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        <ReportableCompFromRltdOrgAmt>26250</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel O'Brien</PersonNm>
        <TitleTxt>VP Finance CFO (UNTIL 1/7/24)</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>471440</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60399</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE LATTA</PersonNm>
        <TitleTxt>VP Finance CFO (START 1/7/24)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>18057</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nina Stur</PersonNm>
        <TitleTxt>VP &amp; CNO</TitleTxt>
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        <OtherCompensationAmt>39119</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Asim Mohiuddin</PersonNm>
        <TitleTxt>Anesthesiologist</TitleTxt>
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        <OtherCompensationAmt>40664</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel Saah MD</PersonNm>
        <TitleTxt>Anesthesiologist</TitleTxt>
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        <OtherCompensationAmt>48700</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Paul Hertz MD</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28181</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steven Lazaroff</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>52098</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Subhash Joshi MD</PersonNm>
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        <OtherCompensationAmt>41009</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3566757</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1082886</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>433878</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>112</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>290006</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>627956</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>177635115</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>177635115</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL LABORATORY</Desc>
        <BusinessCd>621511</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>546576</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>INTERCOMPANY RENT REVENUE</Desc>
        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>371868</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>371868</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>LEASED EMPLOYEES</Desc>
        <BusinessCd>622110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>191533</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>130481</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>130481</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrossRentsGrp>
        <RealAmt>939959</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>136267</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>803692</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>803692</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>803692</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>34535</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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        <OtherAmt>14161</OtherAmt>
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      <GainOrLossGrp>
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        <OtherAmt>20374</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>20374</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>20374</ExclusionAmt>
