2011-05-16T11:30:00-05:00 2010-06-30 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2009-07-01 311128781 COMMUNITY FOUNDATION OF NORTHWEST INDIANA INC COMM 2199348250 10010 DONALD POWERS DRIVE MUNSTER IN 46321 MARYANN SHACKLETT 2011-05-15 3176817000 2009 2016-02-24 21:20:13Z MARY ANN SHACKLETT 10010 DONALD POWERS DRIVE MUNSTER IN 46321 369007307 false X WWW.COMHS.ORG X 1985 IN PROVIDES SUPPORT FOR ACTIVITIES OF THE AFFILIATED HOSPITALS TO ENGAGE IN THE BETTERMENT OF THE GENERAL HEALTH OF THE COMMUNITIES SERVED WITHIN NORTHWEST INDIANA. 19 16 300 0 11058 184815 48064 2910462 2874870 7431525 12622113 39561522 46134436 50088324 61679483 178275 351017 0 0 20419588 24257753 0 0 54064 27237221 33025376 47835084 57634146 2253240 4045337 320594392 372425834 324944873 326378319 -4350481 46047515 COMMUNITY 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. false false 45545624 61631419 TO 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. 45545624 true true false true false false false false false true false true false false false false false false false true false true false true true false false false false false false false true true true false false false false false true true true false true 66 0 true 300 true true true false false false false false false false false false false 19 16 true false false false false false false true true false false true true true true true true true true true true IN X MARY ANN SHACKLETT 2199348250 10010 DONALD POWERS DRIVE MUNSTER IN 46321 FRANKIE FESKO 12.0 X X 71435 25000 0 DONALD POWERS 40.0 X X 854403 0 41019 JAMES J RICHARDS 22.0 X X 36737 25000 0 DAVID WICKLAND 16.0 X X 36737 25000 0 STEVEN BEERING MD 1.0 X 9000 0 0 JOSEPH COSTANZA 2.0 X 13300 0 0 ALBERT J COSTELLO MD 1.0 X 4255 0 0 DAVID BOCHNOWSKI 1.0 X 9000 0 0 JOSEPH MORROW 1.0 X 7100 0 0 RICHARD MCCLAUGHRY 3.0 X 21037 25000 0 SISTER KATHLEEN QUINN 1.0 X 12200 0 0 DONALD SANDS 1.0 X 10100 0 0 WILLIAM SCHENCK 2.0 X 24237 0 0 M NABIL SHABEEB MD 2.0 X 9200 0 0 MONSIGNOR JOSEPH SEMANCIK 1.0 X 12100 0 0 DONALD TORRENGA 1.0 X 29081 0 0 ROBERT WELSH 2.0 X 8100 0 0 EDWARD WILLIAMS PHD 1.0 X 19173 0 0 JOE WILLIAMSON 2.0 X 11100 0 0 JOHN GORSKI 40.0 X 730058 0 47245 MARY ANN SHACKLETT 40.0 X 469824 0 50444 CAROLE BEZAT 40.0 X 359613 0 41649 ROSEMARY GARCIA 40.0 X 218943 0 16094 ELIZABETH YEE 40.0 X 234309 0 41125 RAMONA FISSINGER 40.0 X 141551 0 29338 CRAIG BOLDA 40.0 X 151427 0 39255 ANTHONY FERRACANE 40.0 X 300719 0 43413 NANCY MOSER 40.0 X 204761 0 24113 KAREN SCHNEIDER 40.0 X 143113 0 34102 MYLINDA CANE 40.0 X 134269 0 29195 DAVID OTTE 40.0 X 148227 0 34954 FELIX GOZO JR MD 40.0 X 233864 0 16217 KEVIN MYBECK 40.0 X 213320 0 27873 JOHN MYBECK 40.0 X 158088 0 19783 VERNON GROEBER 40.0 X 252577 0 40683 5292958 100000 576502 33 true true false EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 SOFTWARE SUPPORT 2027891 KOMYATTE CASBON PC 9650 Gordon Drive HIGHLAND IN 46322 COLLECTIONS 1122336 QUADRAMED CORP 1602 Grant Ave NOVATO CA 94947 CONSULTING 994350 VOA ASSOCIATES 2245 MICHIGAN AVE CHICAGO IL 60604 ARCHITECT 1337362 ACS CONSULTING COMPANY INC 5225 AUTO CLUB DRIVE DEARBORN MI 48126 CONSULTANT 1302366 53 48064 48064 CSC REVENUE 900003 2847339 2847339 COPYING