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COMMUNITY FOUNDATION OF NORTHWEST INDIANA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY FOUNDATION OF NORTHWEST INDIANA INC (EIN 31-1128781)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-13
IRS object ID
201411339349304971
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-13T16:06:51-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4000AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311128781EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY FOUNDATION OF NORTHWEST INDIANABusinessNameLine1
Business Name Line2INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% MARY ANN SHACKLETTInCareOfName
Name ControlCOMMNameControl
Phone2199348250Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line110010 DONALD S POWERS DRIVEAddressLine1
Address Line2Suite 201AddressLine2
CityMUNSTERCity
StateINState
ZIP Code46321ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMary Ann ShacklettName
TitleSR VP FINANCE & CFOTitle
Phone2199348250Phone
Date Signed2014-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY ANN SHACKLETTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110010 DONALD S POWERS DR 201AddressLine1
CityMUNSTERCity
StateINState
ZIP Code46321ZIPCode
FieldValueIRS element (for citing)
Gross Receipts811193127GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COMHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionPROVIDES SUPPORT FOR ACTIVITIES OF THE AFFILIATED HOSPITALS TO ENGAGE IN THE BETTERMENT OF THE GENERAL HEALTH OF THE COMMUNITIES SERVED WITHIN NORTHWEST INDIANA.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees403TotalNbrEmployees
Total Gross UBI52100TotalGrossUBI
Net Unrelated Business Txbl Income-27465NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year61450ContributionsGrantsPriorYear
Contributions Grants Current Year42802ContributionsGrantsCurrentYear
Program Service Revenue Prior Year30138ProgramServiceRevenuePriorYear
Program Service Revenue CY23341ProgramServiceRevenueCY
Investment Income Prior Year8126356InvestmentIncomePriorYear
Investment Income Current Year12772493InvestmentIncomeCurrentYear
Other Revenue Prior Year80844454OtherRevenuePriorYear
Other Revenue Current Year72372652OtherRevenueCurrentYear
Total Revenue Prior Year89062398TotalRevenuePriorYear
Total Revenue Current Year85211288TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year310177GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY277960GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year30055946SalariesEtcPriorYear
Salaries Etc Current Year31432448SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year56133TotalFundrsngExpCurrentYear
Other Expense Prior Year62249462OtherExpensePriorYear
Other Expenses Current Year65383807OtherExpensesCurrentYear
Total Expenses Prior Year92615585TotalExpensesPriorYear
Total Expenses Current Year97094215TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3553187RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-11882927RevenuesLessExpensesCY
Total Assets BOY444488667TotalAssetsBOY
Total Assets EOY597306630TotalAssetsEOY
Total Liabilities BOY303265334TotalLiabilitiesBOY
Total Liabilities EOY414908440TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY141223333NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY182398190NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCOMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC PROVIDES SUPPORT FOR ACTIVITIES OF THE AFFILIATED HOSPITALS TO ENGAGE IN THE BETTERMENT OF THE GENERAL HEALTH OF THE COMMUNITIES SERVED WITHIN NORTHWEST INDIANA. COMMUNITY FOUNDATION NORTHWEST INDIANA, INC HELPS COORDINATE ACTIVITIES FOR THE IMPROVED WELL BEING OF THE HOSPITALS AND THEIR PATIENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense76329777Expense
Revenue72712519Revenue