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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>12408679</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12389996</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>18683</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>FEE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1485949</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1485949</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>1161532</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1161532</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>21600</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>565259</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>2925</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1200410</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>59868026</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3321510</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4330841</ProgramServicesAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>266801</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>274107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2041620</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>29790</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2401</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>66892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2992</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <TotalAmt>5772997</TotalAmt>
        <ProgramServicesAmt>5367576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>405421</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1339875</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101203</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>39573648</TotalAmt>
        <ProgramServicesAmt>39573648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CORPORATE ALLOCATION</Desc>
        <TotalAmt>17674849</TotalAmt>
        <ProgramServicesAmt>16433595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1241254</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAID ASSESSMENT FEE</Desc>
        <TotalAmt>7565682</TotalAmt>
        <ProgramServicesAmt>7565682</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>7102193</TotalAmt>
        <ProgramServicesAmt>7102193</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>10926575</TotalAmt>
        <ProgramServicesAmt>8470276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2456299</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>188086342</TotalAmt>
        <ProgramServicesAmt>173488662</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14597680</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://WWW.POWERSHEALTH.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://WWW.POWERSHEALTH.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.POWERSHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.POWERSHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.POWERSHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <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. CATHERINE HOSPITAL, INC.. 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. CATHERINE HOSPITAL, INC. POWERS HEALTH: MUNSTER MEDICAL RESEARCH FOUNDATION dba COMMUNITY HOSPITAL, INC., IN MUNSTER, IN ST. MARY MEDICAL CENTER, INC., IN HOBART, IN COMMUNITY STROKE &amp; REHABILITATION CENTER (CSRC) dba POWERS HEALTH REHABILITATION CENTER (PHRC) IN CROWN POINT, IN</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - ST. CATHERINE HOSPITAL, Inc.. THE 2022 IMPLEMENTATION STRATEGY ACTION PLAN BUILDS ON THE PROGRESS AND EVER-CHANGING HEALTHCARE NEEDS OF THE COMMUNITIES SERVED BY POWERS HEALTH. 