TY 2022 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) DAVID A BOCHNOWSKI TREASURER	1.0 ................. 1.0	X	X	0	24,300	0
(2) DAVID E WICKLAND PRESIDENT	1.0 ................. 11.0	X	X	0	82,917	0
(3) DONALD C TORRENGA VICE PRESIDENT	1.0 ................. 3.0	X	X	0	24,750	0
(4) ERIC COMPTON DDS SECRETARY	1.0 ................. 0.0	X	X	0	0	0
(5) LUIS MOLINA ADMINISTRATOR (TERM 7/8/2022)	40.0 ................. 5.0	X	X	0	654,878	41,492
(6) RANDY NEISWONGER ADMINISTRATOR (START 7/11/2022)	40.0 ................. 5.0	X	X	279,319	0	14,479
(7) AMY HAN PHD DIRECTOR	1.0 ................. 1.0	X		0	0	0
(8) BRUCE YALOWITZ MD DIRECTOR, MEDICAL STAFF PRESIDENT	1.0 ................. 0.0	X		0	6,370	0
(9) CONSTANTINE DOVELLOS DIRECTOR	1.0 ................. 0.0	X		0	0	0
(10) FRANKIE L FESKO DIRECTOR	1.0 ................. 13.0	X		0	101,917	0
(11) INGRID SCHWARZ WOLF DDS DIRECTOR	1.0 ................. 0.0	X		0	0	0
(12) M NABIL SHABEEB MD DIRECTOR	1.0 ................. 4.0	X		0	28,960	0
(13) MICHAEL J MELLON DIRECTOR	1.0 ................. 1.0	X		0	50,000	0
(14) MICHAEL PURCELL DIRECTOR	1.0 ................. 0.0	X		0	0	0
(15) NITIN SARDESAI MD DIRECTOR	1.0 ................. 0.0	X		0	0	0
(16) SANDI MERLO Director	1.0 ................. 0.0	X		0	0	0
(17) STEVE PESTIKAS DIRECTOR	1.0 ................. 0.0	X		0	0	0

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

Munster Medical Research Foundation Inc

Employer identification number

35-1107009

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1	0
2	Enter 85% of line 1	2	0
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3	0
4	Enter greater of line 2 or line 3	4	0
5	Income tax imposed in prior year	5	0
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6	0

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

Munster Medical Research Foundation Inc

Employer identification number

35-1107009

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization Munster Medical Research Foundation Inc

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization Munster Medical Research Foundation Inc		Employer identification number 35-1107009

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization Munster Medical Research Foundation Inc			Employer identification number 35-1107009
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Munster Medical Research Foundation Inc

Employer identification number

35-1107009

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	6,894,969		6,894,969
b	Buildings ....	420,985,997	285,610,383	135,375,614
c	Leasehold improvements	1,565,718	1,477,432	88,286
d	Equipment ....	166,174,086	128,592,805	37,581,281
e	Other .....	19,972,955	6,237,289	13,735,666
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				193,675,816

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	9,418,337
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule D (Form 990) 2021

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

Munster Medical Research Foundation Inc

Employer identification number

35-1107009

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	0	1,966	2,490,631	8,032	2,482,599	0.40 %
b	Medicaid (from Worksheet 3, column a) . . . . .	0	55,758	122,287,081	76,772,664	45,514,417	7.31 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0	0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	57,724	124,777,712	76,780,696	47,997,016	7.71 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	15	1,201	536,485	0	536,485	0.09 %
f	Health professions education (from Worksheet 5) . . .	60	3,696	308,554	0	308,554	0.05 %
g	Subsidized health services (from Worksheet 6) . . . .	6	983	6,464,635	4,892,217	1,572,418	0.25 %
h	Research (from Worksheet 7) .	0	0	532,935	77,890	455,045	0.07 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	7	0	8,666	0	8,666	0 %
j	Total. Other Benefits . .	88	5,880	7,851,275	4,970,107	2,881,168	0.46 %
k	Total. Add lines 7d and 7j .	88	63,604	132,628,987	81,750,803	50,878,184	8.17 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0	0	0 %
2	Economic development	0	0	0 %
3	Community support	189,045	189,045	0.03 %
4	Environmental improvements	0	0	0 %
5	Leadership development and training for community members	0	0	0 %
6	Coalition building	0	0	0 %
7	Community health improvement advocacy	0	0	0 %
8	Workforce development	0	0	0 %
9	Other	0	0	0 %
10	Total	189,045	189,045	0.03 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,134,553

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

31,346

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

240,021,407

Enter Medicare allowable costs of care relating to payments on line 5.....

314,808,266

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-74,786,859

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	MUNSTER MEDICAL RESEARCH FOUNDATION 901 MACARTHUR BOULEVARD MUNSTER,IN46321 https://www.comhs.org/about-us/community-hospital 22-005106-1	X	X	X

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MUNSTER MEDICAL RESEARCH FOUNDATION
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.comhs.org/about-us/community-partnerships

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.COMHS.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	MUNSTER MEDICAL RESEARCH FOUNDATION
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 300.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program

The FAP application form was widely available on a website (list url):

