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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS BRUBAKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>24994</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM A HASSE III</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>38000</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL O'BRIEN</PersonNm>
        <TitleTxt>VP FINANCE/CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>502991</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>62591</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREGG FERLIN</PersonNm>
        <TitleTxt>SR VP AND SYSTEM CFO</TitleTxt>
        <AverageHoursPerWeekRt>0.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>45.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>833712</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42050</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONDA MCKAY</PersonNm>
        <TitleTxt>VP &amp; CNO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>441462</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>29260</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEXANDER YOUNG</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>20140</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Irida Nikolla</PersonNm>
        <TitleTxt>Anesthesiologist</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>18777</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIUS GORE</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>20577</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS LIN</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SIMONA JOFFE SIDDALL</PersonNm>
        <TitleTxt>ANESTHESIOLOGIST</TitleTxt>
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        <OtherCompensationAmt>13529</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Luis Molina</PersonNm>
        <TitleTxt>Former-OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>18.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>138300</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6224</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>4867997</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1799617</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>362258</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>401</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>0</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>197</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>321876</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>322073</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>740380771</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>740380771</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INTERCOMPANY RENT REVENUE</Desc>
        <BusinessCd>531120</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>844390</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL LABORATORY</Desc>
        <BusinessCd>621511</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>346686</UnrelatedBusinessRevenueAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <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>
      <TotalProgramServiceRevenueAmt>741571847</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>410592</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>410592</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>411408</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>455184</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-43776</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-43776</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-43776</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>46288</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>46288</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>46288</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>46288</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>8928414</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8586459</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>341955</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>3446846</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3446846</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>FITNESS/SPA POINT</Desc>
        <BusinessCd>713940</BusinessCd>
