COMMUNITY HEALTH NETWORK INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH NETWORK INC (EIN 35-0983617)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201633209349303933
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-15T09:30:36-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN352032768PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CASKEY & DAILY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14745 STATESMEN DRIVE SUITE CAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46250ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN350983617EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH NETWORK INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone3176210395PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17330 SHADELAND STATION SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46256ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSEPH M KESSLERPersonNm
Person TitleEVP CHIEF FIN OFFRPersonTitleTxt
Phone3173555822PhoneNum
Signature2016-11-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES A CASKEY CPA CFPPreparerPersonNm
PTINP00172185PTIN
Phone3175852647PhoneNum
Preparation2016-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRYAN A MILLSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17330 SHADELAND STATION SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46256ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,175,840,052GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ECOMMUNITY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1952FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionCOMMUNITY HEALTH NETWORK, INC. ("CHNW") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHNW OPERATES THREE GENERAL ACUTE CARE HOSPITALS AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHNW'S MISSION IS TO: A) PROMOTE THE HEALTH OF THE RESIDENTS OF CENTRAL INDIANA BY PROMOTING, SUPPORTING AND FURTHERING THE CHARITABLE PURPOSES OF: COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY LTC, INC., AND COMMUNITY HOME HEALTH SERVICES, INC. (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"), AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES, TO CONSIDER, COORDINATE, AND FACILITATE THE ALIGNMENT OF INITIATIVES WITHIN THE COMMUNITY HEALTH NETWORK ("NETWORK"). B) SERVE AS THE PARENT OF THE NETWORK, AN INTEGRATED DELIVERY SYSTEM, AND EXERCISE COMMON SUPERVISION AND CONTROL OVER THE NETWOActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee7318TotalEmployeeCnt
Total Volunteers559TotalVolunteersCnt
Total Gross UBI$4,897,657TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$3,560,861NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,184,189PYContributionsGrantsAmt
CY Contributions Grants$12,874,097CYContributionsGrantsAmt
PY Program Service Revenue$837,485,287PYProgramServiceRevenueAmt
CY Program Service Revenue$1,042,479,006CYProgramServiceRevenueAmt
PY Investment Income$16,120,084PYInvestmentIncomeAmt
CY Investment Income$16,046,546CYInvestmentIncomeAmt
PY Other Revenue$48,582,437PYOtherRevenueAmt
CY Other Revenue$39,715,633CYOtherRevenueAmt
PY Total Revenue$913,371,997PYTotalRevenueAmt
CY Total Revenue$1,111,115,282CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$359,469,687PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$419,790,376CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$346,971,986PYOtherExpensesAmt
CY Other Expenses$437,576,383CYOtherExpensesAmt
PY Total Expenses$706,441,673PYTotalExpensesAmt
CY Total Expenses$857,366,759CYTotalExpensesAmt
PY Revenues Less Expenses$206,930,324PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$253,748,523CYRevenuesLessExpensesAmt
Total Assets BOY$2,033,853,045TotalAssetsBOYAmt
Total Assets EOY$2,362,803,528TotalAssetsEOYAmt
