINES THE SAMPLE AND DATA COLLECTION METHODOLOGY USED ALONG WITH A COPY OF THE SURVEY. THE METHODIST HOSPITALS, INC (NORTHLAKE CAMPUS) PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPRISED OF A SERIES OF ONLINE INTERVIEWS WITH COMMUNITY AND HEALTH CARE LEADERS, SECONDARY ANALYSIS OF THE REGIONAL DEMOGRAPHICS AND HEALTH TRENDS, AND A QUANTITATIVE SURVEY OF RESIDENTS OF THE REGION USING BOTH AN ONLINE AND PAPER-BASED SURVEY THAT WAS DISTRIBUTED AT LOCATIONS AND EVENTS SUCH AS: SENIOR CENTERS, FQHCS, LOCAL COLLEGES, HEALTH FAIRS, PHYSICIAN SEMINARS, AND CHURCHES. OUTREACH TO DISTRIBUTE PAPER SURVEYS WAS USED SO AS TO IMPROVE THE SURVEY SCOPE TO THOSE THAT MAY BE UNDER-REPRESENTED IN A TRADITIONAL SURVEY RESEARCH PROJECT. THE METHODIST HOSPITALS, INC (SOUTHLAKE CAMPUS) PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPRISED OF A SERIES OF ONLINE INTERVIEWS WITH COMMUNITY AND HEALTH CARE LEADERS, SECONDARY ANALYSIS OF THE REGIONAL DEMOGRAPHICS AND HEALTH TRENDS, AND A QUANTITATIVE SURVEY OF RESIDENTS OF THE REGION USING BOTH AN ONLINE AND PAPER-BASED SURVEY THAT WAS DISTRIBUTED AT LOCATIONS AND EVENTS SUCH AS: SENIOR CENTERS, FQHCS, LOCAL COLLEGES, HEALTH FAIRS, PHYSICIAN SEMINARS, AND CHURCHES. OUTREACH TO DISTRIBUTE PAPER SURVEYS WAS USED SO AS TO IMPROVE THE SURVEY SCOPE TO THOSE THAT MAY BE UNDER-REPRESENTED IN A TRADITIONAL SURVEY RESEARCH PROJECT. THE METHODIST HOSPITALS, INC (NORTHLAKE CAMPUS) PART V, SECTION B, LINE 6A: THE METHODIST HOSPITALS, INC'S CHNA WAS CONDUCTED JOINTLY WITH THE FOLLOWING OTHER HOSPITAL ORGANIZATIONS: COMMUNITY HEALTHCARE SYSTEMS AND FRANCISCAN ALLIANCE OF NORTHWEST INDIANA. THE METHODIST HOSPITALS, INC (SOUTHLAKE CAMPUS) PART V, SECTION B, LINE 6A: THE METHODIST HOSPITALS, INC'S CHNA WAS CONDUCTED JOINTLY WITH THE FOLLOWING OTHER HOSPITAL ORGANIZATIONS: COMMUNITY HEALTHCARE SYSTEMS AND FRANCISCAN ALLIANCE OF NORTHWEST INDIANA. THE METHODIST HOSPITALS, INC (NORTHLAKE CAMPUS) PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON METHODIST HOSPITAL'S WEBSITE AND IS ALSO AVAILABLE UPON REQUEST. THE METHODIST HOSPITALS, INC (SOUTHLAKE CAMPUS) PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ON METHODIST HOSPITAL'S WEBSITE AND IS ALSO AVAILABLE UPON REQUEST. THE METHODIST HOSPITALS, INC (NORTHLAKE CAMPUS) PART V, SECTION B, LINE 11: METHODIST HOSPITALS USED THE CHNA TO IDENTIFY ISSUES OF GREATEST CONCERN, THAT ARE ALIGNED WITH STATE HEALTH DEPARTMENT PRIORITIES AND DEVELOPED ACTION PLANS ON KEY FOCUS AREAS IN WHICH METHODIST HAS BOTH EXPERTISE AND RESOURCES TO COMMIT IN ORDER TO IMPROVE RESIDENT'S HEALTH, IMPROVE QUALITY OF LIFE, REDUCE HEALTH DISPARITIES AND TO INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES. THE HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA INCLUDED THE FOLLOWING PRIORITY FOCUS AREAS: CHILD HEALTH AND WELLBEING