        <TotalRevenueColumnAmt>2826966</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2762810</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>64156</UnrelatedBusinessRevenueAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>2863548</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2863548</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>755437978</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>752797</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3859950</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>7300</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2145460</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2145460</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>178066</TotalAmt>
        <ProgramServicesAmt>178066</ProgramServicesAmt>
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        <ProgramServicesAmt>188806148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14638744</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6077423</ProgramServicesAmt>
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        <ProgramServicesAmt>24518650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2011001</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>13929469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1237114</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1267297</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>433821</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesLobbyingGrp>
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        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>469248</ProgramServicesAmt>
        <ManagementAndGeneralAmt>341767</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4541816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2549770</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8443856</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </RoyaltiesGrp>
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        <ProgramServicesAmt>1155016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6652097</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>259039</TotalAmt>
        <ProgramServicesAmt>241205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17834</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>264146</TotalAmt>
        <ProgramServicesAmt>239645</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24501</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </ConferencesMeetingsGrp>
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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>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>26227180</TotalAmt>
        <ProgramServicesAmt>24087870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2139310</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ProgramServicesAmt>3572727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>317304</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>145851290</TotalAmt>
        <ProgramServicesAmt>145851290</ProgramServicesAmt>
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      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>901 MACARTHUR BOULEVARD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>https://www.powershealth.org/locations/c/community-hospital</WebsiteAddressTxt>
        <StateLicenseNum>24-005106-1</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>25</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>25</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: CHRONIC DISEASES, ACCESS TO HEALTHCARE, CANCER, MENTAL HEALTH, CHILDREN'S HEALTH/MATERNAL, FETAL &amp; INFANT HEALTH, WEIGHT STATUS (UNDERWEIGHT, OVERWEIGHT, OBESE), FOOD INSECURITY, ALCOHOL AND DRUG USE, INFECTIOUS DISEASES, AND TRANSPORTATION RESULTS OF PRIORITIZATION ACTIVITY AND APPROVED HEALTH NEEDS - TOP 6 NEEDS PRIORITIZED: 1. CANCER 2. DIABETES 3. HEART DISEASE 4. MATERNAL AND CHILDREN'S HEALTH 5. MENTAL HEALTH 6. STROKE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - COMMUNITY HOSPITAL. 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 9).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - COMMUNITY HOSPITAL. MUNSTER MEDICAL RESEARCH FOUNDATION dba COMMUNITY HOSPITAL, INC., IN MUNSTER, IN ST. CATHERINE HOSPITAL, INC. IN EAST CHICAGO, IN ST. MARY MEDICAL CENTER, INC. IN HOBART, IN COMMUNITY STROKE &amp; REHABILITATION CENTER dba POWERS HEALTH REHABILITATION CENTER IN CROWN POINT, IN</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - COMMUNITY HOSPITAL. THE 2025-28 IMPLEMENTATION STRATEGY ACTION PLAN BUILDS ON THE PROGRESS AND EVER-CHANGING HEALTHCARE NEEDS OF THE COMMUNITIES SERVED BY POWERS HEALTH. IN THE 2022-25 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITY HEALTHCARE SYSTEM, NOW POWERS HEALTH, THE PRIORITIZED HEALTH NEEDS WERE: * CANCER * DIABETES * HEART DISEASE AND STROKE * MATERNAL, INFANT AND CHILD HEALTH * MENTAL HEALTH * ACCESS TO CARE HEALTHIER LIFESTYLES WERE PROMOTED