Total Liabilities BOY$936,902,966TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,168,628,132TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,096,950,079NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,194,175,396NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMMUNITY HEALTH NETWORK, INC. ("CHNW") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHNW OPERATES THREE GENERAL ACUTE CARE HOSPITALS AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHNW'S MISSION IS TO: A) PROMOTE THE HEALTH OF THE RESIDENTS OF CENTRAL INDIANA BY PROMOTING, SUPPORTING AND FURTHERING THE CHARITABLE PURPOSES OF: COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY LTC, INC., AND COMMUNITY HOME HEALTH SERVICES, INC. (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"), AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES, TO CONSIDER, COORDINATE, AND FACILITATE THE ALIGNMENT OF INITIATIVES WITHIN THE COMMUNITY HEALTH NETWORK ("NETWORK"). B) SERVE AS THE PARENT OF THE NETWORK, AN INTEGRATED DELIVERY SYSTEM, AND EXERCISE COMMON SUPERVISION AND CONTROL OVER THE NETWOMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$498,455,482ExpenseAmt
Revenue$1,075,227,665RevenueAmt
DescCOMMUNITY HEALTH NETWORK, INC. OPERATES THREE ACUTE CARE FULL SERVICE HOSPITALS IN INDIANAPOLIS, INDIANA WITH 1,085 LICENSED BEDS. IN 2015, THE HOSPITALS SERVED 32,542 INPATIENTS FOR A TOTAL OF 144,464 INPATIENT DAYS OF SERVICE. THE HOSPITALS ALSO PROVIDED 1,227,382 OUTPATIENT VISITS, WHICH INCLUDED 152,533 EMERGENCY VISITS AND 607,593 MENTAL HEALTH VISITS. THE HOSPITALS OFFER MANY PATIENT FOCUSED HEALTHCARE SERVICES THAT INCLUDE WOMEN AND CHILDREN SERVICES, PEDIATRICS, ONCOLOGY, MENTAL HEALTH SERVICES, NEUROSCIENCES, ORTHOPEDICS, JOINT REPLACEMENT, BREAST CARE SERVICES, SURGERY SERVICES, REHABILITATION SERVICES, HEALTH PROMOTION SERVICES, EMERGENCY SERVICES, AND TRAINING AND EDUCATION FOR HEALTH CARE PROFESSIONALS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$34,617,057ExpenseAmt
Revenue$1,550,564RevenueAmt
DescCOMMUNITY HEALTH NETWORK, INC. PROVIDES SHARED SERVICES TO THE ORGANIZATIONS COLLECTIVELY REFERRED TO AS THE COMMUNITY HEALTH NETWORK. THESE SERVICES INCLUDE FINANCE AND ACCOUNTING, MATERIALS MANAGEMENT, PATIENT ACCOUNTING, TRANSCRIPTION SERVICES, MEDICAL RECORDS, LEGAL, HUMAN RESOURCES, INFORMATION TECHNOLOGY, AND BUSINESS DEVELOPMENT.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$533,072,539TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document377IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee7318EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOSEPH M KESSLERPersonNm
Phone3176210395PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17330 SHADELAND STATION SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46256ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRYAN A MILLS
DIRECTOR/PRE45.0015.00Yes (X)Yes (X)$1,185,136$0$127,327
HANY HADDAD MD
DIRECTOR2.0053.00Yes (X)$0$523,272$34,276
KENNETH SHAVER MD
DIRECTOR2.0053.00Yes (X)$0$274,306$50,392
JASON BECKER
DIRECTOR2.004.00Yes (X)$0$0$0
KATHRYN G BETLEY
DIRECTOR2.004.00Yes (X)$0$0$0
BRUCE F KING
DIRECTOR2.004.00Yes (X)$0$0$0
JEFFREY MOSSLER MD
DIRECTOR2.004.00Yes (X)$0$0$0
MICHAEL PETERSON
CHAIRMAN2.004.00Yes (X)Yes (X)$0$0$0
STEVEN R PLUMP
DIRECTOR2.005.00Yes (X)$0$0$0
JAY RICKER
DIRECTOR2.005.00Yes (X)$0$0$0
YVONNEE SHAHEEN
SECRETARY2.004.00Yes (X)Yes (X)$0$0$0
KRISTIN T SHERMAN
TREASURER2.004.00Yes (X)Yes (X)$0$0$0
CHARLES E STALEY
DIRECTOR2.005.00Yes (X)$0$0$0
RUSSELL SWAN JR
VICE CHAIRMA2.004.00Yes (X)Yes (X)$0$0$0
BRIAN K WILLIAMS
DIRECTOR2.004.00Yes (X)$0$0$0
TIMOTHY HOBBS MD
EVP CHIEF PH46.004.00Yes (X)$655,467$0$119,949
JASON FAHRLANDER
EVP ACUTE CA50.000.00Yes (X)$618,329$0$97,173
KYLE FISHER
EVP STRTGY &15.0035.00Yes (X)$0$582,840$105,914
JOSEPH M KESSLER
EVP CHIEF FI48.002.00Yes (X)$563,487$0$99,951
SCOTT TEFFETELLER
PRES EAST RE50.00Yes (X)$468,566$0$89,974
ANTHONY JAVORKA
EVP PRES AMB5.0045.00Yes (X)$0$463,922$88,039
RONALD THIEME
EVP CHF KNOW50.00Yes (X)$460,128$0$67,316
KATHLEEN KRUSIE
PRES NORTH R50.00Yes (X)$226,705$0$22,639
FRANK COVINGTON MD
MEDICAL DIRE50.00$753,385$0$62,297Yes (X)
DAVID WILLIAMS DO
PRES WEST RE0.0050.00$584,863$0$83,626Yes (X)
WESLEY WONG MD
CHIEF PHY IN50.00$549,593$0$93,543Yes (X)
KAREN ANN LLOYD
EVP GENERAL50.00$531,717$0$132,606Yes (X)
ANTHONY LENNEN
PRES SOUTH R0.0050.00$529,775$0$88,502Yes (X)
HOLLY A MILLARD
FORMER INTER49.001.00$388,382$0$73,262Yes (X)
JEFFERY KIRKHAM
FORMER KEY E46.004.00$380,387$0$126,313Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,895,920TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,844,340TotReportableCompRltdOrgAmt
Total Other Compensation$1,563,099TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K373IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MID AMERICA CLINICAL LABS
