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Top 6 Needs Prioritized: 1. Maternal & Children's Health 2. Mental Health & Mental Disorders 3. Access to Healthcare 4. Diabetes 5. Heart Disease & Stroke 6. Cancer Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - MUNSTER MEDICAL RESEARCH FOUNDATION. 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). Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - MUNSTER MEDICAL RESEARCH FOUNDATION. ST. CATHERINE HOSPITAL, INC. IN EAST CHICAGO, IN ST. MARY MEDICAL CENTER, INC. IN HOBART, IN COMMUNITY STROKE & REHABILITATION CENTER, INC IN CROWN POINT, IN Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - COMMUNITY HOSPITAL. 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 FOR 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 & 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 & 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 & 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 STRIVES OFFERS FREE OR DISCOUNTED SCREENINGS, PRESENTATIONS ON INNOVATIVE TECHNOLOGY SUCH AS THE WATCHMAN, CARDIOMEMS, AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), AND STROKE & 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 & 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 & 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 SPECIALIZE 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. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - COMMUNITY HOSPITAL. 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: COMMUNITY HOSPITAL 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. 17 COMMUNITY SURGERY CENTER 801 MACARTHUR BOULEVARD MUNSTER IN 46321 OUTPATIENT SURGERY ST JOHN OUTPATIENT CENTER 9660 WICKER AVENUE ST JOHN IN 46373 OUTPATIENT CENTER COMMUNITY DIAGNOSTIC CENTER 10020 DONALD S POWERS DRIVE MUNSTER IN 46321 DIAGNOSTIC CENTER COMMUNITY MOB CAMPUS GI STE 300 801 MACARTHUR BOULEVARD STE 300 MUNSTER IN 46321 OUTPATIENT CENTER SCHERERVILLE OUTPATIENT CENTER 7651 HARVEST DRIVE SCHERERVILLE IN 46375 OUTPATIENT CENTER CSC ENDOSCOPY OUTPATIENT UNIT 801 MacArthur Blvd Munster IN 46321 OUTPATIENT CENTER FITNESS POINTE 9550 COLUMBIA AVENUE MUNSTER IN 46321 REHABILITATION COMMUNITY WOUND CLINIC 801 MACARTHUR BOULEVARD STE 401 SCHERERVILLE IN 46375 OUTPATIENT CENTER COMMUNITY HOME HEALTH SERVICES 901 RIDGE ROAD MUNSTER IN 46321 HOME HEALTH COMMUNITY SLEEP DIAGNOSTICS 10110 DONALD S POWERS DRIVE 201B MUNSTER IN 46321 OUTPATIENT CENTER MEDICATION MANAGEMENT CLINIC 9054 COLUMBIA AVENUE STE A MUNSTER IN 46321 OUTPATIENT CENTER OUTPATIENT ELECTROPHYSIOLOGY CLINIC 801 MACARTHUR BOULEVARD SUITE 303 MUNSTER IN 46321 OUTPATIENT CENTER LAKE BUSINESS CENTER 9200 CALUMET AVENUE MUNSTER IN 46321 OUTPATIENT CENTER COMMUNITY AUDIOLOGY OFFICE 9046 A COLUMBIA AVE MUNSTER IN 46321 OUTPATIENT CENTER COMMUNITY THERAPY SERVICES 10020 DONALD S POWERS DRIVE MUNSTER IN 46321 REHABILITATION COMMUNITY NEURODIAGNOSTICS 801 MACARTHUR BOULEVARD STE 403 MUNSTER IN 46321 OUTPATIENT CENTER STRUCTURAL HEART AND VALVE CENTER 9034 COLUMBIA AVENUE MUNSTER IN 46321 OUTPATIENT CENTER Schedule H, Part I, Line 6a WAS A COMMUNITY BENEFIT REPORT PREPARED THE STATE OF INDIANA ACCEPTS FORM 990 SCHEDULE H IN LIEU OF A COMMUNITY BENEFIT REPORT. COMMUNITY HOSPITAL MAKES ITS 990 AVAILABLE TO THE PUBLIC. Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG USED TO DETERMINE FAP ELIGIBILITY 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. