2020-11-05T08:18:27-06:00 2019-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 462400857 990 2019-01-01 861053152 COMMUNITY HOSPITAL ANDERSON FOUNDATION INC COMM 7652985133 1515 N MADISON AVENUE ANDERSON IN 46011 TOM BANNON CHIEF FDN OFFICER 7652985414 2020-10-28 1 CASSE TATE P01271193 3175802000 2020-10-28 64.132.79.18 2020-10-28 16:56:18 ED P 0AA9C5F9424A6E263E74B96BABC7E99CD5F0C4B3 58675E87C6136183E5EB75D403EB29D58B6B1823 2019 2021-01-29 14:40:06Z TOM BANNON 1515 N MADISON AVENUE ANDERSON IN 46011 13425311 0 X WWW.COMMUNITYANDERSON.COM 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. 18 14 3 14 0 0 778995 12655347 0 0 140858 562973 -17758 -23700 902095 13194620 378642 455121 0 0 251365 228779 0 0 0 241109 221026 871116 904926 30979 12289694 2789732 15489120 88356 51236 2701376 15437884 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 378223 352136 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. 137000 PROVIDE FINANCIAL ASSISTANCE TO COMMUNITY HOSPITAL ANDERSON EMPLOYEES THROUGH THE HEALTHCARE EMPLOYEES LOAN PROGRAM. 6000 6000 PROVIDE SCHOLARSHIPS AND EDUCATION ASSISTANCE TO COMMUNITY HOSPITAL ANDERSON EMPLOYEES. 96985 96985 PROVIDED FUNDS TO SUPPORT ANDERSON COMMUNITY. 96985 96985 618208 1 1 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 3 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 18 14 0 0 1 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 ELIZABETH S THARP MBA BSN RN DIRECTOR 3.00 47.00 X 0 687474 95327 JOHN HARRIS DIRECTOR 3.00 47.00 X 0 452178 64770 CHARLIE WILLIAMS MD CHAIRMAN 3.00 40.00 X X 0 417131 73910 TOM BANNON CHIEF FDN OFFICER 31.00 12.00 X 159735 106490 46424 IVY WALSH DIRECTOR 3.00 0.00 X 0 45713 2120 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 VICE CHAIRMAN 3.00 0.00 X X 0 0 0 LEROY QUASHIE PHD DIRECTOR 3.00 0.00 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 SECRETARY 3.00 0.00 X X 0 0 0 BILL WATSON DIRECTOR 3.00 0.00 X 0 0 0 BRYAN WILLIAMS TREASURER 3.00 0.00 X X 0 0 0 DAN YATES DIRECTOR 3.00 0.00 X 0 0 0 159735 1708986 282551 1 0 1 0 0 136040 12048839 470468 12655347 406019 406019 221352 131488 195886 0 25466 131488 156954 156954 11105 136040 34805 -23700 -23700 13194620 0 0 539273 449121 449121 6000 6000 159735 159735 56577 56577 700 700 11767 11767 4907 4907 40033 40033 6228 459 5769 363 363 "HELP" LOANS 137000 137000 SENIOR ACCESS VOUCHERS 9600 9600 COMMUNITY FARM 8991 8991 SPONSORSHIPS 5437 5437 8467 1600 6867 904926 618208 286718 0 108371 749324 2681361 14739796 2789732 15489120 7116 10701 81240 40535 88356 51236 X 2701376 15437884 2701376 15437884 2789732 15489120 12289694 446814 0 X X 0 1 X 1 0 X X 1 COMMUNITY HOSP OF ANDERSON & MADISON COUNTY INC 351069822 3 1 352136 0 1 352136 0 697550 581631 618475 778995 694561 3371212 697550 581631 618475 778995 694561 3371212 12355 3358857 92268 97185 113094 125817 406019 834383 31250 31785 12834 14662 11105 101636 4307231 0.77980 0.81360 X 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: INTEGRATION AGREEMENT DATE: 06/19/19 AMOUNT: 11960786. 