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. POWERS HEALTH 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 POWERS HEALTH 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 &amp; REHABILITATION CENTER (CSRC) dba POWERS HEALTH REHABILITATION CENTER (PHRC), 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 POWERS HEALTH 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 POWERS HEALTH 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 (CSRC) dba POWERS HEALTH REHABILITATION CENTER (PHRC), 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, POWERS HEALTH 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 POWERS HEALTH 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. CATHERINE HOSPITAL, Inc.. ADULT MENTAL HEALTH BEHAVIORAL HEALTH SERVICES (BHS), OPERATES THREE ADULT INPATIENT UNITS AT ST. CATHERINE HOSPITAL AND PROVIDES OUTPATIENT CARE THROUGH A NETWORK OF COMMUNITY-BASED PROVIDERS. BHS ALSO CONDUCTS MENTAL HEALTH ASSESSMENTS FOR THE GENERAL HOSPITAL POPULATION. AN INTENSIVE OUTPATIENT PROGRAM (IOP) SERVICES OVER 30 PATIENTS A DAY IN A STRUCTURED GROUP THERAPY SETTING. THIS SUPPORTS INDIVIDUALS RECENTLY DISCHARGED FROM INPATIENT TREATMENT AS THEY TRANSITION BACK INTO THEIR HOMES AND WORK LIFE, WHILE REMAINING UNDER THE DIRECT SUPERVISION OF THE PSYCHIATRIC TEAM. THE CLINICAL TEAM PROVIDES CONTINUED SUPPORT THROUGH MEDICATION MANAGEMENT, ASSISTANCE WITH REINTEGRATION INTO FAMILY AND SOCIAL ENVIRONMENTS, AND BY ADDRESSING BARRIERS THAT IMPACT OPTIMAL MENTAL HEALTH ADJUSTMENTS. THE MENTAL HEALTH RESOURCE BOOK IS THE CONTACT INFORMATION OF NEW ASSOCIATES OF LONG-STANDING PARTNERS AND IS UPDATED ANNUALLY. THE BOOKLET IS DISTRIBUTED TO HOSPITALS AND COMMUNITY ORGANIZATIONS LIKE CHURCHES, SHELTERS AND SCHOOLS. BEHAVIORAL HEALTH PROFESSIONALS ARE DEEPLY CONNECTED TO THE COMMUNITY, OFFERING SUPPORT, EDUCATION AND RESOURCES TO OUR NEIGHBORS THROUGHOUT NORTHWEST INDIANA. THEY ACTIVELY PARTICIPATE IN THE ANNUAL OUT OF THE DARKNESS SUICIDE WALK EACH FALL, ALONG WITH NUMEROUS OTHER EVENTS SPONSORED BY LOCAL AND NATIONAL MENTAL HEALTH ORGANIZATIONS. THE TEAM HOSTS AN ANNUAL HOLIDAY BLUES EVENT IN MULTIPLE LOCATIONS, FOCUSING ON SUICIDE PREVENTION AND DEPRESSION DURING THE HOLIDAY SEASON. ADDITIONAL OUTREACH EFFORTS PROMOTE MENTAL HEALTH AWARENESS THROUGH EVENTS SUCH AS THE WOMAN'S HEALTH SYMPOSIUM, A BACK-TO-SCHOOL EVENT EACH FALL, AND PRESENTATIONS AT VARIOUS CORPORATIONS THROUGHOUT NORTHWEST INDIANA. NUTRITION AND WEIGHT MANAGEMENT NUTRITION AND WEIGHT MANAGEMENT DID NOT SURFACE AS A PRIORITY ISSUE FOR THE 2022-2025 CHNA. HOWEVER, POWERS HEALTH 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 POWERS HEALTH IDENTIFIED AREAS OF CONCERN NOT IDENTIFIED IN THE HOSPITAL'S IMPLEMENTATION PLAN. THESE AREAS INCLUDE: ST CATHERINE 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 POWERS HEALTH AS WELL AS BY OTHER COMMUNITY ORGANIZATIONS. FOR EXAMPLE, ONE OF THE FOUR HOSPITALS OF POWERS HEALTH 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>3</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST CATHERINE HOSPITAL MEDICATION THERAPY MGT CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9054 COLUMBIA AVE SUITE B</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Catherine Hospital Infusion Center Munster</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>801 MACARARTHUR BLVD SUITE 304</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Catherine Hospital Infusion Center Hobart</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1500 S Lake Park Ave Suite 428</AddressLine1Txt>
            <CityNm>Hobart</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46342</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 III, Line 9b COLLECTION PRACTICES FOR QUALIFYING FA PATIENTS</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 I, Line 7g SUBSIDIZED HEALTH SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>NONE OF THE EXPENSES REPORTED ON PART I, LINE 7G ARE ATTRIBUTABLE TO PHYSICIAN CLINICS.</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. CATHERINE HOSPITAL, INC. MAKES ITS 990 AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY</FormAndLineReferenceDesc>
