2014-11-14T13:54:09-06:00 2013-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2013-01-01 350868133 THE METHODIST HOSPITALS INC METH 2198864402 600 GRANT STREET GARY IN 46402 MATTHEW DOYLE CFO 2198864549 2014-11-06 1 CAROL LALONDE CPA P00181637 2695674500 2013 2015-11-30 17:44:51Z MICHAEL DAVENPORT MD 600 GRANT STREET GARY IN 46402 354347367 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 2755 147 21437 0 359585 147616 333490721 348494695 4227697 4895042 -471803 449161 337606200 353986514 391011 537761 0 0 145772673 163397869 0 0 0 169395272 178845332 315558956 342780962 22047244 11205552 371709420 391073324 169063317 144138495 202646103 246934829 X THE METHODIST HOSPITALS, INC'S MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE SERVICES TO ALL THOSE IN NEED. 0 0 306053300 537761 348473258 THE METHODIST HOSPITALS, INC. HAS A COMMITMENT TO RESPOND TO THE NEEDS OF ITS DIVERSE COMMUNITIES THROUGH QUALITY SERVICES. ITS REGIONAL REPUTATION FOR EXCELLENCE SINCE 1923 CONTINUES TO SUPPORT THE MARKET POSITION.METHODIST HOSPITALS IS AN INDIANA NOT-FOR-PROFIT CORPORATION, 634 BED COMMUNITY-BASED HEALTHCARE 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. 306053300 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 0 0 0 1 0 1 0 1 0 0 0 0 1 1 1 0 0 0 1 232 0 1 2755 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 WILLIAM G BRAMAN BOARD CHAIRMAN 2.00 0.00 X X 6000 0 0 MAMON POWERS JR BOARD VICE-CHAIRMAN 2.00 0.70 X X 0 0 0 GLENN S VICIAN BOARD TREASURER 2.00 0.00 X X 5000 0 0 DOUGE BARTHELEMY MD BOARD SECRETARY 2.00 0.00 X X 6225 0 0 BHARAT H BARAI MD BOARD MEMBER 2.00 0.00 X 87800 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 5500 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 0.70 X 6000 0 0 JOHN A LOWENSTINE CPA BOARD MEMBER 2.00 0.00 X 6000 0 0 SCOTT T RIBORDY BOARD MEMBER 2.00 0.00 X 6000 0 0 IJ ROBERTS BOARD MEMBER 2.00 0.00 X 4500 0 0 FRANCES TAYLOR BOARD MEMBER 2.00 0.00 X 6623 0 0 LARRY WHITEHEAD BOARD MEMBER 2.00 0.00 X 3000 0 0 KATRINA WRIGHT MD BOARD MEMBER 2.00 0.00 X 7526 0 0 REV DR CYNTHIA REYNOLDS BOARD MEMBER - THROUGH 6/30/13 2.00 0.00 X 2000 0 0 IAN E MCFADDEN CEO - THROUGH NOVEMBER 2013 40.00 0.00 X 796976 0 25198 MICHAEL DAVENPORT MD CMO AND INTERIM CEO (NOV-DEC) 40.00 0.00 X 450112 0 25505 MATTHEW DOYLE CHIEF FINANCIAL OFFICER 40.00 0.00 X 374160 0 18667 ALEXANDER HORVATH VP HUMAN RESOURCES 40.00 0.00 X 365580 0 20935 SHELLY MAJOR CHIEF NURSING OFFICER 40.00 0.00 X 346832 0 18059 WRIGHT ALCORN VP OPERATIONS 40.00 0.00 X 328150 0 17351 JAMES KIRCHNER VP PHYSICIAN INTEGRATION 40.00 0.00 X 299287 0 23473 VINEET P SHAH PHYSICIAN 40.00 0.00 X 668985 0 16611 ADOLPHUS A ANEKWE PHYSICIAN 40.00 0.00 X 550385 0 25265 JUDSON B WOOD JR PHYSICIAN 40.00 0.00 X 547115 0 15749 ELIAN M SHEPHERD PHYSICIAN 40.00 0.00 X 511026 0 21105 DENNIS L STREETER PHYSICIAN 40.00 0.00 X 566404 0 15552 5975186 0 243470 135 0 1 0 COMPREHENSIVE PHARMACY SERVICES 6409 