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      <Form990PartVIISectionAGrp>
        <PersonNm>Wassim Shwaiki md</PersonNm>
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        <PersonNm>Daniel O'Brien</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gregg Ferlin</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Julie Latta</PersonNm>
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        <OtherCompensationAmt>21640</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nina Stur</PersonNm>
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        <PersonNm>Asim Mohiuddin</PersonNm>
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        <PersonNm>Daniel t Saah</PersonNm>
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        <PersonNm>Paul Hertz</PersonNm>
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        <PersonNm>Steven j Lazaroff</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Subhash Joshi</PersonNm>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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      <GovernmentGrantsAmt>1466538</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>162803</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <InvestmentIncomeGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>127855</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <PersonalAmt>0</PersonalAmt>
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      <LessRentalExpensesGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>817382</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>817382</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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        <OtherAmt>21000</OtherAmt>
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      <GainOrLossGrp>
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        <OtherAmt>10389</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <NetIncmFromFundraisingEvtGrp>
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      <NetIncomeFromGamingGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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        <Desc>FEE REVENUE</Desc>
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        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1201420</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <MiscellaneousRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>1031531</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>4562675</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>1141925</ProgramServicesAmt>
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        <ProgramServicesAmt>1817755</ProgramServicesAmt>
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        <ProgramServicesAmt>93547</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2287952</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>33198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4563</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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        <FundraisingAmt>0</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>57083</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13588</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>5931665</ProgramServicesAmt>
        <ManagementAndGeneralAmt>481126</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>1364656</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110689</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>48526317</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CORPORATE ALLOCATION</Desc>
        <TotalAmt>20528787</TotalAmt>
        <ProgramServicesAmt>18988594</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1540193</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>9441134</TotalAmt>
        <ProgramServicesAmt>9441134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>medical assessment fee</Desc>
        <TotalAmt>8308265</TotalAmt>
