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COMMUNITY FOUNDATION OF NORTHWEST INDIANA INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY FOUNDATION OF NORTHWEST INDIANA INC (EIN 31-1128781)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201121369349303402
Schema version
2009v1.7
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)
Timestamp2011-05-16T11:30:00-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

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)
Name ControlCOMMNameControl
Phone2199348250Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line110010 DONALD POWERS DRIVEAddressLine1
CityMUNSTERCity
StateINState
ZIP Code46321ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARYANN SHACKLETTName
TitleSR. VP FINANCE/CFOTitle
Date Signed2011-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 POWERS DRIVEAddressLine1
CityMUNSTERCity
StateINState
ZIP Code46321ZIPCode
FieldValueIRS element (for citing)
Gross Receipts369007307GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees300TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI11058TotalGrossUBI
Contributions Grants Prior Year184815ContributionsGrantsPriorYear
Contributions Grants Current Year48064ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2910462ProgramServiceRevenuePriorYear
Program Service Revenue CY2874870ProgramServiceRevenueCY
Investment Income Prior Year7431525InvestmentIncomePriorYear
Investment Income Current Year12622113InvestmentIncomeCurrentYear
Other Revenue Prior Year39561522OtherRevenuePriorYear
Other Revenue Current Year46134436OtherRevenueCurrentYear
Total Revenue Prior Year50088324TotalRevenuePriorYear
Total Revenue Current Year61679483TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year178275GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY351017GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20419588SalariesEtcPriorYear
Salaries Etc Current Year24257753SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year54064TotalFundrsngExpCurrentYear
Other Expense Prior Year27237221OtherExpensePriorYear
Other Expenses Current Year33025376OtherExpensesCurrentYear
Total Expenses Prior Year47835084TotalExpensesPriorYear
Total Expenses Current Year57634146TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2253240RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4045337RevenuesLessExpensesCY
Total Assets BOY320594392TotalAssetsBOY
Total Assets EOY372425834TotalAssetsEOY
Total Liabilities BOY324944873TotalLiabilitiesBOY
Total Liabilities EOY326378319TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-4350481NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY46047515NetAssetsOrFundBalancesEOY
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
Expense45545624Expense
Revenue61631419Revenue
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 Expense45545624TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109666NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees300NumberOfEmployees
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
Distribution To DonorfalseDistributionToDonor
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
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 POWERS DRIVEAddressLine1
CityMUNSTERCity
StateINState
ZIP Code46321ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
FRANKIE FESKO
CHAIRMAN12.0XX71435250000
DONALD POWERS
CEO40.0XX854403041019
JAMES J RICHARDS
SECRETARY22.0XX36737250000
DAVID WICKLAND
TREASURER, DIRECTOR16.0XX36737250000
STEVEN BEERING MD
DIRECTOR1.0X900000
JOSEPH COSTANZA
DIRECTOR2.0X1330000
ALBERT J COSTELLO MD
DIRECTOR1.0X425500
DAVID BOCHNOWSKI
DIRECTOR1.0X900000
JOSEPH MORROW
DIRECTOR1.0X710000
RICHARD MCCLAUGHRY
DIRECTOR3.0X21037250000
SISTER KATHLEEN QUINN
DIRECTOR1.0X1220000
DONALD SANDS
DIRECTOR1.0X1010000
WILLIAM SCHENCK
DIRECTOR2.0X2423700
M NABIL SHABEEB MD
DIRECTOR2.0X920000
MONSIGNOR JOSEPH SEMANCIK
DIRECTOR1.0X1210000
DONALD TORRENGA
DIRECTOR1.0X2908100
ROBERT WELSH
DIRECTOR2.0X810000
EDWARD WILLIAMS PHD
DIRECTOR1.0X1917300
JOE WILLIAMSON
DIRECTOR2.0X1110000
JOHN GORSKI
COO40.0X730058047245
MARY ANN SHACKLETT
SR VP FINANCE AND CFO40.0X469824050444
CAROLE BEZAT
SR VP ADMINISTRATION40.0X359613041649
ROSEMARY GARCIA
VP DIAG & THERAPEUTIC SVCS40.0218943016094X
ELIZABETH YEE
VP CLINICAL ANCILLARY SVCS40.0234309041125X
RAMONA FISSINGER
VP HEALTH DATA SUPPORT40.0141551029338X
CRAIG BOLDA
VP THERAPY & REHAB SVCS40.0151427039255X
ANTHONY FERRACANE
VP HUMAN RESOURCES40.0300719043413X
NANCY MOSER
VP CORP COMP&QUALITY RISK MNGM40.0204761024113X
KAREN SCHNEIDER
REG DIRECTOR- PATIENT FIN SVCS40.0143113034102X
MYLINDA CANE
REG DIRECTOR- COMMUNITY40.0134269029195X
DAVID OTTE
CONSTRUCTION MGR40.0148227034954X
FELIX GOZO JR MD
MED DIR OF CARDIAC REHAB40.0233864016217X
KEVIN MYBECK
VP MANAGED CARE40.0213320027873X
JOHN MYBECK
CAO40.0158088019783X
VERNON GROEBER
VP OF INFO TECH & CIO40.0252577040683X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5292958TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs100000TotalReportableCompFrmRltdOrgs
Total Other Compensation576502TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers ListedtrueFormersListed
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 SUPPORT2027891
KOMYATTE CASBON PC
9650 Gordon DriveHIGHLANDIN46322COLLECTIONS1122336
QUADRAMED CORP
1602 Grant AveNOVATOCA94947CONSULTING994350
VOA ASSOCIATES
2245 MICHIGAN AVECHICAGOIL60604ARCHITECT1337362
ACS CONSULTING COMPANY INC
5225 AUTO CLUB DRIVEDEARBORNMI48126CONSULTANT1302366
FieldValueIRS element (for citing)
Number Of Contractors GT100 K53NumberOfContractorsGT100K
All Other Contributions48064AllOtherContributions
Total Contributions48064TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
CSC REVENUE90000328473392847339
COPYING FEE90009915322$15,322
MISCELLANEOUS90009912209$12,209
FieldValueIRS element (for citing)
Total Program Service Revenue2874870TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8426433TotalRevenueColumn
Exclusion$8,426,433ExclusionAmount

