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      <Form990PartVIISectionAGrp>
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        <BusinessName>
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        <BusinessName>
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      <ProgramServiceRevenueGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>TOP 10 SIGNIFICANT SYSTEM HEALTH NEEDS IDENTIFIED: ACCESS TO CARE, HEART DISEASE &amp; STROKE, ALCOHOL AND DRUG USE, MENTAL HEALTH AND MENTAL DISORDERS, CANCER, OLDER ADULTS, MATERNAL &amp; CHILDREN'S HEALTH, PHYSICAL ACTIVITY, DIABETES, WEIGHT STATUS (UNDERWEIGHT, OVERWEIGHT, OBESE) RESULTS OF PRIORITIZATION ACTIVITY AND APPROVED HEALTH NEEDS - TOP 6 NEEDS PRIORITIZED: 1. MATERNAL &amp; CHILDREN'S HEALTH 2. MENTAL HEALTH &amp; MENTAL DISORDERS 3. ACCESS TO HEALTHCARE 4. DIABETES 5. HEART DISEASE &amp; STROKE 6. CANCER</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - ST. MARY MEDICAL CENTER. THE CHNA COLLECTED INPUT FROM PEOPLE REPRESENTING THE BROAD INTERESTS OF THE OVERALL COMMUNITY INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN, PUBLIC HEALTH AND RESIDENTS OF THE COMMUNITIES THE HOSPITALS SERVE. THE HEALTHCARE SYSTEM PARTNERED WITH OTHER HOSPITAL SYSTEMS, FOUNDATIONS AND NONPROFITS TO CONDUCT A RESIDENT SURVEY. DATA FROM A VARIETY OF FEDERAL, STATE AND LOCAL ENTITIES WAS ALSO REVIEWED. FOCUS GROUPS WERE ORGANIZED THROUGHOUT LAKE AND PORTER COUNTY, INDIANA. THE GOAL OF THE FOCUS GROUPS WAS TO UNDERSTAND THE NEEDS, ASSETS, AND POTENTIAL RESOURCES IN VARIOUS COMMUNITIES AND TO STRATEGIZE HOW THE HOSPITALS CAN PARTNER WITH COMMUNITIES TO BUILD RESILIENCY. THESE FOCUS GROUPS FOCUSED ON GATHERING INFORMATION FROM COMMUNITY MEMBERS AND LOCAL PROFESSIONALS WHO HAVE DIRECT KNOWLEDGE AND EXPERIENCE RELATED TO THE HEALTH DISPARITIES IN THE REGION. DETAILS CAN BE FOUND IN THE APPENDIX OF THE CHNA (SECTION 10).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - ST. MARY MEDICAL CENTER. COMMUNITY HEALTHCARE SYSTEM: COMMUNITY HOSPITAL IN MUNSTER, IN ST. CATHERINE HOSPITAL, INC. IN EAST CHICAGO, IN COMMUNITY STROKE &amp; REHABILITATION CENTER, INC. IN CROWN POINT, IN</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - ST. MARY MEDICAL CENTER. 2022 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN OVERVIEW: THE 2022 IMPLEMENTATION STRATEGY ACTION PLAN BUILDS ON THE PROGRESS AND EVER-CHANGING HEALTHCARE NEEDS OF THE COMMUNITIES SERVED BY COMMUNITY HEALTHCARE SYSTEM. THE NEEDS WERE IDENTIFIED IN THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITY HOSPITAL, ST. CATHERINE HOSPITAL AND ST. MARY MEDICAL CENTER ON THESE PRIORITY HEALTH AREAS: * CANCER * DIABETES * HEART DISEASE AND STROKE * MATERNAL, INFANT AND CHILD HEALTH * ADULT MENTAL HEALTH * NUTRITION AND WEIGHT MANAGEMENT HEALTHIER LIFESTYLES WERE PROMOTED ACROSS ALL PRIORITY AREAS THROUGH FREE OR DISCOUNTED HEALTH SCREENINGS, HEALTH FAIRS, PHYSICIAN LECTURES, SPECIAL EVENTS AND SYMPOSIUMS. TOPICS INCLUDED CANCER, CARDIOLOGY, DIABETES, HEART DISEASE, NUTRITION, WEIGHT MANAGEMENT, ADULT MENTAL HEALTH, STROKE AND MATERNAL CHILD HEALTH. SCREENINGS HAVE INCLUDED LOW OR NO-COST MAMMOGRAMS, BALANCE AND BONE DENSITY TESTS, PVD SCREENINGS AND HEART ATTACK/STROKE RISK ASSESSMENTS. COMMUNITY HEALTHCARE SYSTEM HOSPITALS DID NOT HAVE A FORMAL PROCESS IN PLACE TO TRACK/EVALUATE OR GIVE FEEDBACK ON THE IMPACT OF THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PARTICIPANTS OF CLASSES, EVENTS, PROGRAMS AND SCREENINGS WERE INVITED TO COMPLETE EVALUATIONS ON THE EFFECTIVENESS OF THEIR OUTREACH ACTIVITY. FROM THIS FEEDBACK, AND HEALTH DATA REPOSITORIES, PROGRAM EVALUATION AND DEVELOPMENT CONTINUED ON AN ANNUAL BASIS. IN AN EFFORT TO REACH RESIDENTS ISOLATING IN RESPONSE TO COVID-19, THE HEALTHCARE SYSTEM MOBILIZED TO DEVELOP IN-PERSON AND ONLINE OUTREACH PROGRAMMING. ADDRESSING COMMUNITY NEEDS COMMUNITY HEALTHCARE SYSTEM OFFERS A DIVERSE RANGE OF PROGRAMS AND SERVICES TO MAKE IMPROVEMENTS IN THE HEALTH OF RESIDENTS IN OUR COMMUNITIES. AN IMPORTANT ENTITY IS THE MEDICALLY BASED FITNESS CENTER, FITNESS POINTE, AND THE WORKPLACE WELLNESS PROGRAM, NEW HEALTHY ME, WHICH SERVES EMPLOYEES IN THE HOSPITAL SYSTEM AND WORK SETTINGS IN OUR COMMUNITIES. OUR OCCUPATIONAL HEALTH PROGRAM OFFERS WORK-RELATED SCREENINGS, WELLNESS SERVICES AND EDUCATIONAL PROGRAMS TO BUSINESSES, CORPORATIONS, MUNICIPALITIES AND SCHOOL DISTRICTS IN LAKE AND PORTER COUNTIES TO OPTIMIZE HEALTH IN THE WORKPLACE. ADDITIONALLY, OUR OUTPATIENT CARE CENTERS FOR GENERAL MEDICINE OR SPECIALTY SERVICES ARE STRATEGICALLY POSITIONED IN POPULATION GROWTH AREAS. CANCER COMMUNITY HOSPITAL, ALONG WITH ST. CATHERINE HOSPITAL AND ST. MARY MEDICAL CENTER, ARE DESIGNATED BY AMERICAN COLLEGE OF RADIOLOGY AS BREAST IMAGING CENTERS OF EXCELLENCE. THESE HOSPITALS, AND COMMUNITY STROKE AND REHABILITATION CENTER, ARE ALSO DESIGNATED AS CARE CONTINUUM CENTERS OF EXCELLENCE FOR LUNG CANCER BY THE GO2 FOUNDATION FOR DELIVERING BEST PRACTICE AND PATIENT-CENTERED MULTIDISCIPLINARY CARE. TOGETHER, THE HOSPITALS OFFER AN ARRAY OF SERVICES, WELLNESS AND OUTREACH PROGRAMS FOR CANCER PATIENTS AND THOSE WHO ARE AT RISK FOR CANCER, SUCH AS: LOW OR NO-COST SCREENINGS; EARLY NODULE, GENETIC AND GEONOMICS TESTING; AND INFUSION CENTERS. THE CANCER RESOURCE CENTRE OFFERS AN ARRAY OF MIND-BODY-SPIRIT CLASSES, INFORMATIVE PROGRAMS, SPECIAL EVENTS, AND ACCESS TO MORE THAN 100 CLINICAL CANCER RESEARCH TRIALS TO PATIENTS LIVING IN NORTHWEST INDIANA AND NEARBY LOCALES IN ILLINOIS. IN 2021, A BREAST AND LUNG CANCER NURSE NAVIGATOR PROGRAM BEGAN TAKING SHAPE TO COORDINATE CARE FOR PATIENTS ACROSS DISCIPLINES AND BEYOND HOSPITAL WALLS, ENSURING ACCESS TO NEEDED PSYCHO-SOCIAL SERVICES AND MEDICAL CARE FROM THE POINT OF DIAGNOSIS AND TREATMENT TO