        <ProgramServicesAmt>8308265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
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        <FacilityNum>1</FacilityNum>
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          <BusinessNameLine1Txt>STCATHERINE HOSPITAL INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>4321 FIR STREET</AddressLine1Txt>
          <CityNm>EAST CHICAGO</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46312</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>https://www.powershealth.org/locations/s/st-catherine-hospital</WebsiteAddressTxt>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
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          <BusinessNameLine1Txt>STCATHERINE HOSPITAL INC</BusinessNameLine1Txt>
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        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://WWW.POWERSHEALTH.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
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        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.0</FPGFamilyIncmLmtDscntCarePct>
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        <FAPAvailableOnWebsiteURLTxt>WWW.POWERSHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM</FAPAvailableOnWebsiteURLTxt>
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        <FAPAppAvailableOnWebsiteURLTxt>WWW.POWERSHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>WWW.POWERSHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM</FAPSummaryOnWebsiteURLTxt>
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        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <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 - ST. CATHERINE HOSPITAL, INC.. THE CHNA COLLECTED INPUT FROM PEOPLE REPRESENTING THE BROAD INTERESTS OF THE OVERALL COMMUNITY INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN, PUBLIC HEALTH AND RESIDENTS OF THE COMMUNITIES THE HOSPITALS SERVE. THE HEALTHCARE SYSTEM PARTNERED WITH OTHER HOSPITAL SYSTEMS, FOUNDATIONS AND NONPROFITS TO CONDUCT A RESIDENT SURVEY. DATA FROM A VARIETY OF FEDERAL, STATE AND LOCAL ENTITIES WAS ALSO REVIEWED. FOCUS GROUPS WERE ORGANIZED THROUGHOUT LAKE AND PORTER COUNTY, INDIANA. THE GOAL OF THE FOCUS GROUPS WAS TO UNDERSTAND THE NEEDS, ASSETS, AND POTENTIAL RESOURCES IN VARIOUS COMMUNITIES AND TO STRATEGIZE HOW THE HOSPITALS CAN PARTNER WITH COMMUNITIES TO BUILD RESILIENCY. THESE FOCUS GROUPS FOCUSED ON GATHERING INFORMATION FROM COMMUNITY MEMBERS AND LOCAL PROFESSIONALS WHO HAVE DIRECT KNOWLEDGE AND EXPERIENCE RELATED TO THE HEALTH DISPARITIES IN THE REGION. DETAILS CAN BE FOUND IN THE APPENDIX OF THE CHNA (SECTION 9).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - ST. CATHERINE HOSPITAL, INC. 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 (CSRC) dba POWERS HEALTH REHABILITATION CENTER (PHRC) IN CROWN POINT, IN</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - ST. CATHERINE HOSPITAL, Inc.. THE 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 - ST. CATHERINE HOSPITAL, Inc.. 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>5</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Catherine Hospital Infusion Center Munster</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>801 MACARARTHUR BLVD SUITE 304</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>St Catherine Hospital Infusion Center Hobart</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1500 S Lake Park Ave Suite 428</AddressLine1Txt>
            <CityNm>Hobart</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46342</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST CATHERINE HOSPITAL MEDICATION THERAPY MGT CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9054 COLUMBIA AVE SUITE B</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST CATHERINE ANTICOAGULATION CLINIC-MUNSTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9054 COLUMBIA AVENUE SUITE A</AddressLine1Txt>
