2015-11-13T08:45:09-06:00 2014-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2014-01-01 350868133 THE METHODIST HOSPITALS INC METH 2198864402 600 GRANT STREET GARY IN 46402 MATTHEW DOYLE CFO 2198864549 2015-11-09 1 CAROL LALONDE CPA P00181637 2695674500 2014 2016-02-25 16:41:14Z RAYMOND GRADY 600 GRANT STREET GARY IN 46402 356211095 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 14 2742 150 -7870 -7870 147616 255401 348494695 347018545 4895042 8145622 449161 404633 353986514 355824201 537761 695168 0 0 163397869 168686189 0 0 0 178845332 176133321 342780962 345514678 11205552 10309523 391073324 381811434 144138495 150775803 246934829 231035631 X THE METHODIST HOSPITALS, INC'S MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE SERVICES TO ALL THOSE IN NEED. 0 0 307806889 695168 347026415 THE METHODIST HOSPITALS, INC. HAS A COMMITMENT TO RESPOND TO THE NEEDS OF ITS DIVERSE COMMUNITIES BY PROVIDING QUALITY SERVICES TO ALL THOSE IN NEED. 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 SYSTEM 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. 307806889 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 0 0 0 1 257 0 1 2742 1 1 1 0 0 0 0 0 0 0 0 0 X 16 14 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 JOHN A LOWENSTINE CPA BOARD TREASURER 2.00 0.00 X X 6000 0 0 MAMON POWERS JR BOARD CHAIRMAN 2.00 2.20 X X 0 0 0 SCOTT T RIBORDY BOARD VICE-CHAIRMAN 2.00 1.70 X X 6000 0 0 FRANCES TAYLOR BOARD SECRETARY 2.00 0.00 X X 6000 0 0 BHARAT H BARAI MD BOARD MEMBER 2.00 0.00 X 98800 0 0 DOUGE BARTHELEMY MD BOARD MEMBER 2.00 0.00 X 5875 0 0 WILLIAM G BRAMAN BOARD MEMBER 2.00 0.00 X 6000 0 0 CHARLES D BROOKS JR BOARD MEMBER 2.00 0.00 X 6000 0 0 MATTISON A DILTS BOARD MEMBER 2.00 0.00 X 5000 0 0 F RITCHEY EIBEL BOARD MEMBER 2.00 0.00 X 6000 0 0 GLENN C HANNAH BOARD MEMBER 2.00 0.00 X 6000 0 0 ROBERT E JOHNSON III BOARD MEMBER 2.00 1.70 X 6000 0 0 IJ ROBERTS BOARD MEMBER 2.00 0.00 X 6000 0 0 GLENN S VICIAN BOARD MEMBER 2.00 0.00 X 6000 0 0 REV LARRY WHITEHEAD BOARD MEMBER 2.00 0.00 X 5500 0 0 KATRINA WRIGHT MD BOARD MEMBER 2.00 0.00 X 7075 0 0 MICHAEL DAVENPORT MD INTERIM CEO AND CMO 40.00 0.00 X 446077 0 23297 MATTHEW DOYLE CHIEF FINANCIAL OFFICER 40.00 0.00 X 345422 0 19463 ALEXANDER HORVATH VP HUMAN RESOURCES 40.00 0.00 X 321259 0 20615 SHELLY MAJOR CHIEF NURSING OFFICER 40.00 0.00 X 304277 0 25611 WRIGHT ALCORN VP OPERATIONS 40.00 0.00 X 292327 0 18234 JAMES KIRCHNER VP PHYSICIAN INTEGRATION 40.00 0.00 X 265833 0 23993 ANDRE ARTIS PHYSICIAN 40.00 0.00 X 1023434 0 23746 KEVIN WALDRON PHYSICIAN 40.00 0.00 X 831765 0 26756 VINEET SHAH PHYSICIAN 40.00 0.00 X 678481 0 19176 JUDSON WOOD JR PHYSICIAN 40.00 0.00 X 637887 0 15106 MIHAS KODENCHERY PHYSICIAN 40.00 0.00 X 548510 0 22835 IAN MCFADDEN FORMER CEO 0.00 0.00 X 300864 0 0 6178386 0 238832 103 1 1 0 COMPREHENSIVE PHARMACY SERVICES PO BOX 638316 CINCINNATI OH 45263 PHARMACY SERVICES 14750673 CRAWFORD AVENUE ANESTHESIA 301 N MADISON ST JOLIET MI 60435 ANESTHESIA SERVICES 6071917 CROTHALL SERVICES GROUP 13028 COLLECTION CENTER DR CHICAGO IL 60693 BIOMEDICAL SERVICES 4933161 HLS-WHEELING LLC 13028 COLLECTION CENTER DR CHICAGO IL 60693 LAUNDRY SERVICES 1515993 HODGES & DAVIS PC 8700 BROADWAY MERRILLVILLE IN 46410 LEGAL SERVICES 1061329 26 7629 21004 226768 255401 HEALTHCARE AND SOCIAL ASSISTANCE 621500 290592252 290592252 DISPROPORTIONATE SHARE 621500 52590865 52590865 OTHER