SURVIVORSHIP. RECOGNIZING THAT TRANSPORTATION CAN BE A BARRIER TO CARE, NEW CANCER CARE/PROVIDER SUPPORT LOCATIONS WERE ADDED AT TWO HOSPITALS (ST. CATHERINE/CSRC) AND THE VALPARAISO HEALTH CENTER OF ST. MARY MEDICAL CENTER. AMERICAN CANCER SOCIETY FUNDING WAS SOUGHT TO DEVELOP TRANSPORTATION SERVICES FOR APPOINTMENTS. DIABETES, HEART DISEASE AND STROKE COMMUNITY HEALTHCARE SYSTEM ADOPTED A MULTIDISCIPLINARY APPROACH TO PROVIDE THE HIGHEST-POSSIBLE STANDARD OF CARE, REHABILITATION AND OUTREACH TO PATIENTS WITH DIABETES, HEART DISEASE AND STROKE. DIABETES THE CENTERS FOR DIABETES AT OUR HOSPITALS FOLLOW SET PROCEDURES, BLOOD-GLUCOSE MONITORING PROTOCOLS AND TREATMENT PLANS TO HELP DETECT DIABETES IN ITS EARLY STAGES, AND HELP PATIENTS ALREADY STRUGGLING WITH THE DISEASE REGAIN THEIR BALANCE AS QUICKLY AS THEY CAN FOR A HEALTHIER LIFE. ST. CATHERINE HOSPITAL, SERVING AN AREA WITH SOME OF THE HIGHEST DIABETES RATES IN THE STATE, HAS CONSISTENTLY EARNED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR ADVANCED INPATIENT DIABETES CARE. HEART DISEASE THE HOSPITALS OF COMMUNITY HEALTHCARE SYSTEM OPERATE ONE OF THE LARGEST, MOST ADVANCED CARDIOVASCULAR PROGRAMS IN NORTHWEST INDIANA THROUGH OUR ADVANCED HEART &amp; VASCULAR INSTITUTE, CARDIAC ICU AND CHEST PAIN CENTERS. OUR TEAMS PROVIDE A HIGH LEVEL OF EXPERTISE IN PERFORMING DIAGNOSTIC TESTING, CARDIAC AND PERIPHERAL INTERVENTIONS, OPEN HEART AND MINIMALLY INVASIVE SURGERIES, INCLUDING TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) AND AORTIC ANEURYSM REPAIR (TEVAR), HEART VALVE CARE THROUGH ELECTROPHYSIOLOGY AND CARDIAC CATHETERIZATION, CARDIAC REHABILITATION, HEART FAILURE MANAGEMENT AND DISEASE PREVENTION. THE CARDIOVASCULAR SERVICES PROGRAM IS DISTINGUISHED FOR ITS OUTSTANDING TREATMENT OF HEART ATTACK PATIENTS, AND MEETING GOALS TO TREAT COMPLEX CORONARY ARTERY DISEASE WITH HIGH COMPLIANCE TO CORE STANDARD LEVELS OF CARE. STROKE COMMUNITY HOSPITAL, AN ACCREDITED NEUROINTERVENTIONAL &amp; CERTIFIED COMPREHENSIVE STROKE CENTER, WORKS CLOSELY WITH THE PRIMARY STROKE CENTERS AT ST. CATHERINE HOSPITAL AND ST. MARY MEDICAL CENTER ON BEST PRACTICES REGARDING STROKE PREVENTION, TREATMENT AND REHABILITATION. ALL THREE HOSPITALS HOLD THE GOLD PLUS RATING FROM THE AMERICAN HEART/STROKE ASSOCIATION. ACUTE REHABILITATION UNITS AT ALL HOSPITALS, INCLUDING COMMUNITY STROKE &amp; REHABILITATION CENTER, PROVIDE A FULL SPECTRUM OF CARE TO ACHIEVE THE BEST RECOVERY POSSIBLE IN THE SHORTEST AMOUNT OF TIME. THE ACUTE REHABILITATION UNITS HAVE SOME OF THE BEST RETURN-TO-HOME PERFORMANCE EVALUATION MEASURES IN THE COUNTRY. OUTREACH FOUNDED ON A BELIEF THAT DIABETES, HEART DISEASE AND STROKE IS PREVENTABLE, COMMUNITY HEALTHCARE SYSTEM OFFERS FREE OR DISCOUNTED SCREENINGS, PRESENTATIONS ON INNOVATIVE TECHNOLOGY SUCH AS THE WATCHMAN, CARDIOMEMS, AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), AND STROKE &amp; DIABETES PREVENTION AWARENESS SYMPOSIUMS. ADDITIONALLY, DIABETES AND STROKE SUPPORT GROUPS AND CLASSES ARE OFFERED IN OUR FACILITIES AND COMMUNITIES. OUR HEALTHCARE TEAMS WORK WITH INDIVIDUALS AND FAMILIES TO PROMOTE LIFESTYLE CHOICES THAT LOWER THE RISK OF DEVELOPMENT DIABETES, HEART, NEUROLOGICAL AND VASCULAR DISEASE. MATERNAL, INFANT &amp; CHILD HEALTH FAMILY BIRTHING CENTERS AT ALL THREE HOSPITALS ARE BLUE DISTINCTION CENTERS + FOR MATERNITY CARE BY ANTHEM BLUE CROSS AND BLUE SHIELD OF INDIANA, MEANING THE FACILITIES CONSISTENTLY DELIVER QUALITY CARE THAT RESULT IN BETTER OVERALL OUTCOMES FOR MATERNITY PATIENTS. ST. MARY MEDICAL CENTER, A BABY-FRIENDLY HOSPITAL BY BABY FRIENDLY USA, RECENTLY WAS RECOGNIZED BY U.S. NEWS &amp; WORLD REPORT AS HIGH-PERFORMING IN MATERNITY CARE AND CHILDBIRTH SERVICES. TOGETHER, SIGNIFICANT ADVANCEMENTS HAVE BEEN MADE AS PART BY THE FAMILY BIRTHING CENTERS, AS PART OF THEIR 2019-2021 ACTION PLAN TO PROVIDE A HIGHER LEVEL OF CARE FOR MOTHERS AND BABIES ACROSS NORTHWEST INDIANA. EXPECTANT MOTHERS FACING HIGH-RISK OR COMPLICATED PREGNANCIES ARE ABLE TO ACCESS SPECIALIZED CARE AT COMMUNITY HOSPITAL'S CERTIFIED PERINATAL CENTER. IN 2020-21, COMMUNITY HOSPITAL'S NEONATAL INTENSIVE CARE UNIT (NICU) WAS EXPANDED TO INCLUDE AN OB EMERGENCY DEPARTMENT, PROVIDING CRITICAL CARE AND TRANSPORT SERVICES TO MOTHERS AND BABIES AT RISK ACROSS OUR SERVICE AREAS. EDUCATING THE COMMUNITY ABOUT RISK FACTORS FOR SUDDEN UNIDENTIFIED INFANT DEATHS (SUIDS) AND WELLBABY CARE ALSO HAS REMAINED A PRIORITY OF OUR BIRTHING CENTERS. NEW FAMILIES RECEIVE FREE SLEEPSACKS AND A FREE CAR SEAT TO TAKE HOME. CERTIFIED LACTATION CONSULTANTS ENCOURAGE MOMS DURING AND AFTER THEIR HOSPITAL STAY TO BREAST FEED THEIR BABIES. PEER-COUNSELORS INTERACT WITH MOTHERS OF NEWBORNS IN THE NICU UNIT WHO ARE OFTEN PUMP DEPENDENT. BIRTHING, LACTATION AND GRANDPARENT CLASSES ARE OFFERED ACROSS THE HOSPITAL SYSTEM. IN 2021-22, THE INDIANA DEPARTMENT OF HEALTH PRESENTED COMMUNITY HEALTHCARE SYSTEM WITH THE INSPIRE AWARD FOR EFFORTS TO REDUCE INFANT MORTALITY AND PROVIDE INTERVENTIONAL SUPPORT TO MOTHERS. IN 2019, ST. CATHERINE HOSPITAL WAS RECOGNIZED FOR INFANT-LIFE ADVOCACY THROUGH ITS INSTALLATION OF A SAFE HAVEN BABY BOX OUTSIDE THE FAMILY BIRTHING CENTER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 2 - ST. MARY MEDICAL CENTER. ADULT MENTAL HEALTH BEHAVIORAL HEALTH SERVICES (BHS), OPERATES TWO ADULT INPATIENT UNITS AT ST. CATHERINE HOSPITAL AND PROVIDES OUTPATIENT CARE THROUGH A NETWORK OF COMMUNITY-BASED PROVIDERS. CONSTRUCTION OF A THIRD INPATIENT UNIT, BEGUN IN 2020, WILL CONCLUDE IN 2022. BHS ALSO CONDUCTS MENTAL HEALTH ASSESSMENTS FOR THE GENERAL HOSPITAL POPULATION. AN INTENSIVE OUTPATIENT PROGRAM, PAUSED DUE TO THE PANDEMIC, IS EXPECTED TO RESUME IN 2022. RECOGNIZING THE IMPACT COVID-19 HAS HAD ON MENTAL HEALTH, A COMMUNITY RESOURCE GUIDEBOOK FOR