            <CityNm>MUNSTER</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46321</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ST CATHERINE ANTICOAGULATION CLINIC-EAST CHICAGO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4321 FIR ST</AddressLine1Txt>
            <CityNm>EAST CHICAGO</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46312</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG USED TO DETERMINE FAP ELIGIBILITY</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO FPG, THE CRITERIA OF ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS WERE USED IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b COLLECTION PRACTICES FOR QUALIFYING FA PATIENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE COLLECTION PROCEDURES BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>NONE OF THE EXPENSES REPORTED ON PART I, LINE 7G ARE ATTRIBUTABLE TO PHYSICIAN CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a WAS A COMMUNITY BENEFIT REPORT PREPARED</FormAndLineReferenceDesc>
        <ExplanationTxt>THE STATE OF INDIANA ACCEPTS FORM 990 SCHEDULE H IN LIEU OF A COMMUNITY BENEFIT REPORT. ST. CATHERINE HOSPITAL, INC. MAKES ITS 990 AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY</FormAndLineReferenceDesc>
        <ExplanationTxt>COALITION BUILDING (LINE 6) - THIS CATEGORY IS TO INCLUDE "PARTICIPATION IN COMMUNITY COALITIONS AND OTHER COLLABORATIVE EFFORTS WITH THE COMMUNITY TO ADDRESS HEALTH AND SAFETY ISSUES." HERE WE HAVE INCLUDED COSTS FOR PROGRAMS PRESENTED MAINLY AT AREA SCHOOLS WHICH WERE DESIGNED TO PROVIDE EDUCATION IN THE AREAS OF HEALTH, SAFETY AND CRIME PREVENTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY OUTREACH PROGRAMS 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. * PROGRAMMING WITH THE LOCAL PARKS DEPARTMENTS ALLOWED MANY INTERACTIONS WITH THE PUBLIC AND THE INDIVIDUALS IN OUR NEIGHBORHOODS. * A PRESENTATION EVENT FOR NATIONAL WEAR RED DAY FEATURING CARDIOLOGY SCREENINGS AND A PRESENTATION ABOUT THE SIGNS AND SYMPTOMS TO LOOK OUT FOR AND ACTIONS STEPS TO CREATE A HEALTHY LIFESTYLE IN ORDER TO REDUCE THE RISK FOR A CARDIAC EVENT. * A STOKE AND DIABETES FAIR CONDUCTED FREE SCREENINGS AND EDUCATIONAL PRESENTATIONS TO THE PUBLIC. * NORTHWEST INDIANA HEALTH SUMMIT WAS IN-PERSON, FEATURING AREA HEALTH EXPERTS ACROSS THE AREA. THE APRIL EVENT FEATURED TOPICS SUCH AS: VACCINES, MENTAL HEALTH, CANCER SERVICES, AND DIABETES AND STROKE. THE EVENT FEATURED PROVIDERS FROM OUR SYSTEM TO ADDRESS PREVENTATIVE AND LONG-TERM HEALTHY LIFESTYLES. * NUMEROUS COMMUNITY PARTNERSHIP OUTREACH EVENTS, INCLUDING HEALTH FAIRS, BACK-TO-SCHOOL EVENTS, AND LOCAL IN-HOUSE EDUCATION AND CPR TRAININGS. * 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. DBA POWERS HEALTH EIN: 31-1128781</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>9441134</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>COST ACCOUNTING SYSTEM WAS USED FOR COMPUTATIONS. BAD DEBT IS EXCLUDED FROM THE CALCULATION. MEDICAID DIRECT OFFSETTING REVENUE INCLUDES THE INCREASED HAF REIMBURSEMENT AND DSH. THE EXPENSE INCLUDES THE HAF FEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO PER OUR COST ACCOUNTING SYSTEM IS USED TO ESTIMATE BAD DEBT AT COST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>WE ESTIMATE 1% OF THE BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR BAD DEBTS, AND NET ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION THE TRENDS IN HEALTH CARE COVERAGE, ECONOMIC TRENDS, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY ASSESSES THE ADEQUACY OF THE ALLOWANCES BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY MAJOR PAYOR CATEGORY AND AGING BUCKET. THE RESULTS OF THE REVIEW ARE THEN UTILIZED TO MAKE MODIFICATIONS, AS NECESSARY, TO THE PROVISION FOR BAD DEBTS TO PROVIDE FOR AN APPROPRIATE ALLOWANCE FOR BAD DEBTS. A SIGNIFICANT PORTION OF THE HOSPITALS' UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED, AND A SIGNIFICANT PORTION OF THE