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH COMMUNITY HOSPITAL IS COMMITTED TO PROVIDING EXPERT MEDICAL CARE TO NORTHWEST INDIANA RESIDENTS BY INVESTING IN ADVANCED TECHNOLOGIES, INNOVATIVE TREATMENTS AND SPECIALTY TRAINED STAFF. THE HOSPITAL 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 COMMUNITY HOSPITAL'S CONSISTENT EXCELLENCE IN PATIENT OUTCOMES AND EXPERIENCES. LETTER FROM THE CEO WE ARE COMMITTED TO MEETING THE NEEDS OF OUR COMMUNITY AND PROVIDING HIGH QUALITY, COMPASSIONATE CARE WITH THE FINEST TECHNOLOGY AND SERVICES AVAILABLE TODAY. AT COMMUNITY HOSPITAL, WE ARE LEADING THE WAY IN TREATING COMPLEX STROKE WITH OUR ELITE DESIGNATION AS A COMPREHENSIVE STROKE CENTER SERVING ALL OF NORTHERN INDIANA. WITH OUR ONGOING COMMITMENT TO QUALITY AND EXPERTISE, WE HAVE MADE INVESTMENTS IN NEW TECHNOLOGIES USED FOR THE DETECTION AND TREATMENT OF STROKE, HEART DISEASE, CANCER AND OTHER CONDITIONS. THESE INCLUDE, AN ADVANCED HYBRID SURGICAL SUITE TO PERFORM MINIMALLY INVASIVE VALVE REPLACEMENT SURGERIES INCLUDING TAVR. OUR DA VINCI ROBOTIC SURGICAL SYSTEMS ARE USED BY PHYSICIANS TO PERFORM SURGERY, INCLUDING THORACIC SURGERIES, THROUGH TINY INCISIONS, RESULTING IN FEWER COMPLICATIONS, LESS BLOOD LOSS AND A QUICKER RECOVERY. THE TRUEBEAM RADIATION THERAPY SYSTEM GIVES PATIENTS A BROADER RANGE OF TREATMENT OPTIONS AND THE BEST CHANCE FOR TUMOR CONTROL AND REMOVAL WITH THE LEAST DAMAGE TO NEARBY HEALTHY TISSUE. OUR 3T MRI OFFERS BETTER CLARITY AND PRECISION IMAGING FOR COMPLEX BRAIN AND SPINE CONDITIONS. OUR WOMEN'S DIAGNOSTIC CENTERS OFFER 3D MAMMOGRAPHY TO DIAGNOSE CANCER AT EARLY STAGES AND DELIVERS RESULTS TO OUR PATIENTS THE SAME DAY TO EASE THEIR MIND. OUR BREAST CARE PROGRAM IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), AND OFFERS THE FULL SPECTRUM OF PREVENTION, DIAGNOSIS, TREATMENT, RESEARCH, SUPPORT AND COMPLEMENTARY THERAPY OPTIONS. WE ALSO OFFER A HIGH RISK BREAST CLINIC THAT PROVIDES INDIVIDUALIZED RECOMMENDATIONS FOR PREVENTION AND SURVEILLANCE FOR WOMEN AT INCREASED RISK FOR BREAST CANCER. WE ARE ALWAYS CHALLENGING OURSELVES ON WAYS TO MAKE THE HEALTHCARE EXPERIENCE BETTER FOR OUR PATIENTS, PHYSICIANS AND STAFF. COMMUNITY HEALTHCARE SYSTEM HOSPITALS AND OUTPATIENT CENTERS UTILIZE EPIC, A COMPUTERIZED HEALTH INFORMATION SYSTEM THAT AUTOMATES ALL ASPECTS OF THE HEALTHCARE PROCESS FROM REGISTRATION TO CLINICAL DOCUMENTATION TO MEASURING OUTCOMES. THE EPIC SYSTEM HELPS OUR STAFF DELIVER MORE EFFICIENT AND SAFER CARE TO OUR PATIENTS. HOSPITAL HISTORY COMMUNITY HOSPITAL IN MUNSTER, INDIANA, IS A NOT-FOR-PROFIT, NON-SECTARIAN, ACUTE CARE FACILITY RECOGNIZED FOR MEETING THIS NATION'S HIGHEST HEALTH CARE STANDARDS. THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS HAS AWARDED COMMUNITY HOSPITAL ACCREDITATION WITH COMMENDATION, ITS HIGHEST HONOR, RECOGNIZING THE HOSPITAL'S EXEMPLARY PERFORMANCE. COMMUNITY HOSPITAL HAS MORE ADMISSIONS THAN ANY SINGLE HOSPITAL IN LAKE COUNTY, INDIANA. COMMUNITY HOSPITAL HAS BEEN AWARDED NUMEROUS NATIONAL ACCREDITATIONS AND RECOGNITIONS FOR THE QUALITY OF CARE TO THE COMMUNITY. THIS UNMATCHED RECORD OF QUALITY HEALTH CARE IS BACKED BY SOME OF THE AREA'S MOST RESPECTED MEDICAL PROFESSIONALS AND SOME OF THE MOST ADVANCED MEDICAL TECHNOLOGY AVAILABLE. THE 454-BED HOSPITAL HAS A MEDICAL STAFF OF MORE THAN 600 PHYSICIANS. COMMUNITY HOSPITAL OPERATES AMONG ITS SERVICES A 24-HOUR EMERGENCY DEPARTMENT, INTENSIVE CARE, INTERMEDIATE CARE, ADVANCED CARDIOVASCULAR