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)
Real3363835Real
Personal36716Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3733354Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-369519Real
Personal36716Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-332803TotalRevenueColumn
Related Or Exempt Function Income-332803RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities307733223Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities303537543Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4195680Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4195680TotalRevenueColumn
Exclusion$4,195,680ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming56927GrossIncomeGaming
Gaming Direct Expenses56927GamingDirectExpenses

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 ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
IT REVENUE5182101092010920
EXP ALLOC TO SUBS9000994645618146456181
BOOK SALES900099138138
FieldValueIRS element (for citing)
Total Other Revenue46467239TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column61679483TotalRevenueColumn
Related Or Exempt Function Income48970717RelatedOrExemptFunctionIncome
Unrelated Business Revenue11058UnrelatedBusinessRevenue
Exclusion$12,649,644ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total351017Total
Program Services351017ProgramServices

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)
Total6574727Total
Program Services5259782ProgramServices
Management And General1314945ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total391154Total
Program Services312923ProgramServices
Management And General78231ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13412555Total
Program Services12028042ProgramServices
Management And General1336449ManagementAndGeneral
Fundraising48064Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total288815Total
Program Services231052ProgramServices
Management And General57763ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2283072Total
Program Services1826458ProgramServices
Management And General456614ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1307430Total
Program Services1045944ProgramServices
Management And General261486ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1006894Total
Management And General1006894ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total760039Total
Management And General760039ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total98172Total
Management And General98172ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total541266Total
Management And General541266ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total659157Total
Program Services527326ProgramServices
Management And General131831ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1100852Total
Program Services880682ProgramServices
Management And General220170ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6071635Total
Program Services4853689ProgramServices
Management And General1213422ManagementAndGeneral
Fundraising4524Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total212160Total
Program Services169728ProgramServices
Management And General42432ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total405980Total
Program Services323603ProgramServices
Management And General80901ManagementAndGeneral
Fundraising1476Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total41580Total
Program Services33264ProgramServices
Management And General8316ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9818245Total
Program Services7854596ProgramServices
Management And General1963649ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total184500Total
Program Services147600ProgramServices
Management And General36900ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5516641Total
Program Services4413313ProgramServices
Management And General1103328ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total416442Total
Program Services333154ProgramServices
Management And General83288ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONSULTING FEES36670962933677733419
OUTSIDE SERVICES870634696507174127
REPAIRS AND MAINTENANCE779487623590155897
OTHER874596699677174919

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total57634146Total
Program Services45545624ProgramServices
Management And General12034458ManagementAndGeneral
Fundraising54064Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9738497BOY
EOY14718174EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11368BOY
EOY27401EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY7788094BOY
EOY12863724EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1377434BOY
EOY1840292EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis115363787LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec56815844LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY52735590BOY
EOY58547943EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY193494456BOY
EOY231840957EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY55448953BOY
EOY52587343EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY320594392BOY
EOY372425834EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14180313BOY
EOY18705915EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY27962BOY
EOY12023EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY288161170BOY
EOY286728510EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22575428BOY
EOY20931871EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY324944873BOY
EOY326378319EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-4691594BOY
EOY45659341EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY341113BOY
EOY388174EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-4350481BOY
EOY46047515EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY320594392BOY
EOY372425834EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