https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program

A plain language summary of the FAP was widely available on a website (list url):
https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	MUNSTER MEDICAL RESEARCH FOUNDATION
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	MUNSTER MEDICAL RESEARCH FOUNDATION
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	Top 10 Significant System Health Needs Identified: Access to care, Heart Disease & Stroke, Alcohol and Drug Use, Mental Health and Mental Disorders, Cancer, Older Adults, Maternal & Children's Health, Physical Activity, Diabetes, Weight Status (Underweight, Overweight, Obese) Results of Prioritization Activity and Approved Health Needs - Top 6 Needs Prioritized: 1. Maternal & Children's Health 2. Mental Health & Mental Disorders 3. Access to Healthcare 4. Diabetes 5. Heart Disease & Stroke 6. Cancer
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - MUNSTER MEDICAL RESEARCH FOUNDATION. THE CHNA COLLECTED INPUT FROM PEOPLE REPRESENTING THE BROAD INTERESTS OF THE OVERALL COMMUNITY INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN, PUBLIC HEALTH AND RESIDENTS OF THE COMMUNITIES THE HOSPITALS SERVE. THE HEALTHCARE SYSTEM PARTNERED WITH OTHER HOSPITAL SYSTEMS, FOUNDATIONS AND NONPROFITS TO CONDUCT A RESIDENT SURVEY. DATA FROM A VARIETY OF FEDERAL, STATE AND LOCAL ENTITIES WAS ALSO REVIEWED. FOCUS GROUPS WERE ORGANIZED THROUGHOUT LAKE AND PORTER COUNTY, INDIANA. THE GOAL OF THE FOCUS GROUPS WAS TO UNDERSTAND THE NEEDS, ASSETS, AND POTENTIAL RESOURCES IN VARIOUS COMMUNITIES AND TO STRATEGIZE HOW THE HOSPITALS CAN PARTNER WITH COMMUNITIES TO BUILD RESILIENCY. THESE FOCUS GROUPS FOCUSED ON GATHERING INFORMATION FROM COMMUNITY MEMBERS AND LOCAL PROFESSIONALS WHO HAVE DIRECT KNOWLEDGE AND EXPERIENCE RELATED TO THE HEALTH DISPARITIES IN THE REGION. DETAILS CAN BE FOUND IN THE APPENDIX OF THE CHNA (SECTION 10).
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - MUNSTER MEDICAL RESEARCH FOUNDATION. ST. CATHERINE HOSPITAL, INC. IN EAST CHICAGO, IN ST. MARY MEDICAL CENTER, INC. IN HOBART, IN COMMUNITY STROKE & REHABILITATION CENTER, INC IN CROWN POINT, IN
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - COMMUNITY HOSPITAL. 2022 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN OVERVIEW: THE 2022 IMPLEMENTATION STRATEGY ACTION PLAN BUILDS ON THE PROGRESS AND EVER-CHANGING HEALTHCARE NEEDS OF THE COMMUNITIES SERVED BY COMMUNITY HEALTHCARE SYSTEM. THE NEEDS WERE IDENTIFIED IN THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR COMMUNITY HOSPITAL, ST. CATHERINE HOSPITAL AND ST. MARY MEDICAL CENTER ON THESE PRIORITY HEALTH AREAS: * CANCER * DIABETES * HEART DISEASE AND STROKE * MATERNAL, INFANT AND CHILD HEALTH * ADULT MENTAL HEALTH * NUTRITION AND WEIGHT MANAGEMENT HEALTHIER LIFESTYLES WERE PROMOTED ACROSS ALL PRIORITY AREAS THROUGH FREE OR DISCOUNTED HEALTH SCREENINGS, HEALTH FAIRS, PHYSICIAN LECTURES, SPECIAL EVENTS AND SYMPOSIUMS. TOPICS INCLUDED CANCER, CARDIOLOGY, DIABETES, HEART DISEASE, NUTRITION, WEIGHT MANAGEMENT, ADULT MENTAL HEALTH, STROKE AND MATERNAL CHILD HEALTH. SCREENINGS HAVE INCLUDED LOW OR NO-COST MAMMOGRAMS, BALANCE AND BONE DENSITY TESTS, PVD SCREENINGS AND HEART ATTACK/STROKE RISK ASSESSMENTS. COMMUNITY HEALTHCARE SYSTEM HOSPITALS DID NOT HAVE A FORMAL PROCESS IN PLACE TO TRACK/EVALUATE OR GIVE FEEDBACK ON THE IMPACT OF THE 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT. HOWEVER, PARTICIPANTS OF CLASSES, EVENTS, PROGRAMS AND SCREENINGS WERE INVITED TO COMPLETE EVALUATIONS ON THE EFFECTIVENESS OF THEIR OUTREACH ACTIVITY. FROM THIS FEEDBACK, AND HEALTH DATA REPOSITORIES, PROGRAM EVALUATION AND DEVELOPMENT CONTINUED ON AN ANNUAL BASIS. IN AN EFFORT TO REACH RESIDENTS ISOLATING IN RESPONSE TO COVID-19, THE HEALTHCARE SYSTEM MOBILIZED TO DEVELOP IN-PERSON AND ONLINE OUTREACH PROGRAMMING. ADDRESSING COMMUNITY NEEDS COMMUNITY HEALTHCARE SYSTEM OFFERS A DIVERSE RANGE OF PROGRAMS AND SERVICES TO MAKE IMPROVEMENTS IN THE HEALTH OF RESIDENTS IN OUR COMMUNITIES. AN IMPORTANT ENTITY IS THE MEDICALLY BASED FITNESS CENTER, FITNESS POINTE, AND THE WORKPLACE WELLNESS PROGRAM, NEW HEALTHY ME, WHICH SERVES EMPLOYEES IN THE HOSPITAL SYSTEM AND WORK SETTINGS IN OUR COMMUNITIES. OUR OCCUPATIONAL HEALTH PROGRAM OFFERS WORK-RELATED SCREENINGS, WELLNESS SERVICES AND EDUCATIONAL PROGRAMS TO BUSINESSES, CORPORATIONS, MUNICIPALITIES AND SCHOOL DISTRICTS IN LAKE AND PORTER COUNTIES TO OPTIMIZE HEALTH IN THE WORKPLACE. ADDITIONALLY, OUR OUTPATIENT CARE CENTERS FOR GENERAL MEDICINE OR SPECIALTY SERVICES ARE STRATEGICALLY POSITIONED IN POPULATION GROWTH AREAS. CANCER COMMUNITY HOSPITAL, ALONG WITH ST. CATHERINE HOSPITAL AND ST. MARY MEDICAL CENTER, ARE DESIGNATED BY AMERICAN COLLEGE OF RADIOLOGY AS BREAST IMAGING CENTERS OF EXCELLENCE. THESE HOSPITALS, AND COMMUNITY STROKE AND REHABILITATION CENTER, ARE ALSO DESIGNATED AS CARE CONTINUUM CENTERS OF EXCELLENCE FOR LUNG CANCER BY THE GO2 FOUNDATION FOR DELIVERING BEST PRACTICE AND PATIENT-CENTERED MULTIDISCIPLINARY CARE. TOGETHER, THE HOSPITALS OFFER AN ARRAY OF SERVICES, WELLNESS AND OUTREACH PROGRAMS FOR CANCER PATIENTS AND THOSE WHO ARE AT RISK FOR CANCER, SUCH AS: LOW OR NO-COST SCREENINGS; EARLY NODULE, GENETIC AND GEONOMICS TESTING; AND INFUSION CENTERS. THE CANCER RESOURCE CENTRE OFFERS AN ARRAY OF MIND-BODY-SPIRIT CLASSES, INFORMATIVE PROGRAMS, SPECIAL EVENTS, AND ACCESS TO MORE THAN 100 CLINICAL CANCER RESEARCH TRIALS TO PATIENTS LIVING IN NORTHWEST INDIANA AND NEARBY LOCALES IN ILLINOIS. IN 2021, A BREAST AND LUNG CANCER NURSE NAVIGATOR PROGRAM BEGAN TAKING SHAPE TO COORDINATE CARE FOR PATIENTS ACROSS DISCIPLINES AND BEYOND HOSPITAL WALLS, ENSURING ACCESS TO NEEDED PSYCHO-SOCIAL SERVICES AND MEDICAL CARE FROM THE POINT OF DIAGNOSIS AND TREATMENT TO SURVIVORSHIP. RECOGNIZING THAT TRANSPORTATION CAN BE A BARRIER TO CARE, NEW CANCER CARE/PROVIDER SUPPORT LOCATIONS WERE ADDED AT TWO HOSPITALS (ST. CATHERINE/CSRC) AND THE VALPARAISO HEALTH CENTER OF ST. MARY MEDICAL CENTER. AMERICAN CANCER SOCIETY FUNDING WAS SOUGHT FOR DEVELOP TRANSPORTATION SERVICES FOR APPOINTMENTS. DIABETES, HEART DISEASE AND STROKE COMMUNITY HEALTHCARE SYSTEM ADOPTED A MULTIDISCIPLINARY APPROACH TO PROVIDE THE HIGHEST-POSSIBLE STANDARD OF CARE, REHABILITATION AND OUTREACH TO PATIENTS WITH DIABETES, HEART DISEASE AND STROKE. DIABETES THE CENTERS FOR DIABETES AT OUR HOSPITALS FOLLOW SET PROCEDURES, BLOOD-GLUCOSE MONITORING PROTOCOLS AND TREATMENT PLANS TO HELP DETECT DIABETES IN ITS EARLY STAGES, AND HELP PATIENTS ALREADY STRUGGLING WITH THE DISEASE REGAIN THEIR BALANCE AS QUICKLY AS THEY CAN FOR A HEALTHIER LIFE. ST. CATHERINE HOSPITAL, SERVING AN AREA WITH SOME OF THE HIGHEST DIABETES RATES IN THE STATE, HAS CONSISTENTLY EARNED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR ADVANCED INPATIENT DIABETES CARE. HEART DISEASE THE HOSPITALS OF COMMUNITY HEALTHCARE SYSTEM OPERATE ONE OF THE LARGEST, MOST ADVANCED CARDIOVASCULAR PROGRAMS IN NORTHWEST INDIANA THROUGH OUR ADVANCED HEART & VASCULAR INSTITUTE, CARDIAC ICU AND CHEST PAIN CENTERS. OUR TEAMS PROVIDE A HIGH LEVEL OF EXPERTISE IN PERFORMING DIAGNOSTIC TESTING, CARDIAC AND PERIPHERAL INTERVENTIONS, OPEN HEART AND MINIMALLY INVASIVE SURGERIES, INCLUDING TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) AND AORTIC ANEURYSM REPAIR (TEVAR), HEART VALVE CARE THROUGH ELECTROPHYSIOLOGY AND CARDIAC CATHETERIZATION, CARDIAC REHABILITATION, HEART FAILURE MANAGEMENT AND DISEASE PREVENTION. THE CARDIOVASCULAR SERVICES PROGRAM IS DISTINGUISHED FOR ITS OUTSTANDING TREATMENT OF HEART ATTACK PATIENTS, AND MEETING GOALS TO TREAT COMPLEX CORONARY ARTERY DISEASE WITH HIGH COMPLIANCE TO CORE STANDARD LEVELS OF CARE. STROKE COMMUNITY HOSPITAL, AN ACCREDITED NEUROINTERVENTIONAL & CERTIFIED COMPREHENSIVE STROKE CENTER, WORKS CLOSELY WITH THE PRIMARY STROKE CENTERS AT ST. CATHERINE HOSPITAL AND ST. MARY MEDICAL CENTER ON BEST PRACTICES REGARDING STROKE PREVENTION, TREATMENT AND REHABILITATION. ALL THREE HOSPITALS HOLD THE GOLD PLUS RATING FROM THE AMERICAN HEART/STROKE ASSOCIATION. ACUTE REHABILITATION UNITS AT ALL HOSPITALS, INCLUDING COMMUNITY STROKE & REHABILITATION CENTER, PROVIDE A FULL SPECTRUM OF CARE TO ACHIEVE THE BEST RECOVERY POSSIBLE IN THE SHORTEST AMOUNT OF TIME. THE ACUTE REHABILITATION UNITS HAVE SOME OF THE BEST RETURN-TO-HOME PERFORMANCE EVALUATION MEASURES IN THE COUNTRY. OUTREACH FOUNDED ON A BELIEF THAT DIABETES, HEART DISEASE AND STROKE IS PREVENTABLE, COMMUNITY HEALTHCARE SYSTEM STRIVES OFFERS FREE OR DISCOUNTED SCREENINGS, PRESENTATIONS ON INNOVATIVE TECHNOLOGY SUCH AS THE WATCHMAN, CARDIOMEMS, AND TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR), AND STROKE & DIABETES PREVENTION AWARENESS SYMPOSIUMS. ADDITIONALLY, DIABETES AND STROKE SUPPORT GROUPS AND CLASSES ARE OFFERED IN OUR FACILITIES AND COMMUNITIES. OUR HEALTHCARE TEAMS WORK WITH INDIVIDUALS AND FAMILIES TO PROMOTE LIFESTYLE CHOICES THAT LOWER THE RISK OF DEVELOPMENT DIABETES, HEART, NEUROLOGICAL AND VASCULAR DISEASE. MATERNAL, INFANT & CHILD HEALTH FAMILY BIRTHING CENTERS AT ALL THREE HOSPITALS ARE BLUE DISTINCTION CENTERS + FOR MATERNITY CARE BY ANTHEM BLUE CROSS AND BLUE SHIELD OF INDIANA, MEANING THE FACILITIES CONSISTENTLY DELIVER QUALITY CARE THAT RESULT IN BETTER OVERALL OUTCOMES FOR MATERNITY PATIENTS. ST. MARY MEDICAL CENTER, A BABY-FRIENDLY HOSPITAL BY BABY FRIENDLY USA, RECENTLY WAS RECOGNIZED BY U.S. NEWS & WORLD REPORT AS HIGH-PERFORMING IN MATERNITY CARE AND CHILDBIRTH SERVICES. TOGETHER, SIGNIFICANT ADVANCEMENTS HAVE BEEN MADE AS PART BY THE FAMILY BIRTHING CENTERS, AS PART OF THEIR 2019-2021 ACTION PLAN TO PROVIDE A HIGHER LEVEL OF CARE FOR MOTHERS AND BABIES ACROSS NORTHWEST INDIANA. EXPECTANT MOTHERS FACING HIGH-RISK OR COMPLICATED PREGNANCIES ARE ABLE TO ACCESS SPECIALIZE CARE AT COMMUNITY HOSPITAL'S CERTIFIED PERINATAL CENTER. IN 2020-21, COMMUNITY HOSPITAL'S NEONATAL INTENSIVE CARE UNIT (NICU) WAS EXPANDED TO INCLUDE AN OB EMERGENCY DEPARTMENT, PROVIDING CRITICAL CARE AND TRANSPORT SERVICES TO MOTHERS AND BABIES AT RISK ACROSS OUR SERVICE AREAS. EDUCATING THE COMMUNITY ABOUT RISK FACTORS FOR SUDDEN UNIDENTIFIED INFANT DEATHS (SUIDS) AND WELLBABY CARE ALSO HAS REMAINED A PRIORITY OF OUR BIRTHING CENTERS. NEW FAMILIES RECEIVE FREE SLEEPSACKS AND A FREE CAR SEAT TO TAKE HOME. CERTIFIED LACTATION CONSULTANTS ENCOURAGE MOMS DURING AND AFTER THEIR HOSPITAL STAY TO BREAST FEED THEIR BABIES. PEER-COUNSELORS INTERACT WITH MOTHERS OF NEWBORNS IN THE NICU UNIT WHO ARE OFTEN PUMP DEPENDENT. BIRTHING, LACTATION AND GRANDPARENT CLASSES ARE OFFERED ACROSS THE HOSPITAL SYSTEM. IN 2021-22, THE INDIANA DEPARTMENT OF HEALTH PRESENTED COMMUNITY HEALTHCARE SYSTEM WITH THE INSPIRE AWARD FOR EFFORTS TO REDUCE INFANT MORTALITY AND PROVIDE INTERVENTIONAL SUPPORT TO MOTHERS. IN 2019, ST. CATHERINE HOSPITAL WAS RECOGNIZED FOR INFANT-LIFE ADVOCACY THROUGH ITS INSTALLATION OF A SAFE HAVEN BABY BOX OUTSIDE THE FAMILY BIRTHING CENTER.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - COMMUNITY HOSPITAL. ADULT MENTAL HEALTH BEHAVIORAL HEALTH SERVICES (BHS), OPERATES TWO ADULT INPATIENT UNITS AT ST. CATHERINE HOSPITAL AND PROVIDES OUTPATIENT CARE THROUGH A NETWORK OF COMMUNITY-BASED PROVIDERS. CONSTRUCTION OF A THIRD INPATIENT UNIT, BEGUN IN 2020, WILL CONCLUDE IN 2022. BHS ALSO CONDUCTS MENTAL HEALTH ASSESSMENTS FOR THE GENERAL HOSPITAL POPULATION. AN INTENSIVE OUTPATIENT PROGRAM, PAUSED DUE TO THE PANDEMIC, IS EXPECTED TO RESUME IN 2022. RECOGNIZING THE IMPACT COVID-19 HAS HAD ON MENTAL HEALTH, A COMMUNITY RESOURCE GUIDEBOOK FOR PSYCHO-SOCIAL NEEDS WAS DEVELOPED FOR THE PATIENTS, SOCIAL WORKERS AND MEDICAL PROVIDERS. AN ACTIVITY BOOK WITH MENTAL HEALTH TIPS WAS ALSO DESIGNED TO HAND TO PATIENTS AT ALL HOSPITALS, IF THE NURSING TEAM NOTICED SIGNS ANXIETY OR DEPRESSION. BEHAVIORAL HEALTH PROFESSIONALS CONDUCTED A HEALTHY MIND/HEALTHY BODY SYMPOSIUM BEFORE THE PANDEMIC AND HOSTED A PRE-RECORDED SUICIDE PREVENTION VIGIL DURING THE PANDEMIC. IN AN EFFORT TO CONNECT WITH PATIENTS DURING COVID-19, BHS STAFF LAUNCHED TELEHEALTH SERVICES AND OFFERED TRAINING SESSIONS WITH FIRST-RESPONDERS ON MENTAL HEALTH DE-ESCALATION TECHNIQUES. NUTRITION AND WEIGHT MANAGEMENT NUTRITION AND WEIGHT MANAGEMENT DID NOT SURFACE AS A PRIORITY ISSUE FOR THE 2022-2025 CHNA. HOWEVER, COMMUNITY HEALTHCARE SYSTEM RECOGNIZES THAT NUTRITION AND WEIGHT MANAGEMENT ARE CONTRIBUTING FACTORS IN WELLNESS, MENTAL HEALTH AND CHRONIC DISEASE. FOR THOSE REASONS, NUTRITION AND WEIGHT MANAGEMENT WILL BE ADDRESSED AS WE FOCUS ON OUR PRIORITY HEALTH ISSUES IN THE 2022-2025 ACTION PLAN. COMMUNITY HEALTH NEEDS: AREAS NOT ADDRESSED THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY THE HOSPITALS OF THE COMMUNITY HEALTHCARE SYSTEM IDENTIFIED AREAS OF CONCERN NOT IDENTIFIED IN THE HOSPITAL'S IMPLEMENTATION PLAN. THESE AREAS INCLUDE: COMMUNITY HOSPITAL SERVICE AREAS: - ALCOHOL AND DRUG USE - OLDER ADULTS - PHYSICAL ACTIVITY - ACCESS TO CARE MANY OF THESE AREAS ARE BEING ADDRESSED BY THE HOSPITALS OF THE COMMUNITY HEALTHCARE SYSTEM AS WELL AS BY OTHER COMMUNITY ORGANIZATIONS. FOR EXAMPLE, ONE OF THE FOUR HOSPITALS IN THE COMMUNITY HEALTHCARE SYSTEM SPECIFICALLY ADDRESEES PHYSICAL ACTIVITY WHILE ALL ARE ADDRESSING ACCESS TO CARE. AS THE HOSPITAL FOCUSES ON LIFESTYLE, EDUCATION, PREVENTION AND ACCESS TO CARE ISSUES SURROUNDING ITS FOCUSED AREAS, POSITIVE OUTCOMES WILL LIKELY HAVE POSITIVE EFFECTS ON THE HEALTH NEEDS NOT ADDRESSED. TO HAVE THE GREATEST IMPACT, HOWEVER, THE HOSPITAL HAS CHOSEN TO FOCUS ON THE MOST SERIOUS DISEASES AND THE RELATED LIFESTYLE ISSUES FACING OUR COMMUNITY AS WELL AS INVESTING IN THE HEALTH OF NEWBORNS - THE MOST VULNERABLE RESIDENTS.