2560 NORTH SHADELAND AVENUEINDIANAPOLISIN46219LAB SERVICES$17,953,505
ARAMARK
12483 COLLECTION CENTER DRIVECHICAGOIL60673CLINICAL ENGNRG$12,288,153
GRANT THORNTON LLP
33562 TREASURY CENTERCHICAGOIL606943500CONSULTING$11,926,473
MEYER AND NAJEM INC
11787 LANTERN ROAD NO 100FISHERSIN46038CONSTRUCTN MGMT$6,770,192
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI53288SOFTWARE MAINT$5,905,038
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K395CntrctRcvdGreaterThan100KCnt
Related Organizations$3,164,427RelatedOrganizationsAmt
Government Grants$9,709,670GovernmentGrantsAmt
Total Contributions$12,874,097TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES622110$1,037,942,360$1,037,942,360
RENT531120$4,536,646$4,536,646
FieldValueIRS element (for citing)
Total Program Service Revenue$1,042,479,006TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,760,120TotalRevenueColumnAmt
Exclusion$13,760,120ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$62,699,826SecuritiesAmt
Other$4,311,370OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$61,822,458SecuritiesAmt
Other$2,902,312OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$877,368SecuritiesAmt
Other$1,409,058OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,286,426TotalRevenueColumnAmt
Exclusion$2,286,426ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
EQUITY INVESTMENT INCOME900003$19,445,281$19,445,281
JMH MANAGEMENT900099$4,200,000$4,200,000
MANAGED CARE FEES900099$3,039,118$3,039,118

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,031,234TotalRevenueColumnAmt
Related Or Exempt Func Income$11,814,824RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$697,657UnrelatedBusinessRevenueAmt
Exclusion$518,753ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$39,715,633OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,111,115,282TotalRevenueColumnAmt
Related Or Exempt Func Income$1,076,778,229RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,897,657UnrelatedBusinessRevenueAmt
Exclusion$16,565,299ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,802,147TotalAmt
Management And General$4,802,147ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$968,344TotalAmt
Management And General$968,344ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$324,143,315TotalAmt
Program Services$207,603,304ProgramServicesAmt
Management And General$116,540,011ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$23,633,104TotalAmt
Program Services$6,367,565ProgramServicesAmt
Management And General$17,265,539ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$43,733,513TotalAmt
Program Services$27,516,890ProgramServicesAmt
Management And General$16,216,623ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$22,509,953TotalAmt
Program Services$14,849,090ProgramServicesAmt
Management And General$7,660,863ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,357,792TotalAmt
Program Services$11,118ProgramServicesAmt
Management And General$3,346,674ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,466,897TotalAmt
Program Services$21,412ProgramServicesAmt
Management And General$6,445,485ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$57,388TotalAmt
Management And General$57,388ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$214,538TotalAmt
Management And General$214,538ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$63,469,948TotalAmt
Program Services$35,283,952ProgramServicesAmt
Management And General$28,185,996ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,033,964TotalAmt
Program Services$3,684,811ProgramServicesAmt
Management And General$3,349,153ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,905,640TotalAmt
Program Services$9,719,795ProgramServicesAmt
Management And General$11,185,845ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$28,561,489TotalAmt
Program Services$579,770ProgramServicesAmt
Management And General$27,981,719ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$36,459,545TotalAmt
Program Services$22,940,148ProgramServicesAmt
Management And General$13,519,397ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,584,558TotalAmt
Program Services$864,212ProgramServicesAmt
