2012-05-15T15:17:47-05:00 2011-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2010-07-01 351107009 Munster Medical Research Foundation Inc MUNS 2198361600 901 MacArthur Boulevard Munster IN 46321 LUIS F MOLINA 2012-05-15 3176817000 2010 2016-02-24 21:20:13Z DONALD P FESKO 901 MACARTHUR BLVD MUNSTER IN 46321 433515692 false X www.comhs.org X 1964 IN COMMUNITY HOSPITAL IS COMMITTED TO PROVIDE THE HIGHEST QUALITY CARE IN THE MOST COST-EFFICIENT MANNER, RESPECTING THE DIGNITY OF THE INDIVIDUAL, PROVIDING FOR THE (CONTINUED ON Part III, LINE 1) 22 10 3597 180 1891593 -221689 287024 524273 401321058 425281675 1077855 167777 7620866 7057015 410306803 433030740 0 80000 0 0 190094637 207968439 0 0 0 191760852 203707827 381855489 411756266 28451314 21274474 250460388 246359812 127473242 123312453 122987146 123047359 X THE NEEDS OF ALL PEOPLE, INCLUDING THE POOR AND DISADVANTAGED. false false 55419877 71614021 Nursing Patient Days 119,513 56757867 153120235 Surgery Operations 16,606 39217054 141952543 Outpatient Visits 256,804 428868 Audiology 5254566 Central Sterilization 2821437 Central Supply 3063623 CVU 9414126 Dietary 411118 EEG 11362687 Emergency Room 696348 Medically Based Fitness Center 8050730 Health Information Management 4646627 Home Health 5968325 ICU/CCU 14796855 IMCU 20478712 Laboratory 1509410 Medical Staff 4957401 Neonatology 3093083 Noninvasive Cardiology 2769527 Nuclear Medicine 11461 Occupational Health 2694415 Occupational Therapy 6539881 Oncology 7082434 Patient Financial and Registration Services 9737735 Physical Therapy 24732169 Physician Offices 14197516 Radiology 5462452 Respiratory Therapy 987289 Social Services 901688 Speech Therapy 614302 Cancer 28794039 Pharmacy 528813 Public Relations 2298005 Security 28900780 Cardiology 80000 80000 Grants & Allocations 233286422 80000 63928434 384681220 true true false true false false false false true true false false false true false false true false false false false false false false false true true true false true false false false false false true true true false false false false false true true true true false true 242 0 true 3597 true true true false false false false false false false false false X 22 10 true false false false true true true true true false false true true true true true true true true false IN X LUIS F MOLINA 2198526432 901 MACARTHUR BLVD Munster IN 463212959 David W Wickland 1.0 X X 30000 46333 0 Joseph T Morrow 1.0 X X 0 11200 0 Richard S McClaughry 1.0 X X 0 59333 0 David A Bochnowski 1.0 X X 0 16200 0 Thomas A Brubaker MD 1.0 X 0 0 0 Steven G Chovanec 1.0 X 0 0 0 Eric Compton DDS 1.0 X 0 0 0 Frankie L Fesko 1.0 X 30000 76731 0 William A Hasse III 1.0 X 0 6000 0 Robert L Lichtfield DO 1.0 X 0 0 0 Donna Panich 1.0 X 0 0 0 Donald S Powers 1.0 X 0 1272335 55994 Hon James J Richards 1.0 X 30000 46333 0 SN Makam MD 1.0 X 0 0 0 William K Schenck 1.0 X 0 31733 0 M Nabil Shabeeb MD 1.0 X 0 22000 0 Jay L Zandstra 1.0 X 0 6000 0 Nitin S Sardesai MD 1.0 X 600 0 0 Donald P Fesko 40.0 X X 0 561660 30798 Mark Levin MD 40.0 X 1131630 0 27404 Gayle Parr 1.0 X 0 0 0 Donald Torrenga 1.0 X 0 37031 0 Luis Molina 40.0 X 526744 0 48278 Ronda McKay 40.0 X 270688 0 9914 David Nellans 40.0 X 228480 0 57553 Richard Berkowitz MD 40.0 X 549925 0 69517 Krishnarao Pinnamaneni MD 40.0 X 452874 0 57136 WAYEL KAAKAJI 40.0 X 600158 0 123 DOUGLAS DEDELOW 40.0 X 505407 15792 29020 JOHN HOEHN 40.0 X 476557 0 24016 4833063 2208681 409753 138 false true true Rehabcare Group Inc PO Box 502096 ST LOUIS MO 63150 Rehab Care Services 4217391 Siemens Medical Solutions 51 Valley Stream Parkway MALVERN PA 19355 Medical Svcs/Repairs 1428801 Mayo collaborative services PO Box 9146 MINNEAPOLIS MN 55480 laboratory services 1039284 St Margaret Mercy Healthcare 5454 Hohman Avenue HAMMOND IN 46320 Laundry Services 1202874 Komyatte Casbon P C 9650 Gordon Drive HIGHLAND IN 46322 Collections 1203804 44 365106 27451 131716 524273 NET PATIENT SERVICE REVENUE 900099 425281675 425281675 425281675 322975 322975 0 0 254318 200890 53428 53428 53428 128864 284062 -155198 -155198 -155198 0 0 0 CAFETERIA SALES 722210 1624226 1624226 LABORATORY 621500 721161 721161 PHARMACY SALES 446110 4156553 3391679 764874 501647 50286 405558 45803 7003587 433030740 428723640 1891593 1891234 80000 80000 0 0 0 2405688 2262501 143187 105009 105009 158289860 148873516 9416344 19063651 17928810 1134841 17012183 15999576 1012607 11092048 10431849 660199 2545316 2078561 466755 493574 493574 24000 24000 5034 5034 0 0 19986526 15541489 4445037 634280 423074 211206 86994594 85511574 1483020 430061 416386 13675 0 5034587 4832878 201709 203929 183349 20580 0 200046 149366 50680 725559 688599 36960 0 20224462 19098584 1125878 3190056 3053827 136229 MEDICAL FEES 1681126 1643446 37680 CORP SUPP SRVCS ALLOCATION 33262024 31282268 1979756 OTHER EXPENSES 2216888 1296007 920881 REPAIRS & MAINTENANCE 3044723 1193113 1851610 LEASE & RENTALS 7174504 6822915 351589 15636538 14784523 852015 411756266 384681220 27075046 0 17772759 19602283 1845 1845 48364985 54443125 7352088 8454200 4343590 2439208 417864012 256444861 171174859 161419151 1450262 0 250460388 246359812 37953977 42403656 110823 91824 89408442 80816973 127473242 123312453 X 122505788 122421865 379012 523148 102346 102346 122987146 123047359 250460388 246359812 X 21274474 -21214261 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 5034 false 5034 false SUPPLEMENTAL INFORMATION PT II-B LINE 1i LOBBYING RELATED TO WAGE INDEX 86723 9757 150 96330 96624 -9751 150 86723 107819 -11045 150 96624 1.00000 false false 2393212 2393212 285030630 165441971 119588659 1116869 715272 401597 118806066 83770701 35035366 10517235 6516917 4000317 161419151 0 CAPITAL LEASES 464774 PENSION LIABILITY 67739106 EST 3RD PARTY SETTLEMENTS 3894505 ASSET RETIREMENT OBLIGATION 340104 DUE TO AFFILIATES 8378484 80816973 433030740 411756266 21274474 21274474 SUPPLEMENTAL INFORMATION PT V LINE 4 ENDOWMENT FUNDS ARE TO BE USED TO SUPPORT THE NEEDS OF MMRF, INC PT X THE ADOPTION OF ASC 740 DID NOT MATERIALLY IMPACT THE FINANCIAL STATEMENTS true true X true X true X true true true false true true 10310913 3339457 6971456 0.01760 35055597 14101120 20954477 0.05290 45366510 17440577 27925933 0.07050 16169 808700 17996 790704 0.00200 19 402 402 1360 6379397 5241862 1137535 0.00290 1140685 116443 1024241 0.00260 137115 3050 134065 0.00030 17548 8466299 5379351 3086947 0.00780 17548 53832809 22819928 31012880 0.07830 80531 4662 75869 0.00020 16501 16501 97032 4662 92370 0.00020 true 3767523 37675 161275422 193112547 -31837125 X true true 1 1 MUNSTER MEDICAL RESEARCH FOUNDATION INC