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?17
Name and address		Type of Facility (describe)
1	COMMUNITY SURGERY CENTER 801 MACARTHUR BOULEVARD MUNSTER,IN46321	OUTPATIENT SURGERY
2	ST JOHN OUTPATIENT CENTER 9660 WICKER AVENUE ST JOHN,IN46373	OUTPATIENT CENTER
3	COMMUNITY DIAGNOSTIC CENTER 10020 DONALD S POWERS DRIVE MUNSTER,IN46321	DIAGNOSTIC CENTER
4	COMMUNITY MOB CAMPUS GI STE 300 801 MACARTHUR BOULEVARD STE 300 MUNSTER,IN46321	OUTPATIENT CENTER
5	SCHERERVILLE OUTPATIENT CENTER 7651 HARVEST DRIVE SCHERERVILLE,IN46375	OUTPATIENT CENTER
6	CSC ENDOSCOPY OUTPATIENT UNIT 801 MacArthur Blvd Munster,IN46321	OUTPATIENT CENTER
7	FITNESS POINTE 9550 COLUMBIA AVENUE MUNSTER,IN46321	REHABILITATION
8	COMMUNITY WOUND CLINIC 801 MACARTHUR BOULEVARD STE 401 SCHERERVILLE,IN46375	OUTPATIENT CENTER
9	COMMUNITY HOME HEALTH SERVICES 901 RIDGE ROAD MUNSTER,IN46321	HOME HEALTH
10	COMMUNITY SLEEP DIAGNOSTICS 10110 DONALD S POWERS DRIVE 201B MUNSTER,IN46321	OUTPATIENT CENTER
11	MEDICATION MANAGEMENT CLINIC 9054 COLUMBIA AVENUE STE A MUNSTER,IN46321	OUTPATIENT CENTER
12	OUTPATIENT ELECTROPHYSIOLOGY CLINIC 801 MACARTHUR BOULEVARD SUITE 303 MUNSTER,IN46321	OUTPATIENT CENTER
13	LAKE BUSINESS CENTER 9200 CALUMET AVENUE MUNSTER,IN46321	OUTPATIENT CENTER
14	COMMUNITY AUDIOLOGY OFFICE 9046 A COLUMBIA AVE MUNSTER,IN46321	OUTPATIENT CENTER
15	COMMUNITY THERAPY SERVICES 10020 DONALD S POWERS DRIVE MUNSTER,IN46321	REHABILITATION
16	COMMUNITY NEURODIAGNOSTICS 801 MACARTHUR BOULEVARD STE 403 MUNSTER,IN46321	OUTPATIENT CENTER
17	STRUCTURAL HEART AND VALVE CENTER 9034 COLUMBIA AVENUE MUNSTER,IN46321	OUTPATIENT CENTER