PSYCHO-SOCIAL NEEDS WAS DEVELOPED FOR THE PATIENTS, SOCIAL WORKERS AND MEDICAL PROVIDERS. AN ACTIVITY BOOK WITH MENTAL HEALTH TIPS WAS ALSO DESIGNED TO HAND TO PATIENTS AT ALL HOSPITALS, IF THE NURSING TEAM NOTICED SIGNS ANXIETY OR DEPRESSION. BEHAVIORAL HEALTH PROFESSIONALS CONDUCTED A HEALTHY MIND/HEALTHY BODY SYMPOSIUM BEFORE THE PANDEMIC AND HOSTED A PRE-RECORDED SUICIDE PREVENTION VIGIL DURING THE PANDEMIC. IN AN EFFORT TO CONNECT WITH PATIENTS DURING COVID-19, BHS STAFF LAUNCHED TELEHEALTH SERVICES AND OFFERED TRAINING SESSIONS WITH FIRST-RESPONDERS ON MENTAL HEALTH DE-ESCALATION TECHNIQUES. NUTRITION AND WEIGHT MANAGEMENT NUTRITION AND WEIGHT MANAGEMENT DID NOT SURFACE AS A PRIORITY ISSUE FOR THE 2022-2025 CHNA. HOWEVER, COMMUNITY HEALTHCARE SYSTEM RECOGNIZES THAT NUTRITION AND WEIGHT MANAGEMENT ARE CONTRIBUTING FACTORS IN WELLNESS, MENTAL HEALTH AND CHRONIC DISEASE. FOR THOSE REASONS, NUTRITION AND WEIGHT MANAGEMENT WILL BE ADDRESSED AS WE FOCUS ON OUR PRIORITY HEALTH ISSUES IN THE 2022-2025 ACTION PLAN. COMMUNITY HEALTH NEEDS: AREAS NOT ADDRESSED THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE HOSPITALS OF THE COMMUNITY HEALTHCARE SYSTEM IDENTIFIED AREAS OF CONCERN NOT IDENTIFIED IN THE HOSPITAL'S IMPLEMENTATION PLAN. THESE AREAS INCLUDE: ST MARY MEDICAL CENTER SERVICE AREAS: - ALCOHOL AND DRUG USE - OLDER ADULTS - PHYSICAL ACTIVITY - ACCESS TO CARE MANY OF THESE AREAS ARE BEING ADDRESSED BY THE HOSPITALS OF THE COMMUNITY HEALTHCARE SYSTEM AS WELL AS BY OTHER COMMUNITY ORGANIZATIONS. FOR EXAMPLE, ONE OF THE FOUR HOSPITALS IN THE COMMUNITY HEALTHCARE SYSTEM SPECIFICALLY ADDRESEES PHYSICAL ACTIVITY WHILE ALL ARE ADDRESSING ACCESS TO CARE. AS THE HOSPITAL FOCUSES ON LIFESTYLE, EDUCATION, PREVENTION AND ACCESS TO CARE ISSUES SURROUNDING ITS FOCUSED AREAS, POSITIVE OUTCOMES WILL LIKELY HAVE POSITIVE EFFECTS ON THE HEALTH NEEDS NOT ADDRESSED. TO HAVE THE GREATEST IMPACT, HOWEVER, THE HOSPITAL HAS CHOSEN TO FOCUS ON THE MOST SERIOUS DISEASES AND THE RELATED LIFESTYLE ISSUES FACING OUR COMMUNITY AS WELL AS INVESTING IN THE HEALTH OF NEWBORNS - THE MOST VULNERABLE RESIDENTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>9</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTH &amp; REHABILITATION SPECTRUM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1354 SOUTH LAKE PARK AVENUE</AddressLine1Txt>
            <CityNm>HOBART</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46342</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WILLOWCREEK HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3170 WILLOWCREEK ROAD</AddressLine1Txt>
            <CityNm>PORTAGE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46368</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OUTPATIENT SURGERY AT LAKE PARK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7921 GRAND BOULEVARD</AddressLine1Txt>
            <CityNm>Hobart</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46342</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Surgery</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>VALPARAISO HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3800 ST MARY DRIVE</AddressLine1Txt>
            <CityNm>Valparaiso</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46383</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CANCER CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>300 WEST 61ST AVENUE</AddressLine1Txt>
            <CityNm>Hobart</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46342</ZIPCd>
          </USAddress>
          <FacilityTxt>Diagnostic Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PORTAGE HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3545 ARBORS STREET</AddressLine1Txt>
            <CityNm>Portage</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46368</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST MARY OUTPATIENT REHAB THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>320 WEST 61ST AVENUE</AddressLine1Txt>
            <CityNm>Hobart</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46342</ZIPCd>
          </USAddress>
          <FacilityTxt>Rehabilitation</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>HOME HEALTH OF ST MARY MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1439 SOUTH LAKE PARK AVENUE</AddressLine1Txt>
            <CityNm>Hobart</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46342</ZIPCd>
          </USAddress>
          <FacilityTxt>Home Health</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>WINFIELD FAMILY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10607 RANDOLPH STREET</AddressLine1Txt>
            <CityNm>Crown Point</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46307</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG USED TO DETERMINE FAP ELIGIBILITY</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO FPG, THE CRITERIA OF ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS WERE USED IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a WAS A COMMUNITY BENEFIT REPORT PREPARED</FormAndLineReferenceDesc>