PATIENT SERVICES 621500 3820381 3820381 EMR INCENTIVE PAYMENTS 900099 22917 22917 PARTNERSHIP INCOME 621500 -7870 -7870 347018545 2530766 2530766 791527 386894 404633 404633 404633 5600742 14114 0 0 5600742 14114 5614856 5614856 355824201 347026415 -7870 8550255 695168 695168 2590582 183311 2407271 134713481 120730645 13982836 1019933 929472 90461 20842192 18386750 2455442 9520001 8341895 1178106 1292773 1142114 150659 145942 128934 17008 174182 153883 20299 391457 345837 45620 33766687 29429644 4337043 1092097 963966 128131 65414700 58346660 7068040 4593381 4068365 525016 10204765 8302966 1901799 309592 260881 48711 88699 46597 42102 4860570 4337083 523487 19087834 16919396 2168438 3831678 3475779 355899 BAD DEBT EXPENSE 18545848 18545848 MEDICAID ASSESSMENT FEE 11472670 11472670 DUES & SUBSCRIPTIONS 680497 429337 251160 LICENSES 179949 169688 10261 345514678 307806889 37707789 0 8330976 12501673 10935255 8830098 62832962 67295649 35421 10588793 10977428 3467603 3335524 502326368 377251234 129552950 125075134 158762553 146999778 380560 349902 6186251 6446248 391073324 381811434 32704090 31937324 58917635 52411281 23475296 22417505 29041474 44009693 144138495 150775803 X 246632055 230691312 277774 319319 25000 25000 246934829 231035631 391073324 381811434 X 10309523 -3845886 -22362835 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 108170 0 1 66012 174182 0 PART II-B, LINE 1: ENGAGED FAEGRE BAKER DANIELS, LLP 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 CHIEF CONSULTANT OF GOVERNMENTAL 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 II-B, LINE 1(G): THE CHIEF CONSULTANT OF GOVERNMENTAL AFFAIRS MEETS WITH STATE AND LOCAL LEGISLATORS ON ISSUES AFFECTING THE ORGANIZATION. 3745499 3745499 255456781 193948552 61508229 210930163 173448052 37482111 32193925 9854630 22339295 125075134 THIRD PARTY PAYOR SETTLEMENT 7953671 ESTIMATED SELF INSURANCE LIABILITY 6474632 ASBESTOS MITIGATION LIABILITY 534438 PENSION & POST RETIREMENT OBLIGATIONS 28127127 OTHER LIABILITES 914388 GUARANTEES TO PHYSICIANS 5437 44009693 X 334044861 -3845886 -18320348 -22166234 356211095 -386894 -386894 355824201 327818177 849347 849347 326968830 18545848 18545848 345514678 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RULED THAT THE HOSPITAL AND ITS SUBSIDIARIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM FOUNDATION 225,500. BAD DEBT EXPENSE -18,545,848. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -386,894. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION EXPENSES 462,453. RENTAL EXPENSES 386,894. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 18,545,848. 1 1 X 1 X 1 X 1 1 1 0 1 1 19312017 19312017 0.05910 81879431 90220371 -8340940 0.00000 5891671 5891671 0.01800 107083119 90220371 16862748 0.07710 40 7672 574350 574350 0.00180 2 71 673342 362035 311307 0.00100 1 12 80 80 0.00000 3 700 700798 700798 0.00210 46 8455 1948570 362035 1586535 0.00490 46 8455 109031689 90582406 18449283 0.08200 1 18545848 4952650 88884306 100961116 -12076810 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 0 1 X X X X X X X X X X 12 1 1 0 1 X HTTP://WWW.METHODISTHOSPITALS.ORG/ABOUT_METHODIST/COMMUNITY-HEALTH-NEEDS-AS X 1 12 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X X 1 X X X X X X X X X 1 X 0 X X X 1 X 0 1 THE METHODIST HOSPITAL INC 2 0 0 1 X X X X X X X X X X 12 1 1 0 1 X HTTP://WWW.METHODISTHOSPITALS.ORG/ABOUT_METHODIST/COMMUNITY-HEALTH-NEEDS-AS