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$10,669,623
ST MARY MEDICAL CETNER
35200732703truetruetrue$1,242,243
ST CATHERINE HOSPITAL
35173870803truetruetrue$1,558,171
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts13470037SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

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 LegislatorstrueDirectContactLegislators
Direct Contact Legislators$1,244DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$98,172OtherActivitiesAmount
Total Lobbying Expenditures IIB99416TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1745353OtherCostOrOtherBasis
Book Value1745353BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis53217262OtherCostOrOtherBasis
Depreciation23970011Depreciation
Book Value29247251BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2022586OtherCostOrOtherBasis
Depreciation594029Depreciation
Book Value1428557BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis39123805OtherCostOrOtherBasis
Depreciation31675453Depreciation
Book Value7448352BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19254781OtherCostOrOtherBasis
Depreciation576351Depreciation
Book Value18678430BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings58547943TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
PROJECT FUND3814640
DEBT SERVICE RESERVE FUND32697067
DEFERRED COSTS6331347
VETERANS MEMORIAL PARK3725080
INVESTMENT IN AFFILIATES2906247
LAND HELD FOR FUTURE USE3112962
FieldValueIRS element (for citing)
Total Book Value Other Assets52587343TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
BOND PAYABLE 2001B (TAXABLE)$20,580,000
CONSTRUCTION PAYABLE$345,271
DUE TO AFFILIATES$6,600
FieldValueIRS element (for citing)
Total Of Amounts20931871TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationIN JUNE 2009, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED THE FASB ACCOUNTING STANDARDS CODIFICATION AND THE HIERARCHY OF GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, WHICH ESTABLISHES THE FASB ACCOUNTING STANDARDS CODIFICATION (THE CODIFICATION) AS THE SINGLE AUTHORITATIVE SOURCE OF US GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR INTERIM AND ANNUAL REPORTING PERIODS ENDING AFTER SEPTEMBER 15, 2009. CFNI ADOPTED THE CODIFICATION ON JULY 1, 2009. THE ADOPTION OF THE CODIFICATION DID NOT IMPACT CFNI'S CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2010.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesINLicensedStates

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming56927GrossRevenueOtherGaming
Other Direct Expenses Other Gaming56927OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming56927GrossRevenueTotalGaming
Other Direct Expenses Total Gaming56927OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming56927DirectExpenseSummaryGaming
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 MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
LAKE AREA UNITED WAY
221 W RIDGE RDGRIFFITHIN46319237170019501(c)(3)40000ANNUAL CAMPAIGN
HAMMOND PORT AUTHORITY
701 CASINO DRIVEHAMMONDIN46320351773481N/A15000CONTRIBUTION
INDIANA UNIVERSITY
3400 BROADWAYGARYIN46408356001673501(c)(3)50000CONTRIBUTION
VALPARAISO UNIVERSITY
1605 CAMPUS DRIVE EASTVALAPRAISOIN46383350868125501(c)(3)12000SCHOLARSHIP CONTRIB
NORTHWEST INDIANA SYMPHONY SOCIETY
1040 RIDGE RDMUNSTERIN46321351359750501(c)(3)11596SPONSORSHIP
SOUTH SHORE ARTS
1040 RIDGE RDMUNSTERIN46321237049722501(c)(3)15000SPONSORSHIP
CATHOLIC CHARITIES
176 S WEST STREETCROWN POINTIN46307351122204501(c)(3)8000CONTRIBUTION
AMERICAN HEART ASSOCIATION
PO BOX 611HEBRONIN46341135613797501(c)(3)10500SPONSORSHIP
PURDUE UNIVERSITY CALUMET
2200 169TH STREETHAMMONDIN46323356002041501(c)(3)42000CONTRIBUTION
CALUMET COLLEGE OF ST JOSEPH
2400 NEW YORK AVENUEWHITINGIN46394351087173501(c)(3)21500CONTRIBUTION
INDIAN AMERICAN CULTURAL CENTER
8605 MERRILLVILLE RDMERRILLVILLEIN46410351981658N/A20000SPONSORSHIP
HEALTHCARE ADVOCACY GROUP INC
1356 SOUTH LAKE PARK AVEHOBARTIN46342351996856501(c)(3)15000CONTRIBUTION
THE CLINTON BUSH HAITI FUND
1610 PRESIDENT CLINTON AVELITTLE ROCKAR72201501(C)(3)15000CONTRIBUTION
INDIANA UNIVERSITY FOUNDATION
3400 BROADWAYGARYIN46408356018940501(c)(3)9500SCHOLORSHIP CONTRIB
MARCH OF DIMES
2612 US HWY 30 WMERRILLVILLEIN46410131846366501(c)(3)6100CONTRIBUTION
TRADE WINDS SERVICES
PO BOX 6308GARYIN46406351139485N/A5350SPONSORSHIP
GRANTS 5000
44471CONTRIBUTION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants33TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations23TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
ExplanationA COMMITTEE WITHIN CFNI REVIEWS REQUESTS FOR DONATIONS FROM QUALIFIED 501(c)(3) CHARITIES AND UNIVERSITIES AND EVALUATES WHETHER THE POTENTIAL DONEE ORGANIZATION WILL USE THE FUNDS IN A MANNER CONSISTENT WITH THE CHARITABLE MISSION OF CFNI.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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base 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 POWERS
61912902100000252740291910118280895422000
JOHN GORSKI
49492401600200751140291910180540777303000
MARY ANN SHACKLETT
32636501170000264590291910212530520268000
CAROLE BEZAT
2537850859560198720291910124580401262000
ROSEMARY GARCIA
1767140348260740308022080720235037000
ELIZABETH YEE
1609240350070383780283310127940275434000
RAMONA FISSINGER
117645022882010240169400123980170889000
CRAIG BOLDA
125391024960010760186510206040190682000
ANTHONY FERRACANE
2198760610000198430291910142220344132000
NANCY MOSER
16956403411301084088490152640228874000
KAREN SCHNEIDER
12749708000076160175950165070177215000
MYLINDA CANE
110781022217012710161260130690163464000
DAVID OTTE
130433010000077940178890170650183181000
FELIX GOZO JR MD
2091630002470109049071680250081000
KEVIN MYBECK
17553503631401471083890194840241193000
VERNON GROEBER
1421130427140677500291910114920293260000
JOHN MYBECK
74423059055024610018782010010177871000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Explanation1a The 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.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
INDIANA HEALTH FACILITY FINANCING AUTHORITY
3516114094547977V72004-04-0859742964CONSTRUCTION & PURCH EQUIPMENTfalsefalse
INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING
35161140945479RCM72007-06-28152135212CONST/EQP & REFUND 2001(10/17/01)falsefalse
INDIANA FINANCING AUTHORITY
35160231645471AAE22008-10-2227370000CONST/EQP & REFUND 2008(06/03/08)falsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount DefeasedAmountDefeased
5974296442254102608371194859540618582006falsefalsetruetrue
15416734511353575726891802515839188212009falsetruetruetrue57019745
2741660949840460158201213302010truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI
falsetruetruetruetrue0.000400.00040true
falsetruetruetruetrue0.015500.02810true0.01260
falsetruetruetruetrue0.020100.02010true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
falsetruefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DON POWERS AGENCY ENTITY MORE THAN
OWNED BY JOE WILLIAMSON519757INDEPENDENT CONTRACTORfalse
LEONARD BEZAT F
MEMBER OF CAROLE BEZAT41076EMPLOYMENTfalse
BARBARA BOLDA F
MEMBER OF CRAIG BOLDA91232EMPLOYMENTfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEPARATE, INDEPENDENT AUDITED FINANICAL STATEMENTSPART IV, LINE 12CFNI DOES NOT HAVE A STAND ALONE AUDIT, HOWEVER IT'S INCLUDED AS A PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT ACCORDING TO GAAP.
FAMILY AND BUSINESS RELATIONSHIPSPART VI, LINE 2FRANKIE FESKO, FAMILY MEMBER OF DONALD POWERS, BUSINESS RELATIONSHIP BETWEEN DONALD POWERS AND JOE WILLIAMSON AND JOHN MYBECK (DECEASED IN 2010), FAMILY MEMBER OF KEVIN MYBECK
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990PART VI-A, LINE 11ATHE 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.
EVALUATION OF PARTICIPATION IN JOINT VENTURESPART VI-B, LINE 16bTHE ORGANIZATION HAS TAKEN STEPS TO SAFEGUARD ITS EXEMPT STATUS WITH RESPECT TO THE JOINT VENTURE BY INCLUDING IN THE OPERATING AGREEMENT THAT CFNI HAS CONTROL OVER THE OPERATIONS AND DECISIONS OF THE JOINT VENTURE WHICH ENSURES THAT THE JOINT VENTURE FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION.
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 NRMSIRS DATABASE.
AVERAGE HOURS WORKED PER WEEKPART VII, LINE 1THE AVERAGE HOURS PER WEEK INCLUDE ALL HOURS WORKED FOR THE FILING ORGANIZATION AND ALL RELATED ENTITIES.
LISTING OF FORMER OFFICERS AND KEY EMPLOYEESPART VII, LINE 3FORMER OFFICER JOHN MYBECK AND FORMER KEY EMPLOYEE VERNON GROEBER ARE LISTED IN SECTION A.
STANDALONE AUDIT AND FINANCIAL RECORDSPART XI, LINE 2bCFNI DOES NOT HAVE A STAND ALONE AUDIT, HOWEVER IT'S FINANCIAL RECORDS ARE INCLUDED AS A PART OF A CONSOLIDATED FINANCIAL STATEMENT AUDIT ACCORDING TO GAAP.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MUNSTER MEDICAL RESEARCH FD
901 MACARTHUR BLVDMUNSTERIN46321351107009HOSPITALIN501(C)(3)3NA
ST CATHERINE HOSPITAL
4321 FIR STEAST CHICAGOIN46312351738708HOSPITALIN501(C)(3)3NA
ST MARY MEDICAL CENTER
1500 S LAKE PARK AVEHOBARTIN46342352007327HOSPITALIN501(C)(3)3NA
COMMUNITY CANCER RESEARCH FD
901 MACARTHUR BLVDMUNSTERIN46321352146374CANCER FUNDRIN501(C)(3)7MUNSTER MED
COMMUNITY VILLAGE INC
10000 COLUMBIA AVEMUNSTERIN46321351956395RETRMNT HOMEIN501(C)(3)9NA
CVPA HOLDING COMPANY
905 RIDGE ROADMUNSTERIN46321351938136SUPPORT ORGIN501(C)(2)N/ANA
RIDGEWOOD ARTS FOUNDATION
905 RIDGE ROADMUNSTERIN46321351939427PLAYS&ARTSIN501(C)(3)9NA