FEE 900099 15322 15322 MISCELLANEOUS 900099 12209 12209 2874870 8426433 8426433 0 0 3363835 36716 3733354 -369519 36716 -332803 -332803 307733223 303537543 4195680 4195680 4195680 0 56927 56927 0 0 IT REVENUE 518210 10920 10920 EXP ALLOC TO SUBS 900099 46456181 46456181 BOOK SALES 900099 138 138 46467239 61679483 48970717 11058 12649644 351017 351017 0 0 0 6574727 5259782 1314945 391154 312923 78231 13412555 12028042 1336449 48064 288815 231052 57763 2283072 1826458 456614 1307430 1045944 261486 0 1006894 1006894 760039 760039 98172 98172 0 541266 541266 0 659157 527326 131831 1100852 880682 220170 6071635 4853689 1213422 4524 0 212160 169728 42432 405980 323603 80901 1476 0 41580 33264 8316 9818245 7854596 1963649 184500 147600 36900 5516641 4413313 1103328 416442 333154 83288 CONSULTING FEES 3667096 2933677 733419 OUTSIDE SERVICES 870634 696507 174127 REPAIRS AND MAINTENANCE 779487 623590 155897 OTHER 874596 699677 174919 57634146 45545624 12034458 54064 9738497 14718174 11368 27401 7788094 12863724 1377434 1840292 115363787 56815844 52735590 58547943 193494456 231840957 55448953 52587343 320594392 372425834 14180313 18705915 27962 12023 288161170 286728510 22575428 20931871 324944873 326378319 X -4691594 45659341 341113 388174 -4350481 46047515 320594392 372425834 X false true true X true true X X X false false false MUNSTER MEDICAL RESEARCH FOUNDATION INC 351107009 03 true true true 10669623 ST MARY MEDICAL CETNER 352007327 03 true true true 1242243 ST CATHERINE HOSPITAL 351738708 03 true true true 1558171 3 13470037 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 1244 false true 98172 99416 false false PART II-B 1i PART II-B, LINE 1i COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. CONTRACTS WITH LOBBYIST TO INTERVENE ON OUR BEHALF. 1745353 1745353 53217262 23970011 29247251 2022586 594029 1428557 39123805 31675453 7448352 19254781 576351 18678430 58547943 PROJECT FUND 3814640 DEBT SERVICE RESERVE FUND 32697067 DEFERRED COSTS 6331347 VETERANS MEMORIAL PARK 3725080 INVESTMENT IN AFFILIATES 2906247 LAND HELD FOR FUTURE USE 3112962 52587343 0 BOND PAYABLE 2001B (TAXABLE) 20580000 CONSTRUCTION PAYABLE 345271 DUE TO AFFILIATES 6600 20931871 SUPPLEMENTAL INFORMATION IN 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. IN 56927 56927 true 1.00000 56927 56927 56927 IN true false false false 1.00000 SHERRI HOLT 905 RIDGE RD MUNSTER IN 46321 false false true LAKE AREA UNITED WAY 221 W RIDGE RD GRIFFITH IN 46319 237170019 501(c)(3) 40000 ANNUAL CAMPAIGN HAMMOND PORT AUTHORITY 701 CASINO DRIVE HAMMOND IN 46320 351773481 N/A 15000 CONTRIBUTION INDIANA UNIVERSITY 3400 BROADWAY GARY IN 46408 356001673 501(c)(3) 50000 CONTRIBUTION VALPARAISO UNIVERSITY 1605 CAMPUS DRIVE EAST VALAPRAISO IN 46383 350868125 501(c)(3) 12000 SCHOLARSHIP CONTRIB NORTHWEST INDIANA SYMPHONY SOCIETY 1040 RIDGE RD MUNSTER IN 46321 351359750 501(c)(3) 11596 SPONSORSHIP SOUTH SHORE ARTS 1040 RIDGE RD MUNSTER IN 46321 237049722 501(c)(3) 15000 SPONSORSHIP CATHOLIC CHARITIES 176 S WEST STREET CROWN POINT IN 46307 351122204 501(c)(3) 8000 CONTRIBUTION AMERICAN HEART ASSOCIATION PO BOX 611 HEBRON IN 46341 135613797 501(c)(3) 10500 SPONSORSHIP PURDUE UNIVERSITY CALUMET 2200 169TH