ACROSS ALL PRIORITY AREAS THROUGH FREE OR DISCOUNTED HEALTH SCREENINGS, CLASSES, SUPPORT/RESOURCE GROUPS, HEALTH FAIRS, PHYSICIAN LECTURES, SPECIAL EVENTS AND SYMPOSIUMS. TOPICS INCLUDED CANCER, CARDIOLOGY, DIABETES, HEART DISEASE, NUTRITION, 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. IMPACT MEASURES FROM THE 2022-25 COMMUNITY HEALTH NEEDS ASSESSMENT WERE COLLECTED USING THE HEALTHY COMMUNITY INSTITUTE'S IMPLEMENTATION STRATEGY TEMPLATE. EACH PRIORITIZED HEALTH NEED IS DOCUMENTED ON A DEDICATED FORM LISTING GOALS, STRATEGIES, ACTIVITIES AND OBJECTIVES, IF APPLICABLE. PARTICIPANTS OF CLASSES, EVENTS, PROGRAMS AND SCREENINGS WERE INVITED TO COMPLETE EVALUATIONS ON THE EFFECTIVENESS OF THEIR OUTREACH ACTIVITY. FEEDBACK FROM HEALTH DATA REPOSITORIES, PROGRAM EVALUATIONS AND CHNA DOCUMENTATION WAS USED TO DEVELOP OR EXPAND PROGRAMS TO ADDRESS THE PRIORITIZED HEALTH NEEDS. BELOW IS A SUMMARY OF SYSTEM INITIATIVES AND PROGRAMS BY COMMUNITY HOSPITAL, ST. CATHERINE HOSPITAL, ST. MARY MEDICAL CENTER AND POWERS HEALTH REHABILITATION CENTER (PHRC). THE 2022 CHNA WAS THE FIRST FOR THE REHABILITATION CENTER AS IT OPENED IN SEPTEMBER 2019. 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 (CH) AND ST. MARY MEDICAL CENTER (SMMC) ARE COMMISSION ON CANCER (COC) ACCREDITED AND DESIGNATED BY THE AMERICAN COLLEGE OF RADIOLOGY AS BREAST IMAGING CENTERS OF EXCELLENCE. THESE HOSPITALS, AND POWERS HEATH 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. COMMUNITY HOSPITAL AND ST. MARY MEDICAL CENTER ARE ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). TOGETHER, THE HOSPITALS OFFER AN ARRAY OF SERVICES, WELLNESS AND OUTREACH PROGRAMS FOR CANCER PATIENTS AND THOSE AT RISK FOR CANCER, SUCH AS: LOW OR NO-COST SCREENINGS; EARLY NODULE DETECTION, GENETIC COUNSELING; AND INFUSION CENTERS. UNDERSTANDING THE NEED FOR CANCER CARE IN NORTHWEST INDIANA, POWERS HEALTH IS CONSTRUCTING A CANCER CARE CENTER IN CROWN POINT SLATED TO OPEN IN FALL 2025. IN AN EFFORT TO REACH MORE OF OUR CANCER PATIENT POPULATION, THE CANCER NAVIGATION PROGRAM HAS EXPANDED TO INCLUDE ADDITIONAL DIAGNOSES. NAVIGATION HELPS TO ENSURE PATIENTS RECEIVE ACCESS TO NEEDED RESOURCES THAT HELP BREAK DOWN BARRIERS TO CARE, SUCH AS FINANCIAL COUNSELING, TRANSPORTATION, AND PSYCHOSOCIAL SERVICES. THE NAVIGATION TEAM HELPS COORDINATE CARE FROM THE POINT OF DIAGNOSIS THROUGH SURVIVORSHIP. POWERS HEALTH CANCER RESEARCH FOUNDATION OFFERS ACCESS TO MORE THAN 100 CANCER CLINICAL RESEARCH TRIALS TO PATIENTS LIVING IN NORTHWEST INDIANA AND NEARBY LOCALES IN ILLINOIS. THE CANCER RESOURCE CENTER (CRC), A SUPPORT PROGRAM OF THE FOUNDATION WHICH OFFERS AN ARRAY OF MIND-BODY-SPIRIT CLASSES, INFORMATIVE PROGRAMS AND SPECIAL EVENTS. THE CRC HAS EXPANDED CLASS OFFERINGS TO LOCATIONS IN EAST CHICAGO, CROWN POINT AND VALPARAISO. 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 DIABETES SERVICES 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. POWERS HEALTH RECOGNIZES THAT PREVENTION IS A KEY COMPONENT TO GOOD HEALTH. A PRE-DIABETES EDUCATION PROGRAM WAS DEVELOPED FOCUSED ON REDUCING THE ONSET OF DIABETES BY ENCOURAGING LIFESTYLE CHANGES. 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 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. NEURODIAGNOSTIC SERVICES IS DEVELOPING A ROBUST STROKE EDUCATION COMPONENT FOCUSING ON LIFESTYLE ADJUSTMENTS TO PREVENT STROKES, RECOGNIZING STROKE SYMPTOMS USING B.E. F.A.S.T., AND POST-STROKE SUPPORT THROUGH MONTHLY GROUP MEETINGS. ALL THREE HOSPITALS HOLD THE GOLD PLUS RATING FROM THE AMERICAN HEART/STROKE ASSOCIATION. ACUTE REHABILITATION UNITS AT ALL HOSPITALS, INCLUDING POWERS HEALTH 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. MATERNAL, INFANT &amp; CHILD HEALTH FAMILY BIRTHING SERVICES 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 RESULTS IN BETTER OVERALL OUTCOMES FOR MATERNITY PATIENTS. THE THREE LOCATIONS EARNED ACCOLADES FROM THE INDIANA HOSPITAL ASSOCIATION (IHA), IN PARTNERSHIP WITH STATE HEALTH COMMISSIONER LINDSAY WEAVER, MD, FACEP FOR BEING AN INSPIRE HOSPITAL OF DISTINCTION. ST. MARY MEDICAL CENTER IS A DESIGNATED BABY-FRIENDLY HOSPITAL BY BABY FRIENDLY USA, BECAUSE OF THEIR DEDICATION TO PROMOTING BREASTFEEDING AND OPTIMAL INFANT FEEDING PRACTICES. ST. CATHERINE HOSPITAL WAS RECOGNIZED BY U.S. NEWS &amp; WORLD REPORT HIGH PERFORMING HOSPITAL IN MATERNITY CARE. IN AN EFFORT TO REDUCE THE INCIDENCE OF FETAL AND MATERNAL MORTALITY RATES, PERINATAL NAVIGATION SERVICES ARE OFFERED TO ALL WOMEN WHO MAY EXPERIENCE A HIGH-RISK PREGNANCY RECEIVING SERVICES THROUGH POWERS HEALTH. EDUCATING FAMILIES THROUGHOUT THE CONTINUUM OF CHILDBEARING IS A TOP PRIORITY FOR POWERS HEALTH. BIRTHING, LACTATION, CHILD SAFETY, HANDS-ONLY CPR AND GRANDPARENT CLASSES ARE OFFERED ACROSS THE HOSPITAL SYSTEM. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 2 - COMMUNITY HOSPITAL. ADULT MENTAL HEALTH BEHAVIORAL HEALTH SERVICES (BHS) OPERATES A 64-BED ADULT INPATIENT UNIT AT ST. CATHERINE HOSPITAL. INTENSIVE OUTPATIENT PROGRAM PROVIDES A TRANSITIONAL LEVEL OF CARE FOR THOSE WHO NEED IT; LASTLY OUTPATIENT CARE IS PROVIDED THROUGH A NETWORK OF COMMUNITY-BASED PROVIDERS. THE INTENSIVE OUTPATIENT PROGRAM IS A STRUCTURED TREATMENT OPTION DESIGNED FOR ADULTS WHO ARE EXPERIENCING BEHAVIORAL OR EMOTIONAL DIFFICULTIES AND DO NOT REQUIRE INPATIENT PSYCHIATRIC CARE OR ARE TRANSITIONING FROM HOSPITALIZED CARE. INDIVIDUALLY DESIGNED GROUP THERAPY SESSIONS FOCUS ON IMPROVING DAILY COPING SKILLS, ESTABLISHING SAFETY, PROCESSING FEELINGS, UNDERSTANDING SYMPTOMS AND ENHANCING SELF-RESPECT. THE PROGRAM RUNS SIX TO EIGHT WEEKS, MEETING UP TO FOUR DAYS PER WEEK FOR THREE HOURS. BEHAVIORAL HEALTH STAFF ENGAGE THE COMMUNITY BY OFFERING EDUCATION AND PRESENTATIONS ON VARIOUS MENTAL HEALTH TOPICS INCLUDING STRESS REDUCTION/RELIEF, HOLIDAY BLUES, MEDITATION, AND DEEP BREATHING EXERCISES. TRAINING FOR FIRST RESPONDERS COVERING DE-ESCALATION TECHNIQUES, SIGNS OF A PERSON IN CRISIS AND SELF-CARE. COMMUNITY HEALTH NEEDS: AREAS NOT ADDRESSED THE FOLLOWING ADDITIONAL HEALTH NEEDS EMERGED FROM A REVIEW OF THE PRIMARY AND SECONDARY DATA: - ACCESS TO CARE - FOOD INSECURITY - WEIGHT STATUS. WITH THE NECESSITY TO FOCUS ON THE PRIORITIZED HEALTH NEEDS NOTED IN THE TABLE ABOVE, THE SECONDARY TOPICS ARE NOT DIRECTLY ADDRESSED IN THE 2025-2028 IMPLEMENTATION STRATEGY. BECAUSE OF THE INTERRELATIONSHIPS THAT EXIST, THE SECONDARY HEALTH NEEDS WILL BE CHAMPIONED THROUGH UPSTREAM EFFORTS BY HEALTHCARE AND COMMUNITY OUTREACH STAFF.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>17</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>801 MACARTHUR BOULEVARD</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY DIAGNOSTIC CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10020 DONALD S POWERS DRIVE</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>DIAGNOSTIC CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST JOHN OUTPATIENT CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9660 WICKER AVENUE</AddressLine1Txt>
            <CityNm>ST JOHN</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46373</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HOSPITAL CARDIAC CARE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>801 MACARTHUR BOULEVARD</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SCHERERVILLE OUTPATIENT CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7651 HARVEST DRIVE</AddressLine1Txt>
            <CityNm>SCHERERVILLE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46375</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CSC ENDOSCOPY OUTPATIENT UNIT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>801 MacArthur Blvd</AddressLine1Txt>
            <CityNm>Munster</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FITNESS POINTE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9950 CALUMET AVENUE</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HOSPITAL WOUND CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>801 MACARTHUR BOULEVARD STE 401</AddressLine1Txt>
            <CityNm>SCHERERVILLE</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46375</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HOSPITAL SLEEP DIGANOSTICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10110 DONALD S POWERS DR STE 201B</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HOSPITAL NEURODIAGNOSTICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>801 MACARTHUR BOULEVARD STE 403</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HOME HEALTH SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>901 RIDGE ROAD</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>OUTPATIENT ELECTROPHYSIOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>801 MACARTHUR BOULEVARD STE 400A</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HOSPITAL - DIZZY CENTER OUTPATIENT REHAB FACILITY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9660 WICKER AVE STE TG044</AddressLine1Txt>