DescriptionTO COORDINATE AND SUPPORT ACTIVITIES OF AFFILIATED HOSPITALS TO ENGAGE IN ACTIVITIES FOR THE BETTERMENT OF THE GENERAL HEALTH OF THE COMMUNITIES SERVED. ALSO PROVIDE SUPPORT FOR COMMUNITY-BASED PROJECTS TO PROMOTE THE CULTURAL, EDUCATIONAL, AND CHARITABLE COMMUNITY OF NORTHWEST INDIANA.Description
Total Program Service Expense76329777TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096120NumberFormsTransmittedWith1096
Number W2 G Included23NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees403NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY ANN SHACKLETTNamePerson
Telephone Number2199348250TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110010 DONALD S POWERS DR 201AddressLine1
CityMUNSTERCity
StateINState
ZIP Code46321ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
STEVEN BEERING MD
DIRECTOR1.0X1800000
DAVID BOCHNOWSKI
DIRECTOR1.0X24200001.0
JOSEPH COSTANZA
DIRECTOR2.0X20900001.0
DANIEL DUMEZICH
DIRECTOR1.0X2020000
RICHARD MCCLAUGHRY
DIRECTOR1.0X388082500002.0
JOSEPH MORROW
DIRECTOR1.0X1420000
SR KATHLEEN QUINN
DIRECTOR1.0X2410000
WILLIAM SCHENCK
DIRECTOR1.0X39008003.0
JOSEPH SEMANCIK MONSIGNOR
DIRECTOR2.0X2440045001.0
M NABIL SHABEEB MD FACS
DIRECTOR1.0X24100002.0
DONALD TORRENGA
DIRECTOR2.0X39008002.0
ROBERT WELSH
DIRECTOR1.0X18200001.0
EDWARD WILLIAMS PHD
DIRECTOR1.0X32639002.0
JOE WILLIAMSON
DIRECTOR1.0X39729001.0
JAY ZANDSTRA
DIRECTOR1.0X22800001.0
FRANKIE FESKO
CHAIRMAN5.0X796382400006.0X
HON JAMES RICHARDS
VICE CHAIRMAN23.0X486082400001.0X
DONALD S POWERS
DIRECTOR, PRESIDENT & CEO40.0X13289130421603.0X
WILLIAM HASSE III
SECRETARY1.0X34000001.0X
DAVID WICKLAND
TREASURER15.0X486082400001.0X
JOHN GORSKI
CHIEF OPERATING OFFICER40.012068180487222.0X
MARY ANN SHACKLETT
SR VP & SYSTEM CFO41.07132020520448.0X
CAROLE BEZAT
SR VP ADMINISTRATION40.0774755042846X
ANTHONY FERRACANE
VP HUMAN RESOURCES40.0508853044528X
KEVIN MYBECK
VP MANAGED CARE40.0250964034701X
CRAIG BOLDA
CHIEF OPERATING OFFICER SCH40.02484510517181.0X
ELIZABETH YEE
VP CLINICAL ANCILLARY SERVICES40.02677300516651.0X
ROSEMARY GARCIA
VP DIAG & THERAPEUTIC SVCS40.0255128027576X
NANCY MOSER
VP CORP COMPLIANCE & QUALITY40.0229320026487X
RAMONA FISSINGER
VP HEALTH DATA SUPPORT40.0172019039376X
MARK SIMAGA MD
CHIEF MEDICAL INFO OFFICER20.01631661327273248220.0X
GARY WEINER
VP & CIO40.0325984013880X
DAVID OTTE
VP ENGINEERING & SUPPORT40.0226686043438X
GREGG FERLIN
VP OF FINANCE40.0182989027563X
FELIX GOZO JR MD
MED DIR OF CV/CARDIO REHAB/QA40.0255646019797X
KAREN SCHNEIDER
REGIONAL DIRECTOR OF PFS40.0167189043319X
KATHLEEN EDWARDS
REGIONAL DIRECTOR OF FIN SRVCS40.0156186030160X
MYLINDA CANE
REGIONAL DIRECTOR OF MRKT/CORP40.0141916035136X
ALICIA STANLEY
DIRECTOR, IT PMO/SERVICE DLVRY40.0130680023411X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8317741TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs230177TotalReportableCompFrmRltdOrgs
Total Other Compensation731009TotalOtherCompensation
Number Individuals GT100 K40NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EPIC SYSTEMS CORPORATION
1979 MILKY WAYVERONAWI53593SOFTWARE SUPPORT3989640
AFFILIATED COMPUTER SERVICES
PO BOX 201322DALLASTX75320CONSULTING3855468
LUCCA CONSULTING GROUP INC
601 WOODVIEW DRIVEWHITELANDIN46184CONSULTING2870850
ZARAYA CONSULTING LLC
550 W WELLINGTON AVE 2ECHICAGOIL60657CONSULTING1379345
DIVURGENT
4445 CORPORATION LANE STE 228VIRGINIA BEACHVA23462CONSULTING1163785
FieldValueIRS element (for citing)
Number Of Contractors GT100 K42NumberOfContractorsGT100K
All Other Contributions42802AllOtherContributions
Total Contributions42802TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCOPYING FEEDescription
Business Code900099BusinessCode
Total Revenue Column23341TotalRevenueColumn
Exclusion$23,341ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue23341TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9609541TotalRevenueColumn