Management And General$1,720,346ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$509,721TotalAmt
Program Services$226,131ProgramServicesAmt
Management And General$283,590ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$19,912,932TotalAmt
Management And General$19,912,932ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$46,334,918TotalAmt
Program Services$13,149,483ProgramServicesAmt
Management And General$33,185,435ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,820,430TotalAmt
Program Services$90,977ProgramServicesAmt
Management And General$4,729,453ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$160,770,225$160,770,225
HAF PROGRAM FEES$26,930,330$26,930,330
RECRUITMENT$2,259,808$45,872$2,213,936
CORP SPONS/DEV$2,163,893$43,925$2,119,968

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,762,367TotalAmt
Program Services$2,373,529ProgramServicesAmt
Management And General$2,388,838ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$857,366,759TotalAmt
Program Services$533,072,539ProgramServicesAmt
Management And General$324,294,220ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$95,898,731BOYAmt
EOY$93,059,634EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$113,839,166BOYAmt
EOY$150,133,721EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$152,511BOYAmt
EOY$3,396,445EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,778,728BOYAmt
EOY$12,378,737EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,423,071BOYAmt
EOY$177,777,517EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,060,154,331LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$632,195,788LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$430,170,359BOYAmt
EOY$427,958,543EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$448,682,469BOYAmt
EOY$423,753,121EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$457,196,669BOYAmt
EOY$157,922,330EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$46,053,785BOYAmt
EOY$61,736,556EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$419,657,556BOYAmt
EOY$854,686,924EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,033,853,045BOYAmt
EOY$2,362,803,528EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$75,857,243BOYAmt
EOY$138,183,220EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$530,901,082BOYAmt
EOY$514,796,631EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$50,990,441BOYAmt
EOY$43,438,764EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$279,154,200BOYAmt
EOY$472,209,517EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$936,902,966BOYAmt
EOY$1,168,628,132EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,096,950,079BOYAmt
EOY$1,194,175,396EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,096,950,079BOYAmt
EOY$1,194,175,396EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,033,853,045BOYAmt
EOY$2,362,803,528EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$253,748,523ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$39,818,044NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$116,705,162OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$20,321GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$139,883DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$160,204TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationLINE 1F - A PORTION OF THE DUES COMMUNITY HEALTH NETWORK, INC. ("CHNW") PAID TO THE INDIANA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING. LINE 1G - COMMUNITY HEALTH NETWORK, INC. RETAINS A LOBBYIST TO DISCUSS AND WORK WITH LEGISLATORS ON THE IMPACT OF PROPOSED LEGISLATION AND TO PROACTIVELY SUPPORT LEGISLATION THAT FURTHERS THE MISSION AND GOALS OF THE NETWORK. IN ADDITION, ONE EMPLOYEE OF CHNW ASSISTS WITH LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,500,115OtherCostOrOtherBasisAmt
Book Value$6,500,115BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$578,520,264OtherCostOrOtherBasisAmt
Depreciation$254,652,082DepreciationAmt
Book Value$323,868,182BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,846,418OtherCostOrOtherBasisAmt
Depreciation$10,867,843DepreciationAmt
Book Value$11,978,575BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$444,733,083OtherCostOrOtherBasisAmt
Depreciation$359,529,830DepreciationAmt