            <CityNm>St John</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46373</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HOSPITAL AUDIOLOGY OFFICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9046 A COLUMBIA AVE</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HOSPITAL LAKE BUSINESS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9200 CALUMET AVENUE</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HOSPITAL THERAPY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10020 DONALD S POWERS DRIVE</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>STRUCTURAL HEART AND VALVE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9034 COLUMBIA AVENUE</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <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. COMMUNITY HOSPITAL MAKES ITS 990 AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG USED TO DETERMINE FAP ELIGIBILITY</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO FPG, THE CRITERIA OF ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS AND UNDERINSURANCE STATUS WERE USED IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 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 II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY SUPPORT - (LINE 3) 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. 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 AND LOCAL BUSINESSES WHICH WERE DESIGNED TO PROVIDE EDUCATION IN THE AREAS OF HEALTH, SAFETY AND CRIME PREVENTION. COMMUNITY HEALTH IMPROVEMENT ADVOCACY (LINE 7) - THIS CATEGORY IS TO INCLUDE "EFFORTS TO SUPPORT POLICIES AND PROGRAMS TO SAFEGAURD OR IMPROVE PUBLIC HEALTH, ACCESS TO HEALTHCARE SERVICES, HOUSING, THE ENVIRONMENT, AND TRANSPORTATION." HERE WE HAVE INCLUDED PATIENT TRANSPORTATION COSTS. TRANSPORTATION IS PROVIDED TO PATIENTS ON AN AS NEEDED BASIS TO AND FROM APPOINTMENTS AND PROCEDURES. OTHER (LINE 9) - REFERS TO COMMUNITY BUILDING ACTIVITIES THAT PROTECT OR IMPROVE THE COMMUNITY'S HEALTH OR SAFETY THAT AREN'T DESCRIBED IN THE CATEGORIES LISTED ON LINES 1-8. HERE WE ARE FOCUSING ON OTHER SOCIAL DETERMINANTS OF HEALTH, SPECIFICALLY PASTORAL CARE. PASTORAL CARE PLAYS A MAJOR ROLE IN THE PATIENT'S, AS WELL AS THEIR LOVED ONES, SPIRITUAL AND MENTAL WELL BEING WHILE FACED WITH ADVERSITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE FISCAL YEAR 2024-2025, THE VALUE OF COMMUNITY HOSPITAL'S OUTREACH PROGRAMS TOTALED OVER $2.1M. COMMUNITY OUTREACH IN THE FISCAL YEAR INCLUDED: * EDUCATIONAL PARTNERSHIPS WITH SURROUNDING ACCREDITED UNIVERSITIES TO OFFER EDUCATIONAL COURSES PROVIDED BY STAFF AND PROVIDERS. THIS PROGRAMMING PROVIDES A LOCATION FOR STUDENTS TO OBTAIN IN-HOUSE TRAINING COURSES AND EXPERIENCES, SUCCESSFULLY GROWING THE HEALTHCARE SYSTEM EMPLOYEES WITH QUALIFIED CANDIDATES. * STROKE AND DIABETES EDUCATIONAL AND SUPPORT GROUPS. * LABOR AND DELIVERY CONSULTATIONS, BREASTFEEDING AND LACTATION CLASSES, TAKING CARE OF BABY AND CHILDBIRTH CLASSES * WEIGHT LOSS SALUTATION CLASSES AND SUPPORT GROUPS. * COMMUNITY NIGHT OUT AGAINST CRIME, CONNECTING WITH THOUSANDS OF MEMBERS IN THE COMMUNITY TO PROVIDE INFORMATION ABOUT THE RESOURCES AVAILABLE AT THE HEALTHCARE SYSTEM. * HEARING SCREENINGS AND PRESENTATIONS * NUTRITION LABEL AND HEALTH EATING COOKING COURSES * PATIENT TRANSPORTATION ON AN AS NEEDED BASIS TO AND FROM APPOINTMENTS AND PROCEDURES. * PASTORAL CARE FOR SPIRITUAL AND EMOTIONAL WELL-BEING OF PATIENT AND FAMILY MEMBERS. * DISASTER READINESS AND PUBLIC HEALTH EMERGENCY ACTIVITIES RELATED TO BIO-TERRORISM. HEALTH EDUCATION &amp; 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, AND THE FITNESS POINTE DEPARTMENTS. 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. 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 POWERS HEALTH 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.</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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>25614339</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 POWERS 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 III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE COLLECTION PROCEDURES BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- COMMUNITY HOSPITAL: 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>- COMMUNITY HOSPITAL: 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>- COMMUNITY HOSPITAL: 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 2025 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 COMMUNITY'S 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 MUNSTER, INDIANA, THE COMMUNITY SERVED INCLUDES NORTHWEST INDIANA. LATEST U.S. CENSUS BUREAU DEMOGRAPHIC INFORMATION COMPARING MUNSTER TO THE STATE OF INDIANA: PERSONS UNDER 18 YEARS, PERCENT, 2024 MUNSTER 19.7% INDIANA 22.9% PERSONS 65 YEARS AND OVER, PERCENT, 2024 MUNSTER 20.7% INDIANA 17.5% WHITE ALONE, PERCENT, 2024(A) MUNSTER 75.9% INDIANA 83.2% BLACK OR AFRICAN AMERICAN ALONE, PERCENT, 2024(A) MUNSTER 6.8% INDIANA 10.6% HISPANIC OR LATINO, PERCENT, 2024(B) MUNSTER 14.1% INDIANA 9.1% WHITE ALONE, NOT HISPANIC OR LATINO, PERCENT, 2024 MUNSTER 70.9% INDIANA 75.2% HIGH SCHOOL GRADUATE OR HIGHER, AGE 25+, 2019-2023 MUNSTER 96.5% INDIANA 90.2% BACHELOR'S DEGREE OR HIGHER, AGE 25+, 2019-2023 MUNSTER 48.1% INDIANA 28.8% MEDIAN HOUSEHOLD INCOME, 2019-2023 MUNSTER $105,764 INDIANA $70,051 PERSONS IN POVERTY, PERCENT MUNSTER 7.3% 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>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 4,044 EMPLOYEES AT THE FISCAL YEAR END, JUNE 2025. 