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Schedule H, Part I, Line 6a WAS A COMMUNITY BENEFIT REPORT PREPARED	THE STATE OF INDIANA ACCEPTS FORM 990 SCHEDULE H IN LIEU OF A COMMUNITY BENEFIT REPORT. COMMUNITY HOSPITAL MAKES ITS 990 AVAILABLE TO THE PUBLIC.
Schedule H, Part I, Line 3c FACTORS OTHER THAN FPG USED TO DETERMINE FAP ELIGIBILITY	IN ADDITION TO FPG, THE CRITERIA OF ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS AND UNDERINSURANCE STATUS WERE USED IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH	COMMUNITY HOSPITAL IS COMMITTED TO PROVIDING EXPERT MEDICAL CARE TO NORTHWEST INDIANA RESIDENTS BY INVESTING IN ADVANCED TECHNOLOGIES, INNOVATIVE TREATMENTS AND SPECIALTY TRAINED STAFF. THE HOSPITAL UTILIZES MULTIDISCIPLINARY TEAMS OF HEALTH PROFESSIONALS AND SHARED GOVERNANCE AMONG THE NURSING STAFF FOR INCREASED COLLABORATION AND ACCOUNTABILITY IN PATIENT CARE. THESE EFFORTS HAVE LED TO THE ACHIEVEMENT OF NUMEROUS QUALITY AWARDS AND ACCREDITATIONS, RECOGNIZING COMMUNITY HOSPITAL'S CONSISTENT EXCELLENCE IN PATIENT OUTCOMES AND EXPERIENCES. LETTER FROM THE CEO WE ARE COMMITTED TO MEETING THE NEEDS OF OUR COMMUNITY AND PROVIDING HIGH QUALITY, COMPASSIONATE CARE WITH THE FINEST TECHNOLOGY AND SERVICES AVAILABLE TODAY. AT COMMUNITY HOSPITAL, WE ARE LEADING THE WAY IN TREATING COMPLEX STROKE WITH OUR ELITE DESIGNATION AS A COMPREHENSIVE STROKE CENTER SERVING ALL OF NORTHERN INDIANA. WITH OUR ONGOING COMMITMENT TO QUALITY AND EXPERTISE, WE HAVE MADE INVESTMENTS IN NEW TECHNOLOGIES USED FOR THE DETECTION AND TREATMENT OF STROKE, HEART DISEASE, CANCER AND OTHER CONDITIONS. THESE INCLUDE, AN ADVANCED HYBRID SURGICAL SUITE TO PERFORM MINIMALLY INVASIVE VALVE REPLACEMENT SURGERIES INCLUDING TAVR. OUR DA VINCI ROBOTIC SURGICAL SYSTEMS ARE USED BY PHYSICIANS TO PERFORM SURGERY, INCLUDING THORACIC SURGERIES, THROUGH TINY INCISIONS, RESULTING IN FEWER COMPLICATIONS, LESS BLOOD LOSS AND A QUICKER RECOVERY. THE TRUEBEAM RADIATION THERAPY SYSTEM GIVES PATIENTS A BROADER RANGE OF TREATMENT OPTIONS AND THE BEST CHANCE FOR TUMOR CONTROL AND REMOVAL WITH THE LEAST DAMAGE TO NEARBY HEALTHY TISSUE. OUR 3T MRI OFFERS BETTER CLARITY AND PRECISION IMAGING FOR COMPLEX BRAIN AND SPINE CONDITIONS. OUR WOMEN'S DIAGNOSTIC CENTERS OFFER 3D MAMMOGRAPHY TO DIAGNOSE CANCER AT EARLY STAGES AND DELIVERS RESULTS TO OUR PATIENTS THE SAME DAY TO EASE THEIR MIND. OUR BREAST CARE PROGRAM IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), AND OFFERS THE FULL SPECTRUM OF PREVENTION, DIAGNOSIS, TREATMENT, RESEARCH, SUPPORT AND COMPLEMENTARY THERAPY OPTIONS. WE ALSO OFFER A HIGH RISK BREAST CLINIC THAT PROVIDES INDIVIDUALIZED RECOMMENDATIONS FOR PREVENTION AND SURVEILLANCE FOR WOMEN AT INCREASED RISK FOR BREAST CANCER. WE ARE ALWAYS CHALLENGING OURSELVES ON WAYS TO MAKE THE HEALTHCARE EXPERIENCE BETTER FOR OUR PATIENTS, PHYSICIANS AND STAFF. COMMUNITY HEALTHCARE SYSTEM HOSPITALS AND OUTPATIENT CENTERS UTILIZE EPIC, A COMPUTERIZED HEALTH INFORMATION SYSTEM THAT AUTOMATES ALL ASPECTS OF THE HEALTHCARE PROCESS FROM REGISTRATION TO CLINICAL DOCUMENTATION TO MEASURING OUTCOMES. THE EPIC SYSTEM HELPS OUR STAFF DELIVER MORE EFFICIENT AND SAFER CARE TO OUR PATIENTS. HOSPITAL HISTORY COMMUNITY HOSPITAL IN MUNSTER, INDIANA, IS A NOT-FOR-PROFIT, NON-SECTARIAN, ACUTE CARE FACILITY RECOGNIZED FOR MEETING THIS NATION'S HIGHEST HEALTH CARE STANDARDS. THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS HAS AWARDED COMMUNITY HOSPITAL ACCREDITATION WITH COMMENDATION, ITS HIGHEST HONOR, RECOGNIZING THE HOSPITAL'S EXEMPLARY PERFORMANCE. COMMUNITY HOSPITAL HAS MORE ADMISSIONS THAN ANY SINGLE HOSPITAL IN LAKE COUNTY, INDIANA. COMMUNITY HOSPITAL HAS BEEN AWARDED NUMEROUS NATIONAL ACCREDITATIONS AND RECOGNITIONS FOR THE QUALITY OF CARE TO THE COMMUNITY. THIS UNMATCHED RECORD OF QUALITY HEALTH CARE IS BACKED BY SOME OF THE AREA'S MOST RESPECTED MEDICAL PROFESSIONALS AND SOME OF THE MOST ADVANCED MEDICAL TECHNOLOGY AVAILABLE. THE 454-BED HOSPITAL HAS A MEDICAL STAFF OF MORE THAN 600 PHYSICIANS. COMMUNITY HOSPITAL OPERATES AMONG ITS SERVICES A 24-HOUR EMERGENCY DEPARTMENT, INTENSIVE CARE, INTERMEDIATE CARE, ADVANCED CARDIOVASCULAR SERVICES, NEUROSURGERY INCLUDING DEEP BRAIN STIMULATION, PEDIATRICS, OBSTETRICS AND NEONATAL UNITS, COMMUNITY ONCOLOGY CENTER, WOMEN'S DIAGNOSTIC CENTER, REHABILITATION CENTER, ORTHOPEDICS UNIT AND SAME DAY OUTPATIENT SURGERY. IN NOVEMBER 1998, THE HOSPITAL OPENED FITNESS POINTE, A HEALTH CLUB FACILITY THAT ENCOMPASSES GENERAL FITNESS, HEALTH AND WELLNESS EDUCATION AND SUPPORT, PHYSICAL THERAPY AND SPORTS MEDICINE. THIS UNIQUE, MEDICALLY-BASED FITNESS FACILITY FURTHERS THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. THE FIRST PATIENT WAS ADMITTED TO COMMUNITY HOSPITAL ON SEPT. 11, 1973, AT WHICH TIME IT WAS A 104-BED MEDICAL SURGICAL FACILITY. TODAY, THE NOT-FOR-PROFIT HOSPITAL IS THE AREA'S BUSIEST, OPERATING THE LARGEST HEART AND CANCER PROGRAMS AS WELL AS DELIVERING THE MOST BABIES IN THE AREA EACH YEAR. COMMUNITY HOSPITAL CONTINUES TO INVEST RESOURCES TO ASSEMBLE AN IMPRESSIVE NETWORK OF HEALTH CARE SERVICES THAT SPAN THE ILLNESS-TO-WELLNESS SPECTRUM. MISSION, VISION AND VALUES MISSION: COMMUNITY HEALTHCARE SYSTEM IS COMMITTED TO PROVIDE THE HIGHEST QUALITY CARE IN THE MOST COST-EFFICIENT MANNER, RESPECTING THE DIGNITY OF THE INDIVIDUAL, PROVIDING FOR THE WELL-BEING OF THE COMMUNITY AND SERVING THE NEEDS OF ALL PEOPLE, INCLUDING THE POOR AND DISADVANTAGED. VISION: COMMUNITY HEALTHCARE SYSTEM IS ONE MEDICAL PROVIDER ORGANIZED ACROSS THREE HOSPITAL CAMPUSES. IT LINKS THREE INDIANA HOSPITALS - COMMUNITY HOSPITAL IN MUNSTER; ST. CATHERINE HOSPITAL IN EAST CHICAGO; AND ST. MARY MEDICAL CENTER IN HOBART - AND MANY OUTPATIENT CLINICS AND PHYSICIAN OFFICES. THE SYSTEM IS DEDICATED TO MAINTAIN THE CATHOLIC TRADITION OF ST. CATHERINE HOSPITAL AND ST. MARY MEDICAL CENTER AS WELL AS THE NON-SECTARIAN FOUNDATION OF COMMUNITY HOSPITAL. COMMUNITY HEALTHCARE SYSTEM WILL BECOME THE PROMINENT, INTEGRATED HEALTHCARE SYSTEM IN NORTHWEST INDIANA. THROUGH INTEGRATION, THE SYSTEM WILL CAPITALIZE ON OPPORTUNITIES TO INCREASE OVERALL GROWTH, IMPROVE OPERATING EFFICIENCY, AND REALIZE CAPITAL TO BETTER SERVE OUR PATIENTS, PHYSICIANS, AND EMPLOYEES. VALUES: DIGNITY - WE VALUE THE DIGNITY OF HUMAN LIFE, WHICH IS SACRED AND DESERVING OF RESPECT AND FAIRNESS THROUGHOUT ITS STAGES OF EXISTENCE. COMMUNITY - WE VALUE MEETING THE VITAL RESPONSIBILITIES IN THE COMMUNITY WE SERVE, AND TAKE A LEADERSHIP ROLE IN ENHANCING THE QUALITY OF LIFE AND HEALTH, STRIVING TO REDUCE THE INCIDENCE OF ILLNESS THROUGH CLINICAL SERVICES, EDUCATION AND PREVENTION. QUALITY - WE VALUE QUALITY AND STRIVE FOR EXCELLENCE IN ALL WE DO, WORKING TOGETHER COLLABORATIVELY AS THE POWER OF OUR COMBINED EFFORTS EXCEEDS WHAT EACH OF US CAN ACCOMPLISH ALONE. STEWARDSHIP - WE VALUE TRUSTWORTHY STEWARDSHIP AND ADHERENCE TO THE HIGHEST ETHICAL STANDARDS THAT JUSTIFY PUBLIC TRUST AND PROTECT WHAT IS OF VALUE TO THE SYSTEM - ITS HUMAN RESOURCES, MATERIAL AND FINANCIAL ASSETS. THE DESIGNATED POPULATION THAT COMMUNITY HOSPITAL IS FOCUSING ON INCLUDES THOSE INDIVIDUALS WHOSE LIFE-STYLE BEHAVIORS PUT THEM AT RISK FOR DISEASE AND ILLNESS. OUR PRIMARY FOCUS THIS YEAR IS ON DISEASES THAT HAVE BEEN IDENTIFIED AS HEALTH DISCREPANCIES IN LAKE COUNTY, INDIANA - DIABETES, HEART DISEASE & STROKE, AND MATERNAL INFANT & CHILD HEALTH. THE INCIDENCE OF THESE DISEASES IN OUR REGION SURPASSED STATE AND NATIONAL AVERAGES, AND THEREFORE DEMANDED OUR PRIMARY FOCUS. ALL OF THESE AREAS HAVE A COMMON LINK TO MODIFIABLE LIFESTYLE RISK FACTORS, EDUCATION, PREVENTION AND ACCESS TO MEDICAL SERVICES. COMMUNITY HOSPITAL HAS INVESTED GREATLY IN RECENT YEARS IN TREATMENT AND EDUCATION PROGRAMS AND IN OFFERING PATIENTS ACCESS TO TREATMENTS NOT AVAILABLE ELSEWHERE IN THE COUNTY. WE ARE EXPANDING BEST PRACTICE EFFORTS THROUGH THE PRIMARY CARE SETTING, IN PARTICULAR OUR EMPLOYED PHYSICIANS GROUP. THE FOCUS OF OUR COMMUNITY BENEFIT IS TO USE RESOURCES TO REACH BEYOND THE TREATMENT OF THESE DISEASES TO HELP EDUCATE, SUPPORT AND EMPOWER INDIVIDUALS TO LOWER THEIR RISKS.