WITH FOCUSES ON REDUCING INFANT MORTALITY, ENCOURAGING BREASTFEEDING, AND DEVELOPING DAY CARE SERVICES; FOOD AND NUTRITION - WITH FOCUS ON IMPROVING ACCESS TO HEALTHY FOODS; AND CHRONIC DISEASE WITH A FOCUS ON HEART DISEASE PREVENTION AND SMOKING CESSATION. DURING 2020, THE COVID-19 PANDEMIC CAUSED METHODIST TO PUT ON HOLD SOME OF ITS INITIATIVES IN ORDER TO LIMIT EXPOSURE AND SPREAD OF COVID-19 TO THE COMMUNITY IT SERVES. LATE IN 2020 AND WHILE STILL IN THE MIDST OF THE COVID-19 PANDEMIC, METHODIST DEVELOPED DIFFERENT WAYS TO SAFELY REFOCUS EFFORTS ON THE FOLLOWING AREAS OF: CANCER, HEART DISEASE AND STROKE, AND ACCESSS TO CARE PROGRAMS. METHODIST HOSPITALS DOES NOT CURRENTLY HAVE PROGRAMS THAT SPECIFICALLY ADDRESS THE REGION'S DISABILITY CARE, UNEMPLOYMENT/JOB TRAINING, POVERTY AND HOMELESSNESS, AND VIOLENCE, VIOLENT CRIME AND DOMESTIC ABUSE. THE METHODIST HOSPITALS, INC (SOUTHLAKE CAMPUS) PART V, SECTION B, LINE 11: METHODIST HOSPITALS USED THE CHNA TO IDENTIFY ISSUES OF GREATEST CONCERN, THAT ARE ALIGNED WITH STATE HEALTH DEPARTMENT PRIORITIES AND DEVELOPED ACTION PLANS ON KEY FOCUS AREAS IN WHICH METHODIST HAS BOTH EXPERTISE AND RESOURCES TO COMMIT IN ORDER TO IMPROVE RESIDENT'S HEALTH, IMPROVE QUALITY OF LIFE, REDUCE HEALTH DISPARITIES AND TO INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES. THE HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA INCLUDED THE FOLLOWING PRIORITY FOCUS AREAS: CHILD HEALTH AND WELLBEING WITH FOCUSES ON REDUCING INFANT MORTALITY, ENCOURAGING BREASTFEEDING, AND DEVELOPING DAY CARE SERVICES; FOOD AND NUTRITION - WITH FOCUS ON IMPROVING ACCESS TO HEALTHY FOODS; AND CHRONIC DISEASE WITH A FOCUS ON HEART DISEASE PREVENTION AND SMOKING CESSATION. DURING 2020, THE COVID-19 PANDEMIC CAUSED METHODIST TO PUT ON HOLD SOME OF ITS INITIATIVES IN ORDER TO LIMIT EXPOSURE AND SPREAD OF COVID-19 TO THE COMMUNITY IT SERVES. LATE IN 2020 AND WHILE STILL IN THE MIDST OF THE COVID-19 PANDEMIC, METHODIST DEVELOPED DIFFERENT WAYS TO SAFELY REFOCUS EFFORTS ON THE FOLLOWING AREAS OF: CANCER, HEART DISEASE AND STROKE, AND ACCESSS TO CARE PROGRAMS. METHODIST HOSPITALS DOES NOT CURRENTLY HAVE PROGRAMS THAT SPECIFICALLY ADDRESS THE REGION'S DISABILITY CARE, UNEMPLOYMENT/JOB TRAINING, POVERTY AND HOMELESSNESS, AND VIOLENCE, VIOLENT CRIME AND DOMESTIC ABUSE. THE METHODIST HOSPITALS, INC (NORTHLAKE CAMPUS) PART V, SECTION B, LINE 13B: METHODIST HOSPITALS PROVIDES EMERGENCY AND OTHER MEDICALLY NECESSARY SERVICES AT NO CHARGE TO THE PATIENT IF THE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). PATIENTS WHOSE FAMILY INCOME IS BETWEEN 200 - 400% OF FPG ARE ELIGIBLE FOR SLIDING-SCALE FINANCIAL RELIEF. ALL OTHER APPLICANTS WILL BE SCREENED FOR OTHER SOURCES OF PAYMENT TO DETERMINE WHAT LEVEL OF FINANCIAL ASSISTANCE MAY BE GRANTED. THE METHODIST HOSPITALS, INC (SOUTHLAKE