Exclusion$9,609,541ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real739447Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1055973Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-316526Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-316526TotalRevenueColumn
Exclusion-$316,526ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities728044336Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities724880580Securities
Other804Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3163756Securities
Other-804Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3162952TotalRevenueColumn
Exclusion$3,162,952ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming44482GrossIncomeGaming
Gaming Direct Expenses44482GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
EXP ALLOC TO SUBS5610007260521872605218
CONSTRUCTION SERVICES541300580002900029000
IT & TELECOM SERVICES5415192110021100

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4860TotalRevenueColumn
Related Or Exempt Function Income2860RelatedOrExemptFunctionIncome
Unrelated Business Revenue2000UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue72689178TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column85211288TotalRevenueColumn
Related Or Exempt Function Income72637078RelatedOrExemptFunctionIncome
Unrelated Business Revenue52100UnrelatedBusinessRevenue
Exclusion$12,479,308ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total277960Total
Program Services277960ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total7541605Total
Program Services5544369ProgramServices
Management And General1997236ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total267275Total
Program Services267275ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18940121Total
Program Services15152097ProgramServices
Management And General3733581ManagementAndGeneral
Fundraising54443Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total460979Total
Program Services368783ProgramServices
Management And General92196ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2450646Total
Program Services1960517ProgramServices
Management And General490129ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1771822Total
Program Services1417458ProgramServices
Management And General354364ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total869283Total
Management And General869283ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1081301Total
Management And General1081301ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total94685Total
Management And General94685ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total796632Total
Management And General796632ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total11856003Total
Program Services9484802ProgramServices
Management And General2371201ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total553907Total
Program Services443126ProgramServices
Management And General110781ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2139358Total
Program Services1710175ProgramServices
Management And General427544ManagementAndGeneral
Fundraising1639Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10248187Total
Program Services8198550ProgramServices
Management And General2049637ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total637041Total
Program Services509633ProgramServices
Management And General127408ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total272635Total
Program Services218090ProgramServices
Management And General54523ManagementAndGeneral
Fundraising22Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total143812Total
Program Services115050ProgramServices
Management And General28762ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total16483634Total
Program Services13186907ProgramServices
Management And General3296727ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total200786Total
Program Services160629ProgramServices
Management And General40157ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11743884Total