QUAIL HOLLOW ROAD MEMPHIS TN 38120 PHARMACY SERVICES 14807225 CRAWFORD AVENUE ANESTHESIA 301 N MADISON ST JOLIET MI 60435 ANESTHESIA SERVICES 8852100 CROTHALL SERVICES GROUP 955 CHESTERBROOK BLVD SUITE 300 WAYNE PA 19087 BIOMEDICAL SERVICES 4963112 INDIANA SURGICAL ASSOCIATES 7895 GRAND BLVD HOBART IN 46342 SURGICAL SERVICES 1466400 CANDESCENT HEALING LLC 220 WHITE PLAINS ROAD 4TH FLOOR TARRYTOWN NY 10591 HYPERBARIC SERVICES 909893 51 42746 15041 89829 147616 HEALTHCARE AND SOCIAL ASSISTANCE 621500 285682169 285682169 DISPROPORTIONATE SHARE 621500 57344540 57344540 OTHER PATIENT SERVICES 621500 5063999 5060499 3500 EMR INCENTIVE PAYMENTS 900099 386050 386050 PARTNERSHIP INCOME 541900 17937 17937 348494695 3108787 3108787 810014 360853 449161 449161 449161 1609871 176384 0 0 1609871 176384 1786255 1786255 353986514 348473258 21437 5344203 X 537761 537761 2893944 170174 2723770 130665454 117281829 13383625 3348153 2989792 358361 17124387 15128331 1996056 9365931 8223432 1142499 2802172 2537519 264653 1422862 1258266 164596 208750 184602 24148 184712 163345 21367 379816 335879 43937 37800588 33537267 4263321 1289682 1141955 147727 59319008 52296715 7022293 4150028 3663871 486157 9657819 7975960 1681859 389740 339846 49894 111655 54337 57318 5524832 4929909 594923 18131500 16252040 1879460 2664878 2409320 255558 BAD DEBT EXPENSE 21252852 21252852 MEDICAID ASSESSMENT FEE 12780552 12780552 DUES & SUBSCRIPTIONS 573462 412334 161128 LICENSES 200424 195412 5012 342780962 306053300 36727662 0 41605508 8330976 13929062 10935255 52348176 62832962 46878 35421 8437788 10588793 2703759 3467603 487883202 358330252 124965802 129552950 123364813 158762553 477351 380560 3830283 6186251 371709420 391073324 29986963 32704090 62629396 58917635 21116853 23475296 55330105 29041474 169063317 144138495 X 202380391 246632055 240712 277774 25000 25000 202646103 246934829 371709420 391073324 X 11205552 13791252 19291922 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 105600 0 1 79112 184712 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 VP OF GOVERNMENT & EXTERNAL AFFAIRS MEETS WITH STATE AND LOCAL LEGISLATORS ON ISSUES AFFECTING THE ORGANIZATION. A PORTION OF MEMBERSHIP DUES PAID TO THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) AND THE INDIANA HOSPITAL ASSOCIATION (IHA) IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE RESPECTIVE PERCENTAGES HAVE BEEN APPLIED, AS PROVIDED BY THE RESPECTIVE ORGANIZATIONS. PART II-B, LINE 1(G): THE CHIEF CONSULTANT OF GOVERNMENTAL AFFAIRS MEETS WITH STATE AND LOCAL LEGISLATORS ON ISSUES AFFECTING THE ORGANIZATION. 3745499 3745499 251844223 187583849 64260374 198001228 161404273 36596955 34292252 9342130 24950122 129552950 THIRD PARTY PAYOR SETTLEMENT 9460575 ESTIMATED SELF INSURANCE LIABILITY 5954075 ASBESTOS MITIGATION LIABILITY 511938 PENSION & POST RETIREMENT OBLIGATIONS 12029012 OTHER LIABILITES 873462 GUARANTEES TO PHYSICIANS 212412 29041474 X 368412304 13791252 273685 14064937 354347367 -360853 -360853 353986514 343680964 900002 900002 342780962 0 342780962 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, 2013, 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 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM FOUNDATION 273,685. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -360,853. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION EXPENSES 539,149. RENTAL EXPENSES 360,853. 1 1 X 1 X 1 X 1 1 1 0 1 1 18513820 18513820 0.05760 81655465 80704657 950808 0.00300 2469875 2469875 0.00770 102639160 80704657 21934503 0.06830 30 7874 148929 148929 0.00050 5 82 781108 580800 200308 0.00060 537761 537761 0.00170 35 7956 1467798 580800 886998 0.00280 35 7956 104106958 81285457 22821501 0.07110 1 21252852 6210478 90331672 102317322 -11985650 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 1 X X X X X X X X X X 12 1 1 1 X HTTP://WWW.METHODISTHOSPITALS.ORG/COMMUNI X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X X X X 1 0 X X X 1 X 0 1 THE METHODIST HOSPITAL INC 2 1 X X X X X X X X X X 12 1 1 1 X HTTP://WWW.METHODISTHOSPITALS.ORG/COMMUNI X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X X 1 1 X X X X 1 0 X X X 1 X 0 1 THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 1J: 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 1J: 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 3: 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 CETNER. OTHER HEALTH PROVIDERS - GEORGE KUCKA, OWNER, FAIRMEADOWS HOME HEALTH; JANICE WILSON, CEO, NORTHSHORE HEALTH CENTERS; KAY SULLIVAN, NP, MANAGER OF US STEEL 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, PRESDENT, 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, GOVERNMNET 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 3: 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 CETNER. OTHER HEALTH PROVIDERS - GEORGE KUCKA, OWNER, FAIRMEADOWS HOME HEALTH; JANICE WILSON, CEO, NORTHSHORE HEALTH CENTERS; KAY SULLIVAN, NP, MANAGER OF US STEEL 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, PRESDENT, 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, GOVERNMNET 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 4: COMMUNITY HEALTHCARE SYSTEM AND FRANCISCAN ALLIANCE OF NORTHWEST INDIANA THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 4: COMMUNITY HEALTHCARE SYSTEM AND FRANCISCAN ALLIANCE OF NORTHWEST INDIANA THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 6I: METHODIST HOSPITALS USED THE CHNA TO IDENTIFY ISSUES OF GREATEST CONCERN AND DEVELOPED AN ACTION PLAN 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. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 6I: METHODIST HOSPITALS USED THE CHNA TO IDENTIFY ISSUES OF GREATEST CONCERN AND DEVELOPED AN ACTION PLAN 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. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 7: METHODIST HOSPITALS DOES NOT CURRENTLY HAVE PROGRAMS THAT SPECIFICALLY ADDRESS THE REGION'S HIGHER THAN AVERAGE FIREARM-RELATED DEATHS, HOMICIDES, AND CRIME VICTIMIZATION RATES; 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 7: METHODIST HOSPITALS DOES NOT CURRENTLY HAVE PROGRAMS THAT SPECIFICALLY ADDRESS THE REGION'S HIGHER THAN AVERAGE FIREARM-RELATED DEATHS, HOMICIDES, AND CRIME VICTIMIZATION RATES; HIGHER THAN AVERAGE TOBACCO USE RATES; TRANSPORTATION CONCERNS;DIFFICULTY IN FINDING FRESH FRUITS AND VEGETABLES; AND DIFFICULT TO 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 12I: FAMILY UNIT - NUMBER AND EXPENSES THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 12I: FAMILY UNIT - NUMBER AND EXPENSES THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 20D: 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 20D: 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 22: THE HOSPITAL CHARGES ALL PATIENTS THE SAME RATES REGARDLESS OF INCOME LEVELS. THE HOSPITAL WILL WRITE-OFF THE CHARGE ACCORDING TO FAP POLICY LEVELS MAINTAINED IN THE HELPING HEART FINANCIAL ASSISTANCE PROGRAM. THE METHODIST HOSPITAL, INC. PART V, SECTION B, LINE 22: 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. 23 METHODIST HOSPITALS MEDICAL OFFICE BLDG 101 E 87TH AVE MERRILLVILLE IN 46410 IMAGING AND LAB SERVICES; OUTPATIENT SURGERY CENTER; BREAST CANCER METHODIST SURGERY CENTER 101 E 87TH AVE MERRILLVILLE IN 46410 OUTPATIENT SURGERY 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 PHYSICIAN GROUP 5800 BROADWAY MERRILLVILLE IN 46410 PHYSICIAN OFFICES-CARDIOLOGY METHODIST HOSPITALS ENDOSCOPY CENTER 8895 BROADWAY MERRILLVILLE IN 46410 OUTPATIENT ENDOSCOPY CENTER METHODIST HOSPITALS HOME HEALTH CENTER 650 GRANT ST GARY IN 46408 HOME HEATLH SERVICES METHODIST HOSPITALS PHYSICIAN GROUP 6101 MILLER AVE GARY IN 46403 PHYSICIAN OFFICE - INTERNAL MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 3195 BOARDWAY GARY IN 46403 PHYSICIAN OFFICE - INTERNAL MEDICINE METHODIST HOSPITALS REHAB CENTER 303 E 89TH AVE MERRILLVILLE IN 46410 OUTPATIENT REHAB METHODIST HOSPITALS PHYSICIAN GROUP 119 E 89TH AVE MERRILLVILLE IN 46410 PHYSICIAN OFFICES - GENERAL SURGERY METHODIST HOSPITALS PHYSICIAN GROUP 99 E 86TH AVE - STE CF MERRILLVILLE IN 46410 PHYSICIAN OFFICE - ORTHOPEDICS METHODIST HOSPITALS PHYSICIAN GROUP 801 WEST GLEN PARK AVE GRIFFITH IN 46319 PHYSICIAN OFFICES - GENERAL SURGEON METHODIST HOSPITALS PHYSICIAN GROUP 6111 HARRISON ST STE 252 MERRILLVILLE IN 46410 PHYSICIAN OFFICE - GENERAL SURGERY 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 704 SOUTH STATE ROAD 2 HEBRON IN 46341 PHYSICIAN OFFICE - FAMILY MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 8777 BROADWAY MERRILLVILLE IN 46410 PHYSICIAN OFFICES - FAMILY MEDICINE & INTERNAL MEDICINE METHODIST HOSPITALS CARDIAC REHAB 753 EAST 81ST AVE STE 4 MERRILLVILLE IN 46410 OUTPATIENT CARDIAC REHAB METHODIST HOSPITALS PHYSICIAN GROUP 10 N MICHIGAN HOBART IN 46342 PHYSICIAN