CAMPUS) PART V, SECTION B, LINE 13B: METHODIST HOSPITALS PROVIDES EMERGENCY AND OTHER MEDICALLY NECESSARY SERVICES AT NO CHARGE TO THE PATIENT IF THE FAMILY INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). PATIENTS WHOSE FAMILY INCOME IS BETWEEN 200 - 400% OF FPG ARE ELIGIBLE FOR SLIDING-SCALE FINANCIAL RELIEF. ALL OTHER APPLICANTS WILL BE SCREENED FOR OTHER SOURCES OF PAYMENT TO DETERMINE WHAT LEVEL OF FINANCIAL ASSISTANCE MAY BE GRANTED. THE METHODIST HOSPITALS, INC (NORTHLAKE CAMPUS) PART V, SECTION B, LINE 13H: FAMILY SIZE AND COMPOSITION. THE METHODIST HOSPITALS, INC (SOUTHLAKE CAMPUS) PART V, SECTION B, LINE 13H: FAMILY SIZE AND COMPOSITION THE METHODIST HOSPITALS, INC (NORTHLAKE CAMPUS) PART V, SECTION B, LINE 15E: METHODIST HOSPITALS MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE INDIVIDUAL ASSESSMENTS OF FINANCIAL NEED. METHODIST MAY UTILIZE A THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED USING A HEALTHCARE INDUSTRY-RECOGNIZED MODEL BASED ON PUBLIC RECORD DATABASES. IN ADDITION, METHODIST HOSPITALS PROVIDES WEB LINKS TO STATE AND FEDERAL INSURANCE PROGRAMS GEARED TOWARDS THE UNINSURED. THE METHODIST HOSPITALS, INC (SOUTHLAKE CAMPUS) PART V, SECTION B, LINE 15E: METHODIST HOSPITALS MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE INDIVIDUAL ASSESSMENTS OF FINANCIAL NEED. METHODIST MAY UTILIZE A THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED USING A HEALTHCARE INDUSTRY-RECOGNIZED MODEL BASED ON PUBLIC RECORD DATABASES. IN ADDITION, METHODIST HOSPITALS PROVIDES WEB LINKS TO STATE AND FEDERAL INSURANCE PROGRAMS GEARED TOWARDS THE UNINSURED. THE METHODIST HOSPITALS, INC (NORTHLAKE CAMPUS) PART V, SECTION B, LINE 16J: METHODIST HOSPITALS' FINANCIAL ASSISTANCE POLICY AND INSTRUCTIONS ON HOW TO CONTACT METHODIST FOR ASSISTANCE AND FURTHER INFORMATION IS POSTED IN THE HOSPITAL AND CLINIC REGISTRATION AND ADMITTING LOCATIONS, AND IN THE EMERGENCY DEPARTMENT AND ON THE HOSPITAL'S WEBSITE. INFORMATION MAY ALSO BE OBTAINED FROM FINANCIAL COUNSELORS. IN ADDITION, METHODIST HOSPITALS INCLUDES A REFERENCE TO THE PAYMENT POLICIES AND FINANCIAL ASSISTANCE ON ALL PRINTED MONTHLY STATEMENTS AND COLLECTION LETTERS. THE METHODIST HOSPITALS, INC (SOUTHLAKE CAMPUS) PART V, SECTION B, LINE 16J: METHODIST HOSPITALS' FINANCIAL ASSISTANCE POLICY AND INSTRUCTIONS ON HOW TO CONTACT METHODIST FOR ASSISTANCE AND FURTHER INFORMATION IS POSTED IN THE HOSPITAL AND CLINIC REGISTRATION AND ADMITTING LOCATIONS, AND IN THE EMERGENCY DEPARTMENT AND ON THE HOSPITAL'S WEBSITE. INFORMATION MAY ALSO BE OBTAINED FROM FINANCIAL COUNSELORS. IN ADDITION, METHODIST HOSPITALS INCLUDES A REFERENCE TO THE PAYMENT POLICIES AND FINANCIAL ASSISTANCE ON ALL PRINTED MONTHLY STATEMENTS AND COLLECTION LETTERS. THE METHODIST HOSPITALS, INC (NORTHLAKE AND SOUTHLAKE CAMPUS) PART V, SECTION B, LINE 