901 MACARTHUR BOULEVARD MUNSTER IN 46321

X X MUNSTER MEDICAL RESEARCH FOUNDATION INC 1 100 200. 15 COMMUNITY SURGERY CENTER

801 MACARTHUR BLVD MUNSTER IN 46321

OP SURGERY CENTER COMMUNITY CARDIOLOGY CENTER

801 MACARTHUR BLVD MUNSTER IN 46321

CARDIAC CATH LAB COMMUNITY DIAGNOSTIC CENTER

10020 DONALD S POWERS DRIVE MUNSTER IN 46321

OP ANCILLARY SERVICE ST JOHN OUTPATIENT CENTER

9660 WICKER AVE ST JOHN IN 46373

OP ANCILLARY SERVICES & PHYSICIAN PRACTICE FITNESS POINTE

9550 CALUMET AVE MUNSTER IN 46321

CARDIAC REHAB SERVICES COMMUNITY SPINE & NEUROSURGERY INSTITUTE

801 MACARTHUR BLVD SUITE 405 MUNSTER IN 46321

PHYSICIAN PRACTICE HOEHN MEDICAL GROUP

505 W LINCOLN HWY SCHERERVILLE IN 46375

PHYSICIAN PRACTICE COMMUNITY CARE CENTER FOR WOMEN

9100 COLUMBIA AVE MUNSTER IN 46321

PHYSICIAN PRACTICE COMMUNITY CARE CENTER FOR WOMEN

929 RIDGE ROAD MUNSTER IN 46321

PHYSICIAN PRACTICE COMMUNITY CARE CENTER FOR WOMEN

800 MACARTHUR BLVD MUNSTER IN 46321

PHYSICIAN PRACTICE COMMUNITY CARE CENTER

13963 MORSE STREET CEDAR LAKE IN 46303

PHYSICIAN PRACTICE COMMUNITY CARE NETWORK INTERNISTS

9122 COLUMBIA AVE MUNSTER IN 46321

PHYSICIAN PRACTICE FAMILY CARE CENTER

8731 INDIANAPOLIS BLVD HIGHLAND IN 46322

PHYSICIAN PRACTICE COMMUNITY CARE CENTER

800 MACARTHUR BLVD MUNSTER IN 46321

PHYSICIAN PRACTICE COMMUNITY CARE NETWORK

1650 45TH STREET SUITE C MUNSTER IN 46321

PHYSICIAN PRACTICE PART I, LINE 3C N/A PART I, LINE 6A N/A PART I, LINE 7G COMPLETED THE IRS WORKSHEETS AND USED COST ACCOUNTING FOR THE METHODOLOGY. WE DID NOT INCLUDE ANY PHYSICIAN PRACTICE INFORMATION WHEN CALCULATING SUBSIDIZED SERVICES. PART I, LINE 7, COLUMN F BAD DEBT OF $15,636,538 IS EXCLUDED FROM THE CALCULATION. PART I, LINE 7 THE METHODOLOGY USED WAS FROM THE COST ACCOUNTING SYSTEM WHICH USES A RELATIVE VALUE UNIT APPROACH TO COSTING. IT IS FOR THE INPATIENTS ONLY AND EXCLUDES MEDICAID AND CHARITY. PART II COMMUNITY HOSPITAL PROVIDES SUPPORT FOR BIOTERRORISM READINESS. THESE MEASURES HELP ENSURE THE SAFETY OF THE PATIENTS AND THE COMMUNITY IN THE EVENT OF A BIOTERRORISM EVENT. PART III, LINE 4 COMMUNITY HOSPITAL EVALUATES THE COLLECTIBILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING AND THE ANTICIPATED FUTURE UNCOLLECTIBLE AMOUNTS BASED ON HISTORICAL EXPERIENCE. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. COMMUNITY HOSPITAL DOES NOT REQUIRE COLLATERAL. THE COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT ARE REPORTED ON LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. AS A TAX-EXEMPT HOSPITAL, WE MUST PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICE PROVIDED. WE ESTIMATED A PERCENTAGE OF BAD DEBTS BASED UPON THE PORTION OF UNINSURED INDIVIDUALS THAT WOULD BE ELIGIBLE FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THIS AMOUNT ENTERED ON PART III, LINE 3 SHOULD BE COUNTED AS A COMMUNITY BENEFIT. PART III, LINE 8 THE TOTAL REVENUE RECEIVED FROM MEDICARE WAS CALCULATED BY USING INFORMATION FROM THE COST ACCOUNTING SYSTEM. WE PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICE PROVIDED OR THE REIMBURSEMENT RECEIVED FROM MEDICARE, QUALIFYING THE $31,837,125 OF MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. PART III, LINE 9B COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE COLLECTION PROCEDURES BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW. PART V, LINE 1J N/A PART V, LINE 3 N/A PART V, LINE 4 N/A PART V, LINE 5C N/A PART V, LINE 6I N/A PART V, LINE 7 N/A PART V, LINE 11H N/A PART V, LINE 13G N/A PART V, LINE 15E N/A PART V, LINE 16E N/A PART V, LINE 17E N/A PART V, LINE 18D N/A PART V, LINE 19D N/A PART V, LINE 20 N/A PART V, LINE 21 N/A NEEDS ASSESSMENT COMMUNITY HOSPITAL USES A THIRD-PARTY CONSULTING FIRM TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY. COMMUNITY HOSPITAL SERVES ONE OF THE LARGEST POPULATIONS IN NW INDIANA AND IS THE OLDEST POPULATION IN THE AREA WITH AN EXPECTED LOSS OF POPULATION IN THE NEXT FIVE YEARS. COMMUNITY HAS DOMINANT MARKET POSITION IN ALL PRODUCT LINES AND CONTINUES TO SEE GROWTH IN AREAS SUCH AS ORTHOPEDICS, ONCOLOGY AND GENERAL SURGERY. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PATIENTS WHO ARE ADMITTED WITHOUT INSURANCE ARE REFERRED TO THE HOSPITAL'S FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS PERFORM AN INTERVIEW WITH THE PATIENT TO EXPLAIN TO THEM THE PROCESS NECESSARY TO RECEIVE CHARITY CARE. THIS PROCESS INCLUDES APPLYING FOR MEDICAID OR OTHER GOVERNMENT AID. THE APPLICANT THEN MUST FILL OUT A FINANCIAL INFORMATION WORKSHEET AND SUBMIT VARIOUS INFORMATION TO DETERMINE IF THEY QUALIFY FOR CHARITY CARE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. THE CHARITY CARE POLICY IS POSTED AT EACH INPATIENT WAITING DESK. COMMUNITY INFORMATION THE COMMUNTIY SERVED INCLUDES NORTHWEST INDIANA AND ADJACENT COMMUNITIES IN ILLINOIS. OUR MARKET SHARE FOR THE CORE AREA IS 72.2%. THE POPULATION IS OLDER THAN MOST MARKETS BUT HAS A HIGHER MEDIAN HOUSEHOLD INCOME. COMMUNITY'S POPULATION CONSISTS OF AN UNINSURED POPULATION OF 9.9% AND MEDICAID OF 11.3%. PROMOTION OF COMMUNITY HEALTH SEE COMMUNITY BENEFITS STATEMENT IN SCHEDULE O. AFFILIATED HEALTH CARE SYSTEM COMMUNITY HOSPITAL IS PART OF AN AFFILIATED SYSTEM. EACH HOSPITAL IN THE SYSTEM PROVIDES MEDICAL SERVICES TO THEIR COMMUNITIES AND ADJOINING COMMUNITIES. EACH ENTITY'S PURPOSE IS TO PROVIDE HEALTH CARE TO THOSE WHO NEED IT, INCLUDING THE UNINSURED OR UNDERINSURED. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI IN, true Ridgewood Arts Foundation 907 Ridge Road Munster IN 46321 351939427 3 80000 FINANCIAL ASSISTANCE SUPPLEMENTAL INFORMATION PT I LINE 2 GRANT IS PROVIDED TO RELATED TAX-EXEMPT ORGANIZATION TO FINANCIALLY ASSIST IN IT'S EXEMPT PURPOSE X true true false false false false false false false false false Donald S Powers 0 784559 0 476188 0 11588 0 43516 0 12478 0 1328329 0 0 Donald P Fesko 0 421436 0 134718 0 5506 0 7350 0 23448 0 592458 0 0 Luis Molina 323892 0 197730 0 5122 0 31698 0 16580 0 575022 0 0 0 Mark Levin MD 1124486 0 0 7144 0 7350 0 20054 0 1159034 0 0 0 Ronda McKay 189196 0 80940 0 552 0 7350 0 2564 0 280602 0 0 0 David Nellans 194534 0 32285 0 1661 0 41083 0 16470 0 286033 0 0 0 Richard Berkowitz MD 548631 0 0 1294 0 43516 0 26001 0 619442 0 0 0 Krishnarao Pinnamaneni MD 447174 0 0 5700 0 43516 0 13620 0 510010 0 0 0 WAYEL KAAKAJI 550000 0 50000 0 158 0 0 123 0 600281 0 0 0 DOUGLAS DEDELOW 407482 0 97270 0 655 15792 7350 0 21670 0 534427 15792 0 0 JOHN HOEHN 256002 0 219480 0 1075 0 7350 0 16666 0 500573 0 0 0 SUPPLEMENTAL INFORMATION PT 1 LINE 1A THE ORGANIZATION PAYS HEALTH/SOCIAL CLUB DUES ON BEHALF OF THE INDIVIDUAL WHICH IS THEN TAXED AS A FRINGE BENEFIT TO THE INDIVIDUAL. COMMUNITY CARDIOLOGY CENTER SN MAKAM PRTNR MORE THAN 2392527 INDEPENDENT CONTRACTOR false COMM CARD CTNR CON'T 5% OWNED CARDIOLOGY ASSOCIATES OF NW IN SN MAKAN, OFFICER 84315 INDPENDENT CONTRACTOR false STEVEN P CHOVANEC SON OF STEVEN G CHOVANEC, BOARD MEMBER 45528 EMPLOYMENT false GARY MCKAY FAMILY MEMBER OF RONDA MCKAY 59481 EMPLOYMENT false FAMILY OR BUSINESS RELATIONSHIPS PT VI-A, LINE 2 FRANKIE FESKO, FAMILY MEMBER OF DONALD POWERS AND DONALD FESKO. PAULA NELLANS, FAMILY MEMBER OF DAVID NELLANS. DESCRIPTION OF THE CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS PT VI-A, LINE 7A COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC IS THE PARENT COMPANY OF MUNSTER MEDICAL RESEARCH FOUNDATION, INC AND HAS CONTROL TO ELECT MEMBERS OF THEIR GOVERNING BODY. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS PT VI-A, LINE 7B COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC IS THE PARENT COMPANY OF MUNSTER MEDICAL RESEARCH FOUNDATION, INC AND HAS RIGHTS TO APPROVE DECISIONS MADE BY MMRF. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 PT VI-A, LINE 11A THE 990 IS SUBMITTED TO THE SENIOR VP AND CFO FOR REVIEW. ONCE THIS REVIEW IS COMPLETE THE RETURNS ARE THEN PRESENTED TO SENIOR LEADERSHIP TO 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 TO REVIEW PRIOR TO FILING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST PT VI-B, LINE 12C AN OFFICER, DIRECTOR OR KEY EMPLOYEE THAT HAS A POTENTIAL CONFLICT OF INTEREST IS REQUIRED TO DISCLOSE THIS, AND THE BOARD OF DIRECTORS, ONE OF THEIR COMMITTEES, OR A DESIGNATED PERSON (SUCH AS THE CHIEF COMPLIANCE OFFICER) WILL REVIEW THE POTENTIAL CONFLICT OF INTEREST TO DETERMINE IF IT EXISTS. IF IT DOES EXIST, THE INVOLVED DIRECTOR, OFFICER OR KEY EMPLOYEE IS ASKED TO LEAVE THE MEETING WITH NO VOTE ON THE TOPIC. THE MEETING MINUTES WILL REFLECT THAT THE INVOLVED PERSON MADE THE DISCLOSURE, LEFT THE MEETING AND HAD NO VOTE. AS PART OF THE ORGANIZATION'S ANNUAL MONITORING & ENFORCEMENT PROCEDURE RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED 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 BEGUN PT VI-B, LINE 15 THE SALARY AND BENEFIT COMMITTEE OF THE CFNI BOARD REQUESTS A REVIEW OF THE COMPENSATION AND BENEFITS TO ASSESS THE REASONABLENESS COMPARED TO MARKET DATA ASSEMBLED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTING FIRM. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA ARE CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA RE ASSEMBLED FORM REPUTABLE, COMMERCIALLY-AVAILABLE SURVEYS. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC PT VI-C, LINE 19 MUNSTER MEDICAL RESEARCH FOUNDATION, INC DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, MMRF THROUGH CFNI MAKES IT FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE NRMSIR'S DATABASE. SUPPLEMENTAL DISCL RE: COMPENSATION AND HOURS WORKED PT VII, SECTION A MARC LEVIN M.D. IS COMPENSATED IN THE CAPACITY OF A NEUROSURGEON AND NOT AS A BOARD MEMBER. THE AVERAGE HOURS PER WEEK INCLUDE ALL HOURS WORKED FOR THE FILING ORGANIZATION AND ALL RELATED ENTITIES. PROGRAM SERVICE ACCOMPLISHMENTS PART III, LINE 4A THE DESIGNATED POPULATION THAT THE COMMUNITY HOSPITAL IS FOCUSING ON INCLUDES THOSE INDIVIDUALS WHOSE LIFE-STYLE BEHAVIORS PUT THEM AT RISK FOR DISEASE AND ILLNESS. OUR PRIMARY FOCUS CONTINUES THIS YEAR ON TWO DISEASES THAT HAVE BEEN IDENTIFIED AS HEALTH DISCREPANCIES IN LAKE COUNTY, INDIANA - CANCER AND HEART DISEASE. THE INCIDENCE OF THESE DISEASES IN OUR REGION SURPASSED STATE AND NATIONAL AVERAGES, AS WELL AS HEALTHY PEOPLE 2010 TARGETS AND THEREFORE DEMANDED OUR PRIMARY FOCUS. THE COMMUNITY HOSPITAL HAS INVESTED GREATLY IN RECENT YEARS IN THESE TREATMENT PROGRAMS AND IN OFFERING PATIENTS ACCESS TO TREATMENTS NOT AVAILABLE ELSEWHERE IN THE COUNTY. THE FOCUS OF OUR COMMUNITY BENEFIT IS TO USE RESOURCES TO REACH BEYOND THE TREATMENT OF THESE DISEASES TO HELP EDUCATE, SUPPORT AND EMPOWER INDIVIDUALS TO LOWER THEIR RISKS. I. 2010-2011 ANNUAL PROGRESS REPORT A. THE COMMUNITY HOSPITAL FITNESS POINTE THE GOAL OF FITNESS POINTE IS TO PROVIDE OPPORTUNITIES FOR PERSONS OF NORTHWEST INDIANA TO IMPROVE AND MAINTAIN THEIR HEALTHY LIFE-STYLE HABITS, LOWERING THEIR RISKS FOR HEART DISEASE, STROKES, AND DIABETES. THE FACILITY WAS DEVELOPED TO ADDRESS FINDINGS OF OUR 1995 HEALTH ASSESSMENT THAT IDENTIFIED OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. THE COMMUNITY HOSPITAL OPENED FITNESS POINTE ON NOVEMBER 1, 1998. THE 73,191 SQ. FT. FACILITY HOUSES THE HOSPITAL'S