HOSPITALS' INSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR CO-PAYMENTS AND DEDUCTIBLES. THUS, THE HOSPITALS RECORD A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH POWER HEALTH'S POLICY, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR BAD DEBTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>WE PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICE PROVIDED OR THE REIMBUSEMENT RECEIVED FROM MEDICARE, QUALIFYING THE SHORTFALL AS A COMMUNITY BENEFIT. THE MEDICARE ALLOWABLE COSTS OF CARE WERE CALCULATED BY USING INFORMATION FROM THE COST ACCOUNTING SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST.CATHERINE HOSPITAL, INC.: Line 16a URL: WWW.POWERSHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST.CATHERINE HOSPITAL, INC.: Line 16b URL: WWW.POWERSHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- ST.CATHERINE HOSPITAL, INC.: Line 16c URL: WWW.POWERSHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-PROGRAM;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MOST RECENT CHNA WAS CONDUCTED IN 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, ST. CATHERINE HOSPITAL CONTINUALLY ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THIS IS AN ONGOING ENDEAVOR IN WHICH WE RELY HEAVILY UPON INPUT FROM OUR COMMUNITY LEADERS. WE ALSO CONDUCT MANY HEALTHCARE RELATED EVENTS THROUGHOUT THE YEAR WITHIN THE COMMUNITY. THIS CAN VARY FROM EDUCATIONAL CLASSES TO SPECIFIC DISEASE SCREENINGS. WE HAVE ALSO FOUND THAT A GOOD DATA SOURCE IS OUR PATIENTS. WE FREQUENTLY SURVEY OUR PATIENTS TO OBTAIN THIS INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WHO ARE ADMITTED WITHOUT INSURANCE ARE DIRECTED TO THE HOSPITAL'S FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS PERFORM AN INTERVIEW WITH THE PATIENTS TO EXPLAIN TO THEM THE PROCESS NECESSARY TO RECEIVE FINANCIAL ASSISTANCE. THIS PROCESS INCLUDES APPLYING FOR MEDICAID OR OTHER GOVERNMENT AID. THE APPLICANT THEN MUST FILL OUT A FINANCIAL INFORMATION WORKSHEET AND SUBMIT VARIOUS INFORMATION TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. THE POLICY IS POSTED IN THE EMERGENCY ROOM AREA AS WELL AS AT EACH INPATIENT WAITING DESK. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>LOCATED IN EAST CHICAGO, INDIANA, THE COMMUNITY SERVED INCLUDES NORTHWEST INDIANA. LATEST U.S. CENSUS BUREAU DEMOGRAPHIC INFORMATION COMPARING EAST CHICAGO TO THE STATE OF INDIANA: PERSONS UNDER 18 YEARS, PERCENT, 2024 EAST CHICAGO 25.8% INDIANA 22.9% PERSONS 65 YEARS AND OVER, PERCENT, 2024 EAST CHICAGO 14.8% INDIANA 17.5% WHITE ALONE, PERCENT, 2024(A) EAST CHICAGO 16.1% INDIANA 83.2% BLACK OR AFRICAN AMERICAN ALONE, PERCENT, 2024(A) EAST CHICAGO 37.4% INDIANA 10.6% HISPANIC OR LATINO, PERCENT, 2024(B) EAST CHICAGO 56.5% INDIANA 9.1% WHITE ALONE, NOT HISPANIC OR LATINO, PERCENT, 2024 EAST CHICAGO 6.6% INDIANA 75.2% HIGH SCHOOL GRADUATE OR HIGHER, AGE 25+, 2019-2023 EAST CHICAGO 73.7% INDIANA 90.2% BACHELOR'S DEGREE OR HIGHER, AGE 25+, 2019-2023 EAST CHICAGO 9.9% INDIANA 28.8% MEDIAN HOUSEHOLD INCOME, 2019-2023 EAST CHICAGO $41,071 INDIANA $70,051 PERSONS IN POVERTY, PERCENT EAST CHICAGO 27.0% 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>ST. CATHERINE HOSPITAL IS A 216-BED HOSPITAL IN EAST CHICAGO, IN, OPERATING WITHIN POWERS HEALTH. POWERS HEALTH, A LEADING MEDICAL PROVIDER IN NORTHWEST INDIANA, OPERATES FOUR NOT-FOR-PROFIT HOSPITALS, OUTPATIENT CENTERS, PHYSICIAN PRACTICES, FITNESS POINTE, THE CENTER FOR VISUAL AND PERFORMING ARTS, CANCER RESOURCE CENTER AND THE CONTINUING CARE RETIREMENT COMMUNITY, HARTSFIELD VILLAGE. ITS OTHER HOSPITALS ARE: COMMUNITY HOSPITAL IN MUNSTER, ST. MARY MEDICAL CENTER IN HOBART AND POWERS HEALTH REHABILITATION CENTER IN CROWN POINT. ITS NETWORK OF CARE INCLUDES OUTPATIENT, SURGICAL AND REHABILITATION CENTERS, PHYSICIAN PRACTICES, BEHAVIORAL HEALTH, OCCUPATIONAL HEALTH, ORTHOPEDIC SERVICES, DIABETES SELF-MANAGEMENT, DIETARY COUNSELING, NEUROSCIENCE AND SPORTS MEDICINE, CANCER CARE AND HOME HEALTH. THE SYSTEM'S