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH	COMMITMENT TO QUALITY AND CARE COMMUNITY HOSPITAL IS COMMITTED TO PROVIDING EXPERT MEDICAL CARE TO NORTHWEST INDIANA RESIDENTS BY INVESTING IN ADVANCED TECHNOLOGIES, INNOVATIVE TREATMENTS AND SPECIALTY TRAINED STAFF. COMMUNITY HOSPITAL HAD 3099 EMPLOYEES AT THE FISCAL YEAR END, JUNE 2023. THE HOSPITAL UTILIZES MULTIDISCIPLINARY TEAMS OF HEALTH PROFESSIONALS AND SHARED GOVERNANCE AMONG THE NURSING STAFF FOR INCREASED COLLABORATION AND ACCOUNTABILITY IN PATIENT CARE. THESE EFFORTS HAVE LED TO THE ACHIEVEMENT OF NUMEROUS QUALITY AWARDS AND ACCREDITATIONS, RECOGNIZING COMMUNITY HOSPITAL'S CONSISTENT EXCELLENCE IN PATIENT OUTCOMES AND EXPERIENCES. COMMUNITY HOSPITAL IS LEADING THE WAY IN TREATING COMPLEX STROKE WITH OUR ELITE DESIGNATION AS A COMPREHENSIVE STROKE CENTER SERVING ALL OF NORTHERN INDIANA. AN ONGOING COMMITMENT TO QUALITY AND EXPERTISE, THERE HAVE BEEN INVESTMENTS MADE IN TECHNOLOGIES USED FOR THE DETECTION AND TREATMENT OF STROKE, HEART DISEASE, CANCER AND OTHER CONDITIONS. THESE INCLUDE AN ADVANCED HYBRID SURGICAL SUITE TO PERFORM MINIMALLY INVASIVE VALVE REPLACEMENT SURGERIES INCLUDING TAVR. PHYSICIANS USE THE DA VINCI XI ROBOTIC SURGICAL SYSTEM TO PERFORM SURGERY, INCLUDING THORACIC SURGERIES, THROUGH TINY INCISIONS, RESULTING IN FEWER COMPLICATIONS AND QUICKER RECOVERIES. FOR CANCER PATIENTS, TRUEBEAM RADIATION THERAPY PROVIDES THE BEST CHANCE FOR TUMOR CONTROL AND REMOVAL WITH THE LEAST DAMAGE TO NEARBY HEALTHY TISSUE. WHILE 3T MRI OFFERS BETTER CLARITY AND PRECISION IMAGING FOR COMPLEX BRAIN AND SPINE CONDITIONS. COMMUNITY HOSPITAL ROUTINELY DELIVERS THE MOST BABIES IN THE REGION AND MAINTAINS A HIGH LEVEL OF EXPERTISE FOR THE YOUNGEST MEMBERS OUR POPULATION. COMMUNITY HOSPITAL OFFERS DEDICATED EMERGENCY CARE FOR EXPECTANT AND POSTPARTUM WOMEN. STAFFED 24/7 BY SPECIALTY NURSES AND BOARD-CERTIFIED OB/GYNS, THE OB ED PROVIDES RAPID EVALUATION AND SPECIALIZED CARE THAT ADDRESSES HEALTH ISSUES UNIQUE TO PREGNANCY AND THE POSTPARTUM PERIOD. THE LEVEL III NEONATAL INTENSIVE CARE UNIT AT COMMUNITY HOSPITAL HAS NORTHWEST INDIANA'S ONLY TEAM OF SKILLED NURSES, RESPIRATORY THERAPISTS AND BOARD-CERTIFIED NEONATOLOGISTS WHO ARE IN-HOUSE 24 HOURS A DAY, SEVEN DAYS A WEEK. THE FAMILY BIRTHING CENTER HAS BEEN AWARDED THE IBCLC CARE AWARD DEMONSTRATING STAFF DEDICATION IN SUPPORTING BREASTFEEDING AND THE INSPIRE AWARD FOR INFANT AND MATERNAL CARE BY THE INDIANA HOSPITAL ASSOCIATION: HOSPITAL OF DISTINCTION. AWARDS AND RECOGNITION SYNOPSIS * AMERICAN COLLEGE OF RADIOLOGY ACCREDITATION * AMERICAN COLLEGE OF RADIOLOGY - BREAST IMAGING CENTER OF EXCELLENCE, WOMEN'S DIAGNOSTIC CENTER * AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION - STROKE GOLD PLUS WITH TARGET STROKE HONOR ROLL ELITE, ADVANCED THERAPY AND TARGET: TYPE 2 DIABETES HONOR ROLL, 2021, 2022 * INDIANA STATE DEPARTMENT OF HEALTH- OBSTETRIC LEVEL OF CARE III AND NEONATAL LEVEL OF CARE III * INSPIRE AWARD FOR INFANT AND MATERNAL CARE, INDIANA HOSPITAL ASSOCIATION: HOSPITAL OF DISTINCTION AWARD - 2020-2023 * JOINT COMMISSION ACCREDITED STROKE CENTER * JOINT COMMISSION GOLD SEAL OF APPROVAL - CHEST PAIN CERTIFICATION - 2020, 2022 * JOINT COMMISSION GOLD SEAL OF APPROVAL - ADVANCED CERTIFICATION SPINE SURGERY * METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM- COMPREHENSIVE CENTER DECEMBER 2022 * NATIONAL ASSOCIATION OF EPILEPSY CENTERS LEVEL 3 EPILEPSY CENTER - 2022, 2023 * NRC HEALTH EXCELLENCE IN PATIENT EXPERIENCE AWARD COMMUNITY OUTREACH COMMUNITY HOSPITAL'S OUTREACH PROGRAMMING FOCUSES ON PROMOTING AWARENESS OF CARDIOVASCULAR DISEASE, REDUCING THE INCIDENCE OF HEART DISEASE AND IMPROVING QUALITY OF LIFE THROUGH AN INTEGRATED CARDIOVASCULAR HEALTH SERVICES DELIVERY SYSTEM. BY OFFERING SCREENINGS, THE EMPHASIS IS PLACED ON DIRECTING PARTICIPANTS TO THE PROPER WELLNESS PROGRAMS OFFERED THROUGH COMMUNITY HEALTHCARE SYSTEM. COMMUNITY HOSPITAL FITNESS POINTE CONTINUES TO SUPPORT THE WELLNESS PROGRAMS CREATED TO BETTER SERVE THE HEALTH NEEDS OF THE COMMUNITY AND STRESS THE IMPORTANCE OF RISK-FACTOR MODIFICATION FOR A HEALTHIER LIFE. TO BEST SERVE THE PATIENT POPULATION, THE CARDIOVASCULAR RESEARCH TEAM FOCUSES ON REDUCING MORBIDITY AND MORTALITY IN THE COMMUNITIES BY PARTICIPATING IN CLINICAL RESEARCH INITIATIVES DESIGNED TO PROMOTE EARLY DETECTION, DIAGNOSIS AND TREATMENT OF CARDIOVASCULAR AND PERIPHERAL VASCULAR DISEASE. THE HEART AND VASCULAR SYMPOSIUM DREW NEARLY 500 PEOPLE TO THE CENTER FOR VISUAL AND PERFORMING ARTS FOR A DAYLONG EVENT, FEATURING CARDIOLOGIST FROM ACROSS OUR HEALTHCARE SYSTEM, VENDORS AND SCREENINGS. DIABETES SCREENINGS WERE CONDUCTED FREE OF CHARGE AT HEALTH FAIRS TO ASSESS PARTICIPANT'S HEMOGLOBIN A1C. DIABETES IS ONE OF THE KEY HEALTH CONCERNS DISCUSSED IN THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THEREFORE IT IS IMPERATIVE TO IDENTIFY PEOPLE WHO MEET THE CRITERIA FOR PRE-DIABETES AND HELP ADJUST THEIR LIFESTYLES ACCORDINGLY. BASIC INFORMATION ABOUT PRE-DIABETES IS PROVIDED AND PARTICIPANTS WHO MET CERTAIN CRITERIA WERE RECOMMENDED FOR A MORE IN-DEPTH FOLLOW-UP WITH THEIR PHYSICIAN FOR EVALUATION AND TREATMENT. THE CANCER RESOURCE CENTRE HELPS PEOPLE AND THEIR CAREGIVERS AFFECTED BY CANCER TO OBTAIN SUPPORT AND RESOURCES NEEDED TO COPE WITH THE DIAGNOSIS. A COMFORTABLE SETTING AWAITS VISITORS WHO WISH TO REVIEW EDUCATIONAL MATERIALS, GATHER TO MEET IN A SOCIAL SETTING, ATTEND SPECIAL EVENTS OR CLASSES OR COME TOGETHER FOR A PROFESSIONALLY LED SUPPORT AND NETWORKING GROUP. BETWEEN THE MONTHS OF JULY 2022 AND JUNE 2023, THE COMMUNITY RESOURCE CENTRE HAD 3,190 VISITS. THE CENTRE OFFERS PATIENTS AND THEIR FAMILIES A NON-MEDICAL PLACE WHERE THEY CELEBRATE LIFE, DEAL WITH HARDSHIPS AND GET THEIR QUESTIONS ANSWERED. THE CANCER RESOURCE CENTRE IS A RESOURCE OF THE COMMUNITY CANCER RESEARCH FOUNDATION, A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF CANCER CARE AVAILABLE IN NORTHWEST INDIANA AND THE SOUTH CHICAGO SUBURBS. ALL SERVICES OF THE CANCER RESOURCE CENTRE ARE OFFERED FREE OF CHARGE; INDIVIDUALS DO NOT NEED TO BE PATIENTS OF COMMUNITY HEALTHCARE SYSTEM. COMMUNITY HOSPITAL HEALTHCARE PROVIDERS DISCUSSED CURRENT AND TRENDING MEDICAL CONDITIONS THROUGH A VARIETY OF PUBLIC LECTURES OFFERED FREE OF CHARGE. THESE OUTREACH PROGRAMS INCLUDED MANAGING AND CONTROLLING CHOLESTEROL, CANCER TREATMENT, NEUROLOGICAL ISSUES, FOOT CARE, AMONG OTHER TOPICS. FOR THE FISCAL YEAR 2022-2023, THE VALUE OF COMMUNITY HOSPITAL'S OUTREACH PROGRAMS TOTALED $845,038.99. COMMUNITY OUTREACH IN THE FISCAL YEAR INCLUDED: o STROKE AND DIABETES EDUCATIONAL AND SUPPORT GROUPS. o LABOR AND DELIVERY CONSULTATIONS, BREASTFEEDING AND LACTATION CLASSES, TAKING CARE OF BABY AND CHILDBIRTH CLASSES o WEIGHT LOSS SALUTATION CLASSES AND SUPPORT GROUPS. o COMMUNITY NIGHT OUT AGAINST CRIME, CONNECTING WITH THOUSANDS OF MEMBERS IN THE COMMUNITY TO PROVIDE INFORMATION ABOUT THE RESOURCES AVAILABLE AT THE HEALTHCARE SYSTEM.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH	HEALTH EDUCATION & WELLNESS SERVICES THE GOAL OF COMMUNITY HOSPITAL FITNESS POINTE IS TO PROVIDE HEALTH AND WELL-BEING OPPORTUNITIES TO THE NORTHWEST INDIANA COMMUNITY. THE FITNESS FACILITY WAS DEVELOPED AFTER FINDINGS OF OUR 1995 HEALTH NEEDS ASSESSMENT IDENTIFIED OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. FITNESS POINTE OPENED NOVEMBER 1, 1998, AND IS AN ESTABLISHED PREMIER HEALTH CENTER. IN THE RECENT FISCAL YEAR, THE FACILITY UNDERWENT RENOVATIONS TO MEET THE GROWING NEEDS OF THE COMMUNITY. FITNESS POINTE RECORDS MORE THAN 20,000 VISITS EACH MONTH. THE APPROXIMATE 73,000-SQUARE-FOOT FACILITY HOUSES THE HOSPITAL'S OUTPATIENT PHYSICAL THERAPY, OUTPATIENT PEDIATRIC PHYSICAL THERAPY, NEW HEALTHY ME AND THE FITNESS POINTE DEPARTMENTS. FITNESS POINTE PROGRAMS OFFER HEALTH EDUCATION/WELLNESS AND FITNESS-RELATED CLASSES. THE COMMUNITY EDUCATION OFFERINGS ADDRESS THE HEALTH DISPARITIES IN LAKE COUNTY. MANY OF THE COMMUNITY EDUCATION CLASSES ORIGINALLY DEVELOPED AT FITNESS POINTE ALSO ARE OFFERED AT COMMUNITY HOSPITAL OUTPATIENT CENTER IN ST. JOHN, VALPARAISO HEALTH CENTER, CANCER RESOURCE CENTRE, VALPARAISO YMCA AND PORTAGE YMCA, FURTHER EXPANDING THE SCOPE OF SERVICES. A VARIETY OF HEALTH EDUCATION AND WELLNESS PROGRAMS ARE AVAILABLE TO THE COMMUNITY TO IMPROVE KNOWLEDGE AND AWARENESS OF LIFESTYLE-RELATED RISKS OF HEART DISEASE, CANCER AND DIABETES. FITNESS POINTE PROVIDES A SUPPORTIVE ENVIRONMENT FOR AREA RESIDENTS TO MAINTAIN HEALTHY HABITS. RESEARCH