SERVICES, NEUROSURGERY INCLUDING DEEP BRAIN STIMULATION, PEDIATRICS, OBSTETRICS AND NEONATAL UNITS, COMMUNITY ONCOLOGY CENTER, WOMEN'S DIAGNOSTIC CENTER, REHABILITATION CENTER, ORTHOPEDICS UNIT AND SAME DAY OUTPATIENT SURGERY. IN NOVEMBER 1998, THE HOSPITAL OPENED FITNESS POINTE, A HEALTH CLUB FACILITY THAT ENCOMPASSES GENERAL FITNESS, HEALTH AND WELLNESS EDUCATION AND SUPPORT, PHYSICAL THERAPY AND SPORTS MEDICINE. THIS UNIQUE, MEDICALLY-BASED FITNESS FACILITY FURTHERS THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THE FIRST PATIENT WAS ADMITTED TO COMMUNITY HOSPITAL ON SEPT. 11, 1973, AT WHICH TIME IT WAS A 104-BED MEDICAL SURGICAL FACILITY. TODAY, THE NOT-FOR-PROFIT HOSPITAL IS THE AREA'S BUSIEST, OPERATING THE LARGEST HEART AND CANCER PROGRAMS AS WELL AS DELIVERING THE MOST BABIES IN THE AREA EACH YEAR. COMMUNITY HOSPITAL CONTINUES TO INVEST RESOURCES TO ASSEMBLE AN IMPRESSIVE NETWORK OF HEALTH CARE SERVICES THAT SPAN THE ILLNESS-TO-WELLNESS SPECTRUM. 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 THREE HOSPITAL CAMPUSES. IT LINKS THREE INDIANA HOSPITALS - COMMUNITY HOSPITAL IN MUNSTER; ST. CATHERINE HOSPITAL IN EAST CHICAGO; AND ST. MARY MEDICAL CENTER IN HOBART - 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. 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. THE DESIGNATED POPULATION THAT COMMUNITY HOSPITAL 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 & STROKE, AND MATERNAL INFANT & 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. COMMUNITY HOSPITAL 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. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH COMMITMENT TO QUALITY AND CARE COMMUNITY HOSPITAL IS COMMITTED TO PROVIDING EXPERT MEDICAL CARE TO NORTHWEST INDIANA RESIDENTS BY INVESTING IN ADVANCED TECHNOLOGIES, INNOVATIVE TREATMENTS AND SPECIALTY TRAINED STAFF. COMMUNITY HOSPITAL HAD 3099 EMPLOYEES AT THE FISCAL YEAR END, JUNE 2023. THE HOSPITAL 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 COMMUNITY HOSPITAL'S CONSISTENT EXCELLENCE IN PATIENT OUTCOMES AND EXPERIENCES. COMMUNITY HOSPITAL IS LEADING THE WAY IN TREATING COMPLEX STROKE WITH OUR ELITE DESIGNATION AS A COMPREHENSIVE STROKE CENTER SERVING ALL OF NORTHERN INDIANA. AN ONGOING COMMITMENT TO QUALITY AND EXPERTISE, THERE HAVE BEEN INVESTMENTS MADE IN TECHNOLOGIES USED FOR THE DETECTION AND TREATMENT OF STROKE, HEART DISEASE, CANCER AND OTHER CONDITIONS. THESE INCLUDE AN ADVANCED HYBRID SURGICAL SUITE TO PERFORM MINIMALLY INVASIVE VALVE REPLACEMENT SURGERIES INCLUDING TAVR. PHYSICIANS USE THE DA VINCI XI ROBOTIC SURGICAL SYSTEM TO PERFORM SURGERY, INCLUDING THORACIC SURGERIES, THROUGH TINY INCISIONS, RESULTING IN FEWER COMPLICATIONS AND QUICKER RECOVERIES. FOR CANCER PATIENTS, TRUEBEAM RADIATION THERAPY PROVIDES THE BEST CHANCE FOR TUMOR CONTROL AND REMOVAL WITH THE LEAST DAMAGE TO NEARBY HEALTHY TISSUE. WHILE 3T MRI OFFERS BETTER CLARITY AND PRECISION IMAGING FOR COMPLEX BRAIN AND SPINE CONDITIONS. COMMUNITY HOSPITAL ROUTINELY DELIVERS THE MOST BABIES IN THE REGION AND MAINTAINS A HIGH LEVEL OF EXPERTISE FOR THE YOUNGEST MEMBERS OUR POPULATION. COMMUNITY HOSPITAL OFFERS DEDICATED EMERGENCY CARE FOR EXPECTANT AND POSTPARTUM WOMEN. STAFFED 24/7 BY SPECIALTY NURSES AND BOARD-CERTIFIED OB/GYNS, THE OB ED PROVIDES RAPID EVALUATION AND SPECIALIZED CARE THAT ADDRESSES HEALTH ISSUES UNIQUE TO PREGNANCY AND THE POSTPARTUM PERIOD. THE LEVEL III NEONATAL INTENSIVE CARE UNIT AT COMMUNITY HOSPITAL HAS