Book Value$85,203,253BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,554,451OtherCostOrOtherBasisAmt
Depreciation$7,146,033DepreciationAmt
Book Value$408,418BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$427,958,543TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescCLOSELY-HELD EQUITY INTERESTSDesc
Book Value$157,922,330BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$157,922,330TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATED ENTITIES$696,198,557
FUNDS HELD BY TRUSTEE$137,467,943
OTHER RECEIVABLES$15,632,803
THIRD PARTY RECEIVABLE$4,166,736
OTHER ASSETS$1,220,885
FieldValueIRS element (for citing)
Total Book Value Other Assets$854,686,924TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
UNDERFUNDED PENSION FAS 158$254,187,531
TAXABLE REVENUE BOND$200,149,181
OTHER LT LIABILITY$9,256,997
THIRD PARTY SETTLEMENTS$8,615,808
FieldValueIRS element (for citing)
Total Liability$472,209,517TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served4609PersonsServedCnt
Total Community Benefit Expns$4,341,539TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,341,539NetCommunityBenefitExpnsAmt
Total Expense0.00500TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served88379PersonsServedCnt
Total Community Benefit Expns$164,741,601TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$153,703,316DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,038,285NetCommunityBenefitExpnsAmt
Total Expense0.01290TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served92988PersonsServedCnt
Total Community Benefit Expns$169,083,140TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$153,703,316DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,379,824NetCommunityBenefitExpnsAmt
Total Expense0.01790TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs20ActivitiesOrProgramsCnt
Persons Served2PersonsServedCnt
Total Community Benefit Expns$17,076,357TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$508,620DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,567,737NetCommunityBenefitExpnsAmt
Total Expense0.01930TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Total Community Benefit Expns$20,513,533TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,226,934DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,286,599NetCommunityBenefitExpnsAmt
Total Expense0.01780TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$7,170,413TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$688,790DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,481,623NetCommunityBenefitExpnsAmt
Total Expense0.00760TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,097,518TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$245,897DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,851,621NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs39ActivitiesOrProgramsCnt
Total Community Benefit Expns$247,995TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$247,995NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs73ActivitiesOrProgramsCnt
Persons Served2PersonsServedCnt
Total Community Benefit Expns$47,105,816TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,670,241DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,435,575NetCommunityBenefitExpnsAmt
Total Expense0.04720TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs73ActivitiesOrProgramsCnt
Persons Served92990PersonsServedCnt
Total Community Benefit Expns$216,188,956TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$160,373,557DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,815,399NetCommunityBenefitExpnsAmt
Total Expense0.06510TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$66,110TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$66,110NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$100,602TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,027DirectOffsettingRevenueAmt
Net Community Benefit Expns$54,575NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served6PersonsServedCnt
Total Community Benefit Expns$99TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$99NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served12PersonsServedCnt