INDICATES LACK OF PHYSICAL ACTIVITY MAY PLACE PEOPLE AT GREATER RISK FOR LIFESTYLE-RELATED DISEASES, INCLUDING HEART DISEASE, CANCER OR DIABETES. FITNESS POINTE IDENTIFIES PEOPLE WHO ARE AT A MODERATE TO SIGNIFICANTLY INCREASED RISK AND RECOMMENDS SCREENINGS FOR BLOOD CHOLESTEROL, BODY MASS INDEX AND BLOOD PRESSURE. BASED ON THE HEALTH NEEDS AND INTERESTS OF ATTENDEES, PROGRAMS WERE DEVELOPED COVERING TOPICS SUCH AS WOMEN'S HEALTH, NUTRITION AND HEALTHY COOKING, RELAXATION, WEIGHT MANAGEMENT, SENIOR HEALTH, BACK AND OTHER ORTHOPEDIC HEALTH ISSUES, DIABETES MANAGEMENT, CANCER AWARENESS AND PREVENTION, HEART DISEASE RISK FACTOR AWARENESS AND SCREENING, MENTAL HEALTH AND SMOKING CESSATION. THE AMERICAN HEART ASSOCIATION RECOGNIZES THE LACK OF REGULAR PHYSICAL EXERCISE AS A MAJOR RISK FACTOR FOR HEART DISEASE. REGULAR EXERCISE IS ASSOCIATED WITH BETTER HEART HEALTH, MENTAL WELL-BEING, WEIGHT MANAGEMENT, CANCER PREVENTION, DIABETES CONTROL AND LOWER BACK PAIN PREVENTION/RELIEF. FITNESS POINTE'S GENERAL FITNESS MEMBERSHIP PROGRAM OFFERS A VARIETY OF EXERCISE OPTIONS DESIGNED TO MEET INDIVIDUAL NEEDS. APPROXIMATELY 2,500 INDIVIDUALS HAVE TRANSFERRED TO THE FACILITY MEMBERSHIP PROGRAM FROM CARDIAC REHAB AND PHYSICAL THERAPY TO CONTINUE THEIR REHABILITATIVE MAINTENANCE. FITNESS POINTE OFFERS "NEW HEALTHY ME" TO EMPLOYEES OF COMMUNITY HEALTHCARE SYSTEM AS WELL AS EMPLOYEES OF REGIONAL COMPANIES. CORPORATE CUSTOMERS ENCOURAGE EMPLOYEES TO ATTEND THE FACILITY AND IMPROVE THEIR HEALTH. PARTICIPATION RESULTS IN LOWER HEALTH INSURANCE CLAIMS FOR PARTICIPANTS. THE TOWN OF MUNSTER PARKS AND RECREATION, MUNSTER POLICE DEPARTMENT, PURDUE UNIVERSITY NORTHWEST AND INDIANA UNIVERSITY NORTHWEST HAVE COLLABORATED WITH FITNESS POINTE IN PROVIDING EDUCATION TO THE PUBLIC, STAFF AND STUDENTS. FITNESS POINTE STRIVES TO OFFER HIGH QUALITY CUSTOMER SERVICE AND INTEGRATION WITH HOSPITAL SERVICES AS A PARTNER IN THE PATIENT CONTINUUM OF CARE. IT CONTINUES TO IDENTIFY APPROPRIATE PARTNERSHIPS AND RESEARCH OPPORTUNITIES TO STRENGTHEN THE QUALITY AND SCOPE OF SERVICES IN HEALTH PROMOTION AND DISEASE PREVENTION.
Schedule H, Part I, Line 7g COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC	The amount on Line 7g does not include any costs attributable to a physician clinic.
Schedule H, Part I, Line 7g Subsidized Health Services	NONE OF THE EXPENSES REPORTED ON PART I, LINE 7G ARE ATTRIBUTABLE TO PHYSICIAN CLINICS.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	15030874
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	COST ACCOUNTING SYSTEM WAS USED FOR COMPUTATIONS. BAD DEBT IS EXCLUDED FROM THE CALCULATION. MEDICAID DIRECT OFFSETTING REVENUE INCLUDES THE INCREASED HAF REIMBURSEMENT. THE EXPENSE INCLUDES THE HAF FEE.
Schedule H, Part II Community Building Activities	THIS CATEGORY CAN INCLUDE "DISASTER READINESS AND PUBLIC HEALTH EMERGENCY ACTIVITIES, SUCH AS READINESS TRAINING BEYOND WHAT IS REQUIRED BY ACCREDITING BODIES OR GOVERNMENT ENTITIES." EXPENSES AND REVENUES RELATING TO THE BIO-TERRORISM DEPARTMENT OF THE HOSPITAL HAVE BEEN INCLUDED IN THIS CATEGORY.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE COST TO CHARGE RATIO PER THE S-10 WORKSHEET OF THE MEDICARE COST REPORT IS USED TO ESTIMATE BAD DEBT AT COST.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	WE ESTIMATE 1% OF THE BAD DEBT EXPENSE TO BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS, IS REDUCED BY THE PROVISION FOR BAD DEBTS, AND NET ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION THE TRENDS IN HEALTH CARE COVERAGE, ECONOMIC TRENDS, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY ASSESSES THE ADEQUACY OF THE ALLOWANCES BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY MAJOR PAYOR CATEGORY AND AGING BUCKET. THE RESULTS OF THE REVIEW ARE THEN UTILIZED TO MAKE MODIFICATIONS, AS NECESSARY, TO THE PROVISION FOR BAD DEBTS TO PROVIDE FOR AN APPROPRIATE ALLOWANCE FOR BAD DEBTS. A SIGNIFICANT PORTION OF THE HOSPITALS' UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR SERVICES PROVIDED, AND A SIGNIFICANT PORTION OF THE HOSPITALS' INSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR CO-PAYMENTS AND DEDUCTIBLES. THUS, THE HOSPITALS RECORD A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IN ACCORDANCE WITH CFNI'S POLICY, ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED AGAINST THE ALLOWANCE FOR BAD DEBTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	WE PROVIDE NECESSARY SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICE PROVIDED OR THE REIMBUSEMENT RECEIVED FROM MEDICARE, QUALIFYING THE SHORTFALL AS A COMMUNITY BENEFIT. THE MEDICARE ALLOWABLE COSTS OF CARE WERE CALCULATED BY USING INFORMATION FROM THE COST ACCOUNTING SYSTEM.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. PATIENTS ARE SCREENED FOR ELIGIBILITY FOR FINANCIAL ASSISTANCE BEFORE COLLECTION PROCEDURES BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW.
Schedule H, Part V, Section B, Line 16a FAP website	- MUNSTER MEDICAL RESEARCH FOUNDATION: Line 16a URL: https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program;
Schedule H, Part V, Section B, Line 16b FAP Application website	- MUNSTER MEDICAL RESEARCH FOUNDATION: Line 16b URL: https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- MUNSTER MEDICAL RESEARCH FOUNDATION: Line 16c URL: https://www.comhs.org/patients-and-visitors/billing-and-insurance/financial-assistance-program;
Schedule H, Part VI, Line 2 Needs assessment	THE MOST RECENT CHNA WAS CONDUCTED IN 2022 AND IS AVAILABLE ON THE FOLLOWING WEBSITE: https://www.comhs.org/about-us/community-partnerships IN ADDITION TO OUR CHNA, WHICH IS CONDUCTED EVERY THREE YEARS, COMMUNITY HOSPITAL CONTINUALLY ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. THIS IS AN ONGOING ENDEAVOR IN WHICH WE RELY HEAVILY UPON INPUT FROM OUR COMMUNITY LEADERS. WE ALSO CONDUCT MANY HEALTHCARE RELATED EVENTS THROUGHOUT THE YEAR WITHIN THE COMMUNITY. THIS CAN VARY FROM EDUCATIONAL CLASSES TO SPECIFIC DISEASE SCREENINGS. WE HAVE ALSO FOUND THAT A GOOD DATA SOURCE IS OUR PATIENTS. WE FREQUENTLY SURVEY OUR PATIENTS TO OBTAIN THIS INFORMATION.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENTS WHO ARE ADMITTED WITHOUT INSURANCE ARE DIRECTED TO THE HOSPITAL'S FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS PERFORM AN INTERVIEW WITH THE PATIENTS TO EXPLAIN TO THEM THE PROCESS NECESSARY TO RECEIVE FINANCIAL ASSISTANCE. THIS PROCESS INCLUDES APPLYING FOR MEDICAID OR OTHER GOVERNMENT AID. THE APPLICANT THEN MUST FILL OUT A FINANCIAL INFORMATION WORKSHEET AND SUBMIT VARIOUS INFORMATION TO DETERMINE IF THEY QUALIFY FOR FINANCIAL ASSISTANCE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. THE POLICY IS POSTED IN THE EMERGENCY ROOM AREA AS WELL AS AT EACH INPATIENT WAITING DESK. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE.
Schedule H, Part VI, Line 4 Community information	LOCATED IN MUNSTER, INDIANA, THE COMMUNITY SERVED INCLUDES NORTHWEST INDIANA. LATEST U.S. CENSUS BUREAU DEMOGRAPHIC INFORMATION COMPARING MUNSTER TO THE STATE OF INDIANA: MUNSTER INDIANA PERSONS UNDER 18 YEARS PERCENT, 2022 MUNSTER: 18.3% INDIANA: 23% PERSONS 65 YEARS AND OVER PERCENT, 2022 MUNSTER: 17.9% INDIANA: 16.9% WHITE ALONE, PERCENT, 2022 (A) MUNSTER: 81.3% INDIANA: 84% BLACK OR AFRICAN AMERICAN ALONE PERCENT, 2022 (A) MUNSTER: 4.6% INDIANA: 10.3% HISPANIC OR LATINO PERCENT, 2022 (B) MUNSTER: 14.2% INDIANA: 7.9% WHITE ALONE, NOT HISPANIC OR LATINO PERCENT, 2022 MUNSTER: 74.9% INDIANA: 77% HIGH SCHOOL GRADUATE OR HIGHER, AGE 25+, 2017-2021 MUNSTER: 96.5% INDIANA: 89.8% BACHELOR'S DEGREE OR HIGHER, AGE 25+, 2017-2021 MUNSTER: 45.9% INDIANA: 27.8% MEDIAN HOUSEHOLD INCOME 2017-2021 MUNSTER: $96,938 INDIANA: $61,944 PERSONS IN POVERTY, PERCENT, 2017-2021 MUNSTER: 6.1% INDIANA: 12.2% (A) INCLUDES PERSONS REPORTING ONLY ONE RACE (B) HISPANICS MAY BE OF ANY RACE, SO ALSO ARE INCLUDED IN APPLICABLE RACE CATEGORIES
Schedule H, Part VI, Line 6 Affiliated health care system	COMMUNITY HOSPITAL IS PART OF AN AFFILIATED SYSTEM. EACH HOSPITAL IN THE SYSTEM PROVIDES MEDICAL SERVICES TO THEIR COMMUNITIES AND ADJOINING COMMUNITIES. EACH ENTITY'S PURPOSE IS TO PROVIDE HEALTH CARE TO THOSE WHO NEED IT, INCLUDING THE UNINSURED OR UNDERINSURED.
Schedule H, Part VI, Line 7 State filing of community benefit report	IN