STREET HAMMOND IN 46323 356002041 501(c)(3) 42000 CONTRIBUTION CALUMET COLLEGE OF ST JOSEPH 2400 NEW YORK AVENUE WHITING IN 46394 351087173 501(c)(3) 21500 CONTRIBUTION INDIAN AMERICAN CULTURAL CENTER 8605 MERRILLVILLE RD MERRILLVILLE IN 46410 351981658 N/A 20000 SPONSORSHIP HEALTHCARE ADVOCACY GROUP INC 1356 SOUTH LAKE PARK AVE HOBART IN 46342 351996856 501(c)(3) 15000 CONTRIBUTION THE CLINTON BUSH HAITI FUND 1610 PRESIDENT CLINTON AVE LITTLE ROCK AR 72201 501(C)(3) 15000 CONTRIBUTION INDIANA UNIVERSITY FOUNDATION 3400 BROADWAY GARY IN 46408 356018940 501(c)(3) 9500 SCHOLORSHIP CONTRIB MARCH OF DIMES 2612 US HWY 30 W MERRILLVILLE IN 46410 131846366 501(c)(3) 6100 CONTRIBUTION TRADE WINDS SERVICES PO BOX 6308 GARY IN 46406 351139485 N/A 5350 SPONSORSHIP GRANTS 5000 44471 CONTRIBUTION 33 23 SUPPLEMENTAL INFORMATION A 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. X true true X X X X X false false false false false false false false false DONALD POWERS 619129 0 210000 0 25274 0 29191 0 11828 0 895422 0 0 0 JOHN GORSKI 494924 0 160020 0 75114 0 29191 0 18054 0 777303 0 0 0 MARY ANN SHACKLETT 326365 0 117000 0 26459 0 29191 0 21253 0 520268 0 0 0 CAROLE BEZAT 253785 0 85956 0 19872 0 29191 0 12458 0 401262 0 0 0 ROSEMARY GARCIA 176714 0 34826 0 7403 0 8022 0 8072 0 235037 0 0 0 ELIZABETH YEE 160924 0 35007 0 38378 0 28331 0 12794 0 275434 0 0 0 RAMONA FISSINGER 117645 0 22882 0 1024 0 16940 0 12398 0 170889 0 0 0 CRAIG BOLDA 125391 0 24960 0 1076 0 18651 0 20604 0 190682 0 0 0 ANTHONY FERRACANE 219876 0 61000 0 19843 0 29191 0 14222 0 344132 0 0 0 NANCY MOSER 169564 0 34113 0 1084 0 8849 0 15264 0 228874 0 0 0 KAREN SCHNEIDER 127497 0 8000 0 7616 0 17595 0 16507 0 177215 0 0 0 MYLINDA CANE 110781 0 22217 0 1271 0 16126 0 13069 0 163464 0 0 0 DAVID OTTE 130433 0 10000 0 7794 0 17889 0 17065 0 183181 0 0 0 FELIX GOZO JR MD 209163 0 0 0 24701 0 9049 0 7168 0 250081 0 0 0 KEVIN MYBECK 175535 0 36314 0 1471 0 8389 0 19484 0 241193 0 0 0 VERNON GROEBER 142113 0 42714 0 67750 0 29191 0 11492 0 293260 0 0 0 JOHN MYBECK 74423 0 59055 0 24610 0 18782 0 1001 0 177871 0 0 0 SUPPLEMENTAL INFORMATION 1a 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. INDIANA HEALTH FACILITY FINANCING AUTHORITY 351611409 4547977V7 2004-04-08 59742964 CONSTRUCTION & PURCH EQUIPMENT false false INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING 351611409 45479RCM7 2007-06-28 152135212 CONST/EQP & REFUND 2001(10/17/01) false false INDIANA FINANCING AUTHORITY 351602316 45471AAE2 2008-10-22 27370000 CONST/EQP & REFUND 2008(06/03/08) false false 59742964 4225410 260837 1194859 54061858 2006 false false true true 154167345 11353575 57019745 72689 1802515 83918821 2009 false true true true 27416609 49840 460158 20121330 2010 true false true true false true true true true 0.00040 0.00040 true false true true true true 0.01550 0.01260 0.02810 true false true true true true 0.02010 0.02010 true false false false false false false false false false false false false false true false false false false DON POWERS AGENCY ENTITY MORE THAN OWNED BY JOE WILLIAMSON 519757 INDEPENDENT CONTRACTOR false LEONARD BEZAT F MEMBER OF CAROLE BEZAT 41076 EMPLOYMENT false BARBARA BOLDA F MEMBER OF CRAIG