2021-11-08T09:04:47-06:00 2020-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 46240 990 2020-01-01 861053152 COMMUNITY HOSPITAL ANDERSON FOUNDATION INC COMM 7652985133 1515 N MADISON AVENUE ANDERSON IN 46011 TOM BANNON CHIEF FDN OFFICER 7652985414 2021-10-26 1 TOM BANNON 999009999 CASSE TATE P01271193 3175802000 2021-10-15 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z TOM BANNON 1515 N MADISON AVENUE ANDERSON IN 46011 2721444 0 X WWW.ECOMMUNITY.COM/FOUNDATION-ANDERSON X 2001 IN COMMUNITY HOSPITAL ANDERSON FOUNDATION, INC. IS ENGAGED IN FUND RAISING ACTIVITIES TO ACQUIRE MONIES TO FURTHER THE PURPOSES AND MISSION OF COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. IN PROVIDING QUALITY MEDICAL CARE AND TREATMENT TO CITIZENS OF ANDERSON AND MADISON COUNTY, INDIANA. 19 15 3 15 0 0 12655347 366842 0 0 562973 -210608 -23700 0 13194620 156234 455121 336152 0 0 228779 239062 0 0 0 221026 198716 904926 773930 12289694 -617696 15489120 16744155 51236 258653 15437884 16485502 X COMMUNITY HOSPITAL ANDERSON FOUNDATION, INC. IS ENGAGED IN FUND RAISING ACTIVITIES TO ACQUIRE MONIES TO FURTHER THE PURPOSES AND MISSION OF COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. IN PROVIDING QUALITY MEDICAL CARE AND TREATMENT TO CITIZENS OF ANDERSON AND MADISON COUNTY, INDIANA. 0 0 310611 305125 A) PROVIDE CAPITAL IMPROVEMENTS & MEDICAL EQUIPMENT FOR USE BY COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. AND B) PROVIDE PROGRAMS DESIGNED TO EDUCATE THE PATIENTS OF COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. CONCERNING THEIR HEALTH NEEDS AND AVAILABLE MEDICAL TREATMENT. 89000 PROVIDE FINANCIAL ASSISTANCE TO COMMUNITY HOSPITAL ANDERSON EMPLOYEES THROUGH THE HEALTHCARE EMPLOYEES LOAN PROGRAM. 1000 1000 PROVIDE SCHOLARSHIPS AND EDUCATION ASSISTANCE TO COMMUNITY HOSPITAL ANDERSON EMPLOYEES. 30027 30027 PROVIDED FUNDS TO SUPPORT ANDERSON COMMUNITY. 30027 30027 430638 1 1 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 10 0 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 15 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 IN X TOM BANNON 7652985414 1515 N MADISON AVENUE ANDERSON IN 46011 JOHN HARRIS DIRECTOR 3.00 47.00 X 0 834642 19606 ELIZABETH S THARP MBA BSN RN DIRECTOR 3.00 47.00 X 0 548125 79291 CHARLIE WILLIAMS MD DIRECTOR 3.00 40.00 X X 0 441048 55882 TOM BANNON CHIEF FDN OFFICER 31.00 12.00 X 132610 88406 40385 IVY WALSH SECRETARY 3.00 0.00 X X 0 54387 34455 TIM ALFORD DDO DIRECTOR 3.00 0.00 X 0 0 0 BOB DICKSON DIRECTOR 3.00 0.00 X 0 0 0 CHRISTINE DUDLEY DIRECTOR 3.00 0.00 X 0 0 0 RICK JULIAN DIRECTOR 3.00 0.00 X 0 0 0 LINDA J MILLER DIRECTOR 3.00 0.00 X 0 0 0 MIKE MONTGOMERY DIRECTOR 3.00 0.00 X 0 0 0 BEN ORCUTT CHAIRMAN 3.00 0.00 X X 0 0 0 LEROY QUASHIE PHD DIRECTOR 3.00 0.00 X 0 0 0 AARON REGER TREASURER 3.00 0.00 X X 0 0 0 LUKE RENNER DIRECTOR 3.00 0.00 X 0 0 0 NANCY RICKER DIRECTOR 3.00 0.00 X 0 0 0 KEITH TRENT DIRECTOR 3.00 0.00 X 0 0 0 BILL WATSON DIRECTOR 3.00 0.00 X 0 0 0 BRYAN WILLIAMS VICE CHAIRMAN 3.00 0.00 X X 0 0 0 DAN YATES DIRECTOR 3.00 0.00 