Schedule H (Form 990) 2022

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

Munster Medical Research Foundation Inc

Employer identification number

35-1107009

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1LUIS MOLINA ADMINISTRATOR (TERM 7/8/2022)	(i) (ii)	0 ------------- 453,524	0 ------------- 147,879	0 ------------- 53,475	0 ------------- 13,645	0 ------------- 27,847	0 ------------- 696,370	0 ------------- 0
2RANDY NEISWONGER ADMINISTRATOR (START 7/11/2022)	(i) (ii)	252,084 ------------- 0	0 ------------- 0	27,235 ------------- 0	0 ------------- 0	14,479 ------------- 0	293,798 ------------- 0	0 ------------- 0
3DANIEL O'BRIEN VP FINANCE/CFO	(i) (ii)	354,629 ------------- 0	76,465 ------------- 0	2,842 ------------- 0	13,725 ------------- 0	43,585 ------------- 0	491,246 ------------- 0	0 ------------- 0
4RONDA MCKAY VP & CNO	(i) (ii)	287,660 ------------- 0	110,929 ------------- 0	3,984 ------------- 0	6,145 ------------- 0	9,524 ------------- 0	418,242 ------------- 0	0 ------------- 0
5PAUL C ANDERSON ANESTHESIOLOGIST	(i) (ii)	520,742 ------------- 0	0 ------------- 0	19,986 ------------- 0	9,684 ------------- 0	3,690 ------------- 0	554,102 ------------- 0	0 ------------- 0
6RICHARD BERKOWITZ MEDICAL DIRECTOR	(i) (ii)	584,460 ------------- 0	23,000 ------------- 0	6,858 ------------- 0	13,725 ------------- 0	26,938 ------------- 0	654,981 ------------- 0	0 ------------- 0
7JARED BLAIR HOOKS ANESTHESIOLOGIST	(i) (ii)	502,492 ------------- 0	0 ------------- 0	20,986 ------------- 0	5,488 ------------- 0	940 ------------- 0	529,906 ------------- 0	0 ------------- 0
8LOUIS LIN ANESTHESIOLOGIST	(i) (ii)	547,704 ------------- 0	0 ------------- 0	540 ------------- 0	13,725 ------------- 0	25,588 ------------- 0	587,557 ------------- 0	0 ------------- 0
9SIMONA JOFFE SIDDALL ANESTHESIOLOGIST	(i) (ii)	554,713 ------------- 0	0 ------------- 0	540 ------------- 0	13,725 ------------- 0	1,719 ------------- 0	570,697 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part I, Line 1a PROVIDED TO/FOR A PERSON IN 990, PART VII, SEC. A, LN 1A	THE ORGANIZATION PAYS HEALTH/SOCIAL CLUB DUES ON BEHALF OF CERTAIN OFFICERS, KEY EMPLOYEES AND FIVE HIGHEST PAID EMPLOYEES, WHICH IS THEN TAXED AS A FRINGE BENEFIT TO THE INDIVIDUAL.
Schedule J, Part I, Line 3 USED TO ESTABLISH COMPENSATION OF ORG. CEO/EXEC. DIR.	MUNSTER MEDICAL RESEARCH FOUNDATION, INC. FOLLOWS ITS PARENT, (CFNI), COMPENSATION POLICIES. THE CFNI BOARD HAS ADOPTED AN EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THE REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SURVEYS.
Schedule J, Part I, Line 7	DISCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES.

Schedule J (Form 990) 2022

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Munster Medical Research Foundation Inc

Employer identification number

35-1107009

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) HASSE CONSTRUCTION	OWNED BY WILLIAM HASSE	2,806,266	Independent Contractor		No
(2) PURCELL COMMERCIAL CLEANING	OWNED BY MICHAEL PURCELL	750,980	Independent Contractor		No
(3) SARN II	DR. SHABEEB PART OWNER	214,161	Rent		No
(4) LARGUS GRAPHIX SOLUTIONS	OWNED BY TOM LARGUS	155,590	Independent Contractor		No
(5) KAY TORRENGA	FAM MEM OF DONALD TORRENGA	84,098	Employment		No
(6) GARY MCKAY	FAM MEM OF RHONDA MCKAY	98,212	Employment		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

Munster Medical Research Foundation Inc

Employer identification number

35-1107009

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .	X	28	117,750	Other - FMV
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( )
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2022)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
Schedule M, Part I Explanations of reporting method for number of contributions	Drugs and medical supplies - THE AMOUNT IN COLUMN B IS THE NUMBER OF CONTRIBUTIONS.

Schedule M (Form 990) (2022)

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

Munster Medical Research Foundation Inc

Employer identification number

35-1107009

Return Reference	Explanation
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	LUIS MOLINA & M. NABIL SHABEEB - MMRF & CHP Board Members - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. (CFNI) IS THE SOLE MEMBER OR STOCKHOLDER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. (CFNI) IS THE PARENT COMPANY OF MUNSTER MEDICAL RESEARCH FOUNDATION, INC. (MMRF) AND HAS CONTROL TO ELECT MEMBERS OF THE GOVERNING BODY.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. IS THE PARENT COMPANY OF MUNSTER MEDICAL RESEARCH FOUNDATION, INC. AND HAS RIGHTS TO APPROVE DECISIONS MADE BY MUNSTER MEDICAL RESEARCH FOUNDATION, INC. NOTICE OF AN ANNUAL OR REGULAR MEETING SHALL INCLUDE A DESCRIPTION OF ANY MATTER OR MATTERS TO BE CONSIDERED AT THE MEETING THAT MUST BE APPROVED BY THE MEMBER UNDER THE FOLLOWING PROVISIONS OF INDIANA STATUTE: 1. CONTRACTS AND TRANSACTIONS IN WHICH A DIRECTOR HAS A FINANCIAL INTEREST; 2. INDEMNIFICATION OF OFFICERS, EMPLOYEES AND AGENTS; 3. AMENDMENT OF THE ARTICLES OF INCORPORATION IF REQUIRED TO BE APPROVED BY THE MEMBER; 4. APPROVAL OF A PLAN OF MERGER OF THE CORPORATION WITH ANOTHER CORPORATION; 5. DISPOSAL OF PROPERTY OTHER THAN IN THE USUAL OR REGULAR COURSE OF BUSINESS OR THE ABANDONMENT OF TRANSACTIONS; AND 6. GENERAL DISSOLUTION PROPOSALS OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE 990 IS SUBMITTED TO THE SENIOR VP AND SYSTEM CFO FOR REVIEW, ONCE THIS REVIEW IS COMPLETE THE RETURNS ARE THEN PRESENTED TO SENIOR LEADERSHIP FOR REVIEW. THE 990 IS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM BEFORE IT IS POSTED TO A SECURE WEBSITE TO ALLOW THE BOARD OF DIRECTORS TO REVIEW PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	AS PART OF THE ORGANIZATION'S ANNUAL MONITORING & ENFORCEMENT PROCEDURE RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE VP OF CORPORATE COMPLIANCE AND THOSE OFFICERS, DIRECTORS, OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION. RESTRICTIONS ON MEMBERS WITH A CONFLICT - MEMBERS WITH A CONFLICT ARE REQUIRED TO RECUSE THEMSELVES FROM ANY DELIBERATION AND MUST ABSTAIN FROM THE VOTE.
Form 990, Part VI, Line 19 Required documents available to the public	MUNSTER MEDICAL RESEARCH FOUNDATION, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. IN ACCORDANCE WITH BOND COVENANTS, MUNSTER MEDICAL RESEARCH FOUNDATION, INC. THROUGH COMMUNITY FOUNDATION OF NORTHWEST INDIANA, INC. MAKES ITS FINANCIAL STATEMENTS AND DISCLOSURES AVAILABLE TO THE PUBLIC THROUGH THE EMMA DATABASE.
Form 990, Part VII, Section A OFFICERS, DIRECTORS, KEY EMPLOYEES	CERTAIN SALARIES AND MEDICAL DIRECTORSHIPS ARE PAID BY A RELATED ORGANIZATION, USUALLY THE PARENT (CFNI), WHILE THE HOURS ARE APPLICABLE TO THE REPORTING ORGANIZATION.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	FITNESS/SPA POINTE - Total Revenue: 2256563, Related or Exempt Function Revenue: 1821976, Unrelated Business Revenue: 434587, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0; OTHER REVENUE - Total Revenue: 556471, Related or Exempt Function Revenue: 556471, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;
Form 990, Part IX, Line 5 COMPENSATION OF CURRENT OFFICERS AND DIRECTORS	A RELATED ORGANIZATION COMPENSATES LUIS MOLINA, SO HIS COMPENSATION IS REPORTED AS BEING PAID BY A RELATED ORGANIZATION IN PART VII, SECTION A, COLUMN E. THE EXPENSE FOR HIS COMPENSATION IS THEN ALLOCATED TO THE FILING ORGANIZATION. THEREFORE, THE FILING ORGANIZATION IS REPORTING OFFICER COMPENSATION ON PART IX, LINE 5.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PHARMACEUTICAL TRANSFER - -6000; INTEREST INCOME ON REST FUNDS - 6598; TEMP RESTR-FUND TRANSFER - -20347; TRANSFERS TO/FROM RELATED ORGS - -5925313; Patient transport expense - -8446;
Form 990, Part XII, Line 3b Reason organization did not undergo required audit	MUNSTER MEDICAL RESEARCH FOUNDATION, INC. WILL UNDERGO A SINGLE AUDIT FOR THE 6/30/23 TAX YEAR DURING THE TAX YEAR ENDING 6/30/24.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

Munster Medical Research Foundation Inc

Employer identification number

35-1107009

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) NORTHWESTERN IMAGING LLC 1946 45TH STREET MUNSTER,IN46321 83-0901672	IMAGING SERVICES	IN	847,392	0	MMRF