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 52768 5051 83154 1 1 2672600 983446 120000 4907 3531139 3055109 -229545 150000 2964 2672600 2754192 70439 383468 150000 2990 3055109 2588574 223344 55000 2726 2754192 3316173 -210113 513249 4237 2588574 1.00000 0.00000 0.00000 0 0 0 DUE TO AFFILIATES 40535 40535 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. CHEFS BOY R WE 127480 121315 6165 9182 200 19967 GOLF OUTING 19665 14725 4940 675 4107 674 147145 136040 11105 675 13289 200 20641 34805 -23700 1 COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 351069822 501C3 352136 PURCHASE EQUIP/OTHER ANDERSON COMMUNITY SCHOOLS 1600 HILLCREST AVENUE ANDERSON IN 46011 356002149 ANDERSON COMM SCHOOL 18000 GENERAL SUPPORT FRANKTON-LAPEL COMMUNITY SCHOOLS 7916 W 300 N ANDERSON IN 46011 351263898 FKTN-LAPEL COMM SCH 8130 GENERAL SUPPORT OPERATION WARM 6 DICKINSON DRIVE SUITE 314 CHADDS FORD PA 19317 383663310 501C3 12720 GENERAL SUPPORT SOUTH MADISON COMMUNITY SCHOOL CORP 203 S HERITAGE WAY PENDLETON IN 19317 351114508 SOUTH MADSN COMM SCH 11500 GENERAL SUPPORT 5 0 SCHOLARSHIPS 5 6000 PART I, LINE 2: SCHOLARSHIPS ARE PAID DIRECTLY TO THE UNIVERSITY FOR A STUDENT IN THE MEDICAL OR NURSING FIELD OF STUDY. TRANSCRIPTS ARE REQUIRED FROM THE SCHOLARSHIP RECIPIENTS AT THE END OF EACH SEMESTER. X 1 1 0 0 0 0 0 0 0 1 0 ELIZABETH S THARP MBA BSN RN DIRECTOR 0 360946 0 218951 0 107577 0 72701 0 22626 0 782801 0 157449 JOHN HARRIS DIRECTOR 0 270123 0 129080 0 52975 0 45626 0 19144 0 516948 0 83178 CHARLIE WILLIAMS MD CHAIRMAN 0 343993 0 47610 0 25528 0 43733 0 30177 0 491041 0 47610 TOM BANNON CHIEF FDN OFFICER 94561 63040 40927 27285 24247 16165 17423 11616 10431 6954 187589 125060 25324 16883 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 7 - NON-FIXED PAYMENTS PROVIDED THE CHIEF FOUNDATION OFFICER PARTICIPATES IN A SENIOR LEADERSHIP INCENTIVE PROGRAM. THE PROGRAM WAS ADOPTED BY THE COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC'S ("CHA") EXECUTIVE COMPENSATION COMMITTEE, AND IS INTENDED TO INFLUENCE OUTSTANDING PERFORMANCE, AS MEASURED AGAINST BOTH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. THE PROGRAM IS REVIEWED ANNUALLY BY CHA'S EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED OF EXTERNAL BOARD 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 COMPENSATION CONSULTANT, IN CONSIDERATION OF CODE 4958 (AND THE CORRESPONDING TREASURY REGULATIONS) TO ENSURE THAT IT REFLECTS ARMS LENGTH, FAIR MARKET TERMS. FORM 990, PART VI, SECTION A, LINE 4 PART VI, SECTION A, LINE 4, CHANGES TO GOVERNING DOCUMENTS THE ARTICLES OF INCORPORATION WERE AMENDED. THE MINIMUM NUMBER OF DIRECTORS ON THE BOARD OF DIRECTORS CHANGED FROM TEN TO NINE. IN ADDITION, THE POWER TO ADOPT ANY AMENDMENT TO OR RESTATEMENT OF THE ARTICLES OF INCORPORATION IS NOW VESTED SOLELY IN THE BOARD OF DIRECTORS OF THE CORPORATION AND IS NOT CONTINGENT ON OR SUBJECT TO APPROVAL, RATIFICATION, OR ADOPTION BY THE MEMBERS OF THE CORPORATION. THE CODE OF BYLAWS WAS ALSO AMENDED CHANGING THE BOARD MEMBERS TO INCLUDE THE CURRENT PRESIDENT OF THE COMMUNITY HOSPITAL OF ANDERSON AUXILIARY. 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 CHAF'S AUDIT AND COMPLIANCE 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 COMMUNITY HOSPITAL ANDERSON FOUNDATION, INC. HAS DELEGATED THE AUTHORITY FOR DETERMINING THE COMPENSATION FOR THE FOUNDATION OFFICER TO COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. ("CHA"). CHA HAS A COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT MEMBERS OF ITS BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR EVALUATING AND DETERMINING COMPENSATION FOR CHA'S EXECUTIVE PERSONNEL. IN DISCHARGING THESE DUTIES, THE COMPENSATION COMMITTEE APPLIES THE PRINCIPLES OF THE REBUTTABLE PRESUMPTION AS OUTLINED IN CODE SECTION 4958 AND THE CORRESPONDING TREASURY REGULATIONS. MOST NOTABLY, THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABILITY DATA WHEN SETTING COMPENSATION AND CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS AND THE PROCESS THAT IT EMPLOYS IN WRITING. IN ADDITION, THE COMPENSATION COMMITTEE PERIODICALLY RETAINS AN OUTSIDE COMPENSATION CONSULTANT TO PROVIDE INPUT REGARDING THE APPROPRIATENESS OF CHA'S COMPENSATION DECISIONS. 