Total Community Benefit Expns$5,625,531TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$687,928DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,937,603NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,733,528TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,270DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,679,258NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served18PersonsServedCnt
Total Community Benefit Expns$7,525,870TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$788,225DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,737,645NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$17,290,164BadDebtExpenseAmt
Bad Debt Expense Attributable$12,504,009BadDebtExpenseAttributableAmt
Reimbursed By Medicare$186,429,551ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$198,353,362CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,923,811MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
COMMUNITY IMAGING
PROVIDE MEDICAL IMAGING SERVICES0.500000.50000
EAST CAMPUS SURG CTR
PROVIDE OUTPATIENT SURGERY SERVICES0.510000.49000
HAMILTON SURGERY CTR
PROVIDE OUTPATIENT SURGERY SERVICES0.110000.49000
INDPLS ENDOSCOPY CTR
PROVIDE MEDICAL SERVICES0.190000.49000
NORTHPOINT PEDIATRIC
PROVIDE PHYSICIANS SERVICES0.510000.49000
SOUTH CAMPUS SURG CT
PROVIDE OUTPATIENT SURGERY SERVICES0.060000.45000
FieldValueIRS element (for citing)
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
COMMUNITY HOSPITAL NORTH
17150 CLEARVISTA DRIVEINDIANAPOLISIN46256WWW.ECOMMUNITY.COM15-011437-1Yes (X)Yes (X)Yes (X)Yes (X)A
INDIANA HEART HOSPITAL LLC
28075 N SHADELAND AVENUE SUITE 33INDIANAPOLISIN46250WWW.ECOMMUNITY.COM15-03312-1Yes (X)Yes (X)Yes (X)Yes (X)A
COMMUNITY HOSPITAL EAST
31500 NORTH RITTER AVENUEINDIANAPOLISIN46219WWW.ECOMMUNITY.COM15-005068-1Yes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility123FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLECOMMUNITYCOMSFINANCIALASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLECOMMUNITYCOMSFINANCIALASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 5SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR PERSONS CONSULTED AND HOW INPUT FROM THESE PERSONS WAS TAKEN INTO ACCOUNT.
GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 6ATHE CHNA FOR COMMUNITY HOSPITAL NORTH WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH, EAST, & INDIANA HEART HOSPITAL, LLC), COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY HOWARD REGIONAL HEALTH, INC., AND INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. IN ADDITION, THE HOSPITAL COLLABORATED WITH FRANCISCAN ST. FRANCIS HEALTH, IU HEALTH UNIVERSITY HOSPITAL, AND ST. VINCENT HOSPITAL.
GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 6BHEALTHY COMMUNITIES INSTITUTE
GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 7DHTTP://WEBAPP.ECOMMUNITY.COM/ABOUTUS/ GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX
GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 11SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS.
GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 16ITHE POLICY IS REFERENCED ON THE BILL.
GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 22DTHE AMOUNT GENERALLY BILLED ("AGB") TO INSURED PATIENTS FOR EMERGENT OR MEDICALLY NECESSARY CARE IS CALCULATED BY REVIEWING TWELVE MONTH CLOSED CLAIM REIMBURSEMENT RATES FOR MEDICARE AND COMMERCIAL INSURANCE. AGB IS UPDATED ANNUALLY. PATIENTS WHO ARE UNINSURED AND DO NOT MEET THE INCOME REQUIREMENTS WILL RECEIVE A DISCOUNT OF 60% ON GROSS CHARGES FOR FACILITY SERVICES, BASED ON AGB AND A DISCOUNT OF 25% ON GROSS CHARGES FOR PROFESSIONAL SERVICES FOR MEDICALLY NECESSARY AND EMERGENCY CARE SERVICES THEY RECEIVE.
GROUP A, FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 5SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR PERSONS CONSULTED AND HOW INPUT FROM THESE PERSONS WAS TAKEN INTO ACCOUNT.
GROUP A, FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 6ATHE CHNA FOR INDIANA HEART HOSPITAL, LLC WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH, EAST, & INDIANA HEART HOSPITAL, LLC), COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY HOWARD REGIONAL HEALTH, INC., AND INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. IN ADDITION, THE HOSPITAL COLLABORATED WITH FRANCISCAN ST. FRANCIS HEALTH, IU HEALTH UNIVERSITY HOSPITAL, AND ST. VINCENT HOSPITAL.