OUTPATIENT PHYSICAL THERAPY AND OCCUPATIONAL THERAPY, OUTPATIENT DIETARY COUNSELING, CARDIAC REHABILITATION PHASE III AND REHAB PLUS, AND THE FITNESS POINTE DEPARTMENTS. FITNESS POINTE PROGRAMS ADDRESS HEALTH EDUCATION/WELLNESS, AND FITNESS-RELATED CONTENT AREAS. THE COMMUNITY EDUCATION OFFERINGS AND THE CONTRIBUTIONS OF THE HOSPITAL EMPLOYEES AND MEDICAL STAFF ARE VITAL PIECES IN ADDRESSING THE HEALTH DISPARITIES IN LAKE COUNTY, SUPPORTING A VARIETY OF DISEASE PREVENTION GOALS. MANY OF THE COMMUNITY EDUCATION CLASSES ORIGINALLY DEVELOPED AT FITNESS POINTE ARE NOW ALSO OFFERED AT THE COMMUNITY HOSPITAL OUTPATIENT CENTRE IN ST. JOHN, FURTHER EXPANDING THE SCOPE OF SERVICES. HEALTH EDUCATION/WELLNESS SERVICES THE COMMUNITY HEALTH ASSESSMENT INDICATED LAKE COUNTY RESIDENTS HAVE INCREASED RISK FOR HEART DISEASE AND CANCER COMPARED TO STATE AND NATIONAL STATISTICS. A VARIETY OF HEALTH EDUCATION AND WELLNESS PROGRAMS ARE OFFERED TO THE COMMUNITY AT LITTLE OR NO CHARGE TO IMPROVE KNOWLEDGE AND AWARENESS OF LIFE-STYLE RELATED RISKS FOR THESE DISEASES. FITNESS POINTE PROVIDES A SUPPORTIVE ENVIRONMENT FOR AREA RESIDENTS TO MAINTAIN HEALTHY HABITS. RESEARCH INDICATES CERTAIN INDIVIDUALS ARE AT GREATER RISK FOR LIFE-STYLE RELATED DISEASES SUCH AS HEART DISEASE AND DIABETES BASED ON PHYSICAL MEASURES. FITNESS POINTE SCREENINGS FOR THESE RISKS DURING MANDATORY FITNESS PROFILES ARE PERFORMED ON ALL NEW PROGRAM PARTICIPANTS. IN A STUDY IN CONJUNCTION WITH VALPARAISO UNIVERSITY AND THE HEART CENTER AT COMMUNITY, FITNESS POINTE IDENTIFIED 1,321 INDIVIDUALS AT A SIGNIFICANTLY INCREASED RISK FOR DIABETES AND HEART DISEASE. OF THESE INDIVIDUALS, 700 OF THEM AT THE HIGHEST RISK LEVELS FOR HEART DISEASE AND DIABETES WERE INVITED TO UNDERGO ADDITIONAL SCREENING FOR BLOOD CHOLESTEROL, BODY MASS INDEX AND BLOOD PRESSURE. SOME OTHERS AT MODERATE TO HIGH RISK WERE TARGETED, THROUGH ADDITIONAL SCREENING AND LIFE-STYLE MODIFICATION, FOR INTERVENTION TO REDUCE THEIR RISK OF DISEASE. WITH 25% OF WHITE CHILDREN AND 33% OF AFRICAN AMERICAN AND HISPANIC CHILDREN BEING OVERWEIGHT ACCORDING TO 2001 STATISTICS, FITNESS POINTE HAS DEVELOPED PROGRAMS TO HELP ADDRESS THIS ISSUE. TEENS GET FIT IS AN EXERCISE AND NUTRITION INFORMATION PROGRAM THAT TARGETS 12-15 YEAR OLDS, PROVIDING A SETTING TO HELP MODIFY POOR HEALTH HABITS. "FIT TRIP" IS A PROGRAM THAT BRINGS 1ST-3RD GRADE STUDENTS TO FITNESS POINTE FOR A 90 MINUTE INTRODUCTION AND EXPERIENCE WITH DIFFERENT TYPES OF EXERCISE COMBINED WITH BASIC NUTRITION TIPS. "TAKE 5 FOR LIFE" IS A PROGRAM DEVELOPED FOR 5TH GRADERS TO TEACH GOOD HEALTH, NUTRITION AND FITNESS HABITS WITHIN THE SCHOOL SETTING, AS WELL AS TO ENCOURAGE ACTIVITY. BASED ON THE HEALTH NEEDS AND INTERESTS OF THOSE PROGRAM ATTENDEES, PROGRAMS WERE DEVELOPED IN THE AREAS OF: WOMEN'S HEALTH, NUTRITION AND HEALTHY COOKING, RELAXATION, WEIGHT MANAGEMENT, SENIOR HEALTH, BACK AND OTHER ORTHOPEDIC HEALTH ISSUES, DIABETES MANAGEMENT, CANCER AWARENESS AND PREVENTION, HEART DISEASE RISK FACTOR AWARENESS AND SCREENING, MENTAL HEALTH, AND SMOKING CESSATION. A SPECIALIZED FITNESS AND NUTRITION PROGRAM CALLED TEENS GET FIT GEARED TOWARD NUTRITIONALLY CHALLENGED OR OVERWEIGHT 12-15 YEAR-OLDS HAS BEEN DEVELOPED, AS HAS A WELLNESS RESOURCE CENTER THAT INCLUDES INTERNET ACCESS, BOOKS, MAGAZINES AND OTHER INFORMATIVE RESOURCES. THROUGH THE COLLABORATIVE EFFORTS OF THE COMMUNITY HOSPITAL'S WELLNESS SERVICES, PUBLIC RELATIONS, DIETARY SERVICES THERAPY, REHABILITATION, EDUCATION DEPARTMENT, NURSING SERVICES AND OTHERS, A QUARTERLY COMMUNITY EDUCATION CALENDAR CALLED "TAKE CARE!" IS CREATED. THE CALENDAR IS DISTRIBUTED TO MORE THAN 75,000 HOUSEHOLDS IN THE HOSPITAL'S SERVICE AREA, AND TO COMMUNITY CENTERS, PHYSICIAN OFFICERS, LIBRARIES AND OTHER PUBLIC LOCATIONS. IT FEATURES EDUCATIONAL AND SUPPORT PROGRAMS DESIGNED TO IMPROVE THE PHYSICAL, MENTAL, SAFETY, NUTRITIONAL AND SOCIAL WELL-BEING OF THE COMMUNITY. WELLNESS EDUCATION PROGRAM AREAS 1. HEART DISEASE-RELATED PROGRAMMING INCLUDES ONGOING DAILY BLOOD PRESSURE SCREENING BY THE EXERCISE STAFF, BLOOD PRESSURE SCREENING OFFERED DURING PERIODIC EVENTS, A COMPREHENSIVE SERIES ABOUT CHOLESTEROL THAT INCLUDES A SCREENING AND EDUCATION ON CHOLESTEROL MANAGEMENT, SMOKING CESSATION CLASS, A STROKE AWARENESS LECTURE, A PRESENTATION ON NEW ADVANCED GENETIC TESTING FOR HEART DISEASE, PERIPHERAL ARTERIAL DISEASE SCREENINGS, AND A CLASS THAT HELPS INDIVIDUALS MAINTAIN THEIR HEALTH WHILE ON HEART MEDICATIONS. HEART DISEASE-RELATED SUPPORT GROUPS INCLUDE A HEART FAILURE SUPPORT GROUP, A GROUP FOR WOMEN WITH HEART DISEASE, AND MENDED HEARTS - A NATIONAL ORGANIZATION THAT WHEREBY SEASONED HEART DISEASE PATIENTS VISIT NEWLY DIAGNOSED PATIENTS IN THE HOSPITAL AFTER SURGERY OR A PROCEDURE. OTHER COMMUNITY PROGRAMS RELATED TO THE HEART INCLUDED HOW TO RAISE A HEART-SMART CHILD, PROPER NUTRITION FOR LOWERING CHOLESTEROL, INFANT-CHILD CPR, DIABETES AS IT RELATES TO THE HEART, AND A SERIES OF PROGRAMS AND WOMEN AND HEART DISEASE. 