16A:HTTPS://METHODISTHOSPITALS.ORG/WP-CONTENT/UPLOADS/2021/06/PA_03-2021-FINANCIAL-ASSISTANCE-POLICY.PDF PART V, SECTION B, LINE 16B:HTTPS://METHODISTHOSPITALS.ORG/WP-CONTENT/UPLOADS/2021/03/FINANCIAL-ASSISTANCE-APPLICATION-ENGLISH2019.PDF PART V, SECTION B, LINE 16C:HTTPS://METHODISTHOSPITALS.ORG/WP-CONTENT/UPLOADS/2021/03/FINANCIAL-ASSISTANCE-PLAIN-LANGUAGE-SUMMARY.PDF 22 1 - METHODIST HOSPITALS MEDICAL OFFICE BUILD 101 E 87TH AVE MERRILLVILLE IN 46410 IMAGING AND LAB SERVICES; OUTPATIENT SURGERY CENTER; BREAST CENTER; PHYSICIA 2 - METHODIST HOSPITALS ENDOSCOPY CENTER 8895 BROADWAY MERRILLVILLE IN 46410 OUTPATIENT ENDOSCOPY CENTER 3 - METHODIST HOSPITALS INC 2269 WEST 25TH STREET GARY IN 46404 OUTPATIENT REHAB/PHYSICIAN OFFICES 4 - METHODIST HOSPITALS PHYSICIAN GROUP 5800 BROADWAY MERRILLVILLE IN 46410 PHYSICIAN OFFICES-CARDIOLOGY 5 - METHODIST HOSPITALS NORTHLAKE PHYSICIANS 650 GRANT ST GARY IN 46408 PHYSICIAN OFFICES-FAMILY MEDICINE, SURGERY, UROLOGY 6 - METHODIST HOSPITALS PHYSICIAN GROUP 202 E 86TH BROADWAY STES 200 201 202-B MERRILLVILLE IN 46410 PHYSICIAN OFFICES-CARDIOLOGY 7 - METHODIST HOSPITALS REHAB CENTER 303 E 89TH AVE MERRILLVILLE IN 46410 OUTPATIENT REHAB, HOME HEALTH SERVICES 8 - METHODIST HOSPITAL CARDIOGRAPHICS LLC 600 GRANT STREET GARY IN 46402 EKG READINGS 9 - METHODIST HOSPITALS CARE FIRSTCARDIAC R 751-761 EAST 81ST AVE MERRILLVILLE IN 46410 OUTPATIENT CARDIAC REHAB, IMMEDIATE CARE CLINIC, AND PHYSICIAN OFFICES-FAMIL 10 - METHODIST HOSPITALS PHYSICIAN GROUP 3195 BROADWAY GARY IN 46403 PHYSICIAN OFFICE-INTERNAL MEDICINE 11 - METHODIST HOSPITALS CENTER FOR ADVANCED 200 E 89TH AVE MERRILLVILLE IN 46410 PHYSICIAN OFFICES-NEUROSCIENCES 12 - SCHERERVILLE IMAGING CENTER 7860 BURR STREET SCHERERVILLE IN 46375 IMAGING CENTER 13 - METHODIST HOSPITALS PHYSICIAN GROUP 244 E 90TH DRIVE MERRILLVILLE IN 46410 PHYSICIAN OFFICE-PODIATRY 14 - METHODIST HOSPITALS PHYSICIAN GROUP 9105-A INDIANAPOLIS BLVD HIGHLAND IN 46322 PHYSICIAN OFFICE-PODIATRY 15 - METHODIST HOSPITALS PHYSICIAN GROUP 1275 E NORTH STREET CROWN POINT IN 46307 IMMEDIATE CARE CLINIC AND PHYSICIAN OFFICES 16 - METHODIST HOSPITALS PHYSICIAN GROUP 6101 MILLER AVE GARY IN 46403 PHYSICIAN OFFICE-INTERNAL MEDICINE 17 - METHODIST HOSPITALS PHYSICIAN GROUP 2200 GRANT ST GARY IN 46404 PHYSICIAN OFFICE-OB/GYN 18 - METHODIST HOSPITALS PHYSICIAN GROUP 502 EAST CULVER RD KNOX IN 46534 PHYSICIAN OFFICE-CARDIOLOGY AND PODIATRY 19 - METHODIST HOSPITALS PHYSICIAN GROUP 255 EAST 90TH DR - SUITE W1 MERRILLVILLE IN 46410 PHYSICIAN OFFICE-OTOLARYNGOLOGY 20 - METHODIST HOSPITALS PHYSICIAN GROUP 3229 BROADWAY - STE 104 GARY IN 46409 PHYSICIAN OFFICES-CARDIOLOGY 21 - METHODIST HOSPITALS PHYSICIAN GROUP 1212 BROAD ST GRIFFITH IN 46319 PHYSICIAN OFFICES-CARDIOLOGY 22 - METHODIST HOSPITALS PHYSICIAN GROUP 9731 PRAIRIE AVE HIGHLAND IN 46322 PHYSICIAN