GROUP A, FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 6BHEALTHY COMMUNITIES INSTITUTE
GROUP A, FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 7DHTTP://WEBAPP.ECOMMUNITY.COM/ABOUTUS/ FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX
GROUP A, FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 11SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS.
GROUP A, FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 16ITHE POLICY IS REFERENCED ON THE BILL.
GROUP A, FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 22DTHE AMOUNT GENERALLY BILLED ("AGB") TO INSURED PATIENTS FOR EMERGENT OR MEDICALLY NECESSARY CARE IS CALCULATED BY REVIEWING TWELVE MONTH CLOSED CLAIM REIMBURSEMENT RATES FOR MEDICARE AND COMMERCIAL INSURANCE. AGB IS UPDATED ANNUALLY. PATIENTS WHO ARE UNINSURED AND DO NOT MEET THE INCOME REQUIREMENTS WILL RECEIVE A DISCOUNT OF 60% ON GROSS CHARGES FOR FACILITY SERVICES, BASED ON AGB AND A DISCOUNT OF 25% ON GROSS CHARGES FOR PROFESSIONAL SERVICES FOR MEDICALLY NECESSARY AND EMERGENCY CARE SERVICES THEY RECEIVE.
GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 5SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR PERSONS CONSULTED AND HOW INPUT FROM THESE PERSONS WAS TAKEN INTO ACCOUNT.
GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 6ATHE CHNA FOR COMMUNITY HOSPITAL EAST WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH, EAST, & INDIANA HEARTH HOSPITAL, LLC), COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY HOWARD REGIONAL HEALTH, INC., AND INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. IN ADDITION, THE HOSPITAL COLLABORATED WITH FRANCISCAN ST. FRANCIS HEALTH, IU HEALTH UNIVERSITY HOSPITAL, AND ST. VINCENT HOSPITAL.
GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 6BHEALTHY COMMUNITIES INSTITUTE
GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 7DHTTP://WEBAPP.ECOMMUNITY.COM/ABOUTUS/ GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX
GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 11SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS.
GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 16ITHE POLICY IS REFERENCED ON THE BILL.
GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 22DTHE AMOUNT GENERALLY BILLED ("AGB") TO INSURED PATIENTS FOR EMERGENT OR MEDICALLY NECESSARY CARE IS CALCULATED BY REVIEWING TWELVE MONTH CLOSED CLAIM REIMBURSEMENT RATES FOR MEDICARE AND COMMERCIAL INSURANCE. AGB IS UPDATED ANNUALLY. PATIENTS WHO ARE UNINSURED AND DO NOT MEET THE INCOME REQUIREMENTS WILL RECEIVE A DISCOUNT OF 60% ON GROSS CHARGES FOR FACILITY SERVICES, BASED ON AGB AND A DISCOUNT OF 25% ON GROSS CHARGES FOR PROFESSIONAL SERVICES FOR MEDICALLY NECESSARY AND EMERGENCY CARE SERVICES THEY RECEIVE.