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. FORM 990, PART XII, LINE 2C FINANCIAL STATEMENT OVERSIGHT THE AUDIT OVERSIGHT AND SELECTION PROCESSES HAVE NOT CHANGED SINCE LAST YEAR. 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 HLTH SERVICES OF INDIANA 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 454817436 HEALTH CARE IN 501(C)(3) LINE 3 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 LTC INC 1030 S SCATTERFIELD ROAD ANDERSON IN 460124235 351877441 HEALTH CARE IN 501(C)(3) LINE 10 CHA 1 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 HEALTH INSTITUTE OF INDIANA INC 3660 GUION ROAD INDIANAPOLIS IN 46222 352022402 FITNESS IN 501(C)(3) LINE 10 CHNW 1 INDIANAPOLIS OSTEOPATHIC HOSP INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351094734 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 COMMUNITY ENDOSCOPY CENTER LLC 1601 N MADISON AVENUE SUITE 300 ANDERSON IN 46011 611464136 HEALTH CARE IN N/A COMMUNITY HEALTH AT HOME LLC 1700 EDISON DRIVE MILFORD OH 451502729 833536760 HEALTH CARE IN N/A COMM HEALTH NETWORK REHAB HOSP LLC 680 S FOURTH STREET LOUISVILLE KY 40202 453414249 REHAB IN N/A COMM HLTH NTWRK RHB HOSP SOUTH LLC 680 S FOURTH STREET LOUISVILLE KY 40202 821385366 REHAB IN N/A EAST CAMPUS SURGERY CENTER LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 352028517 SURGERY IN N/A HAMILTON SURGERY CENTER LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 352061413 SURGERY IN N/A HEALTHBOX CHICAGO II LLC 33 WEST MONROE STREET SUITE 1700 CHICAGO IL 60603 463871950 INVESTMENT IL N/A HOWARD COMMUNITY SURGERY CTR LLC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 352118748 SURGERY IN N/A HOWARD REGIONAL SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 371501021 REHAB IN N/A INDIANAPOLIS ENDOSCOPY CENTER LLC 8315 E 56TH STREET INDIANAPOLIS IN 46216 352010874 HEALTH CARE IN N/A MICHIGAN SURGERY INVESTMENT LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 320147008 SURGERY CENTERS IN N/A NORTH CAMPUS OFFICE ASSOCIATES LP 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 351808625 RENTAL PROPERTY IN N/A NORTH CAMPUS SURGERY CENTERS LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 352147088 SURGERY IN N/A NORTHPOINT PEDIATRICS LLC 8101 CLEARVISTA PARKWAY SUITE 185 INDIANAPOLIS IN 46256 351960566 HEALTH CARE IN N/A NORTHWEST SURGERY CENTER LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 208754071 SURGERY IN N/A PILLARS HOUSING LP 3500 SOUTH LAFOUNTAIN STREET KOKOMO IN 46902 161652671 HOUSING IN N/A PRIMARIA HEALTH LLC 9365 COUNSELORS ROW SUITE 210 INDIANAPOLIS IN 46240 474728937 CONSULTING IN N/A SCP INDIANAPOLIS LLC 7430 SHADELAND AVENUE SUITE 100 INDIANAPOLIS IN 46250 460639908 HEALTH CARE IN N/A SOUTH CAMPUS SURGERY CENTER LLC 1550 EAST COUNTY LINE ROAD INDIANAPOLIS IN 46227 352038072 SURGERY IN N/A 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