BOLDA 91232 EMPLOYMENT false SEPARATE, INDEPENDENT AUDITED FINANICAL STATEMENTS PART IV, LINE 12 CFNI 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 RELATIONSHIPS PART VI, LINE 2 FRANKIE 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 990 PART 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 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 INTEREST PART VI-B, LINE 12C AS 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 BEGUN PART VI-B, LINE 15 THE 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 VENTURES PART VI-B, LINE 16b THE 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 PUBLIC PART VI-C, LINE 19 COMMUNITY 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 WEEK PART VII, LINE 1 THE AVERAGE HOURS PER WEEK INCLUDE ALL HOURS WORKED FOR THE FILING ORGANIZATION AND ALL RELATED ENTITIES. LISTING OF FORMER OFFICERS AND KEY EMPLOYEES PART VII, LINE 3 FORMER OFFICER JOHN MYBECK AND FORMER KEY EMPLOYEE VERNON GROEBER ARE LISTED IN SECTION A. STANDALONE AUDIT AND FINANCIAL RECORDS PART XI, LINE 2b CFNI 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. MUNSTER MEDICAL RESEARCH FD 901 MACARTHUR BLVD MUNSTER IN 46321 351107009 HOSPITAL IN 501(C)(3) 3 NA ST CATHERINE HOSPITAL 4321 FIR ST EAST CHICAGO IN 46312 351738708 HOSPITAL IN 501(C)(3) 3 NA ST MARY MEDICAL CENTER 1500 S LAKE PARK AVE HOBART IN 46342 352007327 HOSPITAL IN 501(C)(3) 3 NA COMMUNITY CANCER RESEARCH FD 901 MACARTHUR BLVD MUNSTER IN 46321 352146374 CANCER FUNDR IN 501(C)(3) 7 MUNSTER MED COMMUNITY VILLAGE INC 10000 COLUMBIA AVE MUNSTER IN 46321 351956395 RETRMNT HOME IN 501(C)(3) 9 NA CVPA HOLDING COMPANY 905 RIDGE ROAD MUNSTER IN 46321 351938136 SUPPORT ORG IN 501(C)(2) N/A NA RIDGEWOOD ARTS FOUNDATION 905 RIDGE ROAD MUNSTER IN 46321 351939427 PLAYS&ARTS IN 501(C)(3) 9 NA COMMUNITY SURGERY CTR 352049088 SURGERY CTR IN NA RELATED 2885106 false false ST CATHERINE HOSP CYBERKNIFE 202756806 CYBERNKIFE CTR IN SCH N/A false false COMMUNITY CARDIOLOGY CTR 202147241 CARDIOLOGY CTR IN CH N/A false false COMMUNITY RESOURCES INC 907 RIDGE ROAD MUNSTER IN 46321 351727711 MGMT SERVICES ORG IN NA C CORP -120000 8569000 1.00000 true true true false false false false false false true false false false true true true false false MUNSTER MEDICAL RESEARCH FOUNDATION a(iv) 1727941 COMMUNITY SURGERY CENTER a(iv) 277740 COMMUNITY CARDIOLOGY CENTER a(iv) 72222 MUNSTER MEDICAL RESEARCH FOUNDATION b 10669623 ST CATHERINE HOSPITAL b 1558171 ST MARY MEDICAL CENTER b 1242244 CVPA HOLDING b 739840 RIDGEWOOD ARTS FOUNDATION b 430000 MUNSTER MEDICAL RESEARCH FOUNDATION c 33888263 ST MARY MEDICAL CENTER c 16379172 COMMUNITY VILLAGE c 1000000 ST CATHERINE HOSPITAL c 4608000 ST CATHERINE HOSPITAL j 184500 COMMUNITY HOSPITAL n 9339950 ST CATHERINE HOSPITAL n 3317071 ST MARY MEDICAL CENTER n 5046630 COMMUNITY HOSPITAL o 2645389 ST CATHERINE HOSPITAL o 908903 ST MARY MEDICAL CENTER o 1200934 COMMUNITY HOSPITAL p 17030321 ST CATHERINE HOSPITAL p 7648740 ST MARY MEDICAL CENTER p 11935844 COMMUNITY CANCER RESEARCH FOUNDATION o 361675 COMMUNITY CANCER RESEARCH FOUNDATION p 561361 COMMUNITY CANCER RESEARCH FOUNDATION a(iv) 60240 COMMUNITY SURGERY CENTER p 130525 ST CATHERINE HOSPITAL a(iv) 10920