OFFICE - INTERNAL MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 11496 BROADWAY CROWN POINT IN 46307 PHYSICIAN OFFICES - FAMILY MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 99 E 86TH AVE STE D MERRILLVILLE IN 46410 PHYSICIAN OFFICE - INTERNAL MEDICINE METHODIST HOSPITALS PHYSICIAN GROUP 10200 WICKER AVE STE 1 ST JOHN IN 46375 PHYSICIAN OFFICE - INTERNAL 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 $21,252,852. PART II, COMMUNITY BUILDING ACTIVITIES: METHODIST HOSPITALS CONTINUED ITS PARTICIPATION IN THE NW INDIANA HEALTH DISPARITIES INITIATIVE REGION 1. THIS PARTNERSHIP WITH LAKE COUNTY MINORITY HEALTH COALITION AND BROTHERS UPLIFTING BROTHERS INCLUDES 7 COUNTIES (LAKE, PORTER, JASPER, NEWTON, LAPORTE, STARKE, AND PULASKI). FIVE MAJOR HEALTH PROGRAMS WERE HELD FOCUSING ON HEART HEALTH, OBESITY, AND HIV/AIDS. METHODIST CONCLUDED ITS SERIES OF MONTHLY HEALTH EDUCATION SEMINARS, HEALTH MATTERS, IN COOPERATION WITH THE YWCA OF NORTHWEST INDIANA. THESE PROGRAMS FOCUSED ON MONTHLY NATIONAL HEALTH AWARENESS THEMES. PART III, LINE 4: ACCOUNTS RECEIVABLE FOR PATIENTS, INSURANCE COMPANIES, AND GOVERNMENTAL AGENCIES ARE BASED ON GROSS CHARGES. AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE HOSPITAL'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND INTERIM PAYMENT ADVANCES IS BASED ON EXPECTED PAYMENT RATES FROM PAYORS BASED ON CURRENT REIMBURSEMENT METHODOLOGIES. THIS AMOUNT ALSO INCLUDES AMOUNTS RECEIVED AS INTERIM PAYMENTS AGAINST UNPAID CLAIMS BY CERTAIN PAYORS.THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. 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 FPG. PATIENTS WHO HAVE THE ABILITY TO PAY, YET DEFAULT ON PAYMENT PLANS ARE SENT TO COLLECTIONS (BAD DEBT). ACCOUNTS SENT TO BAD DEBT ARE PERIODICALLY RE-SCREENED FOR PRESUMPTIVE CHARITY QUALIFICATION AND IF QUALIFIED, ARE REMOVED FROM THE COLLECTION PROCESS. MEDICARE RESIDUALS ARE INVOICED TO THE PATIENT AND SENT THROUGH A BAD DEBT COLLECTION CYCLE. IF COLLECTION ATTEMPTS ARE UNSUCCESSFUL, THE MEDICARE ACCOUNT IS REMOVED FROM COLLECTIONS AND IS REPORTED AS MEDICARE BAD DEBT. PART VI, LINE 2: METHODIST HOSPITAL, INC ASSESSES THE SERVICES NEEDED BASED UPON A REVIEW OF DEMOGRAPHIC AND CLINICAL FACTORS. BASED UPON THE DATA, THE HEALTHCARE NEEDS ARE THEN COMPARED TO THE SERVICES CURRENTLY PROVIDED OR AVAILABLE IN THE COMMUNITY AND SURROUNDING COMMUNITIES. 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. PART VI, LINE 4: METHODIST HOSPITALS, INC SERVES NORTHWEST INDIANA WITH THE PRIMARY GEOGRAPHIC AREA BEING SERVED AS LAKE COUNTY, INDIANA. PORTER COUNTY, INDIANA COMPRISES MOST OF THE SECONDARY SERVICE AREA. THE DEMOGRAPHIC AREA OF THE REGION IS VERY DIVERSE, RANGING FROM THE VERY AFFLUENT TO A SIGNIFICANT INDIGENT POPULATION. PART VI, LINE 5: METHODIST HOSPITALS, INC. PROVIDES MONTHLY STROKE AND CANCER SCREENINGS, AND THROUGHOUT THE YEAR OFFERS: PREVENTATIVE HEALTHCARE SCREENINGS, EDUCATIONAL SEMINARS, AND HOSTS VARIOUS SUPPORT GROUPS THAT COMMUNITY MEMBERS CAN ATTEND. 