PARENT COMPANY IS COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. dba POWERS HEALTH, A NON-PROFIT ORGANIZATION FOCUSED ON THE ADVANCEMENT OF GOOD HEALTH AND COMMUNITY HEALTH INITIATIVES IN NORTHWEST INDIANA. PROJECTS THE FOUNDATION SERVE FOCUS ON STRENGTHENING ART, CULTURE, WELLNESS, CLINICAL RESEARCH TRIALS AND QUALITY OF LIFE IN LOCAL COMMUNITIES. OVER THE YEARS, THE FOUNDATION'S PROJECTS HAVE INCLUDED THE DEVELOPMENT OF THE CENTER FOR VISUAL AND PERFORMING ARTS, THE CANCER RESOURCE CENTER, COMMUNITY VETERANS MEMORIAL AND COMMUNITY ESTATES, A RESIDENTIAL NEIGHBORHOOD IN MUNSTER. COMMITMENT TO QUALITY CARE ST. CATHERINE HOSPITAL OPENED IN MAY 1928 TO SERVE A CITY THAT BURGEONED FROM THE STEEL-MAKING AND MANUFACTURING INDUSTRY, ATTRACTING IMMIGRANTS FROM ALL OVER THE WORLD. BUILT WITH FUNDS RAISED BY BUSINESS LEADERS, INDUSTRIALISTS AND THE POOR HANDMAIDS OF JESUS CHRIST, THE ROMAN CATHOLIC HOSPITAL HAS PROVIDED CARE TO ALL PEOPLE - REGARDLESS OF RACE, ETHNICITY OR ECONOMIC MEANS - EVER SINCE. IN 2001, ST. CATHERINE HOSPITAL BECAME AN AFFILIATE OF POWERS HEALTH. THE HOSPITAL'S COMMITMENT TO THE EAST CHICAGO COMMUNITY AND MEDICAL/TECHNOLOGICAL ADVANCEMENT HAS NOT WAVERED FOR NEARLY A CENTURY. TODAY, THE DISPROPORTIONATE SHARE HOSPITAL (DSH) OFFERS A WIDE RANGE OF OUTSTANDING HEALTHCARE SERVICE IN SPECIALTY AREAS THAT INCLUDE BEHAVIORAL HEALTH, CARDIAC AND DIABETES CARE TO CANCER CARE, DIAGNOSTIC IMAGING AND STATE-OF-THE-ART RADIATION THERAPY. ADDITIONALLY, THE HOSPITAL LEASES SPACE TO A LONG-TERM, ACUTE CARE FACILITY WITH ITS OWN EMPLOYEE BASE. THE HOSPITAL HOLDS TOP NATIONAL ACCREDITATIONS FOR STROKE, CARDIAC, DIABETES AND CANCER CARE. IN 2023, THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) AWARDED ST. CATHERINE HOSPITAL WITH A THREE-YEAR ACCREDITATION. INVESTMENT IN COMMUNITY AND QUALITY CARE ST. CATHERINE HOSPITAL IS A MAJOR EMPLOYER IN EAST CHICAGO. IT HAD 1,638 EMPLOYEES AS OF THE FISCAL YEAR ENDED JUNE 2025. ADDITIONALLY, THE HOSPITAL INVESTED IN STATE-OF-THE-ART MEDICAL TECHNOLOGY AND FACILITY IMPROVEMENTS SO ITS ENVIRONMENT OF CARE MATCHES ITS HIGH-QUALITY OF CARE. THE HOSPITAL REGULARLY HAS UNDERTAKEN ANNUAL PROJECTS TO IMPROVE IT LOBBIES, PUBLIC ACCESS AREAS, PATIENT ROOMS, INTENSIVE CARE UNIT AND PROFESSIONAL OFFICE BUILDING SPACE FOR MEDICAL PROVIDERS. IN FISCAL YEAR 2024-2025, PHYSICAL AND TECHNOLOGICAL IMPROVEMENTS WERE MADE IN VARIOUS DEPARTMENTS. AN EXPANSION AND REMODEL BEGAN IN THE EMERGENCY DEPARTMENT, PROVIDING A MORE EFFICIENT WORKFLOW FOR THE PATIENTS AND STAFF. THE PHARMACY WAS REMODELED, AND MANY EXTERIOR FINISHES SUCH AS NEW ROOFS, TUCK POINTING, A FUEL TANK, AND AN AIR HANDLER UNIT. THE LABORATORY PARTNERED WITH ROCHE LABS TO INCLUDE NEW EQUIPMENT ACROSS THE SYSTEM TO INCREASE EFFICIENCY, TESTING CAPABILITIES, AND THE OVERALL COMMUNICATION OF THE MACHINES. HIGH QUALITY CARE FOR AN UNINSURED, UNDERINSURED AND VULNERABLE POPULATION ST. CATHERINE HOSPITAL IS A SAFETY-NET HOSPITAL THAT RELIES ON PUBLIC SUBSIDIES, SUCH AS MEDICARE AND MEDICAID DISPROPORTIONATE SHARE HOSPITAL (DSH) PAYMENTS FOR REVENUES TO HELP FINANCE THEIR IMPORTANT MISSION TO CARE FOR THE UNINSURED, UNDERINSURED, MEDICAID AND OTHER VULNERABLE PATIENTS. AS OF THE U.S. CENSUS BUREAU POPULATION ESTIMATES IN JULY 2024, THERE WERE 25,768 PEOPLE RESIDING IN EAST CHICAGO. THE MAJORITY OF THE POPULATION IS HISPANIC OR LATINO, 56.5%, AND AFRICAN AMERICAN, 37.4%. THE MEDIAN HOUSEHOLD INCOME ACROSS 9,987 HOUSEHOLDS IN 2023 DOLLARS WAS $41,071, PUTTING 27.0% OF THE POPULATION AT OR BELOW THE POVERTY LEVEL. THE HOSPITAL'S MISSION TO SERVE STRETCHES INTO SURROUNDING INDIANA LOCALES, SUCH AS GARY, HAMMOND, HIGHLAND AND WHITING, AND CITIES ALONG THE ILLINOIS BORDER. 