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

EINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
COMMUNITY SURGERY CTR
352049088SURGERY CTRINNARELATED2885106falsefalse
ST CATHERINE HOSP CYBERKNIFE
202756806CYBERNKIFE CTRINSCHN/Afalsefalse
COMMUNITY CARDIOLOGY CTR
202147241CARDIOLOGY CTRINCHN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY RESOURCES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1907 RIDGE ROADAddressLine1
CityMUNSTERCity
StateINState
ZIP Code46321ZIPCode
FieldValueIRS element (for citing)
EIN351727711EIN
Primary ActivityMGMT SERVICES ORGPrimaryActivity
Legal Domicile StateINLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income-120000ShareOfTotalIncome
Share Of EOY Assets8569000ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
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 OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
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 InvolvedAmountInvolved
MUNSTER MEDICAL RESEARCH FOUNDATION
a(iv)1727941
COMMUNITY SURGERY CENTER
a(iv)277740
COMMUNITY CARDIOLOGY CENTER
a(iv)72222
MUNSTER MEDICAL RESEARCH FOUNDATION
b10669623
ST CATHERINE HOSPITAL
b1558171
ST MARY MEDICAL CENTER
b1242244
CVPA HOLDING
b739840
RIDGEWOOD ARTS FOUNDATION
b430000
MUNSTER MEDICAL RESEARCH FOUNDATION
c33888263
ST MARY MEDICAL CENTER
c16379172
COMMUNITY VILLAGE
c1000000
ST CATHERINE HOSPITAL
c4608000
ST CATHERINE HOSPITAL
j184500
COMMUNITY HOSPITAL
n9339950
ST CATHERINE HOSPITAL
n3317071
ST MARY MEDICAL CENTER
n5046630
COMMUNITY HOSPITAL
o2645389
ST CATHERINE HOSPITAL
o908903
ST MARY MEDICAL CENTER
o1200934
COMMUNITY HOSPITAL
p17030321
ST CATHERINE HOSPITAL
p7648740
ST MARY MEDICAL CENTER
p11935844
COMMUNITY CANCER RESEARCH FOUNDATION
o361675
COMMUNITY CANCER RESEARCH FOUNDATION
p561361
COMMUNITY CANCER RESEARCH FOUNDATION
a(iv)60240
COMMUNITY SURGERY CENTER
p130525
ST CATHERINE HOSPITAL
a(iv)10920