OFFICES-GASTROENTEROLOGY PART I, LINE 3C: METHODIST HOSPITALS USES PUBLISHED FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR CHARITY OR MAY BE ELIGIBLE FOR SLIDING-SCALE FINANCIAL RELIEF. IF A PATIENT IS DEEMED TO HAVE A CATASTROPHIC BALANCE WHICH IS A BALANCE DUE TO METHODIST HOSPITALS THAT IS GREATER THAN 25% OF THE PATIENT'S ANNUAL FAMILY INCOME AS DETERMINED OVER A 12-MONTH PERIOD, THE PATIENT MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. PART I, LINE 7: THE METHODOLOGY USED IS A COST-TO-CHARGE RATIO. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 18,154,636. PART II, COMMUNITY BUILDING ACTIVITIES: METHODIST HOSPITALS' COMMUNITY ENGAGEMENT INCLUDES A BROAD RANGE OF AFFILIATIONS AND PARTNERSHIPS INCLUDING THE CITY OF GARY, GARY LITERACY COALITION, YWCA OF GARY, LOCAL CHAMBERS OF COMMERCE, COMMUNITY ORGANIZATIONS FOR FAMILIES AND YOUTH, AND THE MERRILLVILLE HIGH SCHOOL INTERNSHIP PROGRAM. THE HOSPITAL IS ALSO A LEADER IN THE SUPPORT OF A NUMBER OF HEALTH ADVOCACY ORGANIZATION INCLUDING THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, PINK RIBBON SOCIETY, NATIONAL MULTIPLE SCLEROSIS SOCIETY, PARKINSON'S FOUNDATION, AND THE MARCH OF DIMES. METHODIST ALSO DEMONSTRATES ITS COMMITMENT TO THE HEALTH OF ITS SURROUNDING COMMUNITIES THROUGH A WIDE ARRAY OF COMMUNITY OUTREACH PROGRAMS INCLUDING: VARIOUS SCREENING PROGRAMS, SUPPORT GROUPS, FREE HEALTH FAIRS, AND EDUCATION SEMINARS. PART III, LINE 2: A SIGNIFICANT PORTION OF UNINSURED PATIENTS ARE UNABLE OR UNWILLING TO PAY FOR SERVICES RENDERED BY THE HOSPITAL. FOR THOSE PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, BASED ON HISTORICAL EXPERIENCE, A PROVISION FOR BAD DEBTS IS RECORDED RELATED TO THESE PARTICULAR PATIENTS. PART III, LINE 3: FOR UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR CHARITY CARE DUE TO INCOMPLETE APPLICATIONS, A PROVISON FOR BAD DEBT IS RECORDED BASED UPON HISTORICAL EXPERIENCE. PART III, LINE 4: GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE HOSPITAL ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE HOSPITAL ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, CHANGES IN ITS ESTIMATES OF IMPLICIT PRICE CONCESSIONS, DISCOUNTS, AND CONTRACTUAL ADJUSTMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS WERE NOT SIGNIFICANT. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. CONSISTENT WITH THE HOSPITAL'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE HOSPITAL HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE HOSPITAL EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. PART III, LINE 8: THE HOSPITAL DOES NOT REPORT ANY SHORTFALL WITH MEDICARE AS A COMMUNITY BENEFIT. 