2. CANCER AWARENESS AND PREVENTION PROGRAMS INCLUDE: A DAY OF CANCER AWARENESS WITH SKIN CANCER SCREENINGS, AND A VAST PUBLIC AWARENESS CAMPAIGN ABOUT THE LATEST ADVANCES IN PROSTATE CANCER DETECTION AND TREATMENT, INCLUDING THE VALUE OF EARLY DETECTION AND FREE SCREENING SESSIONS. THE COMMUNITY HOSPITAL CANCER RESEARCH FOUNDATION LAUNCHED THE CANCER RESOURCE CENTRE, WHICH HOSTS A VARIETY OF FREE PROGRAMS, CLASSES AND SUPPORT GROUPS ABOUT LIVING WITH CANCER. A SPECIAL SEGMENT OF CLASSES WAS BORN WITH THE OPENING OF THE CANCER RESOURCE CENTRE - A SUPPORT PROGRAM OF THE COMMUNITY HOSPITAL CANCER RESEARCH FOUNDATION. HERE, THOSE FACING CANCER ATTEND FREE CLASSES SUCH AS YOGA, BREATHING THROUGH PAIN, LEARNING ABOUT COMPLEMENTARY THERAPIES, AND A VARIETY OF SUPPORT GROUPS. PROGRAM SERVICE ACCOMPLISHMENTS (CONT) PART III, LINE 4A 3. DIABETES EDUCATION EFFORTS HAVE EXPANDED TO INCLUDE DIABETES MANAGEMENT CLASSES IN CONJUNCTION WITH EXERCISE. THIS IS IN ADDITION TO A BASIC DIABETES EDUCATION CLASS AND A DIABETES MANAGEMENT CLASS CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION. 4. SENIOR TOPICS OFFERED AT FITNESS POINTE INCLUDE FALL PREVENTION, UNDERSTANDING MANAGED CARE, UNDERSTANDING ADVANCED DIRECTIVES, UNDERSTANDING HOSPICE AND MEDICARE BENEFITS, HELP WITH DIZZINESS, MAKING SENSE OF MEDICAL TECHNOLOGY, MEDICATION SAFETY, URINARY INCONTINENCE PRESENTATION, A GRANDPARENT CLASS, AND A PROGRAM ON OSTEOPOROSIS. 5. ORTHOPEDIC PROGRAMS INCLUDE ARTHRITIS, TENDONITIS AND BURSITIS RECOGNITION AND MANAGEMENT, PREVENTION OF NECK AND LOW BACK PAIN, ATHLETIC FOOT AND ANKLE PROBLEMS, THE CARE AND TREATMENT OF KNEE, HIP, FOOT AND SHOULDER PROBLEMS, CERVICAL AND LUMBAR DISK PROBLEMS, A FALL PREVENTION AND BALANCE SCREENING PROGRAM, AND SPORTS INJURY PREVENTION. 6. NUTRITION PROGRAMS INCLUDE INDIVIDUAL NUTRITIONAL COUNSELING WITH A REGISTERED DIETITIAN, GROUP WEIGHT MANAGEMENT PROGRAMS, LUNCH & LEARN COOKING DEMONSTRATIONS, A CLASS ABOUT EMOTIONAL EATING, AND A CLASS ABOUT FAD DIETS AND PROPER NUTRITION. 7. MENTAL HEALTH RELATED PROGRAMS INCLUDE RELAXATION, STRESS MANAGEMENT, BREATHING EXERCISES, PROGRAMS ON COMPLEMENTARY THERAPIES, RECOGNIZING AND UNDERSTANDING DEPRESSION, AND LIFE MAPPING. 8. WOMEN'S WELLNESS PROGRAMS INCLUDE PRE-AND POST-NATAL EXERCISE, A SERIES ABOUT NUTRITION, SCREENING AND TREATMENT RELATED TO OSTEOPOROSIS, A COMPLETE HEALTH RETREAT FOR WOMEN, FIBROMYALGIA, GENETIC LINKS AND TESTING FOR CANCER, HORMONE REPLACEMENT THERAPY, STRENGTH TRAINING FOR WOMEN, AND HEADACHES IN WOMEN. 9. FAMILY HEALTH PROGRAMS INCLUDE A PRENATAL CLASS, SIBLING CLASS, TAKING CARE OF BABY, KEEPING BABY SAFE AND HEALTHY, INFANT GROWTH AND DEVELOPMENT, FAMILY AND FRIENDS CPR, BREAST FEEDING CLASSES AND LACTATION CONSULTATIONS, LAMAZE, TEEN CHILDBIRTH EDUCATION, GRANDPARENT EDUCATION, FILMS ABOUT CESAREAN SECTIONS, POISON PREVENTION AND TREATMENT, ASK THE PEDIATRICIAN AND HOW TO RAISE A HEART-SMART CHILD, AND A PARENT SUPPORT GROUP. PARTICIPATION IN HEALTH EDUCATION/WELLNESS PROGRAMS RANGES FROM AN AVERAGE OF 300-350 ATTENDEES A MONTH. APPROXIMATELY 20-30% OF THESE ATTENDEES ARE MEMBERS OF THE FITNESS POINTE FACILITY WHILE 70-80% ARE NON-MEMBERS FROM THE GENERAL COMMUNITY. FITNESS PROGRAM AREAS THE AMERICAN HEART ASSOCIATION RECOGNIZES THE LACK OF REGULAR PHYSICAL EXERCISE AS A MAJOR RISK FACTOR FOR HEART DISEASE. REGULAR EXERCISE IS ASSOCIATED WITH BETTER HEART HEALTH, MENTAL WELL-BEING, WEIGHT MANAGEMENT, CANCER PREVENTION, DIABETES CONTROL, LOW BACK PAIN PREVENTION/RELIEF AND OTHER LIFESTYLE-RELATED DISEASES. FITNESS POINTE'S GENERAL FITNESS MEMBERSHIP PROGRAM OFFERS A VARIETY OF EXERCISE PROGRAM OPTIONS DESIGNED TO MEET THE INDIVIDUAL NEEDS. INDIVIDUALS FROM THE COMMUNITY WHO TAKE ADVANTAGE OF THE GENERAL FACILITY MEMBERSHIP PROGRAM INCLUDE TRANSFERS FROM CARDIAC REHABILITATION AND PHYSICAL THERAPY, AND THOSE REFERRED BY THEIR PERSONAL PHYSICIAN. IN ADDITION, MANY ARE CORPORATE CUSTOMERS INTERESTED IN ENCOURAGING HEALTHIER EMPLOYEES, OR INDIVIDUALS LOOKING FOR AN OPPORTUNITY TO IMPROVE THEIR HEALTH ON THEIR OWN OR WITH A FRIEND OR FAMILY MEMBER. PRIOR TO USE OF THE FACILITY, INDIVIDUALS ARE SCREENED BY AN EXERCISE SPECIALIST TO DETERMINE MEDICAL OR PHYSICAL LIMITATIONS AND PRECAUTIONS. MEASUREMENTS COLLECTED ON PARTICIPANTS INCLUDE ENDURANCE, BODY COMPOSITION, RESTING BLOOD PRESSURE, FLEXIBILITY AND A HISTORY OF MEDICAL INFORMATION AND LIFESTYLE HABITS. AN INDIVIDUALIZED PROGRAM OF CARDIOVASCULAR CONDITIONING, MUSCULAR TRAINING AND FLEXIBILITY EXERCISES IS DEVELOPED BASED ON THE INDIVIDUAL INTERESTS AND NEEDS. GROUP EXERCISE CLASSES ARE CONDUCTED ON A WEEKLY BASIS AT FITNESS POINTE. CLASSES INCLUDE TRADITIONAL LOW IMPACT, REGULAR AND STEP AEROBICS, WATER AEROBICS, YOGA, REIKI, PILATES, ROWING, CYCLING, RELAXATION/STRETCHING, ETC. ALL CLASSES ARE AVAILABLE TO MEMBERS. CLASSES ALSO ARE OFFERED ON HOW TO EXERCISE AT HOME, INCLUDING FITNESS AT HOME, PILATES AT HOME, AWESOME ABS, AND YOGA AT HOME. MANY CLASSES ARE ALSO OPEN TO NON-MEMBERS FROM THE COMMUNITY. THESE INCLUDE: A) AWESOME ABS B) FITNESS AT HOME C) FITNESS INSTRUCTOR TRAINING D) TEENS GET FIT E) WOMEN'S FITNESS EXPRESS F) INTRODUCTION TO BASIC SELF DEFENSE AND SELF DEFENSE II G) PILATES AT HOME H) YOGA & DAILY LIFE IN A COOPERATIVE PROGRAM WITH THE TOWN OF MUNSTER PARKS AND RECREATION DEPARTMENT, GROUP EXERCISE CLASSES WERE OFFERED JOINTLY. THE MUNSTER POLICE DEPARTMENT OFFERS BASIC AND ADVANCED SELF DEFENSE CLASSES FOR FREE SEVERAL TIMES A YEAR. COMMUNITY HEALTH/FITNESS EVENTS FITNESS POINTE CELEBRATED NATIONAL GREAT AMERICAN SMOKE-OUT WITH FREE PROGRAMMING & INCENTIVES FOR PEOPLE TO STOP SMOKING. FITNESS POINTE CONTINUES ITS PARTNERSHIPS WITH AREA UNIVERSITIES, OFFERING STAFF AND FACILITIES TO EDUCATE FOR COLLEGE CREDIT NUTRITION AND FITNESS STUDENTS OF PURDUE UNIVERSITY CALUMET AND INDIANA UNIVERSITY; AS WELL AS CLINICAL ROTATIONS FOR POST GRADUATE PHYSICAL THERAPISTS, BACCALAUREATE AND GRADUATE NURSES AND EXERCISE SCIENCE/PHYSIOLOGY STUDENTS FROM OTHER STATE UNIVERSITIES. PROGRAM SERVICE ACCOMPLISHMENTS (CONT) CARDIAC REHABILITATION OUR OWN ASSESSMENT FOUND THAT DESPITE SIGNIFICANT BENEFITS OF CARDIAC REHABILITATION, ONLY ABOUT 45 PERCENT