        <ExplanationTxt>COALITION BUILDING (LINE 6) - THIS CATEGORY IS TO INCLUDE "PARTICIPATION IN COMMUNITY COALITIONS AND OTHER COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS HEALTH AND SAFETY ISSUES." HERE WE HAVE INCLUDED COSTS FOR PROGRAMS PRESENTED MAINLY AT AREA SCHOOLS WHICH WERE DESIGNED TO PROVIDE EDUCATION IN THE AREAS OF HEALTH, SAFETY AND CRIME PREVENTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMITMENT TO QUALITY CARE ST. CATHERINE HOSPITAL OPENED IN MAY 1928 TO SERVE A CITY THAT BURGEONED FROM THE STEEL-MAKING AND MANUFACTURING INDUSTRY, ATTRACTING IMMIGRANTS FROM ALL OVER THE WORLD. BUILT WITH FUNDS RAISED BY BUSINESS LEADERS, INDUSTRIALISTS AND THE POOR HANDMAIDS OF JESUS CHRIST, THE ROMAN CATHOLIC HOSPITAL HAS PROVIDED CARE TO ALL PEOPLE - REGARDLESS OF RACE, ETHNICITY OR ECONOMIC MEANS - EVER SINCE. IN 2001, ST. CATHERINE HOSPITAL BECAME AN AFFILIATE OF POWERS HEALTH OF MUNSTER, IN. THE HOSPITAL'S COMMITMENT TO THE EAST CHICAGO COMMUNITY AND MEDICAL/TECHNOLOGICAL ADVANCEMENT HAS NOT WAVERED FOR NEARLY A CENTURY. TODAY, THE DISPROPORTIONATE SHARE HOSPITAL (DSH) OFFERS A WIDE RANGE OF OUTSTANDING HEALTHCARE SERVICE IN SPECIALTY AREAS THAT INCLUDE BEHAVIORAL HEALTH, CARDIAC AND DIABETES CARE TO CANCER CARE, DIAGNOSTIC IMAGING AND STATE-OF-THE-ART RADIATION THERAPY. ADDITIONALLY, THE HOSPITAL LEASES SPACE TO A LONG-TERM, ACUTE CARE FACILITY WITH ITS OWN EMPLOYEE BASE. ST. CATHERINE HOSPITAL IS A NATIONAL MODEL FOR HEALTHCARE DELIVERY: IT WAS ONE OF 455 HOSPITALS OUT OF MORE THAN 4,000 MEDICARE-CERTIFIED HOSPITALS NATIONWIDE TO EARN THE HIGHEST-POSSIBLE 5-STAR QUALITY CARE RATING FROM THE CENTERS FOR MEDICARE AND MEDICAID SERVICES IN 2016. SINCE THEN, THE HOSPITAL HAS IN ANNUAL REVIEWS RECEIVED THE FIVE-STAR RANKING IN 2017, 2018, 2020, 2021 AND 2022. THE MEASURES INCLUDE EFFICIENT USE OF IMAGING, EFFECTIVENESS OF CARE, MORTALITY, PATIENT EXPERIENCE, SAFETY AND TIMELINESS OF CARE. THE HOSPITAL ALSO HOLDS TOP NATIONAL ACCREDITATIONS FOR STROKE, CARDIAC, DIABETES AND CANCER CARE. IN 2023, THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) AWARDED ST. CATHERINE HOSPITAL WITH A THREE-YEAR ACCREDITATION. INVESTMENT IN COMMUNITY AND QUALITY CARE ST. CATHERINE HOSPITAL IS A MAJOR EMPLOYER IN EAST CHICAGO. IT HAD 999 WORKERS ON STAFF AS OF THE FISCAL YEAR ENDED JUNE 2024. 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. SINCE 2016, THE HOSPITAL HAS UNDERTAKEN ANNUAL PROJECTS TO IMPROVE IT'S LOBBIES, PUBLIC ACCESS AREAS, PATIENT ROOMS, INTENSIVE CARE UNIT AND PROFESSIONAL OFFICE BUILDING SPACE FOR MEDICAL PROVIDERS. IN FISCAL YEAR 2023-24, PHYSICAL AND TECHNOLOGICAL IMPROVEMENTS WERE MADE IN VARIOUS DEPARTMENTS. THE CATH LAB RECEIVED AN UPGRADED ROOM INCLUDING ALL NEW EQUIPMENT AND FINISHES. THE LABORATORY PARTNERED WITH ROCHE LABS TO INCLUDE NEW EQUIPMENT ACROSS THE SYSTEM, TO INCREASE EFFICIENCY, TESTING CAPABILITIES, AND THE OVERALL COMMUNICATION OF THE MACHINES. 5 WEST, A MEDSURGE UNIT, HAS ALSO BEEN UPDATED TO REFLECT A MODERN LOOK AND FEEL. THERE ARE MANY MORE ONGOING PROJECTS THAT ARE PROJECTED TO BE COMPLETED IN THE NEXT FISCAL YEAR. HIGH QUALITY CARE FOR AN UNINSURED, UNDERINSURED AND VULNERABLE POPULATION ST. CATHERINE HOSPITAL IS A SAFETY-NET HOSPITAL THAT RELIES ON PUBLIC SUBSIDIES, SUCH AS MEDICARE AND MEDICAID DISPROPORTIONATE SHARE HOSPITAL (DSH) PAYMENTS FOR REVENUES TO HELP FINANCE THEIR IMPORTANT MISSION TO CARE FOR THE UNINSURED, UNDERINSURED, MEDICAID AND OTHER VULNERABLE PATIENTS. AS OF THE U.S. CENSUS BUREAU POPULATION ESTIMATES IN JULY 2022, THERE WERE 26,370 PEOPLE RESIDING IN EAST CHICAGO. THE MAJORITY OF THE POPULATION IS HISPANIC OR LATINO, 52.6%, AND AFRICAN AMERICAN, 41.1%. THE MEDIAN HOUSEHOLD INCOME ACROSS 9,953 HOUSEHOLDS IN 2021 DOLLARS WAS $39,434, PUTTING 27% OF THE POPULATION IN POVERTY. THE HOSPITAL'S MISSION TO SERVE STRETCHES INTO SURROUNDING INDIANA LOCALES, SUCH AS GARY, HAMMOND, HIGHLAND AND WHITING, AND CITIES ALONG THE ILLINOIS BORDER. 