        <ExplanationTxt>THE STATE OF INDIANA ACCEPTS FORM 990 SCHEDULE H IN LIEU OF A COMMUNITY BENEFIT REPORT. ST. MARY MEDICAL CENTER, INC. MAKES ITS 990 AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY MEDICAL CENTER IS A LEADING PROVIDER OF EXPERT MEDICAL CARE TO NORTHWEST INDIANA RESIDENTS BY INVESTING IN NEW TECHNOLOGIES AND INNOVATIVE TREATMENTS. THE HOSPITAL ALSO UTILIZES MULTIDISCIPLINARY TEAMS OF HEALTH PROFESSIONALS AND SHARED GOVERNANCE AMONG THE NURSING STAFF FOR INCREASED COLLABORATION AND ACCOUNTABILITY IN PATIENT CARE. THESE EFFORTS HAVE LED TO THE ACHIEVEMENT OF NUMEROUS QUALITY AWARDS AND ACCREDITATIONS, RECOGNIZING ST. MARY MEDICAL CENTER'S CONSISTENT EXCELLENCE IN HEALTH OUTCOMES AND PATIENT EXPERIENCE. SOME OF THE HOSPITAL'S ACHIEVEMENTS INCLUDE: * A $40 MILLION DOLLAR SURGICAL PAVILION AND ICU EXPANSION WITH TWO SHELLED-IN FLOORS FOR FUTURE PATIENT ROOMS * ACQUISITION OF THE TRUEBEAM SYSTEM - A GROUNDBREAKING IMAGE-GUIDED RADIOTHERAPY SYSTEM THAT IS PART OF OUR NATIONALLY-ACCREDITED CANCER CARE PROGRAM * AWARD WINNING JOINT ACADEMY - ORTHOPEDIC SURGERY PROGRAM BOASTING SOME OF THE BEST OUTCOMES IN THE NATION * HIGH RISK BREAST CLINIC - INDIVIDUALIZED TREATMENT FOR WOMEN AT ELEVATED RISK FOR BREAST CANCER * COMMITMENT TO COMMUNITY OUTREACH THROUGH PARTNERSHIPS WITH LOCAL YMCAS, THE BRICKIE CLINIC, AND ATHLETIC TRAINING PROGRAMS * ANTICOAGULATION CLINIC - MANAGEMENT FOR PATIENTS TAKING MEDICATIONS TO PREVENT OR TREAT BLOOD CLOTS LETTER FROM THE CEO WHETHER YOU ARE VISITING TO HELP PLAN FOR A FUTURE VISIT OR RESEARCHING OUR PROGRAMS AND SERVICES, WE HOPE YOU FIND OUR WEBSITE HELPFUL AND INFORMATIVE. OUR TEAM AT ST. MARY MEDICAL CENTER IS COMMITTED TO MEETING THE NEEDS OF OUR GROWING POPULATION IN LAKE AND PORTER COUNTIES. OUR GOAL IS TO PROVIDE QUALITY COMPASSIONATE CARE, RESPECTING THE DIGNITY OF OUR PATIENTS AND FAMILIES, THROUGH TECHNOLOGICAL ADVANCES AND A SKILLED WORKFORCE. OUR HOSPITAL INCORPORATES ADVANCED CONCEPTS OF CARE AND SAFETY INTO A BRAND-NEW ADDITION - A 113,000-SQUARE-FOOT SURGICAL PAVILION AND ICU, AS WELL AS A MODERN, SIX-STORY PATIENT TOWER THAT FEATURES COMFORTABLE, PRIVATE PATIENT ROOMS AND THE LATEST TECHNOLOGY. WITH 215 TOTAL BEDS (INCLUDING OUR ACUTE REHABILITATION CENTER) AND MORE THAN 500 PHYSICIANS AND ALLIED HEALTH PROFESSIONALS ON STAFF, ST. MARY MEDICAL CENTER ALSO EMBRACES DIVERSE METHODS OF PATIENT CARE. PHYSICIANS FORGE NEW GROUND IN HEART CARE, CANCER CARE AND SURGICAL SERVICES. OUR LEVEL II NURSERY IS STAFFED AND EQUIPPED TO CARE FOR INFANTS BORN PREMATURELY, AND NEW MOTHERS ARE GUIDED THROUGH BIRTH WITH INNOVATIVE OPTIONS SUCH AS WATER-BIRTHING, CERTIFIED LACTATION CONSULTANTS AND A MIDWIFE-FRIENDLY ENVIRONMENT. OUR AWARD-WINNING JOINT ACADEMY TAKES A TEAM APPROACH TO JOINT REPLACEMENT SURGERY, OFFERING PATIENTS EXTENSIVE EDUCATION, COACHING AND SUPPORT FROM THE PRE-OPERATIVE THROUGH POST-OPERATIVE PHASES OF CARE AND REHABILITATION. SURGEONS AT ST. MARY MEDICAL CENTER HAVE ACCESS TO SOME OF THE MOST ADVANCED TECHNOLOGY AVAILABLE, INCLUDING THE DA VINCI X AND XI SURGICAL SYSTEMS AND THE MAKO ROBOTIC ARM-ASSISTED INSTRUMENTATION SYSTEM FOR PARTIAL AND TOTAL KNEE REPLACEMENTS. SURGICAL SERVICE ACCESS IS MADE EASY WITH AN OUTPATIENT SURGERY LOCATION AT LAKE PARK. WE HAVE EXPANDED OUR SERVICES IN PORTER COUNTY WITH OUR VALPARAISO HEALTH CENTER AND PORTAGE HEALTH CENTERS. BOTH CENTERS SERVE AS "ONE-STOP SHOPS" FOR PATIENTS SEEKING ADVANCED DIAGNOSTIC IMAGING AND LAB SERVICES, AS WELL AS 3D MAMMOGRAPHY WITH SAME-DAY RESULTS, PHYSICAL THERAPY, OR EXPERT, COMPASSIONATE MEDICAL CARE FROM ANY OF OUR PRIMARY-CARE OR PHYSICIAN SPECIALISTS AT THESE LOCATIONS. AT OUR VALPARAISO HEALTH CENTER AND SOUTH VALPO LOCATIONS, WE ALSO OFFER CONVENIENT URGENT CARE SERVICES. THESE OUTPATIENT CENTERS ARE AN EXTENSION OF OUR HOSPITAL'S HIGH QUALITY, PATIENT-CENTERED MEDICAL SERVICES AND SERVE AS AN IMPORTANT LINK IN OUR ABILITY TO HELP BUILD HEALTHIER COMMUNITIES THROUGHOUT NORTHWEST INDIANA. FINALLY, AS PART OF COMMUNITY HEALTHCARE SYSTEM, ST. MARY MEDICAL CENTER IS ONE OF THE PREMIER PROVIDERS OF CARE IN NORTHWEST INDIANA AND CHICAGOLAND. RECENTLY, OUR SYSTEM WAS RECOGNIZED BY THE WOMEN'S CHOICE AWARDS AS AMONG AMERICA'S BEST FOR PATIENT SAFETY AT ALL THREE HOSPITALS. THANKS TO INNOVATIVE APPROACHES TO CARE, INVESTMENTS IN NEW TECHNOLOGY, AND THE VALIDATION OF SCIENTIFIC PROCESSES, OUR HOSPITALS PROVIDE QUALITY COMPASSIONATE CARE THAT BUILDS HEALTHIER LIVES AND HEALTHIER COMMUNITIES. TOGETHER, WITH OUR COMMUNITY HEALTHCARE SYSTEM PARTNERS, WE HAVE FORGED A REPUTATION BUILT THROUGH INNOVATION THAT INSPIRES OUR STAFF TO PROVIDE EXTRAORDINARY CARE EVERY DAY. HOSPITAL HISTORY SINCE 1973, ST. MARY MEDICAL CENTER HAS MET THE HEALTHCARE NEEDS OF THE NORTHWEST INDIANA COMMUNITY, HAVING STARTED THROUGH THE MINISTRY OF THE POOR HANDMAIDS OF JESUS CHRIST. THIS ORDER OF ANCILLA DOMINI SISTERS BEGAN THEIR MINISTRY IN LAKE COUNTY WHEN THEY CAME TO MERCY HOSPITAL IN GARY IN 1913. THE SISTERS CONTINUE THEIR MISSION HERE TODAY, AT ST. MARY MEDICAL CENTER AND THROUGHOUT LAKE COUNTY. IN 2001, ST. MARY MEDICAL CENTER BECAME PART OF COMMUNITY HEALTHCARE SYSTEM, COMPRISED OF ST. MARY MEDICAL CENTER IN HOBART, ST. CATHERINE HOSPITAL IN EAST CHICAGO, AND COMMUNITY HOSPITAL IN MUNSTER. ST. MARY MEDICAL CENTER REMAINS DEDICATED TO ITS ROMAN CATHOLIC TRADITION. IT IS OUR GOAL TO BE THE PREMIER HOSPITAL SYSTEM IN INDIANA. OUR DEDICATION TO THIS END IS EVIDENT IN THE CARING SPIRIT OF OUR STAFF, COUPLED WITH THE BEST FACILITIES AND TECHNOLOGIES WE CAN OFFER OUR PATIENTS AND THEIR FAMILIES. IN 2004, THE HOSPITAL EXPANDED WITH A NEW $40 MILLION PATIENT TOWER OFFERING COMFORTABLE, PRIVATE ROOMS AND ADVANCED BEDSIDE TECHNOLOGY. DURING THE NEXT DECADE, GROWTH CONTINUED WITH THE OPENING OF A NEW ADVANCED IMAGING CENTER, A NEW AND EXPANDED EMERGENCY DEPARTMENT, THE OPENING OF ADDITIONAL OUTPATIENT LOCATIONS IN PORTAGE, HOBART AND VALPARAISO. IN 2015, ST. MARY MEDICAL CENTER USHERED IN A NEW ERA OF SURGICAL CARE WITH THE OPENING OF A $40 MILLION FOUR-STORY SURGICAL PAVILION AND ICU, ADDING NEW SURGICAL SUITES AND INTENSIVE CARE UNIT, ALONG WITH A NEW CENTRAL STERILIZATION DEPARTMENT, POST-ANESTHESIA CARE UNIT, PHASE II RECOVERY UNIT AND SAME-DAY SURGERY. THE SAME YEAR ALSO SAW THE ACQUISITION OF THE TRUEBEAM SYSTEM - AN INNOVATIVE CANCER TREATMENT TECHNOLOGY - AND THE OPENING OF THE NEWLY EXPANDED PORTAGE HEALTH CENTERS I AND II. THE TOP TWO FLOORS OF THE SURGICAL PAVILION ARE IN THE PROCESS OF BEING