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 FPL. PATIENTS WHO HAVE THE ABILITY TO PAY, YET DEFAULT ON PAYMENT PLANS ARE SENT TO COLLECTIONS (BAD DEBT). ACCOUNTS EVALUATED FOR 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. PART VI, LINE 2: METHODIST HOSPITALS, 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 IMMEDIATE AREA AND SURROUNDING COMMUNITIES. METHODIST HOSPITAL PERFORMED AN ASSESSMENT TO DETERMINE THE HEALTH STATUS, BEHAVIORS, AND NEEDS FOR RESIDENTS IN THE HOSPITAL'S SERVICE AREAS. PART VI, LINE 3: 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. IN ADDITION, METHODIST PUBLICIZES ON ITS WEBSITE INFORMATION ABOUT THE VARIOUS FINANCIAL ASSISTANCE PLANS THAT A PATIENT MAY BE ELIGIBLE FOR ALONG WITH THE NECESSARY APPLICATIONS. PART VI, LINE 4: METHODIST HOSPITALS 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: IN EARLY 2020, METHODIST HOSPITALS HOSTED IN-PERSON EDUCATIONAL, PHYSICIAN-LED SEMINARS, PREVENTATIVE HEALTH EVENTS WITH SCREENINGS AND SUPPORT GROUPS FOR OUR COMMUNITY. DUE TO THE COVID-19 PANDEMIC, IN-PERSON EVENTS WERE HALTED FOR A PERIOD OF TIME IN ORDER TO PROTECT THOSE COMMUNITY MEMBERS WE SERVE. STARTING IN THE 3RD QUARTER OF 2020, METHODIST TRANSITIONED TO VIRTUAL SUPPORT GROUPS AND PHYSICIAN-LED EDUCATIONAL SEMINARS. THE MAJORITY OF THE GOVERNING BODY MEMBERS LIVE AND/OR WORK WITHIN METHODIST HOSPITALS' SERVICE AREAS. PART VI, LINE 6: N/A 0 AMERICAN HEART ASSOCIATION 405 BOARDWALK HEBRON IN 46341 135613797 501(C)(3) 25000 HEART DISEASE AWARENESS/PREVENTION PROGRAMS GARY LITERACY COALITION 650 GRANT ST - SUITE 5 GARY IN 46402 201323689 501(C)(3) 23374 SUPPORT LOCAL LITERACY PROGRAMS 2 PART I, LINE 2: THE ORGANIZATION DOES NOT MONITOR HOW THE GRANTS ARE USED BY THE ORGANIZATION RECEIVING THE FUNDS. X X X 1 1 0 0 0 0 0 1 0 RAYMOND GRADY CEO (THRU 4-2020) 217977 0 0 0 668409 0 5997 0 4203 0 896586 0 56919 0 ANDRE ARTIS MD PHYSICIAN 788854 0 29106 0 0 0 5700 0 20897 0 844557 0 0 0 MIHAS KODENCHERY MD PHYSICIAN 733131 0 33070 0 0 0 4275 0 25597 0 796073 0 0 0 VINEET SHAH MD PHYSICIAN 687411 0 5000 0 0 0 8550 0 26229 0 727190 0 0 0 HARISH A SHAH MD PHYSICIAN 648358 0 17633 0 0 0 8550 0 20897 0 695438 0 0 0 THACH NGUYEN MD PHYSICIAN 542289 0 18917 0 0 0 0 0 11561 0 572767 0 0 0 MATTHEW DOYLE CFO (THRU 4-2020); CEO (BEG. 5-2020) 477938 0 10000 0 0 0 0 0 20453 0 508391 0 0 0 VINCENT SEVIER MD CHIEF MEDICAL OFFICER 372602 0 0 0 0 0 8550 0 25235 0 406387 0 0 0 JAMES RENNEKER CHIEF NURSING OFFICER (THRU 7-2020) 187216 0 0 0 164416 0 5464 0 7092 0 364188 0 0 0 MARLA HOYER-LAREAU CHIEF ADMINISTRATIVE OFFICER 296280 0 0 0 0 0 5538 0 16566 0 318384 0 0 0 WRIGHT ALCORN VP OF OPERATIONS 272250 0 0 0 0 0 3741 0 18107 0 294098 0 0 0 TRACEY CRANDALL VP OF HUMAN RESOURCES (THRU 9-2020) 212811 0 0 0 0 0 0 0 18172 0 230983 0 0 0 PART I, LINES 4A-B LINE 4A: RAYMOND GRADY RECEIVED A SEVERANCE PAYMENT OF $369,540 IN THE CALENDAR YEAR 2020. JAMES RENNEKER RECEIVED A SEVERANCE PAYMENT OF $113,979 IN THE CALENDAR YEAR 2020. LINE 4B: RAYMOND