X 0 0 0 132610 1966608 229619 1 0 1 0 0 62562 304280 366842 367577 367577 1973519 13506 2565210 0 -591691 13506 -578185 -578185 156234 0 0 -210608 335152 335152 1000 1000 132610 132610 92122 92122 14330 14330 2942 2942 44592 44592 55603 55603 268 268 "HELP" LOANS 89000 89000 COMMUNITY FARM 3886 3886 ANNUITY 1600 1600 DUES 825 825 773930 430638 343292 0 749324 556645 14739796 16187510 15489120 16744155 10701 1797 40535 256856 51236 258653 X 15437884 16485502 15437884 16485502 15489120 16744155 -617696 1665314 0 X 0 1 X 1 0 X X 1 COMMUNITY HOSP OF ANDERSON & MADISON COUNTY INC 351069822 3 1 305125 0 1 305125 0 581631 618475 778995 694561 366842 3040504 581631 618475 778995 694561 366842 3040504 3040504 97185 113094 125817 406019 367577 1109692 31785 12834 14662 11105 0 70386 4220582 0.72040 0.77980 X 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 1 - SUPPORTED ORGANIZATIONS NOT LISTED BY NAME COMMUNITY HOSPITAL ANDERSON FOUNDATION, INC. ("CHAF") ARTICLES OF INCORPORATION PROVIDE THAT IT MAY BENEFIT A CLASS OF NONPROFIT CORPORATIONS, THE MAJORITY OF WHOSE DIRECTORS ARE ELECTED BY COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. ("CHA"). PART IV, SECTION A, LINE 6 - DESCRIPTION OF SUPPORT TO EXTERNAL ENTITY CHAF MADE SMALL GRANTS TO ORGANIZATIONS THAT WERE NOT LISTED BY NAME OR CLASS IN ITS ARTICLES OF INCORPORATION. HOWEVER, THE NAMED SUPPORTED ORGANIZATION, CHA, BENEFITED DIRECTLY FROM THE GRANTS TO THESE ORGANIZATIONS BECAUSE THE INDIVIDUAL MEMBERS OF THE CHARITABLE CLASS BENEFITED BY THE GRANTS WERE ALSO MEMBERS OF THE CHARITABLE CLASS SERVED BY CHA, THE NAMED SUPPORTED ORGANIZATION. PART II, LINE 10 - OTHER INCOME GROSS RECEIPTS FROM FUNDRAISING ACTIVITIES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 5635 2922 85867 1 1 3531139 342587 587 3873139 2672600 983446 120000 4907 3531139 3055109 -229545 150000 2964 2672600 2754192 70439 383468 150000 2990 3055109 2588574 223344 55000 2726 2754192 1.00000 0 0 0 DUE TO AFFILIATES 256856 256856 PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS THE INTENDED USES OF THE ENDOWMENT FUNDS ARE TO PROVIDE EQUIPMENT FOR COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. ("CHA") AND THE SURROUNDING COMMUNITY. THE FOUNDATION ALSO PROVIDES SCHOLARSHIPS AND OTHER EDUCATIONAL SUPPORT. 1 COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 351069822 501C3 305125 GENERAL SUPPORT OPERATION WARM PO BOX 822431 PHILADELPHIA PA 19182 383663310 501C3 12324 COATS FOR KIDS PLAY HEART SMART 9928 SHAHAN CT INDIANAPOLIS IN 46256 843987343 5013C3 5000 GENERAL SUPPORT 3 0 SCHEDULE I, PART II - GRANTS AND OTHER ASSISTANCE TO DOMESTIC ORGANIZTIONS THE SUPPORT PROVIDED BY CHAF TO OPERATION WARM WAS FOR COATS FOR KIDS, A SERVICE WITHIN OPERATION WARM. THIS SUPPORT WAS MADE TO DIRECTLY BENEFIT THE RESIDENTS OF MADISON COUNTY AND THE NAMED ORGANIZATION, CHA. X 1 1 1 0 0 0 0 0 0 1 0 JOHN HARRIS DIRECTOR 0 95291 0 34426 0 704925 0 9975 0 9631 0 854248 0 34426 ELIZABETH S THARP MBA BSN RN DIRECTOR 0 402812 0 123003 0 22310 0 59942 0 19349 0 627416 0 61501 