FINISHED TO MEET GROWING HEALTHCARE NEEDS, AS PART OF OUR COMMITMENT TO PROVIDING THE HIGHEST QUALITY CARE WITH THE MOST ADVANCED TECHNOLOGIES, TO PROVIDE PATIENTS OF NORTHWEST INDIANA THE FINEST HEALTH CARE AVAILABLE TODAY. MISSION, VISION AND VALUES MISSION: COMMUNITY HEALTHCARE SYSTEM IS COMMITTED TO PROVIDE THE HIGHEST QUALITY CARE IN THE MOST COST-EFFICIENT MANNER, RESPECTING THE DIGNITY OF THE INDIVIDUAL, PROVIDING FOR THE WELL-BEING OF THE COMMUNITY AND SERVING THE NEEDS OF ALL PEOPLE, INCLUDING THE POOR AND DISADVANTAGED. VISION: COMMUNITY HEALTHCARE SYSTEM IS ONE MEDICAL PROVIDER ORGANIZED ACROSS FOUR HOSPITAL CAMPUSES. IT LINKS FOUR INDIANA HOSPITALS - COMMUNITY HOSPITAL IN MUNSTER; ST. CATHERINE HOSPITAL IN EAST CHICAGO; ST. MARY MEDICAL CENTER IN HOBART; AND COMMUNITY STROKE &amp; REHABILITATION CENTER IN CROWN POINT - AND MANY OUTPATIENT CLINICS AND PHYSICIAN OFFICES. THE SYSTEM IS DEDICATED TO MAINTAIN THE CATHOLIC TRADITION OF ST. CATHERINE HOSPITAL AND ST. MARY MEDICAL CENTER AS WELL AS THE NON-SECTARIAN FOUNDATION OF COMMUNITY HOSPITAL. COMMUNITY HEALTHCARE SYSTEM WILL BECOME THE PROMINENT, INTEGRATED HEALTHCARE SYSTEM IN NORTHWEST INDIANA. THROUGH INTEGRATION, THE SYSTEM WILL CAPITALIZE ON OPPORTUNITIES TO INCREASE OVERALL GROWTH, IMPROVE OPERATING EFFICIENCY, AND REALIZE CAPITAL TO BETTER SERVE OUR PATIENTS, PHYSICIANS, AND EMPLOYEES. VALUES: DIGNITY - WE VALUE THE DIGNITY OF HUMAN LIFE, WHICH IS SACRED AND DESERVING OF RESPECT AND FAIRNESS THROUGHOUT ITS STAGES OF EXISTENCE. COMPASSIONATE CARE - WE VALUE COMPASSIONATE CARE, TREATING THOSE WE SERVE AND ONE ANOTHER WITH PROFESSIONALISM, CONCERN AND KINDNESS, EXCEEDING EXPECTATIONS. COMMUNITY - WE VALUE MEETING THE VITAL RESPONSIBILITIES IN THE COMMUNITY WE SERVE, AND TAKE A LEADERSHIP ROLE IN ENHANCING THE QUALITY OF LIFE AND HEALTH, STRIVING TO REDUCE THE INCIDENCE OF ILLNESS THROUGH CLINICAL SERVICES, EDUCATION AND PREVENTION. QUALITY - WE VALUE QUALITY AND STRIVE FOR EXCELLENCE IN ALL WE DO, WORKING TOGETHER COLLABORATIVELY AS THE POWER OF OUR COMBINED EFFORTS EXCEEDS WHAT EACH OF US CAN ACCOMPLISH ALONE. STEWARDSHIP - WE VALUE TRUSTWORTHY STEWARDSHIP AND ADHERENCE TO THE HIGHEST ETHICAL STANDARDS THAT JUSTIFY PUBLIC TRUST AND PROTECT WHAT IS OF VALUE TO THE SYSTEM - ITS HUMAN RESOURCES, MATERIAL AND FINANCIAL ASSETS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DESIGNATED POPULATION THAT ST. MARY MEDICAL CENTER IS FOCUSING ON INCLUDES THOSE INDIVIDUALS WHOSE LIFE-STYLE BEHAVIORS PUT THEM AT RISK FOR DISEASE AND ILLNESS. OUR PRIMARY FOCUS THIS YEAR IS ON DISEASES THAT HAVE BEEN IDENTIFIED AS HEALTH DISCREPANCIES IN LAKE COUNTY, INDIANA - DIABETES, HEART DISEASE &amp; STROKE, AND MATERNAL INFANT &amp; CHILD HEALTH. THE INCIDENCE OF THESE DISEASES IN OUR REGION SURPASSED STATE AND NATIONAL AVERAGES, AND THEREFORE DEMANDED OUR PRIMARY FOCUS. ALL OF THESE AREAS HAVE A COMMON LINK TO MODIFIABLE LIFESTYLE RISK FACTORS, EDUCATION, PREVENTION AND ACCESS TO MEDICAL SERVICES. ST. MARY MEDICAL CENTER HAS INVESTED GREATLY IN RECENT YEARS IN TREATMENT AND EDUCATION PROGRAMS AND IN OFFERING PATIENTS ACCESS TO TREATMENTS NOT AVAILABLE ELSEWHERE IN THE COUNTY. WE ARE EXPANDING BEST PRACTICE EFFORTS THROUGH THE PRIMARY CARE SETTING, IN PARTICULAR OUR EMPLOYED PHYSICIANS GROUP. 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. COMMITMENT TO QUALITY CARE ST. MARY MEDICAL CENTER IS COMMITTED TO MEETING THE NEEDS OF THE POPULATION IN LAKE AND PORTER COUNTIES. ITS GOAL IS TO PROVIDE QUALITY COMPASSIONATE CARE, RESPECTING THE DIGNITY OF OUR PATIENTS AND FAMILIES, THROUGH TECHNOLOGICAL ADVANCES AND A SKILLED WORKFORCE. PHYSICIANS CONTINUE TO FORGE NEW GROUND IN HEART CARE, CANCER CARE AND SURGICAL SERVICES. SURGEONS AT ST. MARY MEDICAL CENTER HAVE ACCESS TO SOME OF THE MOST ADVANCED TECHNOLOGY AVAILABLE, INCLUDING THE RECENTLY ACQUIRED INTUITIVE ION ROBOTIC BRONCHOSCOPY SYSTEM FOR LUNG BIOPSY, THE DA VINCI X AND XI SURGICAL SYSTEMS AND THE MAKO ROBOTIC ARM-ASSISTED INSTRUMENTATION SYSTEM FOR PARTIAL AND TOTAL KNEE REPLACEMENTS. SURGICAL SERVICE IS MADE MORE CONVENIENT WITH AN OUTPATIENT SURGERY CENTER LOCATED NEARBY AT LAKE PARK IN HOBART. OUR AWARD-WINNING JOINT ACADEMY TAKES A TEAM APPROACH TO JOINT REPLACEMENT SURGERY, OFFERING PATIENTS EXTENSIVE EDUCATION, COACHING AND SUPPORT FROM THE PRE-OPERATIVE THROUGH POST-OPERATIVE PHASES OF CARE AND REHABILITATION. THE JOINT COMMISSION RECENTLY RECERTIFIED THE JOINT ACADEMY FOR ADVANCED CERTIFICATION FOR TOTAL HIP AND TOTAL KNEE REPLACEMENT. VALPARAISO HEALTH CENTER AND PORTAGE HEALTH CENTER I AND II OFFER THE PORTER COUNTY COMMUNITY EASY ACCESS TO ADVANCED DIAGNOSTIC IMAGING AND LAB SERVICES, AS WELL AS 3D MAMMOGRAPHY WITH SAME-DAY RESULTS, PHYSICAL THERAPY AND COMPASSIONATE MEDICAL CARE FROM OUR PRIMARY CARE OR PHYSICIAN SPECIALISTS. ST. MARY MEDICAL CENTER OFFERS SPECIALTY CARE FOR OUR PRECIOUS AND SMALLEST PATIENTS. THE HOSPITAL HAS THE DISTINCTION OF BEING A BABY-FRIENDLY FACILITY. THE STAFF ASSISTS MOTHERS BY PROVIDING INFORMATION, CONFIDENCE AND THE SKILLS TO MAKE INFORMED DECISIONS ON THE BEST FEEDING METHOD FOR THEIR INFANTS. THE LEVEL II NURSERY IS STAFFED AND EQUIPPED TO CARE FOR INFANTS BORN PREMATURELY, AND NEW MOTHERS ARE GUIDED THROUGH BIRTH WITH CERTIFIED LACTATION CONSULTANTS AND A MIDWIFE-FRIENDLY ENVIRONMENT. U.S. NEWS &amp; WORLD REPORT RANKED ST. MARY MEDICAL CENTER AS A "HIGH-PERFORMING" HOSPITAL AMONG THE BEST HOSPITALS FOR MATERNITY CARE IN 2022-2023. INVESTMENT IN COMMUNITY AND QUALITY CARE ST. MARY MEDICAL CENTER HAD 1458 EMPLOYEES ON STAFF AT THE END OF THE FISCAL YEAR IN JUNE 2023. ADDITIONALLY, THE HOSPITAL INVESTED IN STATE-OF-THE-ART MEDICAL TECHNOLOGY AND FACILITY IMPROVEMENTS SO ITS ENVIRONMENT OF CARE MATCHES ITS HIGH-QUALITY OF CARE. IN FISCAL YEAR 