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 ASSOCIATION PO BOX 10039 MERRILLVILLE IN 46411 351487544 501C(6) 7200 SUPPORT LOCAL CHARITABLE ORGANIZATIONS BOYS & GIRLS CLUB OF NW INDIANA 839 BROADWAY 3RD FLR GARY IN 46402 350941137 501C(3) 10000 SUPPORT TOLLESTON COMMUNITY CENTER PROGRAMS GARY LITERACY COALITION 650 GRANT ST GARY IN 46404 201323689 501C(3) 93780 SUPPORT LITERACY PROGRAMS CITY OF GARY HUDSON-CAMPBELL FITNESS CENTER 455 MASSACCHUSETT ST GARY IN 46402 356001040 115 104208 CASH VALUE OF SERVICES/EQPT HVAC UNIT & LABOR SUPPLY AIR CONDITIONING SYSTEM AT COMMUNITY FITNESS CENTER INDIAN MEDICAL ASSOCIATION OF NW INDIANA 202 EAST 86TH PL MERRILLVILLE IN 46410 314130002 501C(3) 15000 SCHOLARSHIP PROGRAMS MARCH OF DIMES FOUNDATION 8315 VIRIGINIA ST MERRILLVILLE IN 46410 131846366 501C(3) 5000 SUPPORT BIRTH DEFECT RESEARCH PROGRAMS NORTHWEST INDIANA HINDU RELIGIOUS CENTER 8605 MERRILLVILLE RD MERRILLVILLE IN 46410 351981658 501C(3) 21000 SUPPORT CULTURAL PROGRAMS VALPARAISO FAMILY YMCA 1201 CUMBERLAND CROSSING DR VALPARAISO IN 46383 350876401 501C(3) 20000 SUPPORT FITNESS PROGRAMS VALPARAISO UNIVERSITY 836 LAPORTE AVE VALPARAISO IN 46383 350868125 501C(3) 6400 SUPPORT ATHLETIC DEPARTMENT 9 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 X 0 0 0 0 0 0 0 0 0 IAN E MCFADDEN CEO - THROUGH NOVEMBER 2013 623720 0 173256 0 0 0 7650 0 17548 0 822174 0 0 0 MICHAEL DAVENPORT MD CMO AND INTERIM CEO (NOV-DEC) 358660 0 91452 0 0 0 7650 0 17855 0 475617 0 0 0 MATTHEW DOYLE CHIEF FINANCIAL OFFICER 299768 0 74392 0 0 0 4375 0 14292 0 392827 0 0 0 ALEXANDER HORVATH VP HUMAN RESOURCES 293274 0 72306 0 0 0 3450 0 17485 0 386515 0 0 0 SHELLY MAJOR CHIEF NURSING OFFICER 278114 0 68718 0 0 0 6838 0 11221 0 364891 0 0 0 WRIGHT ALCORN VP OPERATIONS 260650 0 67500 0 0 0 0 0 17351 0 345501 0 0 0 JAMES KIRCHNER VP PHYSICIAN INTEGRATION 238537 0 60750 0 0 0 6226 0 17247 0 322760 0 0 0 VINEET P SHAH PHYSICIAN 643985 0 25000 0 0 0 0 0 16611 0 685596 0 0 0 ADOLPHUS A ANEKWE PHYSICIAN 381052 0 169333 0 0 0 7650 0 17615 0 575650 0 0 0 JUDSON B WOOD JR PHYSICIAN 488753 0 58362 0 0 0 7442 0 8307 0 562864 0 0 0 ELIAN M SHEPHERD PHYSICIAN 511026 0 0 0 0 0 7650 0 13455 0 532131 0 0 0 DENNIS L STREETER PHYSICIAN 492019 0 74385 0 0 0 0 0 15552 0 581956 0 0 0 IAN MCFADDEN ADVANCEMENT OF COMPENSATION X 100000 35421 0 1 1 35421 POWERS & SONS CONSTRUCTION CO BOARD MEMBER 302390 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 2013. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 33,537,267. MANAGEMENT AND GENERAL EXPENSES 4,263,321. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,800,588. FORM 990, PART XI, LINE 9: PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST 19,291,922. FORM 990, PART XIII, LINE 2C: THERE HAS BEEN NO CHANGE IN PROCESS FROM PRIOR YEAR. 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