CHARLIE WILLIAMS MD DIRECTOR 0 388202 0 26933 0 25913 0 24475 0 31407 0 496930 0 26933 TOM BANNON CHIEF FDN OFFICER 104102 69401 27306 18203 1202 802 12366 8244 11865 7910 156841 104560 11702 7802 PART III - OTHER ADDITIONAL INFORMATION PART I, LINE 1A - FRINGE OR EXPENSE EXPLANATION THE CHIEF FOUNDATION OFFICER WAS PROVIDED SOCIAL CLUB DUES BY COMMUNITY HOSPITAL ANDERSON FOUNDATION. THIS WAS NOT TAXABLE COMPENSATION. PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION COMMUNITY HOSPITAL ANDERSON FOUNDATION, INC. CEO/EXECUTIVE DIRECTOR IS PAID BY COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. ("CHA"), A RELATED 501(C)(3) ORGANIZATION. CHA USES THE FOLLOWING IN DETERMINING THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) COMPENSATION SURVEY OR STUDY, AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4 - CHANGE OF CONTROL, NONQUALIFIED, AND EQUITY-BASED PAYMENTS JOHN HARRIS CHANGE OF CONTROL: $684,820 NONQUALIFIED: 0 EQUITY-BASED: 0 PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED THE CHIEF FOUNDATION OFFICER PARTICIPATES IN A SENIOR LEADERSHIP INCENTIVE PROGRAM. THE PROGRAM WAS ADOPTED BY THE COMMUNITY HEALTH NETWORK, INC'S ("CHNW") EXECUTIVE COMPENSATION COMMITTEE, AND IS INTENDED TO INFLUENCE OUTSTANDING PERFORMANCE, AS MEASURED AGAINST BOTH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. THE PROGRAM IS REVIEWED ANNUALLY BY CHNW'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED ENTIRELY OF INDEPENDENT COMMUNITY MEMBERS. THE INCENTIVE COMPENSATION THAT IS AWARDED IS INCLUDED IN TOTAL COMPENSATION TO THE EXECUTIVE. THE TOTAL COMPENSATION (INCLUDING ANY PAYMENTS UNDER THE PROGRAM ) IS SUBJECT TO THE REVIEW AND APPROVAL OF THE EXECUTIVE COMPENSATION COMMITTEE AND INDEPENDENT COMPENSATION CONSULTANT, IN CONSIDERATION OF CODE SECTION 4958 (AND THE CORRESPONDING TREASURY REGULATIONS) TO ENSURE THAT IT REFLECTS ARMS LENGTH, FAIR MARKET TERMS. FORM 990, PART V, LINE 1A - BOX 3 OF FORM 1096 FORM 1099'S WERE PROCESSED UNDER THE NAME AND FEDERAL IDENTIFICATION NUMBER OF COMMUNITY HEALTH NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 2 RELATED PARTY INFORMATION AMONG OFFICERS ELIZABETH THARP, R.N. AND JOHN HARRIS SERVED AS OFFICERS OF COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY ("CHA"). ELIZABETH THARP RECEIVED COMPENSATION FROM CHA. FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS THE MEMBERS CONSIST OF THE BOARD OF DIRECTORS OF COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS THE FOUNDATION'S ARTICLES OF INCORPORATION STATE THE CORPORATION SHALL HAVE ONE CLASS OF VOTING MEMBERS CONSISTING OF THE BOARD OF DIRECTORS OF COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. THE MEMBERS OF THE CORPORATION VOTE FOR AND ELECT THE FOUNDATION BOARD OF DIRECTORS. THE ARTICLES ALSO GIVE THE MEMBERS THE RIGHT TO FILL ANY VACANCY AMONG THE DIRECTORS AND THE BOARD OF DIRECTORS THE RIGHT TO REMOVE ANY DIRECTOR BY A VOTE OF THE MAJORITY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL OF MEMBERS THE FOUNDATION'S ARTICLES OF INCORPORATION STATE THE "MEMBERS" OF THE FOUNDATION ARE THE BOARD OF DIRECTORS OF COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. THEY ARE THE ONES WHO OFFICIALLY ELECT THE FOUNDATION BOARD OF DIRECTORS. THE FOUNDATION BOARD OF DIRECTORS ARE AUTHORIZED TO EXERCISE ALL POWERS RELATED TO THE FOUNDATION WITHOUT AUTHORIZATION OR APPROVAL OF THE MEMBERS OF THE FOUNDATION EXCEPT THOSE STATUTORILY REQUIRED APPROVALS UNDER THE INDIANA NONPROFIT ACT. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REIVEW FORM 990 COMMUNITY HEALTH NETWORK, INC. ("CHNW") HAS ASSUMED RESPONSIBILITY FOR COMMUNITY HOSPITAL ANDERSON FOUNDATION'S ("CHAF") AUDIT, COMPLIANCE, FINANCE, AND EXECUTIVE COMPENSATION MATTERS. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHAF'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE CHNW EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHAF'S FORM 990, AND B) THE CHNW FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE FORM 990. IN ADDITION, CHAF'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHAF AND CHNW UTILIZED THIS PROCESS TO ENSURE THAT CHAF'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHAF'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING AND TAX EXPERTISE. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY COMMUNITY HOSPITAL ANDERSON FOUNDATION, INC. MONITORS THE CONFLICT OF INTEREST POLICY BY MAKING SURE THAT THE FOUNDATION BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. THE EXECUTIVE COMMITTEE, WHICH CONSISTS OF THE OFFICERS, WOULD ADDRESS ANY CONFLICTS OF INTEREST. THE ANNUAL DISCLOSURE REQUIRES BOARD MEMBERS TO DISCLOSE, IN WRITING, ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL (TOGETHER WITH FAMILY MEMBERS) HAS IN ANY BUSINESS ENTITY THAT TRANSACTS BUSINESS WITH CHAF. IN ADDITION, BOARD MEMBERS ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST THAT ARISES MID-YEAR IN RELATION TO A PROPOSED TRANSACTION. THE CONFLICT OF INTEREST POLICY REQUIRES THAT ANY INDIVIDUAL WITH A CONFLICT BE RECUSED FROM THE DECISION MAKING PROCESS, THAT INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS DETERMINE THAT THE PROPOSED TRANSACTION IS IN THE BEST INTEREST OF CHAF, AND THE TRANSACTION MUST BE APPROVED BY A VOTE OF INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS WITHOUT THE PARTICIPATION OF ANY INTERESTED INDIVIDUAL. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL AS A MEMBER OF THE NETWORK, CHAF IS SUBJECT TO THE EXECUTIVE COMPENSATION PRACTICES AND PROCEDURES OF CHNW, THE NETWORK PARENT. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO CHAF. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHAF'S COMPENSATION ARRANGEMENTS WITH RELATED PARTIES ARE EVALUATED AND ENTERED AT ARMS LENGTH AND THAT ANY COMPENSATION THAT IS PAID TO A RELATED PARTY IS REASONABLE AND REFLECTS FAIR MARKET VALUE. THIS POLICY ENCOURAGES THE APPLICATION OF THE REBUTTABLE PRESUMPTION STANDARD OF CODE SECTION 4958 AND THE RELATED TREASURY REGULATIONS BY: A) EXCLUDING ANY INTERESTED PARTY FROM THE DECISION MAKING PROCESS, B) REQUIRING