2023 BY THE NUMBERS * 82% OF OUR PATIENT POPULATION WERE ON MEDICAID, MEDICARE OR WERE UNINSURED/UNDERINSURED * $9.2 MILLION WAS PROVIDED IN CHARITY CARE * $7.1 MILLION WAS WRITTEN OFF IN BAD DEBT * $16.5 MILLION WAS EXPENSED TO THE 340B PHARMACY PROGRAM ONE WAY ST. CATHERINE HOSPITAL RESPONDS TO THE NEEDS OF A VULNERABLE POPULATION IS THROUGH THE 340B PHARMACY PROGRAM. THIS PROGRAM HELPS PREVENT READMISSIONS THROUGH SAFE DISCHARGES WITH MEDICATION AND EDUCATION. COST-SAVINGS HELP FUND FREE HEALTH SCREENINGS AND EDUCATION ON CARDIOVASCULAR DISEASE AND DIABETES, ACCESS TO VACCINATIONS OR LOW-COST DIABETES STRIPS, FREE TRANSPORTATION SERVICE TO PATIENTS ON AN AS-NEEDED BASIS TO HELP MEET ANCILLARY TESTING APPOINTMENTS AND PRENATAL CARE CLASSES TO REDUCE INFANT MORTALITY. THE MEDS-TO-BEDS PROGRAM PROVIDES PATIENTS WITH NEEDED MEDICATION UPON DISCHARGE. AWARDS AND RECOGNITION SYNOPSIS - FISCAL YEAR 2023-24 *AMERICAN HEART ASSOCIATION: STROKE AWARD- TARGET TYPE 2 DIABETES HONOR ROLL, STROKE AWARD-GOLD PLUS, STROKE AWARD- TARGET STROKE ELITE HONOR ROLL, MISSION LIFELINE AWARD- BRONZE REFERRAO *NRC HEALTH EXCELLENCE: PATIENT EXPERIENCE AWARD *US NEWS &amp; WORLD REPORT- BEST HOSPITAL IN THE COUNTRY *LEAP FROG: LETTER A GRADE *JOINT COMMISSION: ADVANCED PRIMARY STROKE CERTIFICATIONS, ADVANCED INPATIENT DIABETES CERTIFICATIONS *US NEWS &amp; WORLD REPORT: BLACK MATERNAL HEALTH TOP 26 HIGH PERFORMING MATERNITY CARE HOSPITAL *NATIONAL SAFE SLEEP CERTIFICATION COMMUNITY OUTREACH ST. CATHERINE HOSPITAL OFFERS FREE PROGRAMS, SPECIAL EVENTS, PREVENTATIVE SCREENINGS AND SUPPORT GROUPS TO HELP IMPROVE HEALTH, WELLNESS AND QUALITY OF LIFE IN NORTHWEST INDIANA. COMMUNITY PARTNERSHIPS INCLUDE: MENTAL HEALTH AMERICA, LAKE AREA UNITED WAY, MEALS ON WHEELS, MULTICULTURAL WELLNESS NETWORK, INC., (MWN); MINORITY ORGAN TISSUE TRANSPLANT EDUCATION PROGRAM (MOTTEP); LAINI FLUELLEN CHARITIES; HAMMOND HISPANIC COMMUNITY COMMITTEE; LAKESHORE CHAMBER OF COMMERCE; HEALTHY EAST CHICAGO; HEALTHLINC , NORTHSHORE AND 219 HEALTH NETWORK, INC., THREE UNIQUE FEDERALLY QUALIFIED HEALTH CENTERS WITH CLINICS SERVING HAMMOND, GARY, HIGHLAND AND EAST CHICAGO. FOR FISCAL YEAR 2023-2024, THE VALUE OF ST. CATHERINE HOSPITAL'S OUTREACH PROGRAMS TOTALED OVER $1,695,000. COMMUNITY OUTREACH PROGRAMS IN THE FISCAL YEAR INCLUDED: *WELL WALKER CLUB PROGRAMS PROMOTING PHYSICAL FITNESS, SOCIAL INTERACTION AND WELLNESS EDUCATION. THE PROGRAM INCLUDES INDOOR AND OUTDOOR VENUES ACROSS LAKE AND PORTER COUNTIES. *PROGRAMMING WITH THE LOCAL PARKS DEPARTMENTS ALLOWED MANY INTERACTIONS WITH THE PUBLIC AND THE INDIVIDUALS IN OUR NEIGHBORHOODS. *A PRESENTATION EVENT FOR NATIONAL WEAR RED DAY FEATURING CARDIOLOGY SCREENINGS AND A PRESENTATION ABOUT THE SIGNS AND SYMPTOMS TO LOOK OUT FOR AND ACTIONS STEPS TO CREATE A HEALTHY LIFESTYLE IN ORDER TO REDUCE THE RISK FOR A CARDIAC EVENT. *A STOKE AND DIABETES FAIR CONDUCTED FREE SCREENINGS AND EDUCATIONAL PRESENTATIONS TO THE PUBLIC. *NORTHWEST INDIANA HEALTH SUMMIT WAS IN-PERSON, FEATURING AREA HEALTH EXPERTS ACROSS THE AREA. THE APRIL EVENT FEATURED TOPICS SUCH AS: VACCINES, MENTAL HEALTH, CANCER SERVICES, AND DIABETES AND STROKE. THE EVENT FEATURED PROVIDERS FROM OUR SYSTEM TO ADDRESS