NORTHWEST INDIANA'S ONLY TEAM OF SKILLED NURSES, RESPIRATORY THERAPISTS AND BOARD-CERTIFIED NEONATOLOGISTS WHO ARE IN-HOUSE 24 HOURS A DAY, SEVEN DAYS A WEEK. THE FAMILY BIRTHING CENTER HAS BEEN AWARDED THE IBCLC CARE AWARD DEMONSTRATING STAFF DEDICATION IN SUPPORTING BREASTFEEDING AND THE INSPIRE AWARD FOR INFANT AND MATERNAL CARE BY THE INDIANA HOSPITAL ASSOCIATION: HOSPITAL OF DISTINCTION. AWARDS AND RECOGNITION SYNOPSIS * AMERICAN COLLEGE OF RADIOLOGY ACCREDITATION * AMERICAN COLLEGE OF RADIOLOGY - BREAST IMAGING CENTER OF EXCELLENCE, WOMEN'S DIAGNOSTIC CENTER * AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION - STROKE GOLD PLUS WITH TARGET STROKE HONOR ROLL ELITE, ADVANCED THERAPY AND TARGET: TYPE 2 DIABETES HONOR ROLL, 2021, 2022 * INDIANA STATE DEPARTMENT OF HEALTH- OBSTETRIC LEVEL OF CARE III AND NEONATAL LEVEL OF CARE III * INSPIRE AWARD FOR INFANT AND MATERNAL CARE, INDIANA HOSPITAL ASSOCIATION: HOSPITAL OF DISTINCTION AWARD - 2020-2023 * JOINT COMMISSION ACCREDITED STROKE CENTER * JOINT COMMISSION GOLD SEAL OF APPROVAL - CHEST PAIN CERTIFICATION - 2020, 2022 * JOINT COMMISSION GOLD SEAL OF APPROVAL - ADVANCED CERTIFICATION SPINE SURGERY * METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM- COMPREHENSIVE CENTER DECEMBER 2022 * NATIONAL ASSOCIATION OF EPILEPSY CENTERS LEVEL 3 EPILEPSY CENTER - 2022, 2023 * NRC HEALTH EXCELLENCE IN PATIENT EXPERIENCE AWARD COMMUNITY OUTREACH COMMUNITY HOSPITAL'S OUTREACH PROGRAMMING FOCUSES ON PROMOTING AWARENESS OF CARDIOVASCULAR DISEASE, REDUCING THE INCIDENCE OF HEART DISEASE AND IMPROVING QUALITY OF LIFE THROUGH AN INTEGRATED CARDIOVASCULAR HEALTH SERVICES DELIVERY SYSTEM. BY OFFERING SCREENINGS, THE EMPHASIS IS PLACED ON DIRECTING PARTICIPANTS TO THE PROPER WELLNESS PROGRAMS OFFERED THROUGH COMMUNITY HEALTHCARE SYSTEM. COMMUNITY HOSPITAL FITNESS POINTE CONTINUES TO SUPPORT THE WELLNESS PROGRAMS CREATED TO BETTER SERVE THE HEALTH NEEDS OF THE COMMUNITY AND STRESS THE IMPORTANCE OF RISK-FACTOR MODIFICATION FOR A HEALTHIER LIFE. TO BEST SERVE THE PATIENT POPULATION, THE CARDIOVASCULAR RESEARCH TEAM FOCUSES ON REDUCING MORBIDITY AND MORTALITY IN THE COMMUNITIES BY PARTICIPATING IN CLINICAL RESEARCH INITIATIVES DESIGNED TO PROMOTE EARLY DETECTION, DIAGNOSIS AND TREATMENT OF CARDIOVASCULAR AND PERIPHERAL VASCULAR DISEASE. THE HEART AND VASCULAR SYMPOSIUM DREW NEARLY 500 PEOPLE TO THE CENTER FOR VISUAL AND PERFORMING ARTS FOR A DAYLONG EVENT, FEATURING CARDIOLOGIST FROM ACROSS OUR HEALTHCARE SYSTEM, VENDORS AND SCREENINGS. DIABETES SCREENINGS WERE CONDUCTED FREE OF CHARGE AT HEALTH FAIRS TO ASSESS PARTICIPANT'S HEMOGLOBIN A1C. DIABETES IS ONE OF THE KEY HEALTH CONCERNS DISCUSSED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THEREFORE IT IS IMPERATIVE TO IDENTIFY PEOPLE WHO MEET THE CRITERIA FOR PRE-DIABETES AND HELP ADJUST THEIR LIFESTYLES ACCORDINGLY. BASIC INFORMATION ABOUT PRE-DIABETES IS PROVIDED AND PARTICIPANTS WHO MET CERTAIN CRITERIA WERE RECOMMENDED FOR A MORE IN-DEPTH FOLLOW-UP WITH THEIR PHYSICIAN FOR EVALUATION AND TREATMENT. THE CANCER RESOURCE CENTRE HELPS PEOPLE AND THEIR CAREGIVERS AFFECTED BY CANCER TO OBTAIN SUPPORT AND RESOURCES NEEDED TO COPE WITH THE DIAGNOSIS. A COMFORTABLE SETTING AWAITS VISITORS WHO WISH TO REVIEW EDUCATIONAL MATERIALS, GATHER TO MEET IN A SOCIAL SETTING, ATTEND SPECIAL EVENTS OR CLASSES OR COME TOGETHER FOR A PROFESSIONALLY LED SUPPORT AND NETWORKING GROUP. BETWEEN THE MONTHS OF JULY 2022 AND JUNE 