DISINTERESTED BOARD OR COMMITTEE MEMBERS TO OBTAIN AND RELY UPON COMPARABILITY DATA WHEN SETTING THE PROPOSED COMPENSATION TERMS, C) REQUIRING APPROVAL OF THE TRANSACTION IN ADVANCE BY DISINTERESTED DIRECTORS OR COMMITTE MEMBERS, AND D) REQUIRING CONTEMPORANEOUS DOCUMENTATION (I.E. MINUTES) REFLECTING THE DECISION AND THE PROCESS BY WHICH IT WAS MADE. CHNW HAS DELEGATED AUTHORITY REGARDING CHAF'S EXECUTIVE COMPENSATION TO A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS, WHICH IS RESPONSIBLE FOR APPLYING THE TERMS AND PROCESS OF THE EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY AS OUTLINED ABOVE, AND B) THE NETWORK VICE PRESIDENT OF HUMAN RESOURCES WHO IS RESPONSIBLE FOR OBTAINING COMPARATIVE SALARY MARKET DATA FOR THE CHIEF EXECUTIVE OFFICER, OFFICERS, AND KEY EMPLOYEES, PERIODICALLY ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH REASONABLE COMPENSATION, AND PROVIDING STAFF SUPPORT TO THE NETWORK EXECUTIVE COMPENSATION COMMITTEE. DURING 2020, THE NETWORK EXECUTIVE COMPENSATION COMMITTEE FOLLOWED THIS PROCESS FOR ALL SENIOR EXECUTIVE LEADERS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION A) THE ARTICLES OF INCORPORATION AND BUSINESS ENTITY REPORT ARE ON FILE WITH THE INDIANA SECRETARY OF STATE AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE INDIANA SECRETARY OF STATE OR FREE OF CHARGE ON THE SECRETARY OF STATE'S WEBSITE. B) WHILE NOT AVAILABLE TO THE PUBLIC, THE CONFLICT OF INTEREST POLICY IS DESCRIBED IN PART VI, LINE 12C. C) COMMUNITY HOSPITAL ANDERSON FOUNDATION, INC. DOES NOT HAVE INDIVIDUALLY AUDITED FINANCIAL STATEMENTS. ITS FINANCIAL RESULTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY HEALTH NETWORK, INC. AND AFFILIATES. AS SUCH, THERE ARE NO INDIVIDUAL FINANCIAL STATEMENTS TO POST. COMMUNITY HOSPITAL ANDERSON FOUNDATION, INC. DOES FILE THE 990 TAX RETURN ON AN ANNUAL BASIS WHICH IS AVAILABLE UPON REQUEST AND/OR AVAILABLE ON A DELAYED BASIS ON GUIDESTAR.ORG. D) COMMUNITY HEALTH NETWORK, INC. AND AFFILIATES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. COMMUNITY HEALTH NETWORK INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 350983617 HOSPITAL IN 501(C)(3) LINE 3 N/A 0 COMMUNITY HEALTH NETWORK FOUNDATION 7330 SHADELAND STATION SUITE 100 INDIANAPOLIS IN 46256 510181688 CHARITY IN 501(C)(3) LINE 12B, II CHNW 1 COMMUNITY HOME HEALTH SERVICES INC 9894 EAST 121ST STREET FISHERS IN 46037 350953467 HEALTH CARE IN 501(C)(3) LINE 10 CHNW 1 COMM HOSP OF ANDERSON & MADISON CTY 1515 N MADISON AVENUE ANDERSON IN 46011 351069822 HOSPITAL IN 501(C)(3) LINE 3 CHNW 0 COMMUNITY HOSPITAL SOUTH INC 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 351088640 HOSPITAL IN 501(C)(3) LINE 3 CHNW 1 COMMUNITY HOWARD REGIONAL HEALTH 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351865344 HOSPITAL IN 501(C)(3) LINE 3 CHNW 1 COMM HOWARD REGIONAL HEALTH FDN PO BOX 9011 KOKOMO IN 46904 237309596 SUPPORT IN 501(C)(3) LINE 7 N/A 0 COMMUNITY PHYSICIANS OF IN INC 7240 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 205392766 PHYSICIAN SERVICES IN 