2022-23, PHYSICAL AND TECHNOLOGICAL IMPROVEMENTS WERE MADE IN VARIOUS DEPARTMENTS. THE WOMEN'S DIAGNOSTIC MAMMOGRAM AND CHANGING SUITES WERE RENOVATED AND UPGRADED WITH NEW EQUIPMENT AT THE VALPARAISO HEALTH CENTER. THE KITCHEN WAS COMPLETELY RENOVATED AND UPGRADED TO MEET THE INCREASING NEEDS OF THE FACILITY FOR VISITORS, PATIENTS, AND STAFF. RADIOLOGY, INFUSION, LABORATORY, AND OTHER KEY AREAS IN THE HOSPITAL ARE CONTINUOUSLY BEING EVALUATED FOR EFFICIENCY AND UPGRADED WITH SPACE NEEDS, EQUIPMENT, AND FINISHES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>AWARDS AND RECOGNITION SYNOPSIS THE FOLLOWING IS A SYNOPSIS OF SIGNIFICANT ACCREDITATIONS AND DISTINCTIONS GRANTED TO ST. MARY MEDICAL CENTER DURING FISCAL YEAR 2022-2023. * METABOLIC AND BARIATRIC SURGERY ACCREDITATION 2022-2025 * AMERICAN COLLEGE OF CARDIOLOGY - ACCREDITED PRIMARY PCI, CHEST PAIN CENTER - 2023-2026 * AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION - 2023 GET WITH THE GUIDELINES - STROKE GOLD PLUS AWARD WITH TARGET: STROKE HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES HONOR ROLL, COMMUNITY HOSPITAL, ST. CATHERINE HOSPITAL AND ST. MARY MEDICAL CENTER. * AMERICAN HEART ASSOCIATION- 2023 GET WITH THE GUIDELINES - HEART FAILURE SILVER AWARD WITH TARGET: TYPE TWO DIABETES HONOR ROLL * ANTHEM BLUE CROSS/BLUE SHIELD ASSOCIATION - BLUE DISTINCTION PLUS CENTER - MATERNITY CARE - 2023 * BABY-FRIENDLY USA - BABY-FRIENDLY HOSPITAL CERTIFICATION - 2023-2028 * GOLD DESIGNATION SAFE SLEEP" CRIBS FOR KIDS" 2023-2028, NATIONAL INFANT SAFE SLEEP HOSPITAL DESIGNATION * COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES - 2022 * AMERICAN ASSOCIATION OF CARDIOVASCULAR REHABILITATION PROGRAM CERTIFICATION 2023-2026 * IBCLC CARE AWARD - FOR THE EXCELLENCE DEMONSTRATED IN STAFFING IBCLC AS PART OF YOUR MATERNAL-CHILD HEALTH CARE TEAM, AND FOR CONDUCTING ACTIVITIES THAT DEMONSTRATE PROMOTION, PROTECTION, AND SUPPORT OF BREASTFEEDING - 2020-2022 * INSPIRE AWARD FOR INFANT AND MATERNAL CARE, INDIANA HOSPITAL ASSOCIATION: CATEGORY OF EXCELLENCE AWARD - 2021, 2022, 2023 * THE JOINT COMMISSION - ADVANCED CERTIFICATION FOR TOTAL HIP AND TOTAL KNEE REPLACEMENT - 2023 * U.S. NEWS &amp; WORLD REPORT, BEST MATERNITY CARE - 2023 * U.S NEWS &amp; WORLD REPORT HIGH PERFORMER 2023 IN HEART FAILURE, COPD ,KIDNEY FAILURE, STROKE COMMUNITY OUTREACH ST. MARY MEDICAL CENTER IS A STRONG PROPONENT FOR MAINTAINING GOOD HEALTH AND WELLNESS. THE HOSPTIAL PLAYS A KEY ROLE IN REGULARLY ASSESSING THE NEEDS OF THE SERVICE AREA THROUGH EVALUATIONS FROM EVENTS, CLASSES AND PRESENTATIONS AS WELL AS THE TRIANNUAL COMMUNITY HEALTH NEEDS ASSESSMENT. ST. MARY MEDICAL CENTER'S PRIMARILY FOCUSES ON OUTREACH, ADDRESSING DISEASES IDENTIFIED AS KEY HEALTH NEEDS IN LAKE AND PORTER COUNTIES, INCLUDING DIABETES, HEART DISEASE, STROKE AND MATERNAL CHILD HEALTH. THESE NEEDS HAVE MODIFIABLE LIFESTYLE RISK THAT MAY REDUCE WITH EDUCATION, BEHAVIOR MODIFICATION AND ACCESS TO MEDICAL SERVICES. ST. MARY MEDICAL CENTER UNDERSTANDS THAT HEALTH CARE IS NOT LIMITED TO THE WALLS OF ITS FACILITY, HAVING INVESTED GREATLY IN TREATMENT AND EDUCATION PROGRAMS ACROSS LAKE AND PORTER COUNTIES. ST. MARY MEDICAL CENTER'S PROGRAMMING HAS GROWN TO INCLUDE CANCER SUPPORT GROUPS, EXPANSION OF PRENATAL CLASSES AND SUPPORT GROUPS OFFERED ON-SITE AT THE HOSPITAL AND VALPARAISO HEALTH CENTER. SAINT MARY MEDICAL CENTER'S ASK THE NURSE PROGRAM PROVIDES ADVICE ABOUT HEALTH CONCERNS AND INFORMATION ON SERVICES OFFERED THROUGH COMMUNITY HEALTHCARE SYSTEM. THROUGH A PARTNERSHIP WITH THE VALPARAISO YMCA, ST. MARY MEDICAL CENTER NURSES PROVIDE SUPPORT TO MEMBERS OF THE COMMUNITY IN THEIR QUEST TO LIVE THEIR BEST LIVES. REGISTERED NURSES ARE ENERGETIC AND PASSIONATE ABOUT HELPING INDIVIDUALS LIVE A HEALTHIER LIFESTYLE, PROVIDING SCREENINGS AND COUNSEL ON A VARIETY OF HEALTH TOPICS, INCLUDING BLOOD PRESSURE MANAGEMENT, ATRIAL FIBRILLATION, COVID-19, HEALTHY EATING, NUTRITION, HEART DISEASE, DIABETES, WEIGHT MANAGEMENT AND FITNESS COACHING. CONSULTATIONS ARE AVAILABLE BY PHONE, VIRTUALLY OR IN-PERSON. FOR FISCAL YEAR 2022-2023, THE VALUE OF ST. MARY MEDICAL CENTER OUTREACH PROGRAMS - WHICH WERE CONDUCTED VIRTUALLY AND IN-PERSON - TOTALED $1,061,075.69. COMMUNITY OUTREACH IN THE FISCAL YEAR INCLUDE: EDUCATIONAL PARTNERSHIPS WITH SURROUNDING ACCREDITED UNIVERSITIES TO OFFER EDUCATIONAL COURSES PROVIDED BY STAFF AND PROVIDERS. THIS PROGRAMMING PROVIDES A LOCATION FOR STUDENTS TO OBTAIN IN-HOUSE TRAINING COURSES AND EXPERIENCES, SUCCESSFULLY GROWING THE HEALTHCARE SYSTEM EMPLOYEES WITH QUALIFIED CANDIDATES. COMMUNITY SCREENINGS WERE OFFERED FREE OF CHARGE INCLUDING PAD, BLOOD PRESSURE, BALANCE TESTING, AFIB, COLON CANCER, DIABETES, ETC. SUPPORT GROUPS FOR GRIEF, CANCER, AND MANY OTHER GROUPS INVOLVING PHYSICAL EXERCISE AND SPIRITUAL GATHERINGS WERE OFFERED WITHIN THE HOSPITAL AND AT LOCAL COMMUNITY LOCATIONS. A PARTNERSHIP WITH THE VALPARAISO YMCA CONTINUES TO GROW WITH THE PROGRAMS IN THE FACILITY AND A FULL-TIME STAFFED NURSE. THE NURSE OFFERS A PROGRAM "ASK THE NURSE", PROVIDING EDUCATION TO THE MEMBERS OF THE YMCA AND THE COMMUNITY, ALONG WITH METABOLIC TESTING. AN ENTIRE PHYSICAL THERAPY DEPARTMENT IS HOUSED IN THE YMCA, WITH HEALTHCARE SYSTEM EMPLOYEES, WHICH PROVIDES CARE TO THE COMMUNITY. MARIA REINER CENTER IS A LOCAL COMMUNITY CENTER THE HOSPITAL HAS PARTNERED TO PROVIDE PROGRAMMING TO THE COMMUNITY. THE WELL WALKERS GROUP, HEALTH FAIRS, AND PROVIDER PRESENTATIONS FOR THE MEMBERS OF THE COMMUNITY TO ATTEND AT NO COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount on Line 7g does not include any costs attributable to a physician clinic.