2023, THE COMMUNITY RESOURCE CENTRE HAD 3,190 VISITS. THE CENTRE OFFERS PATIENTS AND THEIR FAMILIES A NON-MEDICAL PLACE WHERE THEY CELEBRATE LIFE, DEAL WITH HARDSHIPS AND GET THEIR QUESTIONS ANSWERED. THE CANCER RESOURCE CENTRE IS A RESOURCE OF THE COMMUNITY CANCER RESEARCH FOUNDATION, A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF CANCER CARE AVAILABLE IN NORTHWEST INDIANA AND THE SOUTH CHICAGO SUBURBS. ALL SERVICES OF THE CANCER RESOURCE CENTRE ARE OFFERED FREE OF CHARGE; INDIVIDUALS DO NOT NEED TO BE PATIENTS OF COMMUNITY HEALTHCARE SYSTEM. COMMUNITY HOSPITAL HEALTHCARE PROVIDERS DISCUSSED CURRENT AND TRENDING MEDICAL CONDITIONS THROUGH A VARIETY OF PUBLIC LECTURES OFFERED FREE OF CHARGE. THESE OUTREACH PROGRAMS INCLUDED MANAGING AND CONTROLLING CHOLESTEROL, CANCER TREATMENT, NEUROLOGICAL ISSUES, FOOT CARE, AMONG OTHER TOPICS. FOR THE FISCAL YEAR 2022-2023, THE VALUE OF COMMUNITY HOSPITAL'S OUTREACH PROGRAMS TOTALED $845,038.99. COMMUNITY OUTREACH IN THE FISCAL YEAR INCLUDED: o STROKE AND DIABETES EDUCATIONAL AND SUPPORT GROUPS. o LABOR AND DELIVERY CONSULTATIONS, BREASTFEEDING AND LACTATION CLASSES, TAKING CARE OF BABY AND CHILDBIRTH CLASSES o WEIGHT LOSS SALUTATION CLASSES AND SUPPORT GROUPS. o COMMUNITY NIGHT OUT AGAINST CRIME, CONNECTING WITH THOUSANDS OF MEMBERS IN THE COMMUNITY TO PROVIDE INFORMATION ABOUT THE RESOURCES AVAILABLE AT THE HEALTHCARE SYSTEM. Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH HEALTH EDUCATION & WELLNESS SERVICES THE GOAL OF COMMUNITY HOSPITAL FITNESS POINTE IS TO PROVIDE HEALTH AND WELL-BEING OPPORTUNITIES TO THE NORTHWEST INDIANA COMMUNITY. THE FITNESS FACILITY WAS DEVELOPED AFTER FINDINGS OF OUR 1995 HEALTH NEEDS ASSESSMENT IDENTIFIED OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. FITNESS POINTE OPENED NOVEMBER 1, 1998, AND IS AN ESTABLISHED PREMIER HEALTH CENTER. IN THE RECENT FISCAL YEAR, THE FACILITY UNDERWENT RENOVATIONS TO MEET THE GROWING NEEDS OF THE COMMUNITY. FITNESS POINTE RECORDS MORE THAN 20,000 VISITS EACH MONTH. THE APPROXIMATE 73,000-SQUARE-FOOT FACILITY HOUSES THE HOSPITAL'S OUTPATIENT PHYSICAL THERAPY, OUTPATIENT PEDIATRIC PHYSICAL THERAPY, NEW HEALTHY ME AND THE FITNESS POINTE DEPARTMENTS. FITNESS POINTE PROGRAMS OFFER HEALTH EDUCATION/WELLNESS AND FITNESS-RELATED CLASSES. THE COMMUNITY EDUCATION OFFERINGS ADDRESS THE HEALTH DISPARITIES IN LAKE COUNTY. MANY OF THE COMMUNITY EDUCATION CLASSES ORIGINALLY DEVELOPED AT FITNESS POINTE ALSO ARE OFFERED AT COMMUNITY HOSPITAL OUTPATIENT CENTER IN ST. JOHN, VALPARAISO HEALTH CENTER, CANCER RESOURCE CENTRE, VALPARAISO YMCA AND PORTAGE YMCA, FURTHER EXPANDING THE SCOPE OF SERVICES. A VARIETY OF HEALTH EDUCATION AND WELLNESS PROGRAMS ARE AVAILABLE TO THE COMMUNITY TO IMPROVE KNOWLEDGE AND AWARENESS OF LIFESTYLE-RELATED RISKS OF HEART DISEASE, CANCER AND DIABETES. FITNESS POINTE PROVIDES A SUPPORTIVE ENVIRONMENT FOR AREA RESIDENTS TO MAINTAIN HEALTHY HABITS. RESEARCH INDICATES LACK OF PHYSICAL ACTIVITY MAY PLACE PEOPLE AT GREATER RISK FOR LIFESTYLE-RELATED DISEASES, INCLUDING HEART DISEASE, CANCER OR DIABETES. FITNESS POINTE IDENTIFIES PEOPLE WHO ARE AT A MODERATE TO SIGNIFICANTLY INCREASED RISK AND RECOMMENDS SCREENINGS FOR BLOOD CHOLESTEROL, BODY MASS INDEX AND BLOOD PRESSURE. BASED ON THE HEALTH NEEDS AND INTERESTS OF ATTENDEES, PROGRAMS WERE DEVELOPED COVERING TOPICS SUCH AS WOMEN'S HEALTH, NUTRITION AND HEALTHY COOKING, RELAXATION, WEIGHT MANAGEMENT, SENIOR HEALTH, BACK AND OTHER