501(C)(3) LINE 10 CHNW 1 FAIRBANKS HOSPITAL INC 8102 CLEARVISTA PARKWAY INDIANAPOLIS IN 46256 350811197 HOSPITAL IN 501(C)(3) LINE 3 CHNW 1 THE RECOVERY HIGH SCHOOL AT FAIRBANKS INC DBA HOPE ACADEMY 8102 CLEARVISTA PARKWAY INDIANAPOLIS IN 46256 203094377 CHARTER SCHOOL IN 501(C)(3) LINE 2 FAIRBANKS HOSPITAL INC 1 CHNJMH VENTURES LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 462356266 DIAG/REHAB IN N/A 0 0 COMMUNITY ENDOSCOPY CENTER LLC 1601 N MADISON AVENUE SUITE 300 ANDERSON IN 46011 611464136 HEALTH CARE IN N/A 0 0 COMMUNITY HEALTH AT HOME LLC 1700 EDISON DRIVE MILFORD OH 451502729 833536760 HEALTH CARE IN N/A 0 0 COMM HEALTH NETWORK REHAB HOSP LLC 680 S FOURTH STREET LOUISVILLE KY 40202 453414249 REHAB IN N/A 0 0 COMM HLTH NTWRK RHB HOSP SOUTH LLC 680 S FOURTH STREET LOUISVILLE KY 40202 821385366 REHAB IN N/A 0 0 EAST CAMPUS SURGERY CENTER LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 352028517 SURGERY IN N/A 0 0 HAMILTON SURGERY CENTER LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 352061413 SURGERY IN N/A 0 0 HEALTHBOX CHICAGO II LLC 33 WEST MONROE STREET SUITE 1700 CHICAGO IL 60603 463871950 INVESTMENT IL N/A 0 0 HOWARD COMMUNITY SURGERY CTR LLC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 352118748 SURGERY IN N/A 0 0 HOWARD REGIONAL SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 371501021 REHAB IN N/A 0 0 INDIANAPOLIS ENDOSCOPY CENTER LLC 8315 E 56TH STREET INDIANAPOLIS IN 46216 352010874 HEALTH CARE IN N/A 0 0 MICHIGAN SURGERY INVESTMENT LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 320147008 SURGERY CENTERS IN N/A 0 0 NORTH CAMPUS OFFICE ASSOCIATES LP 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 351808625 RENTAL PROPERTY IN N/A 0 0 NORTH CAMPUS SURGERY CENTERS LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 352147088 SURGERY IN N/A 0 0 NORTHPOINT PEDIATRICS LLC 8101 CLEARVISTA PARKWAY SUITE 185 INDIANAPOLIS IN 46256 351960566 HEALTH CARE IN N/A 0 0 NORTHWEST SURGERY CENTER LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 208754071 SURGERY IN N/A 0 0 PILLARS HOUSING LP 3500 SOUTH LAFOUNTAIN STREET KOKOMO IN 46902 161652671 HOUSING IN N/A 0 0 PRIMARIA HEALTH LLC 9365 COUNSELORS ROW SUITE 210 INDIANAPOLIS IN 46240 474728937 CONSULTING IN N/A 0 0 SCP INDIANAPOLIS LLC 7430 SHADELAND AVENUE SUITE 100 INDIANAPOLIS IN 46250 460639908 HEALTH CARE IN N/A 0 0 SOUTH CAMPUS SURGERY CENTER LLC 1550 EAST COUNTY LINE ROAD INDIANAPOLIS IN 46227 352038072 SURGERY IN N/A 0 0 CHN ASSURANCE COMPANY LTD PO BOX 1051GT GRAND CAYMAN CJ 980418913 SELF INSURANCE CJ N/A C 1 PILLARS COMMUNITY HOUSING INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652666 HOUSING IN N/A C 1 VISIONARY ENTERPRISES INC 6626 EAST 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 351538433 MANAGEMENT SERVICES IN N/A C 1 VEI MICHIGAN INC 940 N MAIN STREET ANN HARBOR MI 48104 300097377 MANAGEMENT SERVICES MI N/A C 1 WESTVIEW DELIVERY SYSTEM 3630 GUION ROAD INDIANAPOLIS IN 46222 351910292 MANAGEMENT SERVICES IN N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1