OF OUR INPATIENT HEART SURGERY POPULATION IS REFERRED TO CARDIAC REHABILITATION, PHASE 2. IN RESPONSE TO THE FACT THAT THOSE WHO CONTINUE CARDIAC REHAB THROUGH PHASE 3 ARE LIKELY TO MAINTAIN THEIR LIFESTYLE, FITNESS POINTE NOW OFFERS REHAB PLUS IN PLACE OF PHASE IV CARDIAC REHAB. SINCE FITNESS POINTE HAS OPENED, MORE THAN 575 CARDIAC REHABILITATION GRADUATES AND AN AVERAGE OF 10 PHYSICAL THERAPY GRADUATES PER MONTH HAVE TRANSITIONED TO GENERAL MEMBERS. A DISCOUNT RATE IS OFFERED TO ENCOURAGE AND SUPPORT THEIR CONTINUED REHAB IN A GENERAL FITNESS SETTING. FITNESS POINTE PROGRAM STATISTICS FITNESS POINTE PROGRAMS AND SERVICES ARE OFFERED TO THE PUBLIC. THE AVERAGE AGE OF PROGRAM ATTENDEES IS 49 YEARS OF AGE, WHILE 52% OF PARTICIPANTS WERE 50+ YEARS OF AGE. SINCE FITNESS POINTE IS INTERESTED IN MEETING NEEDS NOT ALREADY BEING MET IN THE COMMUNITY, IT IS IMPORTANT TO NOTE THAT MORE THAN 70% OF PARTICIPANTS REPORT THEY HAVE NEVER PREVIOUSLY BEEN A MEMBER OF A FITNESS FACILITY. FITNESS POINTE SERVICES RECORD MORE THAN 30,000 VISITS PER MONTH. APPROXIMATELY 1,600 INDIVIDUALS HAVE TRANSFERRED TO THE FACILITY MEMBERSHIP PROGRAM FROM CARDIAC REHAB AND PHYSICAL THERAPY TO CONTINUE THEIR REHABILITATIVE MAINTENANCE. SHORT TERM GOALS OFFER SERVICES THAT MEET THE INTERESTS AND HEALTH NEEDS OF THE COMMUNITY. PROVIDE ONGOING STAFF DEVELOPMENT AND TRAINING TO PROVIDE THE HIGHEST QUALITY CUSTOMER SERVICE. PROVIDE THE BEST SERVICES AT THE LOWEST POSSIBLE PRICE. CONTINUE DATABASE DOCUMENTATION TO DETERMINE SHORT AND LONG TERM EFFECTS OF PROGRAMS. CONTINUE INTEGRATION OF FITNESS POINTE SERVICES WITH OTHER HOSPITAL SERVICES TO BECOME A SIGNIFICANT PART OF THE COMMUNITY HOSPITAL CONTINUUM OF CARE. IDENTIFY APPROPRIATE PARTNERSHIPS TO STRENGTHEN THE QUALITY AND SCOPE OF SERVICES OFFERED. IDENTIFY RESEARCH OPPORTUNITIES IN THE AREAS OF HEALTH PROMOTION AND DISEASE PREVENTION. B. PREVENTION/WELLNESS AT COMMUNITY COMMUNITY'S PREVENTION/WELLNESS PROGRAM FOCUSES ON PROMOTING AWARENESS OF CARDIOVASCULAR DISEASE, REDUCING THE INCIDENCE OF HEART DISEASE AND IMPROVING THE QUALITY OF LIFE THROUGH AN INTEGRATED CARDIOVASCULAR HEALTH SERVICES DELIVERY SYSTEM. CARDIAC AND VASCULAR SCREENINGS DURING THE 2010-2011 FISCAL YEAR, COMMUNITY CONTINUED TO OFFER VARIOUS LEVELS OF CARDIAC AND VASCULAR SCREENINGS AT A SUBSTANTIAL DISCOUNT. ALL LEVELS OF SCREENING PUT AN EMPHASIS ON DIRECTING THE SCREENING PARTICIPANTS TO A VARIETY OF WELLNESS PROGRAMS OFFERED THROUGH THE HOSPITAL AND FITNESS POINTE. FITNESS POINTE CONTINUES TO SUPPORT THE WELLNESS PROGRAMS CREATED TO BETTER SERVE THE HEALTH NEEDS OF OUR COMMUNITY AND SUPPORT THE IMPORTANCE OF RISK FACTOR MODIFICATION THROUGH LIFE-STYLE AND BEHAVIOR CHANGES. THE CORONARY HEALTH APPRAISAL IS OFFERED THROUGHOUT THE COMMUNITY HEALTHCARE SYSTEM. THIS SCREENING NOT ONLY MEASURES CHOLESTEROL LEVELS, GLUCOSE, AND BLOOD PRESSURE, BUT ALSO EVALUATES INDIVIDUALS WHO MEET THE CRITERIA FOR METABOLIC SYNDROME. A TOTAL OF 109 PEOPLE WERE SCREENED BETWEEN COMMUNITY HOSPITAL AND COMMUNITY HOSPITAL OUTPATIENT CENTER-ST. JOHN. NINETEEN PERCENT OF PARTICIPANTS WERE FOUND TO MEET THE CRITERIA FOR METABOLIC SYNDROME. DURING THE 2010-2011 FISCAL YEAR, COMMUNITY HOSPITAL CONTINUED TO OFFER THE FAST CT HEART SCAN. THIS PROCEDURE HELPS TO DETECT HEART DISEASE IN ITS EARLIEST STAGES. DURING THE YEAR, 51 INDIVIDUALS PARTICIPATED IN THE SCREENING. COMMUNITY HEALTHCARE SYSTEM ADDED THE CT HEART SCAN AT ST. MARY MEDICAL CENTER. ONCE A MONTH, THE CARDIAC REHABILITATION STAFF CONDUCTS A SCREENING FOR PERIPHERAL VASCULAR DISEASE, OR PAD. INDIVIDUALS AT RISK FOR PAD ARE SMOKERS, DIABETICS AND CARDIAC PATIENTS. THE SCREENING TARGETS INDIVIDUALS WHO WOULD NEED FURTHER TESTING AND POSSIBLY INTERVENTION TO TREAT THE DISEASE. FOLLOWING THE PUBLIC SCREENING, PARTICIPANTS ARE EDUCATED ON THE DISEASE AND HOW TO PREVENT OR MANAGE IT. THE SCREENING COSTS $8 FOR CARDIAC REHAB PATIENTS AND FITNESS POINTE MEMBERS, AND $10 FOR NON-MEMBERS AND THE GENERAL PUBLIC. FOLLOW-UP EDUCATION LECTURES ARE CONDUCTED PERIODICALLY AT NO CHARGE. THIS PAST FISCAL YEAR, 98 INDIVIDUALS WERE SCREENED. IN ADDITION, EACH SEPTEMBER, COMMUNITY HOSPITAL PARTICIPATES IN THE NATIONAL LEGS FOR LIFE PERIPHERAL ARTERIAL DISEASE SCREENING CAMPAIGN. THIS FREE PAD SCREENING OFFERED TO THE PUBLIC IS ONE MORE WAY WE REACH OUT TO THE COMMUNITY AND PROVIDE A NEEDED SERVICE TO OUR POPULATION. THE SCREENING DRAWS ABOUT 150 PARTICIPANTS FROM AROUND THE AREA. CARDIAC REHAB PHASE 3 OFFERS A MONTHLY BLOOD PRESSURE SCREENING AT FITNESS POINTE. THE CARDIAC REHAB STAFF IS OFTEN ASKED TO TAKE BLOOD PRESSURES OR PARTICIPATE IN OTHER WAYS WHEN OTHER HOSPITAL DEPARTMENTS SPONSOR HEALTH FAIRS. AS AN ADDED SERVICE, FREE OF CHARGE, THE CARDIAC REHAB STAFF OFFERS ITS FORMER MEMBERS THE OPPORTUNITY TO GET A BLOOD PRESSURE, OXIMETER READING, OR HEART RHYTHM QUICK LOOK WHILE THEY ARE EXERCISING AT FITNESS POINTE. TWO DIABETES SCREENINGS WERE CONDUCTED DURING THE YEAR. FORTY-SIX INDIVIDUALS HAD THEIR BLOOD SUGAR TESTED. A FEW INDIVIDUALS MET THE CRITERIA FOR DIABETES, WHILE SEVERAL MORE WERE FOUND TO BE PRE-DIABETIC. BASIC INFORMATION REGARDING PRE-DIABETES WAS GIVEN AND PARTICIPANTS THAT MET THE CRITERIA FOR DIABETES WERE INTRUCTED TO FOLLOW-UP WITH THEIR PHYSISAN FOR FURTHER TESTING. WE CONTINUE TO TRACK INDIVIDUALS IN OUR DATABASE WHO GO THROUGH OUR SCREENING PROGRAMS TO DETERMINE TO WHAT DEGREE THIS EARLY INTERVENTION WILL HELP LOWER THE RISK FOR DEVELOPING HEART DISEASE. IN ADDITION TO THE DATABASE, OUR RISK FACTOR ANALYSIS SOFTWARE PROGRAM ALLOWS US TO HAVE THE MOST UP-TO-DATE DATA