X 1 12 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X X 1 X X X X X X X X X 1 X 0 X X X 1 X 0 1 THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 3J: THE CHNA THAT WAS CONDUCTED IN 2012 DETAILS: THE SIGNIFICANT HEALTH NEEDS OF THE SURROUNDING COMMUNITY; THE GENERAL HEALTH STATUS; DEATH, DISEASE, AND CHRONIC CONDITIONS THAT ARE PREVALENT; MODIFIABLE HEALTH RISKS; IDENTIFIES POTENTIAL HEALTHCARE ACCESS ISSUES; AND IDENTIFIES WHAT SOURCES COMMUNITY MEMBERS USE TO ACCESS HEALTHCARE INFORMATION. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 3J: THE CHNA THAT WAS CONDUCTED IN 2012 DETAILS: THE SIGNIFICANT HEALTH NEEDS OF THE SURROUNDING COMMUNITY; THE GENERAL HEALTH STATUS; DEATH, DISEASE, AND CHRONIC CONDITIONS THAT ARE PREVALENT; MODIFIABLE HEALTH RISKS; IDENTIFIES POTENTIAL HEALTHCARE ACCESS ISSUES; AND IDENTIFIES WHAT SOURCES COMMUNITY MEMBERS USE TO ACCESS HEALTHCARE INFORMATION. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED A TELEPHONE SURVEY OF 473 RESIDENTS OF METHODIST HOSPITALS' NORTHLAKE CAMPUS SERVICE AREA AND 801 RESIDENTS OF THE SOUTHLAKE CAMPUS SERVICE AREA. ALL INTERVIEWS WERE OF ADULTS AGED 18 PLUS. THE SURVEY DATA WERE WEIGHTED IN ORDER TO ENSURE THAT THE RESULTS WERE GEOGRAPHICALLY AND DEMOGRAPHICALLY REPRESENTATIVE OF OUR SERVICE AREA POPULATIONS. IN ADDITION, FIVE FOCUS GROUPS WERE CONDUCTED WITH PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, COMMUNITY AND BUSINESS LEADERS, AND LEADERS OF AREA SOCIAL SERVICE AGENCIES. THOSE INTERVIEWED WERE: PHYSICIANS - DR. ALEX STEMER, PRESIDENT, FRANCISCAN MEDICAL SPECIALISTS; PEDIATRICIANS DR. HEMENDRA PARIKH AND DR. STEVE SIMPSON; PATHOLOGIST DR L. TERESA VAZQUEZ; FAMILY PRACTITIONER DR. MARK FELDNER, RADIOLOGIST DR. MARY NICHOLSON; GENETICIST DR. JANICE ZUNICH AND DR. JANET SEABROOK, EXECUTIVE DIRECTOR, GARY COMMUNITY HEALTH CENTER. OTHER HEALTH PROVIDERS - GEORGE KUCKA, OWNER, FAIRMEADOWS HOME HEALTH; JANICE WILSON, CEO, NORTHSHORE HEALTH CENTERS; KAY SULLIVAN, NP, MANAGER OF US STREEL MEDICAL, GARY WORKS PLANT; DR. LISA GREEN, CEO, FAMILY CHRISTIAN HEALTH CENTER; MARY PURTILLO, NEONATAL REGISTERED NURSE; OLGA GONZALES, MANAGER, WOMEN'S CARE CENTER OF NORTHWEST INDIANA; RISE ROSS RATNEY, CEO, HEALTHY START; TRACY TUCKER, SCHOOL NURSE, EGGERS MIDDLE SCHOOL, SUZANNE RUIZ, WOMEN'S DIAGNOSTIC CENTER, JERRY MILLER, COO, PROMPT AMBULANCE, LOUISE THOMPSON, EXECUTIVE DIRECTOR, ALHEIMER'S ASSOCIATION, NWI. SOCIAL SERVICE PROVIDERS - DAVID COLLINS, CORPRATE RELATIONS, OPPORTUNITY ENTERPRISES; DIANE CRAFT, FOUNDER, WE CARE FROM THE HEART; DIANE KEMP, EXECUTIVE DIRECTOR, AMERICAN HEART ASSOCIATION, NWI; DON BARNES, PRESIDENT OF THE BOARD, HEALTH VISIONS MIDWEST; DUANE DEDALOW, EXECUTIVE DIRECTOR, CATHOLIC CHARITIES, DIOCESE OF GARY; GARY OLUND, PRESIDENT & CEO, NORTHWEST INDIANA COMMUNITY ACTION; GORDON JOHNSON, CEO, AMERICAN RED CROSS OF NWI; GRACE TALBOT, DIRECTOR, HAMMOND RESCUE MISSION; JANE BISBEE, REGIONAL MANAGER, CHILDREN'S PROTECTION SERVICES; JULIE MALLERS, MANAGER, ST. CLARE CLINIC; LOU MARTINEZ, PRESIDENT, LAKE COUNTY UNITED WAY; PHIL MALLERS, CEO, SOUTHLAKE YMCA. BUSINESS AND COMMUNITY LEADERS - JOE ALLIGRETTI, FRANCISCAN ALLIANCE BOARD MEMBER, KEITH KIRKPATRICK, EXECUTIVE DIRECTOR, LEADERSHIP OF NORTHWEST INDIANA; SR. MICHELE DVORAK, DIRECTOR OF EDUCATION PROGRAMS, CALUMET COLLEGE OF ST. JOSEPH;THOMAS KEILMAN, DIRECTOR, GOVERNMENT