Program Services9395107ProgramServices
Management And General2348777ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total541338Total
Program Services433070ProgramServices
Management And General108268ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
EARLY EXTINGUISHMENT OF DEBT65457336545733
TAXES20881816705441764
REPAIRS AND MAINTENANCE15477412381930955
LEASE AND RENTAL102052816182040529

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total709944Total
Program Services567955ProgramServices
Management And General141989ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total97094215Total
Program Services76329777ProgramServices
Management And General20708305ManagementAndGeneral
Fundraising56133Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5925146BOY
EOY21353734EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY49180BOY
EOY166557EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY19352999BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3213274BOY
EOY3172397EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis110989111LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec65967391LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY70958477BOY
EOY45021720EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY308683551BOY
EOY389435714EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY36306041BOY
EOY138156508EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY444488667BOY
EOY597306630EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14483352BOY
EOY16536351EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY51167BOY
EOY46685EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY218398433BOY
EOY334188852EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY62860007BOY
EOY59540838EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7472375BOY
EOY4595714EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY303265334BOY
EOY414908440EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY140819849BOY
EOY181983413EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY403484BOY
EOY414777EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY141223333BOY
EOY182398190EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY444488667BOY
EOY597306630EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-11882927ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-3220302ReconciliationUnrealizedInvest
Reconcilation Other Changes56278086ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
MUNSTER MEDICAL RESEARCH FOUNDATION INC
35110700903truetruetrue$16,585,222
ST MARY MEDICAL CENTER
35200732703truetruetrue$353,342
ST CATHERINE HOSPITAL INC
35173870809truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts16938564SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$94,685OtherActivitiesAmount
Total Lobbying Expenditures IIB94685TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B LINE 1iIdentifier
ExplanationCOMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. CONTRACTS WITH LOBBYISTS TO INTERVENE ON OUR BEHALF.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2302698OtherCostOrOtherBasis
Book Value2302698BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15317312OtherCostOrOtherBasis
Depreciation6939693Depreciation
Book Value8377619BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2160063OtherCostOrOtherBasis
Depreciation1306092Depreciation
Book Value853971BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis74688044OtherCostOrOtherBasis
Depreciation50593128Depreciation
Book Value24094916BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16520994OtherCostOrOtherBasis
Depreciation7128478Depreciation
Book Value9392516BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings45021720TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
PROJECT FUND62817112
DUE FROM AFFILIATES23687723
INTERCOMPANY LOAN17071108
DEBT SERVICE RESERVE FUND16705806
INVESTMENT IN AFFILIATES6306738