ORTHOPEDIC HEALTH ISSUES, DIABETES MANAGEMENT, CANCER AWARENESS AND PREVENTION, HEART DISEASE RISK FACTOR AWARENESS AND SCREENING, MENTAL HEALTH AND SMOKING CESSATION. THE AMERICAN HEART ASSOCIATION RECOGNIZES THE LACK OF REGULAR PHYSICAL EXERCISE AS A MAJOR RISK FACTOR FOR HEART DISEASE. REGULAR EXERCISE IS ASSOCIATED WITH BETTER HEART HEALTH, MENTAL WELL-BEING, WEIGHT MANAGEMENT, CANCER PREVENTION, DIABETES CONTROL AND LOWER BACK PAIN PREVENTION/RELIEF. FITNESS POINTE'S GENERAL FITNESS MEMBERSHIP PROGRAM OFFERS A VARIETY OF EXERCISE OPTIONS DESIGNED TO MEET INDIVIDUAL NEEDS. APPROXIMATELY 2,500 INDIVIDUALS HAVE TRANSFERRED TO THE FACILITY MEMBERSHIP PROGRAM FROM CARDIAC REHAB AND PHYSICAL THERAPY TO CONTINUE THEIR REHABILITATIVE MAINTENANCE. FITNESS POINTE OFFERS "NEW HEALTHY ME" TO EMPLOYEES OF COMMUNITY HEALTHCARE SYSTEM AS WELL AS EMPLOYEES OF REGIONAL COMPANIES. CORPORATE CUSTOMERS ENCOURAGE EMPLOYEES TO ATTEND THE FACILITY AND IMPROVE THEIR HEALTH. PARTICIPATION RESULTS IN LOWER HEALTH INSURANCE CLAIMS FOR PARTICIPANTS. THE TOWN OF MUNSTER PARKS AND RECREATION, MUNSTER POLICE DEPARTMENT, PURDUE UNIVERSITY NORTHWEST AND INDIANA UNIVERSITY NORTHWEST HAVE COLLABORATED WITH FITNESS POINTE IN PROVIDING EDUCATION TO THE PUBLIC, STAFF AND STUDENTS. FITNESS POINTE STRIVES TO OFFER HIGH QUALITY CUSTOMER SERVICE AND INTEGRATION WITH HOSPITAL SERVICES AS A PARTNER IN THE PATIENT CONTINUUM OF CARE. IT CONTINUES TO IDENTIFY APPROPRIATE PARTNERSHIPS AND RESEARCH OPPORTUNITIES TO STRENGTHEN THE QUALITY AND SCOPE OF SERVICES IN HEALTH PROMOTION AND DISEASE PREVENTION. Schedule H, Part I, Line 7g COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC The amount on Line 7g does not include any costs attributable to a physician clinic. Schedule H, Part I, Line 7g Subsidized Health Services NONE OF THE EXPENSES REPORTED ON PART I, LINE 7G ARE ATTRIBUTABLE TO PHYSICIAN CLINICS. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 15030874 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance COST ACCOUNTING SYSTEM WAS USED FOR COMPUTATIONS. BAD DEBT IS EXCLUDED FROM THE CALCULATION. MEDICAID DIRECT OFFSETTING REVENUE INCLUDES THE INCREASED HAF REIMBURSEMENT. THE EXPENSE INCLUDES THE HAF FEE. Schedule H, Part II Community Building Activities THIS CATEGORY CAN INCLUDE "DISASTER READINESS AND PUBLIC HEALTH EMERGENCY ACTIVITIES, SUCH AS READINESS TRAINING BEYOND WHAT IS REQUIRED BY ACCREDITING BODIES OR GOVERNMENT ENTITIES." EXPENSES AND REVENUES RELATING TO THE BIO-TERRORISM DEPARTMENT OF THE HOSPITAL HAVE BEEN INCLUDED IN THIS CATEGORY. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE COST TO CHARGE RATIO PER THE S-10 WORKSHEET OF THE MEDICARE COST REPORT IS USED TO ESTIMATE BAD DEBT AT COST. Schedule H, Part III, Line 3 Bad Debt Expense Methodology WE ESTIMATE 1% OF THE BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website - MUNSTER MEDICAL RESEARCH FOUNDATION: Line 16a URL: https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program; Schedule H, Part V, Section B, Line 16b FAP Application website - MUNSTER MEDICAL RESEARCH FOUNDATION: Line 16b URL: https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - MUNSTER MEDICAL RESEARCH FOUNDATION: Line 16c URL: https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program; Schedule H, Part VI, Line 2 Needs assessment 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, COMMUNITY HOSPITAL 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. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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. Schedule H, Part VI, Line 4 Community information LOCATED IN MUNSTER, INDIANA, THE COMMUNITY SERVED INCLUDES NORTHWEST INDIANA. LATEST U.S. CENSUS BUREAU DEMOGRAPHIC INFORMATION COMPARING MUNSTER TO THE STATE OF INDIANA: MUNSTER INDIANA PERSONS UNDER 18 YEARS PERCENT, 2022 MUNSTER: 18.3% INDIANA: 23% PERSONS 65 YEARS AND OVER PERCENT, 2022 MUNSTER: 17.9% INDIANA: 16.9% WHITE ALONE, PERCENT, 2022 (A) MUNSTER: 81.3% INDIANA: 84% BLACK OR AFRICAN AMERICAN ALONE PERCENT, 2022 (A) MUNSTER: 4.6% INDIANA: 10.3% HISPANIC OR LATINO PERCENT, 2022 (B) MUNSTER: 14.2% INDIANA: 7.9% WHITE ALONE, NOT HISPANIC OR LATINO PERCENT, 2022 MUNSTER: 74.9% INDIANA: 77% HIGH SCHOOL GRADUATE OR HIGHER, AGE 25+, 2017-2021 MUNSTER: 96.5% INDIANA: 89.8% BACHELOR'S DEGREE OR HIGHER, AGE 25+, 2017-2021 MUNSTER: 45.9% INDIANA: 27.8% MEDIAN HOUSEHOLD INCOME 2017-2021 MUNSTER: $96,938 INDIANA: $61,944 PERSONS IN POVERTY, PERCENT, 2017-2021 MUNSTER: 6.1% INDIANA: 12.2% (A) INCLUDES PERSONS REPORTING ONLY ONE RACE (B) HISPANICS MAY BE OF ANY RACE, SO ALSO ARE INCLUDED IN APPLICABLE RACE CATEGORIES Schedule H, Part VI, Line 6 Affiliated health care system COMMUNITY HOSPITAL IS PART OF AN AFFILIATED SYSTEM. EACH HOSPITAL IN THE SYSTEM PROVIDES MEDICAL SERVICES TO THEIR COMMUNITIES AND ADJOINING COMMUNITIES. EACH ENTITY'S PURPOSE IS TO PROVIDE HEALTH CARE TO THOSE WHO NEED IT, INCLUDING THE UNINSURED OR UNDERINSURED. Schedule H, Part VI, Line 7 State filing of community benefit report IN X true true false false false false false false false true false LUIS MOLINA ADMINISTRATOR (TERM 7/8/2022) 0 453524 0 147879 0 53475 0 13645 0 27847 0 696370 0 0 RANDY NEISWONGER ADMINISTRATOR (START 7/11/2022) 252084 0 0 0 27235 0 0 0 14479 0 293798 0 0 0 DANIEL O'BRIEN VP FINANCE/CFO 354629 0 76465 0 2842 0 13725 0 43585 0 491246 0 0 0 RONDA MCKAY VP & CNO 287660 0 110929 0 3984 0 6145 0 9524 0 418242 0 0 0 PAUL C ANDERSON ANESTHESIOLOGIST 520742 0 0 0 19986 0 9684 0 3690 0 554102 0 0 0 RICHARD BERKOWITZ MEDICAL DIRECTOR 584460 0 23000 0 6858 0 13725 0 26938 0 654981 0 0 0 JARED BLAIR HOOKS ANESTHESIOLOGIST 502492 0 0 0 20986 0 5488 0 940 0 529906 0 0 0 LOUIS LIN ANESTHESIOLOGIST 547704 0 0 0 540 0 13725 0 25588 0 587557 0 0 0 SIMONA JOFFE SIDDALL ANESTHESIOLOGIST 554713 0 0 0 540 0 13725 0 1719 0 570697 0 0 0 Schedule J, Part I, Line 1a 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 FIVE HIGHEST PAID EMPLOYEES, WHICH IS THEN TAXED AS A FRINGE BENEFIT TO THE INDIVIDUAL. Schedule J, Part I, Line 3 USED TO ESTABLISH COMPENSATION OF ORG. CEO/EXEC. DIR. MUNSTER MEDICAL RESEARCH FOUNDATION, 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. Schedule J, Part I, Line 7 DISCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES. HASSE CONSTRUCTION OWNED BY WILLIAM HASSE 2806266 Independent Contractor false PURCELL COMMERCIAL CLEANING OWNED BY MICHAEL PURCELL 750980 Independent Contractor false SARN II DR. SHABEEB PART OWNER 214161 Rent false LARGUS GRAPHIX SOLUTIONS OWNED BY TOM LARGUS 155590 Independent Contractor false KAY TORRENGA FAM MEM OF DONALD TORRENGA 84098 Employment false GARY MCKAY FAM MEM OF RHONDA MCKAY 98212 Employment false X 28 117750 Other - FMV 0 false false false Schedule M, Part I Explanations of reporting method for number of contributions Drugs and medical supplies - THE AMOUNT IN COLUMN B IS THE NUMBER OF CONTRIBUTIONS. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons LUIS MOLINA & M. NABIL SHABEEB - MMRF & CHP Board Members - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. (CFNI) IS THE SOLE MEMBER OR STOCKHOLDER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. (CFNI) IS THE PARENT COMPANY OF MUNSTER MEDICAL RESEARCH FOUNDATION, INC. (MMRF) AND HAS CONTROL TO ELECT MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. IS THE PARENT COMPANY OF MUNSTER MEDICAL RESEARCH FOUNDATION, INC. AND HAS RIGHTS TO APPROVE DECISIONS MADE BY MUNSTER MEDICAL RESEARCH FOUNDATION, INC. NOTICE OF AN ANNUAL OR REGULAR MEETING SHALL INCLUDE A DESCRIPTION OF ANY MATTER OR MATTERS TO BE CONSIDERED AT THE MEETING THAT MUST BE APPROVED BY THE MEMBER UNDER THE FOLLOWING PROVISIONS OF INDIANA STATUTE: 1. CONTRACTS AND TRANSACTIONS IN WHICH A DIRECTOR HAS A FINANCIAL INTEREST; 2. INDEMNIFICATION OF OFFICERS, EMPLOYEES AND AGENTS; 3. AMENDMENT OF THE ARTICLES OF INCORPORATION IF REQUIRED TO BE APPROVED BY THE MEMBER; 4. APPROVAL OF A PLAN OF MERGER OF THE CORPORATION WITH ANOTHER CORPORATION; 5. DISPOSAL OF PROPERTY OTHER THAN IN THE USUAL OR REGULAR COURSE OF BUSINESS OR THE ABANDONMENT OF TRANSACTIONS; AND 6. GENERAL DISSOLUTION PROPOSALS OF THE BOARD OF DIRECTORS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 990 IS SUBMITTED TO THE SENIOR VP 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. Form 990, Part VI, Line 12c Conflict of interest policy 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. RESTRICTIONS ON MEMBERS WITH A CONFLICT - MEMBERS WITH A CONFLICT ARE REQUIRED TO RECUSE THEMSELVES FROM ANY DELIBERATION AND MUST ABSTAIN FROM THE VOTE. Form 990, Part VI, Line 19 Required documents available to the public MUNSTER MEDICAL RESEARCH FOUNDATION, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, MUNSTER MEDICAL RESEARCH FOUNDATION, INC. THROUGH COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE. Form 990, Part VII, Section A OFFICERS, DIRECTORS, KEY EMPLOYEES CERTAIN SALARIES AND MEDICAL DIRECTORSHIPS ARE PAID BY A RELATED ORGANIZATION, USUALLY THE PARENT (CFNI), WHILE THE HOURS ARE APPLICABLE TO THE REPORTING ORGANIZATION. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue FITNESS/SPA POINTE - Total Revenue: 2256563, Related or Exempt Function Revenue: 1821976, Unrelated Business Revenue: 434587, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; OTHER REVENUE - Total Revenue: 556471, Related or Exempt Function Revenue: 556471, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; Form 990, Part IX, Line 5 COMPENSATION OF CURRENT OFFICERS AND DIRECTORS A RELATED ORGANIZATION COMPENSATES LUIS MOLINA, SO HIS COMPENSATION IS REPORTED AS BEING PAID BY A RELATED ORGANIZATION IN PART VII, SECTION A, COLUMN E. THE EXPENSE FOR HIS COMPENSATION IS THEN ALLOCATED TO THE FILING ORGANIZATION. THEREFORE, THE FILING ORGANIZATION IS REPORTING OFFICER COMPENSATION ON PART IX, LINE 5. Form 990, Part XI, Line 9 Other changes in net assets or fund balances PHARMACEUTICAL TRANSFER - -6000; INTEREST INCOME ON REST FUNDS - 6598; TEMP RESTR-FUND TRANSFER - -20347; TRANSFERS TO/FROM RELATED ORGS - -5925313; Patient transport expense - -8446; Form 990, Part XII, Line 3b Reason organization did not undergo required audit MUNSTER MEDICAL RESEARCH FOUNDATION, INC. WILL UNDERGO A SINGLE AUDIT FOR THE 6/30/23 TAX YEAR DURING THE TAX YEAR ENDING 6/30/24. 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