AND PUBLIC AFFAIRS, BP WHITING; DR. AMY HAN, DIRECTOR, CLINICAL AFFAIRS, INDIANA UNIVERSITY NORTHWEST SCHOOL OF NURSING; GILDA ORANGE, NORTH TOWNSHIP TRUSTEE; LINDA DELUNAS, DIRECTOR, SCHOOL OF NURSING, INDIANA UNIVERSITY NORTHWEST; PAT HUBER, EXECUTIVE DIRECTOR, CROWN POINT COMMUNITY FOUNDATION; DR. PEGGY GERARD, DEAN, SCHOOL OF NURSING, PURDUE CALUMET; RIC FRATACCIA, SUPERINTENDENT OF SCHOOLS, PORTAGE, INDIANA; TOM DEGIULIO, TOWN MANAGER, MUNSTER, INDIANA; REV. DR. DAVID NEVILLE, DIRECTOR, SPIRITUAL CARE, METHODIST HOSPITALS, MARY MCSHANE, MCSHANE, HUNTER & ASSOCIATES, LLC. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED A TELEPHONE SURVEY OF 473 RESIDENTS OF METHODIST HOSPITALS' NORTHLAKE CAMPUS SERVICE AREA AND 801 RESIDENTS OF THE SOUTHLAKE CAMPUS SERVICE AREA. ALL INTERVIEWS WERE OF ADULTS AGED 18 PLUS. THE SURVEY DATA WERE WEIGHTED IN ORDER TO ENSURE THAT THE RESULTS WERE GEOGRAPHICALLY AND DEMOGRAPHICALLY REPRESENTATIVE OF OUR SERVICE AREA POPULATIONS. IN ADDITION, FIVE FOCUS GROUPS WERE CONDUCTED WITH PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, COMMUNITY AND BUSINESS LEADERS, AND LEADERS OF AREA SOCIAL SERVICE AGENCIES. THOSE INTERVIEWED WERE: PHYSICIANS - DR. ALEX STEMER, PRESIDENT, FRANCISCAN MEDICAL SPECIALISTS; PEDIATRICIANS DR. HEMENDRA PARIKH AND DR. STEVE SIMPSON; PATHOLOGIST DR L. TERESA VAZQUEZ; FAMILY PRACTITIONER DR. MARK FELDNER, RADIOLOGIST DR. MARY NICHOLSON; GENETICIST DR. JANICE ZUNICH AND DR. JANET SEABROOK, EXECUTIVE DIRECTOR, GARY COMMUNITY HEALTH CENTER. OTHER HEALTH PROVIDERS - GEORGE KUCKA, OWNER, FAIRMEADOWS HOME HEALTH; JANICE WILSON, CEO, NORTHSHORE HEALTH CENTERS; KAY SULLIVAN, NP, MANAGER OF US STREEL MEDICAL, GARY WORKS PLANT; DR. LISA GREEN, CEO, FAMILY CHRISTIAN HEALTH CENTER; MARY PURTILLO, NEONATAL REGISTERED NURSE; OLGA GONZALES, MANAGER, WOMEN'S CARE CENTER OF NORTHWEST INDIANA; RISE ROSS RATNEY, CEO, HEALTHY START; TRACY TUCKER, SCHOOL NURSE, EGGERS MIDDLE SCHOOL, SUZANNE RUIZ, WOMEN'S DIAGNOSTIC CENTER, JERRY MILLER, COO, PROMPT AMBULANCE, LOUISE THOMPSON, EXECUTIVE DIRECTOR, ALHEIMER'S ASSOCIATION, NWI. SOCIAL SERVICE PROVIDERS - DAVID COLLINS, CORPRATE RELATIONS, OPPORTUNITY ENTERPRISES; DIANE CRAFT, FOUNDER, WE CARE FROM THE HEART; DIANE KEMP, EXECUTIVE DIRECTOR, AMERICAN HEART ASSOCIATION, NWI; DON BARNES, PRESIDENT OF THE BOARD, HEALTH VISIONS MIDWEST; DUANE DEDALOW, EXECUTIVE DIRECTOR, CATHOLIC CHARITIES, DIOCESE OF GARY; GARY OLUND, PRESIDENT & CEO, NORTHWEST INDIANA COMMUNITY ACTION; GORDON JOHNSON, CEO, AMERICAN RED CROSS OF NWI; GRACE TALBOT, DIRECTOR, HAMMOND RESCUE MISSION; JANE BISBEE, REGIONAL MANAGER, CHILDREN'S PROTECTION SERVICES; JULIE MALLERS, MANAGER, ST. CLARE CLINIC; LOU MARTINEZ, PRESIDENT, LAKE COUNTY UNITED WAY; PHIL MALLERS, CEO, SOUTHLAKE YMCA. BUSINESS AND COMMUNITY LEADERS - JOE ALLIGRETTI, FRANCISCAN ALLIANCE BOARD MEMBER, KEITH KIRKPATRICK, EXECUTIVE DIRECTOR, LEADERSHIP OF NORTHWEST INDIANA; SR. MICHELE DVORAK, DIRECTOR OF EDUCATION PROGRAMS, CALUMET COLLEGE OF ST. JOSEPH;THOMAS KEILMAN, DIRECTOR, GOVERNMENT AND PUBLIC AFFAIRS, BP WHITING; DR. AMY HAN, DIRECTOR, CLINICAL AFFAIRS, INDIANA UNIVERSITY NORTHWEST SCHOOL OF NURSING; GILDA ORANGE, NORTH TOWNSHIP TRUSTEE; LINDA DELUNAS, DIRECTOR, SCHOOL OF NURSING, INDIANA UNIVERSITY NORTHWEST; PAT HUBER, EXECUTIVE DIRECTOR, CROWN POINT COMMUNITY FOUNDATION; DR. PEGGY GERARD, DEAN, SCHOOL OF NURSING, PURDUE CALUMET; RIC FRATACCIA, SUPERINTENDENT OF SCHOOLS, PORTAGE, INDIANA; TOM DEGIULIO, TOWN MANAGER, MUNSTER, INDIANA; REV. DR. DAVID NEVILLE, DIRECTOR, SPIRITUAL CARE, METHODIST HOSPITALS, MARY MCSHANE, MCSHANE, HUNTER & ASSOCIATES, LLC. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 6A: COMMUNITY HEALTHCARE SYSTEM AND FRANCISCAN ALLIANCE OF NORTHWEST INDIANA THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 6A: COMMUNITY HEALTHCARE SYSTEM AND FRANCISCAN ALLIANCE OF NORTHWEST INDIANA THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 11: METHODIST HOSPITALS USED THE CHNA TO IDENTIFY ISSUES OF GREATEST CONCERN AND DEVELOPED ACTION PLANS ON KEY FOCUS AREAS IN WHICH TO COMMIT RESOURCES IN ORDER TO IMPROVE RESIDENT'S HEALTH, IMPROVE QUALITY OF LIFE, REDUCE HEALTH DISPARITIES AND TO INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES. IN 2014 PROGRAMS AND SERVICES ENACTED BASED ON NEEDS IDENTIFIED IN THE CHNA INCLUDED THE FOLLOWING FOCUS AREAS: VIOLENCE AND INJURY PREVENTION, TEEN BIRTH, NUTRITION AND PHYSICAL ACTIVITY, KIDNEY DISEASE, HEART DISEASE AND STROKE, DIABETES, CANCER.METHODIST HOSPITALS DOES NOT CURRENTLY HAVE PROGRAMS THAT SPECIFICALLY ADDRESS THE REGION'S HIGHER THAN AVERAGE TOBACCO USE RATES OR PERCEIVED LACK OF DENTAL CARE. THE TASK FORCE CHARGED WITH DEVELOPING ACTION PLANS BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL DEVELOP PRIORITIES AND FUTURE PLANS FOR ADDRESSING THESE UNMET NEEDS. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 11: METHODIST HOSPITALS USED THE CHNA TO IDENTIFY ISSUES OF GREATEST CONCERN AND DEVELOPED ACTION PLANS ON KEY FOCUS AREAS IN WHICH TO COMMIT RESOURCES IN ORDER TO IMPROVE RESIDENT'S HEALTH, IMPROVE QUALITY OF LIFE, REDUCE HEALTH DISPARITIES AND TO INCREASE ACCESSIBILITY TO PREVENTATIVE SERVICES. IN 2014 PROGRAMS AND SERVICES ENACTED BASED ON NEEDS IDENTIFIED IN THE CHNA INCLUDED THE FOLLOWING FOCUS AREAS: VIOLENCE AND INJURY PREVENTION, TEEN BIRTH, NUTRITION AND PHYSICAL ACTIVITY, KIDNEY DISEASE, HEART DISEASE AND STROKE, DIABETES, CANCER.METHODIST HOSPITALS DOES NOT CURRENTLY HAVE PROGRAMS THAT SPECIFICALLY ADDRESS THE REGION'S HIGHER THAN AVERAGE TOBACCO USE RATES OR PERCEIVED LACK OF DENTAL CARE. THE TASK FORCE CHARGED WITH DEVELOPING ACTION PLANS BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL DEVELOP PRIORITIES AND FUTURE PLANS FOR ADDRESSING THESE UNMET NEEDS. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 13H: FAMILY UNIT - NUMBER AND EXPENSES THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 13H: FAMILY UNIT - NUMBER AND EXPENSES THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 15E: METHODIST HOSPITALS ALSO PROVIDES INFORMATION ON THEIR WEBSITE FOR THE "HEALTHY INDIANA PLAN" AND "HOOSIER HEALTHWISE" INSURANCE PLANS AND THE APPLICATIONS NEEDED TO APPLY. IN ADDITION, PATIENTS MAY CONTACT THE HOSPITAL'S FINANCIAL SERVICES OFFICE FOR HELP IN COMPLETING THESE APPLICATIONS. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 15E: METHODIST HOSPITALS ALSO PROVIDES INFORMATION ON THEIR WEBSITE FOR THE "HEALTHY INDIANA PLAN" AND "HOOSIER HEALTHWISE" INSURANCE PLANS AND THE APPLICATIONS NEEDED TO APPLY. IN ADDITION, PATIENTS MAY CONTACT THE HOSPITAL'S FINANCIAL SERVICES OFFICE FOR HELP IN COMPLETING THESE APPLICATIONS. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 16I: WHEN UNINSURED PATIENTS OR THOSE THAT FAIL TO PROVIDE METHODIST WITH ADEQUATE BILLING INFORMATION UNDERGO THE REGISTRATION PROCESS, THEY ARE NOTIFIED THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE TO THEM. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 16I: WHEN UNINSURED PATIENTS OR THOSE THAT FAIL TO PROVIDE METHODIST WITH ADEQUATE BILLING INFORMATION UNDERGO THE REGISTRATION PROCESS, THEY ARE NOTIFIED THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE TO THEM. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 22D: THE FINANCIAL ASSISTANCE POLICY DEFINES THE LEVEL OF ASSISTANCE THAT A PATIENT MAY BE ELIGIBLE FOR. IT IS BASED ON INCOME LEVELS AS COMPARED TO A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES; THE ONLY QUALIFICATION IS THAT THE PATIENT DOES NOT HAVE INSURANCE. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 22D: THE FINANCIAL ASSISTANCE POLICY DEFINES THE LEVEL OF ASSISTANCE THAT A PATIENT MAY BE ELIGIBLE FOR. IT IS BASED ON INCOME LEVELS AS COMPARED TO A PERCENTAGE OF THE FEDERAL POVERTY GUIDELINES; THE ONLY QUALIFICATION IS THAT THE PATIENT DOES NOT HAVE INSURANCE. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 24: THE HOSPITAL CHARGES ALL PATIENTS THE SAME RATES REGARDLESS OF INCOME LEVELS. THE HOSPITAL WILL WRITE-OFF THE CHARGE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY LEVELS MAINTAINED IN THE HELPING HEART FINANCIAL ASSISTANCE PROGRAM. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 24: 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 V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.METHODISTHOSPITALS.ORG/BILLING_INFO/OBTAINING-FINANCIAL-ASSISTAN THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 16B WEBSITE: HTTP://METHODISTHOSPITALS.ORG/WP-CONTENT/UPLOADS/2014/10/FINASSIST1.PDF THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.METHODISTHOSPITALS.ORG/BILLING_INFO/OBTAINING-FINANCIAL-ASSISTAN THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 16A WEBSITE: HTTP://WWW.METHODISTHOSPITALS.ORG/BILLING_INFO/OBTAINING-FINANCIAL-ASSISTAN THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 16B WEBSITE: HTTP://METHODISTHOSPITALS.ORG/WP-CONTENT/UPLOADS/2014/10/FINASSIST1.PDF THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 16C WEBSITE: HTTP://WWW.METHODISTHOSPITALS.ORG/BILLING_INFO/OBTAINING-FINANCIAL-ASSISTAN 24 METHODIST HOSPITALS MEDICAL OFFICE BLDG 101 E 87TH AVE MERRILLVILLE IN 46410 IMAGING AND LAB SERVICES; OUTPATIENT SURGERY CENTER; BREAST CENTER; PHYSICIA METHODIST HOSPITALS PHYSICIAN GROUP 5800 BROADWAY MERRILLVILLE IN 46410 PHYSICIAN OFFICES-CARDIOLOGY METHODIST HOSPITALS ENDOSCOPY CENTER 8895 BROADWAY MERRILLVILLE IN 46410 OUTPATIENT ENDOSCOPY CENTER METHODIST HOSPITALS INC 2269 WEST 25TH STREET GARY IN 46404 OUTPATIENT REHAB/PHYSICIAN OFFICES METHODIST HOSPITALS CENTER FOR ADVANCED 200 E 89TH AVE MERRILLVILLE IN 46410 PHYSICIAN OFFICES-NEUROSCIENCES AND ORTHOPEDICS METHODIST HOSPITALS REHAB CENTER 303 E 89TH AVE MERRILLVILLE IN 46410 OUTPATIENT REHAB METHODIST HOSPITALS PHYSICIAN GROUP 99 E 86TH AVE - STE CF MERRILLVILLE IN 46410 PHYSICIAN OFFICE-ORTHOPEDICS METHODIST HOSPITALS HOME HEALTH CENTER 650 GRANT ST GARY IN 46408 HOME HEALTH SERVICES METHODIST HOSPITALS PHYSICIAN GROUP 6101 MILLER AVE GARY IN 46403 PHYSICIAN OFFICE-INTERNAL MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 3195 BROADWAY GARY IN 46403 PHYSICIAN OFFICE-INTERNAL MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 