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 NORTHWEST INDIANA AND SURROUNDING COMMUNITIES. 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 PROCEDURES, 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 NORTHWEST INDIANA AND MAINTAINS A HIGH LEVEL OF EXPERTISE FOR THE YOUNGEST MEMBERS OF OUR POPULATION. COMMUNITY HOSPITAL OFFERS DEDICATED EMERGENCY CARE FOR EXPECTANT AND POSTPARTUM WOMEN. THE DEPARTMENT IS STAFFED 24/7 BY SPECIALTY NURSES AND BOARD-CERTIFIED OB/GYNS, THE OB EMERGENCY DEPARTMENT 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 PROVIDES 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 - FISCAL YEAR 2024-2025 * AHA HOSPITAL RECOGNITION: CHEST PAIN * CH HAS MET STEMI GOLD HOSPITAL RECOGNITION CRITERIA BASED ON CY2023-2024 YTD AVG PERFORMANCE MEASURE DATA- REQUIRES 2 CONSECUTIVE CALENDAR YEARS OF MAINTAINING ACHIEVEMENT SCORES ABOVE 75% * CH HAS MET NSTEMI SILVER HOSPITAL RECOGNITION CRITERIA BASED ON CY2024 YTD AVG PERFORMANCE MEASURE DATA - REQUIRES 1 CALENDAR YEAR (DATA IN ALL 4 QUARTERS) ABOVE THE 75% ACHIEVEMENT SCORES OR HIGHER. * CH HAS MET AMI TYPE 2 DIABETES RECOGNITION CRITERIA BASED ON CY2024 YTD AVG COMPOSITE SCORE - TARGET: TYPE 2 DIABETES RECOGNITION GOAL IS TO ENSURE PATIENTS WITH TYPE 2 DIABETES RECEIVE THE MOST CURRENT, EVIDENCE-BASED CARE WHEN HOSPITALIZED CARDIOVASCULAR DISEASE. * AACVRP REGISTRY CERTIFICATION-3 YR. CERTIFICATION- AACVPR OUTPATIENT CARDIAC AND PULMONARY REHABILITATION DATA REGISTRIES- THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR) OUTPATIENT DATA REGISTRIES, ALLOWS FOR TRACKING PATIENT OUTCOMES AND PROGRAM PERFORMANCE, WHILE BUILDING AN EVIDENCE BASE FOR THE EFFECTIVENESS OF CARDIAC AND PULMONARY REHABILITATION. * 2025 GET WITH THE GUIDELINES STROKE: GOLD PLUS * 2025 TARGET STROKE: HONOR ROLL ELITE PLUS AWARD * 2025 TARGET STROKE: ADVANCED THERAPY * 2025 TARGET STROKE: TYPE 2 DIABETES HONOR ROLL GWTG * JOINT COMMISSION ADVANCED CERTIFICATION SPINE SURGERY * JOINT COMMISSION COMPREHENSIVE STROKE CENTER * NATIONAL ASSOCIATION OF EPILEPSY CENTERS - LEVEL III EPILEPSY CENTER * HEALTHGRADES 100 BEST STROKE * HEALTHGRADES NEUROSURGERY EXCELLENCE * COLLEGE OF AMERICAN PATHOLOGY CERTIFICATION * AMERICAN COLLEGE OF RADIOLOGY REGISTERED FOR CH MRI, CDC MRI, CDC CT, SJ MRI, CH US, CDC US, SV US- 2025 * HEART FLOW FFR AWARD Q1 &amp; Q2 2025 * BEST OF REGION 2025 FOR WOMEN'S SERVICES. * INDIANA DEPT OF HEALTH (IDOH) CERTIFICATION AS A LEVEL III HOSPITAL FOR OBSTETRICAL AND NEONATAL ICU CARE. * INDIANA HOSPITAL ASSOCIATION INSPIRE HOSPITAL OF DISTINCTION FOR BOTH 2024 AND 2025 * CRIBS FOR KIDS GOLD SAFE SLEEP CERTIFICATION * INTERNATIONAL BOARD OF CERTIFIED LACTATION CONSULTANTS (IBCLC) CARE AWARD * US NEWS AND WORLD REPORT BEST REGIONAL HOSPITAL FOR 2024-2025 FOR MATERNITY CARE * 2025 WOMEN'S CHOICE AWARDS: TOP 7% BEST HOSPITALS FOR EMERGENCY CARE * 2025 WOMEN'S CHOICE AWARDS: TOP 8% OF HOSPITALS IN BARIATRICS * 2025 WOMEN'S CHOICE AWARDS: TOP 9% OF HOSPITALS IN PATIENT SAFETY * 2025 WOMEN'S CHOICE AWARDS: TOP 5% OF HOSPITALS IN ORTHOPEDICS * 2025 WOMEN'S CHOICE AWARDS: TOP 8% OF HOSPITALS IN CANCER CARE * 2025 WOMEN'S CHOICE AWARDS: TOP 5% IN BREAST CARE * 2025 WOMEN'S CHOICE AWARDS: TOP 3% OF HOSPITALS IN STROKE CARE * 2025 WOMEN'S CHOICE AWARDS: TOP 6% OF HOSPITALS IN WOMEN'S SERVICES * 2025 WOMEN'S CHOICE AWARDS: TOP 10% OF HOSPITALS IN MAMMOGRAM IMAGING 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 POWERS HEALTH. 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. DIABETES SCREENINGS WERE CONDUCTED FREE OF CHARGE AT MANY HEALTH FAIRS TO ASSESS PARTICIPANT'S HEMOGLOBIN A1C. THE LARGEST, BEING THE STROKE AND DIABETES EVENT HOSTED AT THE CENTER FOR VISUAL AND PERFORMING ARTS WITH AN ATTENDANCE OF OVER 250 PEOPLE. 