2025 BY THE NUMBERS * 82% OF OUR PATIENT POPULATION WERE ON MEDICAID, MEDICARE OR WERE UNINSURED/UNDERINSURED * $12.8 MILLION WAS PROVIDED IN CHARITY CARE * $9.4 MILLION WAS WRITTEN OFF IN BAD DEBT * $24.6 MILLION WAS EXPENSED TO THE 340B PHARMACY PROGRAM ONE WAY ST. CATHERINE HOSPITAL RESPONDS TO THE NEEDS OF A VULNERABLE POPULATION IS THROUGH THE 340B PHARMACY PROGRAM. THIS PROGRAM HELPS PREVENT READMISSIONS THROUGH SAFE DISCHARGES WITH MEDICATION AND EDUCATION. COST-SAVINGS HELP FUND FREE HEALTH SCREENINGS AND EDUCATION ON CARDIOVASCULAR DISEASE AND DIABETES, ACCESS TO VACCINATIONS OR LOW-COST DIABETES STRIPS, FREE TRANSPORTATION SERVICE TO PATIENTS ON AN AS-NEEDED BASIS TO HELP MEET ANCILLARY TESTING APPOINTMENTS AND PRENATAL CARE CLASSES TO REDUCE INFANT MORTALITY. THE MEDS-TO-BEDS PROGRAM PROVIDES PATIENTS WITH NEEDED MEDICATION UPON DISCHARGE. AWARDS AND RECOGNITION SYNOPSIS - FISCAL YEAR 2024-25 * THE TIMES OF NORTHWEST INDIANA, FORBES NAMES POWERS HEALTH A TOP EMPLOYER FOR NEW GRADS, FORBES NAMED POWERS HEALTH ONE OF ITS TOP EMPLOYERS FOR NEW COLLEGE GRADUATES. * COMMISSION ON CANCER INCP SURVEY- ACCREDITED (WITH CORRECTIVE ACTION) THROUGH SEPTEMBER 2025. * CARDIAC REHAB RECEIVED RECERTIFICATION FROM THE AACVPR (AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION) THROUGH AUGUST 2027. * ST. CATHERINE HOSPITAL STROKE PROGRAM AWARDS INCLUDE: - AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES STROKE: GOLD PLUS ACHIEVEMENT - TARGET STROKE ELITE HONOR ROLL - TARGET STROKE TYPE 2 DIABETES HONOR ROLL * ACR (AMERICAN COLLEGE OF RADIOLOGY) ACR ACCREDITATION ON THE NEW MAMMOGRAPHY UNIT, AND BREAST MRI. REACCREDITATION IN STEREOTACTIC BREAST BIOPSY, BREAST ULTRASOUND, AND ULTRASOUND GUIDED BREAST BIOPSY. ALL OF THESE MODULES CUMULATIVELY MET THE CRITERIA FOR DISTINCTION AS AN ACR DESIGNATED BREAST IMAGING CENTER. * JOINT COMMISSION CHEST PAIN CERTIFICATION * LABOR AND DELIVERY AND NURSERY RECEIVED THEIR PERINATAL OF CARE RECERTIFICATION FOR LEVEL 1 FACILITY. * FALL 2024 LEAPFROG GROUP NATIONAL HOSPITAL SAFETY GRADE B * ST. CATHERINE HOSPITAL HAS BEEN NAMED TO THE U.S. NEWS &amp; WORLD REPORT'S LIST OF THE 2025 BEST HOSPITALS FOR MATERNITY CARE. THE PUBLICATION EVALUATED MORE THAN 800 HOSPITALS ACROSS THE COUNTRY, WITH 10 IN INDIANA RECEIVING A "HIGH PERFORMING" DESIGNATION. THIS DESIGNATION IS GIVEN TO HOSPITALS FOCUSING ON UNCOMPLICATED PREGNANCIES. HIGH PERFORMING HOSPITALS HAVE FEWER C-SECTIONS, FEWER SEVERE NEWBORN COMPLICATIONS AND HIGHER EXCLUSIVE BREAST-FEEDING RATES. * POWERS HEALTH HOSPITALS AGAIN EARN ACCOLADES FOR INFANT, MATERNAL CARE, COMMUNITY HOSPITAL, ST. CATHERINE HOSPITAL AND ST. MARY MEDICAL CENTER AGAIN HAVE BEEN RECOGNIZED FOR THEIR COMMITMENT TO INFANT AND MATERNAL HEALTH. ALL THREE EARNED ACCOLADES FROM THE INDIANA HOSPITAL ASSOCIATION (IHA), IN PARTNERSHIP WITH STATE HEALTH COMMISSIONER LINDSAY WEAVER, MD, FACEP, AT THE FIFTH ANNUAL INSPIRE HOSPITAL OF DISTINCTION RECOGNITION CEREMONY. RECOGNITION IS BASED ON IMPLEMENTATION OF BEST PRACTICES IN SIX KEY AREAS, INCLUDING SAFE SLEEP, BREASTFEEDING, PERINATAL SUBSTANCE USE, SOCIAL DRIVERS OF HEALTH, OBSTETRIC HEMORRHAGE AND MATERNAL HYPERTENSION. FAMILY BIRTHING SERVICES AT THE THREE POWERS HEALTH ACUTE CARE HOSPITALS RECEIVED THE HOSPITAL OF DISTINCTION AWARD, MEANING THEY MET FOUR OR FIVE OF THOSE CRITERIA. * SPRING 2025 LEAPFROG GROUP NATIONAL HOSPITAL SAFETY GRADE B * OUTPATIENT DIABETES CENTER RECEIVED RENEWAL FOR THEIR CERTIFICATION FROM THE AMERICAN DIABETES ASSOCIATION. COMMUNITY OUTREACH ST. CATHERINE HOSPITAL OFFERS FREE PROGRAMS, SPECIAL EVENTS, PREVENTATIVE SCREENINGS AND SUPPORT GROUPS TO HELP IMPROVE HEALTH, WELLNESS AND QUALITY OF LIFE IN NORTHWEST INDIANA. COMMUNITY PARTNERSHIPS INCLUDE: MENTAL HEALTH AMERICA, LAKE AREA UNITED WAY, MEALS ON WHEELS, MULTICULTURAL WELLNESS NETWORK, INC., (MWN); MINORITY ORGAN TISSUE TRANSPLANT EDUCATION PROGRAM (MOTTEP); LAINI FLUELLEN CHARITIES; HAMMOND HISPANIC COMMUNITY COMMITTEE; LAKESHORE CHAMBER OF COMMERCE; HEALTHY EAST CHICAGO; HEALTHLINC , NORTHSHORE AND 219 HEALTH NETWORK, INC., THREE UNIQUE FEDERALLY QUALIFIED HEALTH CENTERS WITH CLINICS SERVING HAMMOND, GARY, HIGHLAND AND EAST CHICAGO. FOR FISCAL YEAR 2024-2025, THE VALUE OF ST. CATHERINE HOSPITAL'S OUTREACH PROGRAMS TOTALED OVER $2.3M.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. CATHERINE HOSPITAL, INC. IS PART OF AN AFFILIATED SYSTEM. EACH HOSPITAL IN THE SYSTEM PROVIDES MEDICAL SERVICES TO THEIR COMMUNITIES AND ADJOINING COMMUNITIES. EACH ENTITY'S PURPOSE IS TO PROVIDE HEALTH CARE TO THOSE WHO NEED IT, INCLUDING THE UNINSURED OR UNDERINSURED.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <ExplanationTxt>IN</ExplanationTxt>