801 WEST GLEN PARK AVE GRIFFITH IN 46319 PHYSICIAN OFFICES-GENERAL SURGEON METHODIST HOSPITALS PHYSICIAN GROUP 9235 BROADWAY MERRILLVILLE IN 46410 PHYSICIAN OFFICE-ORTHOPEDICS METHODIST HOSPITALS PHYSICIAN GROUP 9105-A INDIANAPOLIS BLVD HIGHLAND IN 46322 PHYSICIAN OFFICE-PODIATRY METHODIST HOSPITALS PHYSICIAN GROUP 6111 HARRISON ST - STE 252 MERRILLVILLE IN 46410 PHYSICIAN OFFICE-GENERAL SURGERY METHODIST HOSPITALS PHYSICIAN GROUP 8777 BROADWAY MERRILLVILLE IN 46410 PHYSICIAN OFFICES-FAMILY MEDICINE & INTERNAL MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 10 NMICHIGAN HOBART IN 46342 PHYSICIAN OFFICE-INTERNAL MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 704 SOUTH STATE ROAD 2 HEBRON IN 46341 PHYSICIAN OFFICE-FAMILY MEDICINE METHODIST HOSPITALS CARDIAC REHAB 753 EAST 81ST AVE-STE 4 MERRILLVILLE IN 46410 OUTPATIENT CARDIAC REHAB METHODIST HOSPITALS PHYSICIAN GROUP 2200 GRANT ST GARY IN 46404 PHYSICIAN OFFICE-OB/GYN METHODIST HOSPITALS PHYSICIAN GROUP 11496 BROADWAY CROWN POINT IN 46307 PHYSICIAN OFFICES-FAMILY MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 10200 WICKER AVE-STE 1 ST JOHN IN 46375 PHYSICIAN OFFICE-INTERNAL MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 6111 HARRISON ST - STE 331 MERRILLVILLE IN 46410 PHYSICIAN OFFICES-FAMILY MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 119 E 89TH AVE MERRILLVILLE IN 46410 PHYSICIAN OFFICES-GENERAL SURGERY METHODIST HOSPITALS PHYSICIAN GROUP 1201 CUMBERLAND CROSSING DR VALPARAISO IN 46383 PHYSICIAN OFFICES-FAMILY MEDICINE PART I, LINE 7: METHODIST HOSPITALS, INC USES PUBLISHED FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR CHARITY. PART I, LN 7 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 $18,545,848. PART II, COMMUNITY BUILDING ACTIVITIES: METHODIST HOSPITALS CONTINUES ITS PARTICIPATION IN THE NW INDIANA HEALTH DISPARITIES COUNCIL WHOSE GOAL IS TO IMPROVE ACCESS TO HEALTHCARE FOR THE UNDERSERVED POPULATION OF THIS REGION. METHODIST HOSPITALS' COMMUNITY ENGAGEMENT INCLUDES A BROAD RANGE OF PARTNERSHIPS INCLUDING THE GARY YWCA, GARY LITERACY COALITION,CITY OF GARY, LOCAL CHAMBERS OF COMMERCE, COMMUNITY ORGANIZATIONS FOR FAMILIES AND YOUTH, THE VALPARAISO YMCA, 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, MULTIPLE SCLEROSIS SOCIETY, JUVENILE DIABETES RESEARCH FOUNDATION, 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 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. 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 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. 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 ALSO HAD AN INDEPENDENT COMMUNITY HEALTH NEEDS ASSESSMENT PERFORMED TO DETERMINE THE HEALTH STATUS, BEHAVIORS, AND NEEDS OR RESIDENTS IN THE HOSPITAL'S SERVICE AREAS. 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. 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: METHODIST HOSPITALS, INC. PROVIDES MONTHLY STROKE AND CANCER SCREENINGS, AND THROUGHOUT THE YEAR OFFERS: PREVENTATIVE HEALTHCARE SCREENINGS, WORKSHOPS, INTERNSHIPS FOR HIGHSCHOOL STUDENTS, EDUCATIONAL SEMINARS, AND HOSTS VARIOUS SUPPORT GROUPS THAT COMMUNITY MEMBERS CAN ATTEND. THE MAJORITY OF THE GOVERNING BODY MEMBERS LIVE AND/OR WORK WITHIN METHODIST HOSPITALS'S SERVICE AREAS. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES IN 0 AMERICAN HEART ASSOCIATION 405 BOARDWALK HEBRON IN 46341 135613797 501C(3) 75000 HEART DISEASE AWARENESS/PREVENTION PROGRAMS ASIAN AMERICAN MEDICAL SOCIETY PO BOX 10039 MERRILLVILLE IN 46411 351487544 501C(6) 5000 SUPPORT LOCAL CHARITABLE ORGANIZATIONS GARY LITERACY COALITION 650 GRANT STREEET SUITE 8 GARY IN 46402 201323689 501C(3) 93079 SUPPORT LITERACY PROGRAMS GREATER VALPARAISO CHAMBER OF COMMERCE PO BOX 330 VALPARAISO IN 46384 350727140 501C(3) 5805 SUPPORT COMMUNITY PROGRAMS INDIAN MEDICAL ASSOC OF NW INDIANA 8605 MERRILLVILLE ROAD MERRILLVILLE IN 46410 314130002 501C(3) 15000 SCHOLARSHIP PROGRAMS INDIANA HOSPITAL ASSOCIATION FOUNDATION 1 AMERICAN SQUARE INDIANAPOLIS IN 46282 350988753 501C(3) 240000 DONATION FOR THE HAF PROGRAM NORTHWEST INDIANA HINDU RELIGIOUS CENTER 8605 MERRILLVILLE RD MERRILLVILLE IN 46410 351981658 501C(3) 21800 SUPPORT CULTURAL PROGRAMS PORTER COUNTY COMMUNITY FOUNDATION PO BOX 302 VALPARAISO IN 46384 352000788 501C(3) 8000 SUPPORT LOCAL CHARITABLE ORGANIZATIONS SALAAM CULTURAL MUSEUM 3806 WHITMAN AVENUE N SEATTLE WA 98103 911481782 501C(3) 5000 SUPPORT MEDICAL MISSIONS VALPARAISO FAMILY YMCA 1201 CUMBERLAND CROSSING DRIVE VALPARAISO IN 46383 350876401 501C(3) 100000 SUPPORT WELLNESS PROGRAMS VALPARAISO UNIVERSITY 836 LAPORTE AVE VALPARAISO IN 46383 350868125 501C(3) 8128 SUPPORT ATHLETIC DEPARTMENT 10 1 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 1 0 0 0 0 0 0 0 0 MICHAEL DAVENPORT MD INTERIM CEO AND CMO 409487 0 36590 0 0 0 7164 0 16133 0 469374 0 0 0 MATTHEW DOYLE CHIEF FINANCIAL OFFICER 317904 0 27518 0 0 0 4375 0 15088 0 364885 0 0 0 ALEXANDER HORVATH VP HUMAN RESOURCES 294513 0 26746 0 0 0 6998 0 13617 0 341874 0 0 0 SHELLY MAJOR CHIEF NURSING OFFICER 278859 0 25418 0 0 0 7339 0 18272 0 329888 0 0 0 WRIGHT ALCORN VP OPERATIONS 267358 0 24969 0 0 0 0 0 18234 0 310561 0 0 0 JAMES KIRCHNER VP PHYSICIAN INTEGRATION 243962 0 21871 0 0 0 6273 0 17720 0 289826 0 0 0 ANDRE ARTIS PHYSICIAN 671730 0 351704 0 0 0 5200 0 18546 0 1047180 0 0 0 KEVIN WALDRON PHYSICIAN 831765 0 0 0 0 0 7338 0 19418 0 858521 0 0 0 VINEET SHAH PHYSICIAN 678481 0 0 0 0 0 0 0 19176 0 697657 0 0 0 JUDSON WOOD JR PHYSICIAN 454511 0 183376 0 0 0 6500 0 8606 0 652993 0 0 0 MIHAS KODENCHERY PHYSICIAN 463710 0 84800 0 0 0 3900 0 18935 0 571345 0 0 0 IAN MCFADDEN FORMER CEO 300864 0 0 0 0 0 0 0 0 0 300864 0 0 0 PART I, LINE 4A IAN MCFADDEN $300,864 A INDIANA FINANCE AUTHORITY 351602316 45471AMK5 2014-08-27 52517507 REFUND PRIOR ISSUE DATED 8/15/2001 0 0 0 A 52252853 4639434 425250 2005 1 0 1 1 A 0 0 1 0 0 0 0 0 0 A 0 POWERS & SONS CONSTRUCTION CO BOARD MEMBER 1628389 BOARD MEMBER, MAMON POWERS, OWNS THIS COMPANY WHICH PROVIDED SERVICES ON CONSTRUCTION PROJECTS 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 2014. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST -22,362,835. 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 73005 -36 THE METHODIST HOSPITALS INC METHODIST ANESTHESIA LLC 600 GRANT ST GARY IN 46402 201954536 ANESTHESIA SERVICES IN 2721305 644271 THE METHODIST HOSPITALS INC METHODIST CARDIOGRAPHICS LLC 600 GRANT ST GARY IN 46402 201349870 READING CARDIOGRAMS IN 540681 71082 THE METHODIST HOSPITALS INC METHODIST AUXILIARY 600 GRANT ST GARY IN 46402 SUPPORTING ORGANIZATION IN 4930 43883 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 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 METHODIST FOUNDATION C 7629 CASH METHODIST FOUNDATION Q 200000 ACTUAL COST