DEFERRED COSTS5166730
VETERANS MEMORIAL PARK3288329
LAND HELD FOR FUTURE USE3112962
FieldValueIRS element (for citing)
Total Book Value Other Assets138156508TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCAPITAL LEASESDescription
Amount$4,595,714Amount
FieldValueIRS element (for citing)
Total Of Amounts4595714TotalOfAmounts

Schedule G IRS990ScheduleG

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming44482GrossRevenueOtherGaming
Other Direct Expenses Other Gaming44482OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming44482GrossRevenueTotalGaming
Other Direct Expenses Total Gaming44482OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming44482DirectExpenseSummaryGaming
FieldValueIRS element (for citing)
States Where Gaming ConductedINStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonSHERRI HOLTNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line1905 RIDGE RDAddressLine1
CityMUNSTERCity
StateINState
ZIP Code46321ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LAKE AREA UNITED WAY
221 WEST RIDGE ROADGRIFFITHIN46319237170019501(c)(3)40000ANNUAL CAMPAIGN
PURDUE UNIVERSITY CALUMET
2200 169TH STREETHAMMONDIN46323356002041501(c)(3)28000CONTRIBUTION
INDIAN AMERICAN CULTURAL CENTER
8605 MERRILLVILLE RDMERRILLVILLEIN46410351981658501(C)(3)21000SPONSORSHIP
INDIAN MEDICAL ASSOCIATION OF NORTHWEST INDIANA
1109 LAHINCH COURTDYERIN46311314130002501(c)(3)15000SPONSORSHIP
SOUTH SHORE ARTS
1040 RIDGE ROADMUNSTERIN46321237049722501(c)(3)15000SPONSORSHIP
SCHOOL TOWN OF MUNSTER
8808 CALUMET AVENUEMUNSTERIN46321356002675501(c)(3)15000CONTRIBUTION
CALUMET COLLEGE OF ST JOSEPH
2400 NEW YORK AVENUEWHITINGIN46394351087173501(c)(3)14500CONTRIBUTION
NORTHWEST INDIANA SYMPHONY ORCHESTRA
1040 RIDGE ROADMUNSTERIN46321351359750501(c)(3)13980SPONSORSHIP
VALPARAISO UNIVERSITY
1605 CAMPUS DRIVE EASTVALPARAISOIN46383350868125501(c)(3)10000CONTRIBUTION
ONE REGION
601 WEST 45TH AVENUEMUNSTERIN46321352117392501(c)(3)10000CONTRIBUTION
CATHOLIC CHARITIES
176 SOUTH WEST STREETCROWN POINTIN46307351122204501(c)(3)8000CONTRIBUTION
CALUMET COUNCIL BOY SCOUTS OF AMERICA
8751 CALUMET AVENUEMUNSTERIN46321350867968501(c)(3)5600SPONSORSHIP
TRADE WINDS SERVICES
5901 WEST 7TH AVENUEGARYIN46406351139485501(c)(3)5350CONTRIBUTION
EARLY LEARNING PARTNERSHIP OF NORTHWEST INDIANA
6530 NEW HAMPSHIRE AVEHAMMONDIN46323352109773501(c)(3)5340SPONSORSHIP
GRANTS OF 5000 OR LESS
71190CONTRIBUTIONS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants14TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationREQUESTS FOR DONATIONS FROM QUALIFIED 501(C)(3) CHARITIES AND UNIVERSITIES ARE EVALUATED AS TO WHETHER THE POTENTIAL DONEE ORGANIZATION WILL USE THE FUNDS IN A MANNER CONSISTENT WITH OUR CHARITABLE MISSION AND THE INTENTION OF THE CONTRIBUTION. OUR DONATIONS/CONTRIBUTIONS ARE PRIMARILY MADE TO LOCAL ORGANIZATIONS. SINCE THESE ARE NOT GRANTS, THERE IS NO NEED TO MONITOR.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DONALD S POWERS
DIRECTOR, PRESIDENT & CEO81523805109590271602780001436001371073000
JOHN GORSKI
CHIEF OPERATING OFFICER667985050392703490602780002092201255540000
MARY ANN SHACKLETT
SR VP & SYSTEM CFO41206102749980261430278000242440765246000
CAROLE BEZAT
SR VP ADMINISTRATION3491030421187044650278000150460817601000
ANTHONY FERRACANE
VP HUMAN RESOURCES25777702300920209840278000167280553381000
KEVIN MYBECK
VP MANAGED CARE2029700475500444096050250960285665000
CRAIG BOLDA
CHIEF OPERATING OFFICER SCH17392307415803700278000239180300169000
ELIZABETH YEE
VP CLINICAL ANCILLARY SERVICES2045990448350182960358490158160319395000
ROSEMARY GARCIA
VP DIAG & THERAPEUTIC SVCS190217044988019923095480180280282704000
NANCY MOSER
VP CORP COMPLIANCE & QUALITY1854300429880902085380179490255807000
RAMONA FISSINGER
VP HEALTH DATA SUPPORT137896033022011010240580153180211395000
MARK SIMAGA MD
CHIEF MEDICAL INFO OFFICER15171513161010000145111177999785510248638018141314696200
GARY WEINER