AVAILABLE. THIS SOFTWARE ENABLES US TO PREPARE REPORTS THAT EDUCATE INDIVIDUALS ABOUT HOW THEIR HEALTH STATUS PLACES THEM AT RISK FOR DEVELOPING HEART DISEASE, AND PROVIDES RECOMMENDATIONS AND SUPPORT IN MAKING HEALTHY LIFE-STYLES CHOICES THAT CAN LOWER THEIR RISK. THEREFORE, WE CAN ASSIST THEM IN PARTICIPATING IN ONE OF OUR WELLNESS EDUCATION PROGRAMS BEST SUITED TO THEIR INDIVIDUAL NEEDS. OUR DATABASE INCLUDES PATIENTS FROM OUR VARIOUS CARDIOVASCULAR OUTPATIENT CLINICS SUCH AS THE HEART FAILURE TREATMENT CLINIC, LIPID CLINIC AND CARDIAC REHABILITATION. THIS ALLOWS US TO TRACK OUR CARDIOVASCULAR PATIENTS AND BETTER MANAGE THEIR OUTCOMES AND TREATMENT OPTIONS. THROUGH THIS DATABASE, WE HAVE BEEN ABLE TO PERFORM INTERNAL RESEARCH ACTIVITIES THAT MEASURE THE OUTCOMES OF PATIENTS WITH HEART DISEASE AND HEART FAILURE SO WE CAN BETTER MANAGE THESE CONDITIONS AND PREVENT RECURRENT EVENTS. TO CONTINUE TO BETTER SERVE OUR PATIENT POPULATION, OUR CARDIOVASCULAR RESEARCH DEPARTMENT FOCUSES ON REDUCING CARDIOVASCULAR MORBIDITY AND MORTALITY IN OUR COMMUNITIES BY PARTICIPATING IN CLINICAL RESEARCH INITIATIVES DESIGNED TO PROMOTE EARLY DETECTION, DIAGNOSIS AND TREATMENT OF CARDIOVASCULAR AND PERIPHERAL VASCULAR DISEASE. FINALLY, PREVENTION/WELLNESS SERVICES DONATES GIFT CERTIFICATES FOR BOTH THE HEART SCAN AND CORONARY HEALTH APPRAISAL. THE CERTIFICATES ARE MADE AVAILABLE TO CHARITABLE ORGANIZATIONS AND CERTAIN COMMUNITY HOSPITAL SPONSORED EVENTS. FOR THE FIRST TIME, CORONARY HEALTH APPRAISAL PARTICIPANTS WERE SELETED TO PARTICIPATE AS SUBJECTS IN A RESEARCH STUDY. THE STUDY WAS CONDUCTED BY A NURSE WHO IS PURSUING HER DOCTORATE IN NURSING. HER AREA OF STUDY RELEATED TO HOW PEOPLE PERCEIVE THEIR RISK OF HEART DISEASE. OVER 100 SUBJECTS WERE RECRUITED. PROGRAM SERVICE ACCOMPLISHMENTS (CONT) C. CANCER PROGRAM COMMUNITY HOSPITAL CANCER PROGRAM IS APPROVED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER IN THEIR "COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM" CATEGORY. APPROVAL OF OUR CANCER PROGRAM QUALIFIES COMMUNITY HOSPITAL TO PARTNER WITH THE COMMISSION ON CANCER IN THE AMERICAN CANCER SOCIETY'S NATIONAL CANCER INFORMATION AND REFERRAL PROJECT, SHARING INFORMATION ON RESOURCES AND CANCER EXPERIENCE FOR THE AMERICAN CANCER SOCIETY'S NATIONAL CALL CENTER AND WEB SITE, KEY SOURCES OF CANCER INFORMATION AND GUIDANCE FOR THE PUBLIC. THIS INDICATES THAT COMMUNITY HOSPITAL MEETS THE STANDARDS OF THE COMMISSION ON CANCER IN ORGANIZATION AND MANAGEMENT OF OUR PROGRAM ENSURING MULTIDISCIPLINARY, INTEGRATED AND COMPREHENSIVE ONCOLOGY SERVICES. IN ADDITION, COMMUNITY HOSPITAL MEETS THEIR PERFORMANCE MEASURES FOR HIGH-QUALITY CANCER CARE. AN APPROVED PROGRAM ENSURES OUR PATIENTS RECEIVE QUALITY CARE CLOSE TO HOME AND ACCESS TO A MULTI-SPECIALTY TEAM APPROACH TO COORDINATE THE BEST TREATMENT OPTIONS. THE PROGRAM ALSO PROVIDES THE COMMUNITY WITH ACCESS TO CANCER-RELATED INFORMATION, EDUCATION AND SUPPORT, AND OFFERS LIFELONG PATIENT FOLLOW-UP, ONGOING MONITORING AND IMPROVEMENT OF CARE AND INFORMATION ABOUT ONGOING CANCER CLINICAL TRIALS AND NEW TREATMENT OPTIONS. A REGISTRY COLLECTS DATA ON TYPE AND STAGE OF CANCERS AND TREATMENT RESULTS. CANCER PROGRAM LEADERSHIP USES CANCER REGISTRATION DATA INCLUDING LIFELONG FOLLOW UP TO EVALUATE CLINICAL OUTCOMES COMPARED TO THOSE IN OTHER PROGRAMS. THEY ALSO USE THE DATA TO TRACK PATTERNS OF ACCESS, CARE AND REFERRAL, ALLOCATE AND PRIORITIZE RESOURCES, AND TARGET SERVICES AND PROGRAMS TO ADDRESS THE HEALTH CARE NEEDS OF OUR SERVICE AREA. AMERICAN COLLEGE OF SURGEONS ACCREDITED CANCER PROGRAM PROVIDING A WIDE RANGE OF SERVICES TO OUR PATIENTS WITH CANCER IS THE MULTIDISCIPLINARY CANCER COMMITTEE. THIS COMMITTEE COMPOSED OF PATHOLOGISTS, SURGEONS, ONCOLOGISTS, RADIATION ONCOLOGISTS, CLINICAL AND NURSING STAFF, AND CANCER REGISTRY PERSONNEL, HOSTS WEEKLY TUMOR CONFERENCES TO REVIEW CLINICAL FINDINGS, PAST HISTORY AND RADIOLOGIC AND PATHOLOGIC TREATMENT OPTIONS. CANCER EDUCATION CANCER EDUCATION PROGRAMS HELD OVER THE PAST YEAR INCLUDE THOSE DIRECTED AT COLON CANCER PREVENTION, BREAST SELF-EXAMINATION, THE IMPORTANCE OF PAP SMEARS, SMOKING CESSATION, AND THE IMPORTANCE OF EARLY DETECTION OF PROSTATE CANCER. IN ADDITION, SEVERAL NEW COMMUNITY EDUCATION PROGRAMS WERE INTRODUCED TO RAISE PUBLIC AWARENESS OF ISSUES AFFECTING THE PREVENTION AND EARLY DETECTION OF CANCER. SOME OF THESE NEW PROGRAMS ALSO HELPED MEMBERS OF THE COMMUNITY BETTER MANAGE SIDE EFFECTS FROM CANCER TREATMENTS, WHILE OTHER EFFORTS WERE DIRECTED AT HELPING PATIENTS MAKE COMPLEX TREATMENT DECISIONS. THE COMMUNITY HOSPITAL CANCER RESEARCH FOUNDATION OPENED THE CANCER RESOURCE CENTRE IN MUNSTER - A NON-MEDICAL RESOURCE HAVEN FOR THOSE SEEKING INFORMATION ABOUT CANCER. THE CENTRE HOLDS FREE COMMUNITY PROGRAMS AND SUPPORT/NETWORKING GROUPS, AND HAS AN EXTENSIVE LIBRARY WITH TWO COMPUTER TERMINALS FOR INTERNET ACCESS. THE CENTRE OPENED IN JUNE OF 2003, AND ALL SERVICES AND PROGRAMS ARE FREE. CLINICAL TRIALS/RESEARCH IN LOOKING TO EXPAND ON RESEARCH INITIATIVES AND TO BROADEN PATIENT ACCESS TO CLINICAL TRIALS, THE HOSPITAL HAS FORMED THE COMMUNITY HOSPITAL CANCER RESEARCH FOUNDATION, A SEPARATE NOT-FOR-PROFIT CORPORATION TO RAISE OUTSIDE SUPPORT. THE PURPOSE OF THIS FOUNDATION IS TO REDUCE CANCER MORBIDITY AND MORTALITY IN THE COMMUNITY BY SUPPORTING AND ADVANCING CANCER DETECTION, DIAGNOSIS, TREATMENT AND EDUCATION/PREVENTION AND BY PROMOTING THE ACQUISITION OF KNOWLEDGE THROUGH CLINICAL RESEARCH. CLINICAL TRIALS OFFERED INCLUDED THOSE FOR ALL STAGES OF BREAST AND COLON CANCER, LYMPHOMA, LEUKEMIA, MULTIPLE