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        <PersonNm>Julie Latta</PersonNm>
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        <PersonNm>Gregg Ferlin</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nina Stur</PersonNm>
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        <PersonNm>Daniel t Saah</PersonNm>
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        <PersonNm>Asim Mohiuddin</PersonNm>
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        <PersonNm>Subhash Joshi</PersonNm>
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        <PersonNm>Steven j Lazaroff</PersonNm>
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        <PersonNm>Paul Hertz</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Health or social club dues or initiation fees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAYS HEALTH/SOCIAL CLUB DUES ON BEHALF OF CERTAIN OFFICERS, KEY EMPLOYEES AND THE FIVE HIGHEST PAID EMPLOYEES WHICH IS THEN TAXED AS A FRINGE BENEFIT TO THE INDIVIDUAL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 USED TO ESTABLISH COMPENSATION OF ORG. CEO/EXEC. DIR.</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. CATHERINE HOSPITAL, INC. FOLLOWS ITS PARENT, (POWERS HEALTH), COMPENSATION POLICIES. THE POWERS HEALTH BOARD HAS ADOPTED AN EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SURVEYS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 NON-FIXED PAYMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-FIXED PAYMENTS NOT DESCRIBED IN LINES 5 AND 6 DISCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES.</ExplanationTxt>
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        <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 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. DBA POWERS HEALTH IS THE SOLE MEMBER / SHAREHOLDER.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>POWERS HEALTH IS THE PARENT COMPANY OF ST. CATHERINE HOSPITAL, INC. AND HAS CONTROL TO ELECT MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>POWERS HEALTH IS THE PARENT COMPANY OF ST. CATHERINE HOSPITAL, INC. AND HAS RIGHTS TO APPROVE DECISIONS MADE BY ST. CATHERINE HOSPITAL, INC. SPECIFIC RIGHTS AND POWERS RESERVED TO THE CORPORATION. ALL ACTION BY THIS CORPORATION AS THE CONTROLLING ENTITY OF AN AFFILIATE SHALL BE BY THE BOARD OF DIRECTORS OF THIS CORPORATION, SUBJECT TO THE FOLLOWING MATTERS WHICH REQUIRE THE APPROVAL OF THE CORPORATION'S MEMBER: A. THE EXPANSION OR REDUCTION IN HEALTH CARE SERVICES AND/OR DEPARTMENTS, OTHER THAN AS PERMITTED IN GUIDELINES ISSUED BY THE MEMBER, AS AMENDED FROM TIME TO TIME, OR IN EXCESS OF THE AMOUNT PERMITTED BY SUCH GUIDELINES. B. THE ACQUISITION, SALE, TRANSFER, ASSIGNMENT, MORTGAGE OR ENCUMBRANCE OF ANY FIXED CAPITAL, BUILDINGS OR PARCELS OF REAL ESTATE WITH A VALUE EXCEEDING A SPECIFIC THRESHOLD. C. THE LEASE OF ANY FIXED CAPITAL, BUILDINGS OR PARCEL OF REAL ESTATE: (I) WITH A VALUE EXCEEDING A SPECIFIC THRESHOLD OR GREATER OVER THE LIFE OF THE LEASE, IF THE AFFILIATE IS LESSEE; (II) WITH A VALUE EXCEEDING A SPECIFIC THRESHOLD OR GREATER OVER THE LIFE OF THE LEASE, IF THE AFFILIATE IS LESSOR. D. ANY ACTION WHICH MIGHT BE CONSIDERED AS INCONSISTENT WITH THE OBJECTIVES AND PURPOSES AS SET FORTH IN ARTICLE I OF THESE BYLAWS. E. THE INCURRENCE OF ANY DEBT OR OBLIGATION WHICH WOULD BIND OR OBLIGATE THE AFFILIATE IN AN AGGREGATE AMOUNT EXCEEDING THE LESSER OF A SPECIFIC THRESHOLD OR TEN PERCENT (10%) OF THE BOOK VALUE OF THE AFFILIATE'S FIXED