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY FOUNDATION OF NORTHWEST INDIANA, EIN: 31-1128781</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>7469315</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>COST ACCOUNTING SYSTEM WAS USED FOR COMPUTATIONS. BAD DEBT IS EXCLUDED FROM THE CALCULATION. MEDICAID DIRECT OFFSETTING REVENUE INCLUDES THE INCREASED HAF REIMBURSEMENT AND DSH. THE EXPENSE INCLUDES THE HAF FEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO PER THE S-10 WORKSHEET OF THE MEDICARE COST REPORT IS USED TO ESTIMATE BAD DEBT AT COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>WE ESTIMATE 1% OF THE BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR BAD DEBTS, AND NET ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION THE TRENDS IN HEALTH CARE COVERAGE, ECONOMIC TRENDS, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY ASSESSES THE ADEQUACY OF THE ALLOWANCES BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY MAJOR PAYOR CATEGORY AND AGING BUCKET. THE RESULTS OF THE REVIEW ARE THEN UTILIZED TO MAKE MODIFICATIONS, AS NECESSARY, TO THE PROVISION FOR BAD DEBTS TO PROVIDE FOR AN APPROPRIATE ALLOWANCE FOR BAD DEBTS. A SIGNIFICANT PORTION OF THE HOSPITALS' UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED, AND A SIGNIFICANT PORTION OF THE HOSPITALS' INSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR CO-PAYMENTS AND DEDUCTIBLES. THUS, THE HOSPITALS RECORD A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH CFNI'S POLICY, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR BAD DEBTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>WE PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICE PROVIDED OR THE REIMBUSEMENT RECEIVED FROM MEDICARE, QUALIFYING THE SHORTFALL AS A COMMUNITY BENEFIT. THE MEDICARE ALLOWABLE COSTS OF CARE WERE CALCULATED BY USING INFORMATION FROM THE COST ACCOUNTING SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST MARY MEDICAL CENTER, INC.: Line 16a URL: https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST MARY MEDICAL CENTER, INC.: Line 16b URL: https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST MARY MEDICAL CENTER, INC.: Line 16c URL: https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MOST RECENT CHNA WAS CONDUCTED IN 2022 AND IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://WWW.COMHS.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS IN ADDITION TO OUR CHNA, WHICH IS CONDUCTED EVERY THREE YEARS, ST. MARY MEDICAL CENTER CONTINUALLY ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THIS IS AN ONGOING ENDEAVOR IN WHICH WE RELY HEAVILY UPON INPUT FROM OUR COMMUNITY LEADERS. WE ALSO CONDUCT MANY HEALTHCARE RELATED EVENTS THROUGHOUT THE YEAR WITHIN THE COMMUNITY. THIS CAN VARY FROM EDUCATIONAL CLASSES TO SPECIFIC DISEASE SCREENINGS. WE HAVE ALSO FOUND THAT A GOOD DATA SOURCE IS OUR PATIENTS. WE FREQUENTLY SURVEY OUR PATIENTS TO OBTAIN THIS INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WHO ARE ADMITTED WITHOUT INSURANCE ARE DIRECTED TO THE HOSPITAL'S FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS PERFORM AN INTERVIEW WITH THE PATIENTS TO EXPLAIN TO THEM THE PROCESS NECESSARY TO RECEIVE FINANCIAL ASSISTANCE. 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 FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. THE POLICY IS POSTED IN THE EMERGENCY ROOM AREA AS WELL AS AT EACH INPATIENT WAITING DESK. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>LOCATED IN HOBART, INDIANA, THE COMMUNITY SERVED INCLUDES NORTHWEST INDIANA. LATEST U.S. CENSUS BUREAU DEMOGRAPHIC INFORMATION COMPARING HOBART TO THE STATE OF INDIANA: PERSONS UNDER 18 YEARS PERCENT, 2022 HOBART 21.20% INDIANA 23.00% PERSONS 65 YEARS AND OVER PERCENT, 2022 HOBART 16.30% INDIANA 16.90% WHITE ALONE PERCENT, 2022 (A) HOBART 78.30% INDIANA 84.00% BLACK OR AFRICAN AMERICAN ALONE PERCENT, 2022 (A) HOBART 10.10% INDIANA 10.30% HISPANIC OR LATINO PERCENT, 2022 (B) HOBART 15.30% INDIANA 7.90% WHITE ALONE, NOT HISPANIC OR LATINO PERCENT, 2022 HOBART 69.80% INDIANA 77.00% HIGH SCHOOL GRADUATE OR HIGHER, AGE 25+, 2017-2021 HOBART 93.10% INDIANA 89.80% BACHELOR'S DEGREE OR HIGHER, AGE 25+, 2017-2021 HOBART 23.50% INDIANA 27.80% MEDIAN HOUSEHOLD INCOME, 2017-2021 HOBART $63,168 INDIANA $61,944 PERSONS IN POVERTY PERCENT 2017-2021 HOBART 13.70% INDIANA 12.20% (A) INCLUDES PERSONS REPORTING ONLY ONE RACE. (B) HISPANICS MAY BE OF ANY RACE, SO ALSO ARE INCLUDED IN APPLICABLE RACE CATEGORIES</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>Kimberly Sgouroudis</BusinessNameLine1Txt>
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        <TitleTxt>VP CNO</TitleTxt>
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          <BusinessNameLine1Txt>Lynda Kathleen Carey</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Enida DeVaney</BusinessNameLine1Txt>
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        <TotalCompensationFilingOrgAmt>180306</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Peter Dyba</BusinessNameLine1Txt>
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        <TitleTxt>Director Imaging Services</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Michelle Meyer</BusinessNameLine1Txt>
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        <TitleTxt>Director Pharmacy</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Tia S</BusinessNameLine1Txt>
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        <TitleTxt>Sr. Pharmacist</TitleTxt>
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        <ExplanationTxt>Health or Social Club Dues or Initiation Fees PROVIDED TO/FOR A PERSON IN 990, PART VII, SEC. A, LN 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.</ExplanationTxt>
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        <ExplanationTxt>St. Mary Medical Center, Inc. FOLLOWS ITS PARENT, (CFNI), COMPENSATION POLICIES. THE CFNI BOARD HAS ADOPTED AN 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.</ExplanationTxt>