MYELOMA AND PANCREATIC CANCER. IN THE EFFORT TO IMPROVE PATIENT AND PHYSICIAN ACCESS TO CANCER RESEARCH TRIALS, THE HOSPITAL MAINTAINS ASSOCIATION IN A GOVERNMENT PROGRAM TO IMPROVE PATIENT AND PHYSICIAN ACCESS TO CANCER RESEARCH TRIALS. SPONSORED BY THE NATIONAL CANCER INSTITUTE (NCI), THE PROGRAM IS KNOWN AS THE CANCER TRIALS SUPPORT UNIT. IT IS SUPPORTING THE DEVELOPMENT OF A NATIONAL NETWORK OF PATIENTS AND PHYSICIANS TO PARTICIPATE IN NCI-SPONSORED PHASE III CANCER TREATMENT TRIALS. NCI HAS TAKEN STEPS THROUGH THIS PROGRAM TO BRING TOGETHER RESEARCH COOPERATIVES FROM AROUND THE U.S. AND CANADA. THE EFFORT RECOGNIZES THAT MORE PATIENTS AND PHYSICIANS COULD BECOME INVOLVED IN CANCER RESEARCH TRIALS WITH ADDED SUPPORT. TYPICALLY NCI RESEARCH COOPERATIVES OPEN TRIALS ONLY TO INDIVIDUAL MEMBERS, WHICH ARE OFTEN ACADEMIC INSTITUTIONS THAT CAN ACQUIRE LARGE NUMBERS OF PATIENTS AND HAVE THE FINANCIAL BACKING TO FACILITATE THE WORK. THROUGH THE CLINICAL TRIALS SUPPORT UNIT, COMMUNITY HOSPITAL GAINS ACCESS TO CLINICAL RESEARCH TRIALS FROM EIGHT DIFFERENT RESEARCH COOPERATIVES. THE PILOT PROGRAM ALSO IS PROVIDING FINANCIAL ASSISTANCE AND IS WORKING TO REDUCE REGULATORY AND ADMINISTRATIVE BURDENS, AND TO STREAMLINE AND STANDARDIZE DATA COLLECTION AND REPORTING. BREAST CANCER AN ON-GOING COMMUNITY-BASED EDUCATION INITIATIVE CONTINUES TO IDENTIFY WOMEN WHO ARE AT HIGH RISK FOR DEVELOPING BREAST CANCER. A COMPUTERIZED MODEL DEVELOPED BY THE NATIONAL CANCER INSTITUTE WAS USED AS A BASIS FOR IDENTIFYING WOMEN AND EDUCATING THE PUBLIC ON FACTORS THAT MOST DIRECTLY INCREASE THE RISK OF DEVELOPING BREAST CANCER. IN OCTOBER 1999, COMMUNITY HOSPITAL BEGAN CONDUCTING A FREE BREAST CANCER RISK ASSESSMENT ON ALL MAMMOGRAPHY PATIENTS OVER THE AGE OF 35 TO IDENTIFY PATIENTS WHO MAY BE AT HIGH RISK FOR BREAST CANCER. A BREAST CANCER RISK ASSESSMENT REPORT WAS DEVELOPED BY THE HOSPITAL TO COMMUNICATE TEST RESULTS TO PATIENTS, EDUCATING THEM ABOUT THE RISK FACTORS FOR BREAST CANCER AND VARIOUS TREATMENT OPTIONS THEY MAY DISCUSS WITH THEIR PHYSICIAN. THE HOSPITAL ALSO OFFERS FREE CONSULTATION SERVICES OF OUR NURSE PRACTITIONER/BREAST HEALTH NAVIGATOR AT THE WOMEN'S DIAGNOSTIC CENTER IN CONJUNCTION WITH THESE TEST RESULTS. MORE THAN 14,000 WOMEN COMPLETED THE BREAST CANCER RISK ASSESSMENT THROUGH THE FISCAL YEAR ENDING JUNE 30, 2010. ABOUT 1.3% OF THE WOMEN WHO COMPLETED THE BREAST RISK ASSESSMENT AT COMMUNITY HOSPITAL WERE IDENTIFIED TO HAVE A LIFETIME RISK ASSESSMENT OF GREATER THAN 20%. THE INTENT OF THESE EFFORTS IS TO BETTER INFORM WOMEN OF THE RISK FACTORS THAT INCREASE THEIR CHANCES OF DEVELOPING BREAST CANCER AND TO PROVIDE EDUCATION ABOUT ADDITIONAL TREATMENT OPTIONS IF THEY ARE AT ELEVATED RISK. THE AMERICAN CANCER SOCIETY RECOMMENDS ANNUAL BREAST MRI IN ADDITION TO YEARLY MAMMOGRAPHY FOR WOMEN WHO HAVE A LIFETIME RISK ASSESSMENT FOR BREAST CANCER OF 20% OR GREATER, AND THIS RECOMMENDATION IS COMMUNICATED IN EACH HIGH RISK PATIENT'S REPORT. IN ADDITION TO A BREAST MRI, PATIENTS WITH AN ELEVATED LIFETIME RISK FOR BREAST CANCER MAY ALSO BENEFIT FROM CONSULTATION WITH A MEDICAL GENETICIST. PROSTATE CANCER A FREE PROSTATE CANCER SCREENING FOR THE PUBLIC WAS HELD IN SEPTEMBER OF 2009 WITH 113 PARTICIPANTS TAKING ADVANTAGE OF THE DIGITAL RECTAL EXAM AND PSA. THE SCREENING WAS MADE POSSIBLE THROUGH A JOINT EFFORT ON BEHALF OF THE HOSPITAL AND THE PHYSICIANS WHO DONATED THEIR TIME. OF THOSE TAKING PART IN THE SCREENING 11% HAD ABNORMAL DIGITAL RECTAL EXAMS, 7% HAD ABNORMAL PSA RESULTS AND 2% HAD BOTH AN ABNORMAL EXAM AND ABNORMAL PSA RESULTS. THESE RESULTS ARE FORWARDED FOR EVALUATION AND TREATMENT. SKIN CANCER A FREE SKIN CANCER SCREENING WAS HELD IN NOVEMBER 2009. PHYSICIANS SCREENED SUSPICIOUS SPOTS ON 51 PARTICIPANTS. OF THOSE, ONE PARTICIPANT HAD SUSPECTED BASAL CELL CANCINOMA, ONE PRESUMED SQUAMOUS CELL CARCINOMA, AND ONE PRESUMED MELANOMA (2% EACH). PART XI, LINE 5 OTHER CHANGES IN NET ASSETS INCLUDE THE FOLLOWING: MINIMUM PENSION LIABILITY 21,192,370 TRANSFERS TO CFNI, INC. (42,421,018) CHANGES IN TEMP RESTRICTED FUNDS 144,136 NET ASSETS RELEASED FROM RESTRICTION 381,985 CONTRIBUTIONS TO TEMP RESTRICTED FUNDS ( 146,628) INDIRECT PUBLIC SUPPORT FROM COMMUNITY CANCER RESEARCH FOUNDATION, INC. ( 365,106) TOTAL CHANGES IN NET ASSETS (21,214,261) COMMUNITY FD OF NW INDIANA INC 10010 DONALD POWERS DRIVE MUNSTER IN 46321 311128781 SUPPORTNG ORG IN 501(c)(3) 11(c) NA ST CATHERINE HOSPITAL 4321 FIR STREET EAST CHICAGO IN 46312 351738708 HOSPITAL IN 501(c)(3) 3 CFNI ST MARY MEDICAL CENTER 1500 S LAKE PARK AVE HOBART IN 46342 352007327 HOSPITAL IN 501(c)(3) 3 CFNI COMMUNITY CANCER RESEARCH FDINC 901 MACARTHUR BLVD MUNSTER IN 46321 352146374 CANCER FUNDRA IN 501(c)(3) 7 NA COMMUNITY VILLAGE INC 10000 COLUMBIA AVE MUNSTER IN 46321 351956395 RETRMT HOME IN 501(c)(3) 9 CFNI CVPA HOLDING COMPANY 905 RIDGE ROAD MUNSTER IN 46321 351938136 SUPPORT ORG IN 501(c)(2) N/A CFNI RIDGEWOOD ARTS FD 905 RIDGE ROAD MUNSTER IN 46321 351939427 PLAYS & ARTS IN 501(c)(3) 9 CFNI COMMUNITY RESOURCES INC 907 RIDGE ROAD MUNSTER IN 46321 351727711 BLDG DEVELOPMENT IN NA C CORP false true true false false false false false false true false false false true true true true false ST CATHERINE HOSPITAL n 876690 ST CATHERINE HOSPITAL o 1306432 ST CATHERINE HOSPITAL p 745564 ST MARY MEDICAL CENTER n 1330626 ST MARY MEDICAL CENTER o 1433723 ST MARY MEDICAL CENTER p 920122 RIDGEWOOD ARTS FOUNDATION INC b 80000 COMMUNITY CANCER RESEARCH FOUNDATION INC q 107924 COMMUNITY CANCER RESEARCH FOUNDATION INC o 372164 COMMUNITY CANCER RESEARCH FOUNDATION INC p 259409