GRADY PARTICIPATES IN A 457(F) PLAN. THE PURPOSE OF THE PLAN IS TO PROVIDE DEFERRED COMPENSATION PRIMARILY FOR THE PARTICIPANT. THE 457(F) PLAN IS AVAILABLE TO A SELECT GROUP OF MANAGEMENT AND HIGHLY COMPENSATED EMPLOYEES. RAYMOND GRADY RECEIVED A DISTRIBUTION FROM THE PLAN OF $56,919 IN THE CALENDAR YEAR 2020. PART I, LINE 7 AS INDICATED IN SCHEDULE J, PART II, OFFICERS AND OTHER KEY EMPLOYEES RECEIVED A BONUS BASED ON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THIS BONUS WAS APPROVED BY THE EXECUTIVE STAFF FOR DIRECTOR-LEVEL BONUSES AND BY THE BOARD FOR EXECUTIVE STAFF-LEVEL BONUSES. A INDIANA FINANCE AUTHORITY 351602316 45471AMK5 2014-08-27 52517507 REFUND PRIOR ISSUE DATED 8/15/2001 0 1 0 A 2455000 52517507 4672245 425250 2005 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 1 1 A 0 FORM 990, PART VI, SECTION B, LINE 11B 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 QUESTIONNAIRES 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 2020. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 6,135,810. MANAGEMENT AND GENERAL EXPENSES 38,867. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,174,677. CONSULTING: PROGRAM SERVICE EXPENSES 664,572. MANAGEMENT AND GENERAL EXPENSES 199,619. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 864,191. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 10,046,029. MANAGEMENT AND GENERAL EXPENSES 48,865. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,094,894. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 23,773,087. MANAGEMENT AND GENERAL EXPENSES 5,971,751. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,744,838. BILLING: PROGRAM SERVICE EXPENSES 90,070. MANAGEMENT AND GENERAL EXPENSES 24,080. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,150. MARKETING: PROGRAM SERVICE EXPENSES 149,972. MANAGEMENT AND GENERAL EXPENSES 25,310. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,282. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 101,613. MANAGEMENT AND GENERAL EXPENSES 17,027. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,640. REFERENCE LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 5,646,158. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,646,158. TRANSPORTATION SERVICES: PROGRAM SERVICE EXPENSES 527,261. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 527,261. COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 859,104. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 859,104. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST -2,997,262. GOODWILL IMPAIRMENT -680,000. FORM 990, PART XII, LINE 3B: THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 HAS NOT BEEN COMPLETED YET FOR THE CALENDAR YEAR-END 12/31/20, BUT PLANS TO BE COMPLETED BY THE EXTENDED DUE DATE AS ESTABLISHED IN OMB M-20-26. 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