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)COMMUNITY FOUNDATION OF NW INDIANA INC 10010 DONALD S POWERS DR 201 MUNSTER,IN46321 31-1128781	SUPPORTING ORG	IN	501(c)(3)		NA		No
(2)ST CATHERINE HOSPITAL INC 4321 FIR STREET EAST CHICAGO,IN46312 35-1738708	HOSPITAL	IN	501(c)(3)	3	CFNI	Yes
(3)ST MARY MEDICAL CENTER INC 1500 SOUTH LAKE PARK AVENUE HOBART,IN46342 35-2007327	HOSPITAL	IN	501(c)(3)	3	CFNI	Yes
(4)COMMUNITY CANCER RESEARCH FNDN INC 901 MACARTHUR BOULEVARD MUNSTER,IN46321 35-2146374	CANCER FUND	IN	501(c)(3)	7	MMRF	Yes
(5)COMMUNITY VILLAGE INC 10000 COLUMBIA AVENUE MUNSTER,IN46321 35-1956395	RETIREMENT HOME	IN	501(c)(3)	10	CFNI	Yes
(6)CVPA HOLDING CORPORATION 1040 RIDGE ROAD MUNSTER,IN46321 35-1938136	TITLE HLDG CO	IN	501(c)(2)		CFNI	Yes
(7)THEATRE AT THE CENTER INC 1040 RIDGE ROAD MUNSTER,IN46321 35-1939427	PLAYS&ARTS	IN	501(c)(3)	10	CFNI	Yes
(8)COMMUNITY CARE NETWORK INC 901 MACARTHUR BOULEVARD MUNSTER,IN46321 45-4158203	PHYS SERVICES	IN	501(c)(3)	10	MMRF SCH SMM	Yes
(9)COMMUNITY STROKE & REHAB CTR INC 905 RIDGE ROAD MUNSTER,IN46321 82-0854709	REHAB	IN	501(c)(3)	3	CFNI	Yes
(10)COMMUNITY HEALTHCARE PTNRS ACO INC 905 RIDGE ROAD MUNSTER,IN46321 82-1583355	ACO	IN	501(c)(3)	10	CFNI	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) COMMUNITY RESOURCES INC 905 RIDGE ROAD MUNSTER,IN46321 35-1727711	MGMT SERVICES	IN	CFNI	C Corporation	0	0	0 %	Yes
(2) COMMUNITY MEDICAL & PROFESSIONAL CENTER 800 MACARTHUR BOULEVARD MUNSTER,IN46321 23-7437942	CONDO ASSOC	IN	CFNI	C Corporation	0	0	0 %	Yes
(3) COMMUNITY HEALTHCARE PARTNERS LLC 905 RIDGE ROAD MUNSTER,IN46321 47-2012011	CLINICAL INTG	IN	CFNI	C Corporation	0	0	0 %	Yes

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

Yes

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Community Care Network Inc	I	455,044	FMV
(2) St Catherine Hospital Inc	I	91,572	FMV
(3) Community Care Network Inc	J	778,612	FMV
(4) Community Care Network Inc	O	770,992	FMV
(5) St Catherine Hospital Inc	O	412,839	FMV
(6) St Mary Medical Center Inc	O	309,736	FMV
(7) Community VIllage Inc	O	93,300	FMV
(8) Community Care Network Inc	P	26,711,743	FMV
(9) St Mary Medical Center Inc	P	18,505,758	FMV
(10) St Catherine Hospital Inc	P	5,499,786	FMV
(11) Community Stroke & Rehabilitation Center Inc	P	1,279,878	FMV
(12) Community Village Inc	P	185,148	FMV
(13) Community Cancer Research Foundation Inc	Q	425,814	FMV

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

Software ID:	22016089
Software Version:	2022v5.0

1	Briefly describe the organization’s mission or most significant activities: COMMUNITY HOSPITAL IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE IN THE MOST COST-EFFICIENT MANNER, RESPECTING THE DIGNITY OF THE INDIVIDUAL.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	4,047
6	Total number of volunteers (estimate if necessary) .............	6	130
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	844,117
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,905,109	406,040
9	Program service revenue (Part VIII, line 2g) .........	648,902,290	675,741,157
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	391,856	1,967,445
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	14,940,572	19,239,481
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	668,139,827	697,354,123
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	24,639	8,666
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	249,866,256	253,590,601
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	349,630,751	384,353,264
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	599,521,646	637,952,531
19	Revenue less expenses. Subtract line 18 from line 12.......	68,618,181	59,401,592
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	290,499,484	302,935,755
21	Total liabilities (Part X, line 26).............	77,538,559	36,626,274
22	Net assets or fund balances. Subtract line 21 from line 20.....	212,960,925	266,309,481

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 590,598,627 including grants of $ 8,666 ) (Revenue $ 691,825,800 )
	MUNSTER MEDICAL RESEARCH FOUNDATION, INC., D/B/A/ COMMUNITY HOSPITAL IS A 454 BED ACUTE CARE HOSPITAL THAT OFFERS A BROAD RANGE OF SERVICES TO CARE FOR ITS PATIENTS WITHOUT REGARD TO THEIR ABILITY TO PAY. MUNSTER MEDICAL RESEARCH FOUNDATION, INC. PROVIDES LEADING-EDGE CARE TO PATIENTS IN NORTHWEST INDIANA. THROUGH ITS DEDICATION TO QUALITY AND INNOVATION, MUNSTER MEDICAL RESEARCH FOUNDATION, INC. HAS EARNED A MULTITUDE OF ACCREDITATIONS, AWARDS, AND CERTIFICATIONS IN ITS PURSUIT OF IMPROVING THE HEALTH OF ITS PATIENTS AND COMMUNITY.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses590,598,627

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) STEVEN G CHOVANEC DIRECTOR	1.0 .......................0.0	X				0	0	0
(19) THOMAS BRUBAKER DIRECTOR	1.0 .......................0.0	X				0	20,370	0
(20) TOM LARGUS DIRECTOR (TERM 2/2023)	1.0 .......................1.0	X				0	0	0
(21) WILLIAM A HASSE III DIRECTOR	1.0 .......................1.0	X				0	38,000	0
(22) DANIEL O'BRIEN VP FINANCE/CFO	32.0 .......................8.0		X			433,936	0	57,310
(23) RONDA MCKAY VP & CNO	40.0 .......................0.0			X		402,573	0	15,669
(24) JARED BLAIR HOOKS ANESTHESIOLOGIST	40.0 .......................0.0				X	523,478	0	6,428
(25) LOUIS LIN ANESTHESIOLOGIST	40.0 .......................0.0				X	548,244	0	39,313
(26) PAUL C ANDERSON ANESTHESIOLOGIST	40.0 .......................0.0				X	540,728	0	13,374
(27) RICHARD BERKOWITZ MEDICAL DIRECTOR	40.0 .......................0.0				X	614,318	0	40,663
(28) SIMONA JOFFE SIDDALL ANESTHESIOLOGIST	40.0 .......................0.0				X	555,253	0	15,444

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,897,849	1,032,462	244,172

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..		1a	0
b	Membership dues..		1b	0
c	Fundraising events..		1c	0
d	Related organizations		1d	0
e	Government grants (contributions)		1e	242,242

f	All other contributions, gifts, grants, and similar amounts not included above		1f	163,798

g	Noncash contributions included in lines 1a - 1f:$		1g	117,750

h Total. Add lines 1a-1f.......		406,040

		Business Code
2a	NET PATIENT SERVICE REVENUE	622110	674,550,763	674,550,763	0	0
b	INTERCOMPANY REAL ESTATE RENTAL	531120	826,702	826,702	0	0
c	MEDICAL LABORATORY	621511	363,692	0	363,692	0
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		675,741,157

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,764,005	0	0	1,764,005
4 Income from investment of tax-exempt bond proceeds			0	0	0	0
5 Royalties...........			0	0	0	0
		(ii) Personal	(i) Real
6a	Gross rents	0	119,681	6a
b	Less: rental expenses	0	82,816	6b
c	Rental income or (loss)	0	36,865	6c
d	Net rental income or (loss).......			36,865	0	0	36,865
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	203,885	0	7a
b	Less: cost or other basis and sales expenses	445	0	7b
c	Gain or (loss)	203,440	0	7c
d	Net gain or (loss).........			203,440	0	0	203,440
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0		0	0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0	0	0	0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0	0	0	0
Business Code			Miscellaneous Revenue
11a	PHARMACY		446110	10,803,910	10,758,072	45,838	0
b	KINDRED OIG SETTLEMENT		900099	2,948,124	2,948,124	0	0
c	CAFETERIA		722514	2,637,548	0	0	2,637,548
d	All other revenue ....			2,813,034	2,378,447	434,587	0
e	Total. Add lines 11a–11d ......			19,202,616
12	Total revenue. See instructions.....			697,354,123	691,462,108	844,117	4,641,858

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	8,666	8,666
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0	0
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	2,159,161	0	2,159,161	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	218,480	218,480	0	0
7	Other salaries and wages........	206,000,978	191,249,679	14,751,299	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,535,688	6,005,300	530,388	0
9	Other employee benefits .......	23,851,309	22,041,265	1,810,044	0
10	Payroll taxes ...........	14,824,985	13,621,899	1,203,086	0
11	Fees for services (non-employees):
a	Management ......	1,328,227	0	1,328,227	0
b	Legal .........	603,297	0	603,297	0
c	Accounting ...........	0	0	0	0
d	Lobbying ...........	0	0	0	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	0	0	0	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	25,279,448	22,674,974	2,604,474	0
12	Advertising and promotion ....	728,883	422,305	306,578	0
13	Office expenses .......	6,219,560	4,077,149	2,142,411	0
14	Information technology ......	6,984,108	6,984,108	0	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	9,384,411	2,722,081	6,662,330	0
17	Travel ............	248,750	234,279	14,471	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0	0	0	0
19	Conferences, conventions, and meetings ....	237,837	193,869	43,968	0
20	Interest ...........	0	0	0	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization ..	25,002,153	22,973,164	2,028,989	0
23	Insurance ...	4,080,800	3,749,633	331,167	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	137,548,618	137,548,618	0	0
b	CORPORATE ALLOCATION	66,720,762	61,306,201	5,414,561	0
c	MEDICAID ASSESSMENT FEE	44,742,780	44,742,780	0	0
d	PHYSICIAN ALLOCATION	27,147,883	24,944,763	2,203,120	0
e	All other expenses	28,095,747	24,879,414	3,216,333	0
25	Total functional expenses. Add lines 1 through 24e	637,952,531	590,598,627	47,353,904	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			10,265	2	6,111
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			75,140,373	4	78,073,579
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			14,323,658	8	15,938,477
9	Prepaid expenses and deferred charges ......			2,525,534	9	2,907,222
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	615,593,725
b	Less: accumulated depreciation	10b	421,917,909	186,785,045	10c	193,675,816
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			11,714,609	15	12,334,550
16	Total assets. Add lines 1 through 15 (must equal line 33)...			290,499,484	16	302,935,755

17	Accounts payable and accrued expenses .....	37,491,688	17	27,036,018
18	Grants payable ...	0	18	0
19	Deferred revenue .........	172,811	19	171,919
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	39,874,060	25	9,418,337
26	Total liabilities. Add lines 17 through 25..	77,538,559	26	36,626,274

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	212,537,109	27	265,923,901
28	Net assets with donor restrictions ...........	423,816	28	385,580
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	0	31	0
32	Total net assets or fund balances ...........	212,960,925	32	266,309,481
33	Total liabilities and net assets/fund balances ........	290,499,484	33	302,935,755