VP & CIO270472054702081007350065300339864000
DAVID OTTE
VP ENGINEERING & SUPPORT18546304040108220278000156380270124000
GREGG FERLIN
VP OF FINANCE182043000946045030230600210552000
FELIX GOZO JR MD
MED DIR OF CV/CARDIO REHAB/QA23378800021858011100086970275443000
KAREN SCHNEIDER
REGIONAL DIRECTOR OF PFS149471016000017180238560194630210508000
KATHLEEN EDWARDS
REGIONAL DIRECTOR OF FIN SRVCS13088705000020299021509086510186346000
MYLINDA CANE
REGIONAL DIRECTOR OF MRKT/CORP12042502065708340199100152260177052000
ALICIA STANLEY
DIRECTOR, IT PMO/SERVICE DLVRY1204430100000237059390174720154091000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART I, LINE 1AReturnReference
ExplanationThe organization pays health/social club dues on behalf of certain officers, key employees and the five highest paid employees which is then taxed as a fringe benefit to the individual. PART I, LINE 7 DESCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Indiana Health and Educational Facility Financing
A35161140945479RCM72007-06-28152135212CONST/EQUIP REFUND 2001 (10/17/01)falsefalsefalse
INDIANA FINANCE AUTHORITY
B351602316MULTIPLES2012-11-09175020000CONST/EQUIP DEF 04A REF 06A&B, '08falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A001538252411108416000180251500839188215701974502009falsetruetruetrue
B001875653780002265994001277230510970996762817112truetruefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUse
Afalsetruetruetruetruetrue0falsefalse0.00000falsetrue
Bfalsetruetruetruetruetrue0.00030falsefalse0.00000falsetrue0.000000.00030

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsRebate Not Due YetRebateNotDueYet
0
Atruetruefalsefalsefalse0falsetrue
0
Bfalsefalsefalsefalse0falsetruetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReference
PART II, LINE 3 - TOTAL PROCEEDS OF ISSUEDIFFER FROM ISSUE PRICE AS A RESULT OF INVESTMENT EARNINGS.
PART IV, LINE 2CREBATE COMPUTATIONS ARE PERFORMED ANNUALLY. THE MOST RECENT WAS 8/14/12.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DON POWERS AGENCY
OWNED BY JOE WILLIAMSON606991INDEPENDENT CONTRACTORfalse
MARKET SQUARE
OWNED BY DONALD S. POWERS64068RENTAL OF OFFICE SPACEfalse
HASSE CONSTRUCTION
OWNED BY WILLIAM HASSE29229INDEPENDENT CONTRACTORfalse
ERNESTINA NGO
FAM MEM OF ELIZABETH YEE120289EMPLOYMENTfalse
BARBARA BOLDA
FAM MEM OF CRAIG BOLDA104986EMPLOYMENTfalse
LEONARD BEZAT
FAM MEM OF CAROLE BEZAT41999EMPLOYMENTfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPart IVIdentifier
ExplanationTRANSACTIONS IN ITEMS 1-3 ARE MADE AT FAIR MARKET VALUE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FAMILY AND BUSINESS RELATIONSHIPSPART VI-A, LINE 2Joe Williamson has family member with a business relationship with CFNI. Family relationship between Frankie Fesko and Donald S. Powers. Family relationship between Elizabeth Yee and Ernestina Ngo.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990PART VI-B, LINE 11bTHE 990 IS SUBMITTED TO THE SENIOR VP AND CFO FOR REVIEW, ONCE THIS REVIEW IS COMPLETE THE RETURNS ARE THEN PRESENTED TO SENIOR LEADERSHIP FOR REVIEW. THE 990 IS ALSO REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM BEFORE IT IS POSTED TO A SECURE WEBSITE TO ALLOW THE BOARD OF DIRECTORS ACCESS TO REVIEW PRIOR TO FILING.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTPART VI-B, LINE 12CAS PART OF THE ORGANIZATION'S ANNUAL MONITORING & ENFORCEMENT PROCEDURE RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VP OF CORPORATE COMPLIANCE AND THOSE OFFICERS, DIRECTORS OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNPART VI-B, LINE 15THE CFNI BOARD HAS ADOPTED EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SURVEYS.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICPART VI-C, LINE 19COMMUNITY FOUNDATION OF NW IN INC DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND CONVENANTS, CFNI MAKES IT FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE. .