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. WE HAVE ALSO DEVELOPED MORE DIABETES SUPPORT AND EDUCATIONAL CLASSES FOR THE COMMUNITY TO ATTEND FREE OF CHARGE. THE CANCER RESOURCE CENTER HELPS PEOPLE AND THEIR CAREGIVERS AFFECTED BY CANCER TO OBTAIN THE 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 2024 AND JUNE 2025, THE COMMUNITY RESOURCE CENTER HAD 3,440 VISITS. THE CENTER OFFERS PATIENTS AND THEIR FAMILIES A NON-MEDICAL PLACE WHERE THEY CELEBRATE LIFE, DEAL WITH HARDSHIPS AND GET THEIR QUESTIONS ANSWERED. THE CANCER RESOURCE CENTER IS A RESOURCE OF THE POWERS HEALTH CANCER RESEARCH FOUNDATION, A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF CANCER CARE AVAILABLE IN NORTHWEST INDIANA AND THE SOUTH SUBURBS OF CHICAGO. ALL SERVICES OF THE CANCER RESOURCE CENTER ARE OFFERED FREE OF CHARGE; INDIVIDUALS DO NOT NEED TO BE PATIENTS OF POWERS HEALTH. COMMUNITY HOSPITAL HEALTHCARE PROVIDERS DISCUSSED CURRENT AND TRENDING MEDICAL CONDITIONS THROUGH A VARIETY OF PUBLIC LECTURES OFFERED FREE OF CHARGE. THESE OUTREACH PROGRAMS INCLUDED READING NUTRITION LABELS, CANCER TREATMENT, NEUROLOGICAL ISSUES, HEARING LOSS, AMONG OTHER VARYING TOPICS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>IN</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 USED TO ESTABLISH COMPENSATION OF ORG. CEO/EXEC. DIR.</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HOSPITAL 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="24020961" softwareVersionNum="2024v5.1">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>HASSE CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNED BY WILLIAM HASSE</RelationshipDescriptionTxt>
        <TransactionAmt>1242484</TransactionAmt>
        <TransactionDesc>INDEPENDENT CONTRACTOR</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>PURCELL COMMERCIAL CLEANING</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNED BY MICHAEL PURCELL</RelationshipDescriptionTxt>
        <TransactionAmt>862071</TransactionAmt>
        <TransactionDesc>INDEPENDENT CONTRACTOR</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SARN II</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DR. SHABEEB PART OWNER</RelationshipDescriptionTxt>
        <TransactionAmt>250001</TransactionAmt>
        <TransactionDesc>RENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>GARY MCKAY</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF RONDA MCKAY</RelationshipDescriptionTxt>
        <TransactionAmt>110893</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>KAY TORRENGA</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAM MEM OF DONALD TORRENGA</RelationshipDescriptionTxt>
        <TransactionAmt>67173</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <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 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>RANDY NEISWONGER &amp; M. NABIL SHABEEB - Business relationship</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 OR STOCKHOLDER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 COMMUNITY HOSPITAL AND HAS CONTROL TO ELECT MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>POWERS HEALTH IS THE PARENT COMPANY OF COMMUNITY HOSPITAL AND HAS RIGHTS TO APPROVE DECISIONS MADE BY COMMUNITY HOSPITAL 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS SUBMITTED TO THE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THE ORGANIZATION'S ANNUAL MONITORING &amp; ENFORCEMENT PROCEDURE RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VP OF CORPORATE COMPLIANCE AND THOSE OFFICERS, DIRECTORS, OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION. RESTRICTIONS ON MEMBERS WITH A CONFLICT - MEMBERS WITH A CONFLICT ARE REQUIRED TO RECUSE THEMSELVES FROM ANY DELIBERATION AND MUST ABSTAIN FROM THE VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HOSPITAL DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, COMMUNITY HOSPITAL THROUGH POWERS HEALTH MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A OFFICERS, DIRECTORS, KEY EMPLOYEES</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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other - Total Revenue: 2863548, Related or Exempt Function Revenue: 2863548, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEREST INCOME ON REST FUNDS - 7290; TRANSFERS TO/FROM RELATED ORGS - -68674021; TEMP RESTR-FUND TRANSFER - -46500; PATIENT TRANSPORT EXPENSE - -15907; Total - -68729138;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY FOUNDATION OF NW INDIANA INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10010 DONALD S POWERS DR 201</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>311128781</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST CATHERINE HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4321 FIR STREET</AddressLine1Txt>
          <CityNm>EAST CHICAGO</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46312</ZIPCd>
        </USAddress>