PREVENTATIVE AND LONG-TERM HEALTHY LIFESTYLES. *NUMEROUS COMMUNITY PARTNERSHIP OUTREACH EVENTS, INCLUDING HEALTH FAIRS, BACK TO SCHOOL EVENTS, AND LOCAL IN HOUSE EDUCATION AND CPR TRAININGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. DBA POWERS HEALTH EIN: 31-1128781</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>7102193</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 OUR COST ACCOUNTING SYSTEM 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 POWER HEALTH'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 V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST.CATHERINE HOSPITAL, INC.: Line 16a URL: WWW.POWERSHEALTH.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.CATHERINE HOSPITAL, INC.: Line 16b URL: WWW.POWERSHEALTH.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.CATHERINE HOSPITAL, INC.: Line 16c URL: WWW.POWERSHEALTH.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.POWERSHEALTH.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.</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 EAST CHICAGO, INDIANA, THE COMMUNITY SERVED INCLUDES NORTHWEST INDIANA. LATEST U.S. CENSUS BUREAU DEMOGRAPHIC INFORMATION COMPARING EAST CHICAGO TO THE STATE OF INDIANA: PERSONS UNDER 18 YEARS, PERCENT, 2023 EAST CHICAGO 25.30% INDIANA 23.10% PERSONS 65 YEARS AND OVER, PERCENT, 2023 EAST CHICAGO 15.10% INDIANA 17.20% WHITE ALONE, PERCENT, 2023 (A) EAST CHICAGO 19.80% INDIANA 83.70% BLACK OR AFRICAN AMERICAN ALONE, PERCENT, 2023 (A) EAST CHICAGO 38.40% INDIANA 10.40% HISPANIC OR LATINO, PERCENT, 2023 (B) EAST CHICAGO 54.80% INDIANA 8.80% WHITE ALONE, NOT HISPANIC OR LATINO, PERCENT, 2023 EAST CHICAGO 6.90% INDIANA 76.00% HIGH SCHOOL GRADUATE OR HIGHER, AGE 25+, 2018-2022 EAST CHICAGO 73.50% INDIANA 90.00% BACHELOR'S DEGREE OR HIGHER, AGE 25+, 2018-2022 EAST CHICAGO 10.00% INDIANA 28.20% MEDIAN HOUSEHOLD INCOME, 2018-2022 EAST CHICAGO $39,434 INDIANA $67,173 PERSONS IN POVERTY, PERCENT EAST CHICAGO 27.00% INDIANA 12.60% (A) INCLUDES PERSONS REPORTING ONLY ONE RACE. (B) HISPANICS MAY BE OF ANY RACE, SO ALSO ARE INCLUDED IN APPLICABLE RACE CATEGORIES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. CATHERINE HOSPITAL IS A 216-BED HOSPITAL IN EAST CHICAGO, IN, OPERATING WITHIN POWERS HEALTH. POWERS HEALTH, A LEADING MEDICAL PROVIDER IN NORTHWEST INDIANA, OPERATES FOUR NOT-FOR-PROFIT HOSPITALS, OUTPATIENT CENTERS, PHYSICIAN PRACTICES, FITNESS POINTE, THE CENTER FOR VISUAL AND PERFORMING ARTS, CANCER RESOURCE CENTRE AND THE CONTINUING CARE RETIREMENT COMMUNITY, HARTSFIELD VILLAGE. ITS OTHER HOSPITALS ARE: COMMUNITY HOSPITAL IN MUNSTER, ST. MARY MEDICAL CENTER IN HOBART COMMUNITY STROKE &amp; REHABILITATION CENTER (CSRC) dba POWERS HEALTH REHABILITATION CENTER (PHRC) IN CROWN POINT. ITS NETWORK OF CARE INCLUDES OUTPATIENT, SURGICAL AND REHABILITATION CENTERS, PHYSICIAN PRACTICES, BEHAVIORAL HEALTH, OCCUPATIONAL HEALTH, ORTHOPEDIC SERVICES, DIABETES SELF-MANAGEMENT, DIETARY COUNSELING, NEUROSCIENCE AND SPORTS MEDICINE, CANCER CARE AND HOME HEALTH. THE SYSTEM'S PARENT COMPANY IS COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. dba POWERS HEALTH, A NON-PROFIT ORGANIZATION FOCUSED ON THE ADVANCEMENT OF GOOD HEALTH AND COMMUNITY HEALTH INITIATIVES IN NORTHWEST INDIANA. PROJECTS THE FOUNDATION SERVE FOCUS ON STRENGTHENING ART, CULTURE, WELLNESS, CLINICAL RESEARCH TRIALS AND QUALITY OF LIFE IN LOCAL COMMUNITIES. OVER THE YEARS, FOUNDATION PROJECTS HAVE INCLUDED DEVELOPMENT OF THE CENTER FOR VISUAL AND PERFORMING ARTS, THE CANCER RESOURCE CENTRE, COMMUNITY VETERANS MEMORIAL AND COMMUNITY ESTATES, A RESIDENTIAL NEIGHBORHOOD IN MUNSTER. MISSION, VISION, AND VALUES MISSION: POWERS HEALTH 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: POWERS HEALTH 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 (CSRC) dba POWERS HEALTH REHABILITATION CENTER (PHRC) 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. POWERS HEALTH 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. THE DESIGNATED POPULATION THAT ST. CATHERINE 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 &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. CATHERINE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. CATHERINE HOSPITAL, INC. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>IN</ExplanationTxt>
      </SupplementalInformationDetail>
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        <PersonNm>Daniel O'Brien</PersonNm>
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        <PersonNm>JULIE LATTA</PersonNm>
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        <PersonNm>Nina Stur</PersonNm>
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        <PersonNm>Paul Hertz MD</PersonNm>
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        <PersonNm>Subhash Joshi MD</PersonNm>
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        <PersonNm>Steven Lazaroff</PersonNm>
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        <PersonNm>Asim Mohiuddin</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>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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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-FIXED PAYMENTS NOT DESCRIBED IN LINES 5 AND 6 DISCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 USED TO ESTABLISH COMPENSATION OF ORG. CEO/EXEC. DIR.</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. CATHERINE HOSPITAL, INC. FOLLOWS ITS PARENT, (POWERS HEALTH), COMPENSATION POLICIES. THE POWERS HEALTH 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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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 PROCESS TO DETERMINE OFFICER &amp; KEY PERSON COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POWERS HEALTH 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 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. DBA POWERS HEALTH IS THE SOLE MEMBER / SHAREHOLDER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>POWERS HEALTH IS THE PARENT COMPANY OF ST. CATHERINE HOSPITAL, INC. AND HAS CONTROL TO ELECT MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>POWERS HEALTH IS THE PARENT COMPANY OF ST. CATHERINE HOSPITAL, INC. AND HAS RIGHTS TO APPROVE DECISIONS MADE BY ST. CATHERINE HOSPITAL, 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>
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      <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>
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        <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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. CATHERINE HOSPITAL, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, ST. CATHERINE HOSPITAL, INC. THROUGH POWERS HEALTH MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST COMP</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN SALARIES AND MEDICAL DIRECTORSHIPS ARE PAID BY A RELATED ORGANIZATION, USUALLY THE PARENT (POWERS HEALTH), WHILE THE HOURS ARE APPLICABLE TO THE REPORTING ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE - Total Revenue: 224600, Related or Exempt Function Revenue: 203000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 21600;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMP RESTR-CAPITAL - -26397; INTEREST INCOME ON REST FUNDS - 15540; EQUITY TRANSFERS (TO) / FROM RELATED ORGANIZATIONS - 692955;</ExplanationTxt>
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