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        <ExplanationTxt>NON-FIXED PAYMENTS NOT DESCRIBED IN LINES 5 AND 6 DESCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES.</ExplanationTxt>
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        <ExplanationTxt>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 SOURCES AND UPDATED ANNUALLY. THE MOST RECENT UPDATE OCCURRED IN MAY 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. IS THE PARENT COMPANY OF ST. MARY MEDICAL CENTER, INC. AND HAS RIGHTS TO APPROVE DECISIONS MADE BY ST. MARY MEDICAL CENTER, INC. SPECIFIC RIGHTS AND POWERS RESERVED TO THE CORPORATION. ALL ACTION BY THIS CORPORATION AS THE CONTROLLING ENTITY OF AN AFFILIATE SHALL BE BY THE BOARD OF DIRECTORS OF THIS CORPORATION, SUBJECT TO THE FOLLOWING MATTERS WHICH REQUIRE THE APPROVAL OF THE CORPORATION'S MEMBER: A. THE EXPANSION OR REDUCTION IN HEALTH CARE SERVICES AND/OR DEPARTMENTS, OTHER THAN AS PERMITTED IN GUIDELINES ISSUED BY THE MEMBER, AS AMENDED FROM TIME TO TIME, OR IN EXCESS OF THE AMOUNT PERMITTED BY SUCH GUIDELINES. B. THE ACQUISITION, SALE, TRANSFER, ASSIGNMENT, MORTGAGE OR ENCUMBRANCE OF ANY FIXED CAPITAL, BUILDINGS OR PARCELS OF REAL ESTATE WITH A VALUE EXCEEDING A SPECIFIC THRESHOLD. C. THE LEASE OF ANY FIXED CAPITAL, BUILDINGS OR PARCEL OF REAL ESTATE: (I) WITH A VALUE EXCEEDING A SPECIFIC THRESHOLD OR GREATER OVER THE LIFE OF THE LEASE, IF THE AFFILIATE IS LESSEE; (II) WITH A VALUE EXCEEDING A SPECIFIC THRESHOLD OR GREATER OVER THE LIFE OF THE LEASE, IF THE AFFILIATE IS LESSOR. D. ANY ACTION WHICH MIGHT BE CONSIDERED AS INCONSISTENT WITH THE OBJECTIVES AND PURPOSES AS SET FORTH IN ARTICLE I OF THESE BYLAWS. E. THE INCURRENCE OF ANY DEBT OR OBLIGATION WHICH WOULD BIND OR OBLIGATE THE AFFILIATE IN AN AGGREGATE AMOUNT EXCEEDING THE LESSER OF A SPECIFIC THRESHOLD OR TEN PERCENT (10%) OF THE BOOK VALUE OF THE AFFILIATE'S FIXED ASSETS. F. THE APPROVAL OF AMENDMENTS TO ANY INTERNAL AUDIT PROGRAM AND SELECTION OF THE CERTIFIED PUBLIC ACCOUNTING FIRM TO ACT AS THE AFFILIATE'S AUDITOR. G. THE SELECTION OF THE AFFILIATE'S INSURANCE BROKERS AND/OR INSURERS WITH RESPECT TO ITS PROPERTY AND CASUALTY COVERAGES. H. THE INVESTMENT OF THE AFFILIATE'S FUNDS, WHETHER CONSTITUTING SURPLUS OR OTHERWISE, IN ACCOUNTS, SECURITIES OR FINANCIAL INSTRUMENTS OR WITH INSTITUTIONS OR DEPOSITORIES OTHER THAN THOSE PERMITTED IN GUIDELINES ISSUED BY THE MEMBER, AS AMENDED FROM TIME TO TIME, OR IN EXCESS OF THE AMOUNT(S) PERMITTED BY SUCH GUIDELINES. I. THE ACQUISITION OR ESTABLISHMENT OF ANY ENTITY (INCLUDING JOINT VENTURES) OR THE OPERATION OF ANY BUSINESS OR FUNDRAISING ORGANIZATION, WHETHER FOR PROFIT OR NONPROFIT, CORPORATE, OR OTHERWISE WHICH THE AFFILIATE INTENDS TO MAINTAIN OWNERSHIP OR CONTROL OF ON AN ONGOING BASIS AND THE DISPOSITION OR DISSOLUTION THEREOF. J. THE APPROVAL OF THE AFFILIATE'S LEGAL COUNSEL. K. THE APPROVAL OF THE AFFILIATE'S ANNUAL OPERATING AND CAPITAL BUDGETS. L. THE ACCEPTANCE OF ANY DONATION, GIFT, DEVISE OR BEQUEST WHICH IMPOSES AN OBLIGATION UPON THE AFFILIATE, CORPORATION, THE SYSTEM OR THE MEMBER. M. THE APPROVAL OF THE AFFILIATE'S LONG-RANGE FINANCIAL AND STRATEGIC PLANS AND ANY AMENDMENTS THERETO. N. ALL MAJOR CORPORATE STRUCTURAL CHANGES, INCLUDING, BUT NOT LIMITED TO, MERGER, CONSOLIDATION OR DISSOLUTION OF THE AFFILIATE OR ANY OF ITS SUBSIDIARIES AND THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE AFFILIATES OR ANY OF ITS SUBSIDIARIES. O. THE APPROVAL OF OR AN AMENDMENT TO ANY MANAGEMENT CONTRACT WITH RESPECT TO THE OPERATIONS OF THE AFFILIATES OR ITS FACILITIES. P. THE APPROVAL OF THE AFFILIATE'S KEY MANAGEMENT STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS SUBMITTED TO THE TREASURER/SECRETARY AND SYSTEM 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 ACCOUNTING FIRM BEFORE IT IS POSTED TO A SECURE WEBSITE TO ALLOW THE BOARD OF DIRECTORS TO REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THE ORGANIZATION'S ANNUAL MONITORING &amp; 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. RESTRICTIONS ON MEMBERS WITH A CONFLICT - MEMBERS WITH A CONFLICT ARE REQUIRED TO RECUSE THEMSELVES FROM ANY DELIBERATION AND MUST ABSTAIN FROM THE VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY MEDICAL CENTER, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, ST. MARY MEDICAL CENTER, INC. THROUGH COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN SALARIES AND MEDICAL DIRECTORSHIPS ARE PAID BY A RELATED ORGANIZATION, USUALLY THE PARENT (CFNI), WHILE THE HOURS ARE APPLICABLE TO THE REPORTING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE - Total Revenue: 26160, Related or Exempt Function Revenue: 26160, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMP RESTR-FUND TRANSFER - -1000; EQUITY TRANSFERS (TO) / FROM RELATED ORGANIZATIONS - -14870113;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 3b Reason organization did not undergo required audit</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. MARY MEDICAL CENTER, INC. WILL UNDERGO A SINGLE AUDIT FOR THE 6/30/23 TAX YEAR DURING THE TAX YEAR ENDING 6/30/24.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>Munster Medical Research Foundation Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>16451219</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Community Stroke &amp; Rehabilitation Center Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>608826</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Community VIllage Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>50050</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>StCatherine Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>55491</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