        <EIN>351738708</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CFNI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARY MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1500 SOUTH LAKE PARK AVENUE</AddressLine1Txt>
          <CityNm>HOBART</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46342</ZIPCd>
        </USAddress>
        <EIN>352007327</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CFNI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY CANCER RESEARCH FNDN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>901 MACARTHUR BOULEVARD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>352146374</EIN>
        <PrimaryActivitiesTxt>CANCER FUND</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MMRF</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY VILLAGE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10000 COLUMBIA AVENUE</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>351956395</EIN>
        <PrimaryActivitiesTxt>RETIREMENT HOME</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CFNI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CVPA HOLDING CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1040 RIDGE ROAD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>351938136</EIN>
        <PrimaryActivitiesTxt>TITLE HLDG CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CFNI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THEATRE AT THE CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1040 RIDGE ROAD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>351939427</EIN>
        <PrimaryActivitiesTxt>PLAYS&amp;ARTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CFNI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY CARE NETWORK INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>901 MACARTHUR BOULEVARD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>454158203</EIN>
        <PrimaryActivitiesTxt>PHYS SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MMRF SCH SMM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY STROKE &amp; REHAB CTR INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>905 RIDGE ROAD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>820854709</EIN>
        <PrimaryActivitiesTxt>REHAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CFNI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY HEALTHCARE PTNRS ACO INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>905 RIDGE ROAD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>821583355</EIN>
        <PrimaryActivitiesTxt>ACO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CFNI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY-NORTHWEST CANCER CENTERS LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>10191 BROADWAY AVENUE</AddressLine1Txt>
          <CityNm>CROWN POINT</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46307</ZIPCd>
        </USAddress>
        <EIN>934932758</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ORTHOPEDIC-CROWN POINT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>905 RIDGE ROAD</AddressLine1Txt>
          <CityNm>CROWN POINT</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46307</ZIPCd>
        </USAddress>
        <EIN>992565256</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ORTHOPEDIC MEDICAL DEVELOPMENT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>905 RIDGE ROAD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>993175857</EIN>
        <PrimaryActivitiesTxt>ASC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY RESOURCES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>905 RIDGE ROAD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>351727711</EIN>
        <PrimaryActivitiesTxt>MGMT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CFNI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>0</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY MEDICAL &amp; PROFESSIONAL CENTER</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>800 MACARTHUR BOULEVARD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>237437942</EIN>
        <PrimaryActivitiesTxt>CONDO ASSOC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CFNI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>0</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HEALTHCARE PARTNERS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>905 RIDGE ROAD</AddressLine1Txt>
          <CityNm>MUNSTER</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46321</ZIPCd>
        </USAddress>
        <EIN>472012011</EIN>
        <PrimaryActivitiesTxt>CLINICAL INTG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CFNI</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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