ASSETS. F. THE APPROVAL OF AMENDMENTS TO ANY INTERNAL AUDIT PROGRAM AND SELECTION OF THE CERTIFIED PUBLIC ACCOUNTING FIRM TO ACT AS THE AFFILIATE'S AUDITOR. G. THE SELECTION OF THE AFFILIATE'S INSURANCE BROKERS AND/OR INSURERS WITH RESPECT TO ITS PROPERTY AND CASUALTY COVERAGES. H. THE INVESTMENT OF THE AFFILIATE'S FUNDS, WHETHER CONSTITUTING SURPLUS OR OTHERWISE, IN ACCOUNTS, SECURITIES OR FINANCIAL INSTRUMENTS OR WITH INSTITUTIONS OR DEPOSITORIES OTHER THAN THOSE PERMITTED IN GUIDELINES ISSUED BY THE MEMBER, AS AMENDED FROM TIME TO TIME, OR IN EXCESS OF THE AMOUNT(S) PERMITTED BY SUCH GUIDELINES. I. THE ACQUISITION OR ESTABLISHMENT OF ANY ENTITY (INCLUDING JOINT VENTURES) OR THE OPERATION OF ANY BUSINESS OR FUNDRAISING ORGANIZATION, WHETHER FOR PROFIT OR NONPROFIT, CORPORATE, OR OTHERWISE WHICH THE AFFILIATE INTENDS TO MAINTAIN OWNERSHIP OR CONTROL OF ON AN ONGOING BASIS AND THE DISPOSITION OR DISSOLUTION THEREOF. J. THE APPROVAL OF THE AFFILIATE'S LEGAL COUNSEL. K. THE APPROVAL OF THE AFFILIATE'S ANNUAL OPERATING AND CAPITAL BUDGETS. L. THE ACCEPTANCE OF ANY DONATION, GIFT, DEVISE OR BEQUEST WHICH IMPOSES AN OBLIGATION UPON THE AFFILIATE, CORPORATION, THE SYSTEM OR THE MEMBER. M. THE APPROVAL OF THE AFFILIATE'S LONG-RANGE FINANCIAL AND STRATEGIC PLANS AND ANY AMENDMENTS THERETO. N. ALL MAJOR CORPORATE STRUCTURAL CHANGES, INCLUDING, BUT NOT LIMITED TO, MERGER, CONSOLIDATION OR DISSOLUTION OF THE AFFILIATE OR ANY OF ITS SUBSIDIARIES AND THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE AFFILIATES OR ANY OF ITS SUBSIDIARIES. O. THE APPROVAL OF OR AN AMENDMENT TO ANY MANAGEMENT CONTRACT WITH RESPECT TO THE OPERATIONS OF THE AFFILIATES OR ITS FACILITIES. P. THE APPROVAL OF THE AFFILIATE'S KEY MANAGEMENT STAFF.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS SUBMITTED TO THE TREASURER/SECRETARY AND SYSTEM CFO FOR REVIEW, ONCE THIS REVIEW IS COMPLETE THE RETURNS ARE THEN PRESENTED TO SENIOR LEADERSHIP FOR REVIEW. THE 990 IS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM BEFORE IT IS POSTED TO A SECURE WEBSITE TO ALLOW THE BOARD OF DIRECTORS TO REVIEW PRIOR TO FILING.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PART OF THE ORGANIZATION'S ANNUAL MONITORING &amp; ENFORCEMENT PROCEDURE RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VP OF CORPORATE COMPLIANCE AND THOSE OFFICERS, DIRECTORS, OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION. RESTRICTIONS ON MEMBERS WITH A CONFLICT - MEMBERS WITH A CONFLICT ARE REQUIRED TO RECUSE THEMSELVES FROM ANY DELIBERATION AND MUST ABSTAIN FROM THE VOTE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. CATHERINE HOSPITAL, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, ST. CATHERINE HOSPITAL, INC. THROUGH POWERS HEALTH MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST COMP</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN SALARIES AND MEDICAL DIRECTORSHIPS ARE PAID BY A RELATED ORGANIZATION, USUALLY THE PARENT (POWERS HEALTH), WHILE THE HOURS ARE APPLICABLE TO THE REPORTING ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other - Total Revenue: 252372, Related or Exempt Function Revenue: 252372, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMP RESTR-CAPITAL - 43642; INTEREST INCOME ON REST FUNDS - 16335; EQUITY TRANSFERS (TO) / FROM RELATED ORGANIZATIONS - -4580573; Total - -4520596;</ExplanationTxt>
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          <AddressLine1Txt>10010 DONALD S POWERS DR 201</AddressLine1Txt>
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          <StateAbbreviationCd>IN</StateAbbreviationCd>
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        <EIN>351939427</EIN>
        <PrimaryActivitiesTxt>PLAY&amp;ARTS</PrimaryActivitiesTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>St Mary Medical Center Inc</BusinessNameLine1Txt>
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        <OtherOrganizationName>
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</Return>