RECONCILIATION OF NET ASSETSPART XI LINE 5TRANSFERS FROM RELATED ENTITIES 110,588,812 TRANSFERS TO RELATED ENTITIES (54,313,526) ASSETS RELEASED FROM RESTRICTIONS 30,840 ASSETS RELEASED FUND TRANSFER (28,040) TOTAL CHANGE IN NET ASSETS 56,278,086
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING & OUTSIDE SERVICES TOTAL FEES:11856003

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MUNSTER MEDICAL RESEARCH FOUNDATION
901 MACARTHUR BLVDMUNSTERIN46321351107009HOSPITALIN501(c)(3)3NAtrue
ST CATHERINE HOSPITAL INC
4321 FIR STREETEAST CHICAGOIN46312351738708HOSPITALIN501(c)(3)3NAtrue
ST MARY MEDICAL CENTER
1500 S LAKE PARK AVENUEHOBARTIN46342352007327HOSPITALIN501(c)(3)3NAtrue
COMMUNITY CANCER RESEARCH FOUNDATION
901 MACARTHUR BLVDMUNSTERIN46321352146374CANCER FUNDRIN501(c)(3)7MMRFtrue
COMMUNITY VILLAGE INC
10000 COLUMBIA AVENUEMUNSTERIN46321351956395RETRMNT HOMEIN501(c)(3)9NAtrue
CVPA HOLDING COMPANY
1040 RIDGE RDMUNSTERIN46321351938136TITLE HLDG COIN501(c)(2)N/ANAtrue
THEATRE AT THE CENTER
905 RIDGE RDMUNSTERIN46321351939427PLAYS&ARTSIN501(c)(3)9NAtrue
COMMUNITY CARE NETWORK INC
901 MACARTHUR BOULEVARDMUNSTERIN46321454158203PHYS SERVICESIN501(c)(3)3MMRF SCH SMMtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
COMMUNITY RESOURCES INC
907 RIDGE ROADMUNSTERIN46321351727711MGMT SERVICESINNAC CORP-8338383856971.00000true
COMMUNITY MEDICAL & PROFESSIONAL CENTER
800 MACARTHUR BLVDMUNSTERIN46321237437942CONDO ASSOCIAINNAC CORP12361299610.90940true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (27 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MUNSTER MEDICAL RESEARCH FOUNDATION INC
a(iv)324792FMV
COMMUNITY CARE NETWORK INC
a(iv)62384FMV
MUNSTER MEDICAL RESEARCH FOUNDATION INC
b16585222FMV
ST MARY MEDICAL CENTER
b353342FMV
CVPA HOLDING COMPANY
b555000FMV
THEATRE AT THE CENTER
b374400FMV
COMMUNITY CANCER RESEARCH FOUNDATION
b55656FMV
COMMUNITY CARE NETWORK INC
c5506516FMV
MUNSTER MEDICAL RESEARCH FOUNDATION INC
c34569605FMV
ST CATHERINE HOSPITAL INC
c14478723FMV
ST MARY MEDICAL CENTER
c19355968FMV
COMMUNITY VILLAGE INC
c263278FMV
COMMUNITY VILLAGE INC
d17071108FMV
ST CATHERINE HOSPITAL INC
i184500FMV
MUNSTER MEDICAL RESEARCH FOUNDATION INC
o15685625FMV
ST CATHERINE HOSPITAL INC
o7792696FMV
ST MARY MEDICAL CENTER
o8919148FMV
COMMUNITY CARE NETWORK INC
o5662569FMV
MUNSTER MEDICAL RESEARCH FOUNDATION INC
p6926086FMV
ST CATHERINE HOSPITAL INC
p2019785FMV
ST MARY MEDICAL CENTER
p3021189FMV
COMMUNITY CARE NETWORK INC
p559086FMV
MUNSTER MEDICAL RESEARCH FOUNDATION INC
q45924410FMV
ST CATHERINE HOSPITAL INC
q16340911FMV
ST MARY MEDICAL CENTER
q25240682FMV
COMMUNITY VILLAGE INC
q981198FMV
COMMUNITY CARE NETWORK INC
q8394964FMV