FieldValueIRS element (for citing)
Facility67FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (67 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
COMMUNITY REGIONAL CANCER CENTER
1400 N RITTER AVENUE 340INDIANAPOLISIN46219HEALTH CARE
COMMUNITY IMAGING CENTER NORTH
8181 CLEARVISTA PKWYINDIANAPOLISIN46256HEALTH CARE
COMMUNITY BREAST CARE
8040 CLEARVISTA PKWY 290INDIANAPOLISIN46256HEALTH CARE
SLEEP WAKE DISORDERS
7250 CLEARVISTA DRIVE 350INDIANAPOLISIN46256HEALTH CARE
COMMUNITY IMAGING CTR NOBLESVILLE
9669 E 146TH STREET 140NOBLESVILLEIN46060DIAGNOSTIC CENTER
CHE SLEEP WAKE DISORDERS
1400 N RITTER AVENUE 481INDIANAPOLISIN46219HEALTH CARE
REHAB & SPORTS MEDICINE
2040 N SHADELAND AVENUEINDIANAPOLISIN46219REHABILITATION
MATERNAL FETAL MEDICINE
7120 E CLEARVISTA DRIVE 5900INDIANAPOLISIN46256HEALTH CARE
COMMUNITY NEUROSURGERY
1400 N RITTER AVENUE 231INDIANAPOLISIN46219HEALTH CARE
HRC OP THERAPY
8501 E 56TH STREET 140INDIANAPOLISIN46216HEALTH CARE
REHAB & SPORTS MEDICINE
6922 HILLSDALE COURTINDIANAPOLISIN46250REHABILITATION
FAMILY PRACTICE CENTER
10122 E 10TH STREET 100INDIANAPOLISIN46229HEALTH CARE
GALLAHUE ADDICTIONS
2040 N SHADELAND AVENUE SUITE 200INDIANAPOLISIN46219HEALTH CARE
GMHC LAWRENCE OP
6950 HILLSDALE COURTINDIANAPOLISIN46250HEALTH CARE
WARREN OP OFFICE
2040 N SHADELAND AVENUE SUITE 200INDIANAPOLISIN46219HEALTH CARE
MEDCHECK CASTLETON
8177 CLEARVISTA PKWYINDIANAPOLISIN46256HEALTH CARE
REHAB & SPORTS MEDICINE
13121 OLIO ROAD 140FISHERSIN46037REHABILITATION
GALLAHUE MENTAL HEALTH SERVICES
145 GREEN MEADOWS DRIVEGREENFIELDIN46140HEALTH CARE
GALLAHUE MENTAL HEALTH SERVICES
2040 N SHADELAND AVENUE SUITE 250INDIANAPOLISIN46219HEALTH CARE
COMMUNITY IMAGING CENTER
11911 N MERIDIAN STREET 175CARMELIN46032DIAGNOSTIC CENTER
GALLAHUE MENTAL HEALTH SERVICES
7 E HENDRICKS STREETSHELBYVILLEIN46176HEALTH CARE
GALLAHUE MENTAL HEALTH SERVICES
2201 HILLCREST DRIVEANDERSONIN46012HEALTH CARE
COMMUNITY SPINE CENTER
7120 E CLEARVISTA DRIVE 1500INDIANAPOLISIN46256HEALTH CARE
COMMUNITY GENERAL SURGEONS
1400 N RITTER AVENUE 330INDIANAPOLISIN46219HEALTH CARE
SLEEP WAKE DISORDERS
11911 N MERIDIAN STREET 140CARMELIN46032HEALTH CARE
MEDCHECK CARMEL
1911 N MERIDIAN STREET 150CARMELIN46032HEALTH CARE
MEDCHECK GREENWOOD
1664 W SMITH VALLEY ROAD SUITE BGREENWOODIN46142HEALTH CARE
MEDCHECK EAST
1703 N POST ROADINDIANAPOLISIN46219HEALTH CARE
ORTHOPEDIC SURGEONS OF CENTRAL IN
1400 N RITTER AVENUE 510INDIANAPOLISIN46219HEALTH CARE
COMM OCCUPATIONAL HEALTH CENTER
1709 N POST ROADINDIANAPOLISIN46219HEALTH CARE
DAY THERAPY
6950 HILLSDALE COURTINDIANAPOLISIN46250HEALTH CARE
COMMUNITY BARIATRICS SURGEONS
7250 CLEARVISTA SUITE 355INDIANAPOLISIN46256HEALTH CARE
FORGE AHEAD CLUBHOUSE
1640 N RITTER AVENUEINDIANAPOLISIN46201HEALTH CARE
OUTPATIENT WORK COMP REHAB
1911 N MERIDIAN STREET 170CARMELIN46032HEALTH CARE
WORK COMP REHAB
1713 N POST ROADINDIANAPOLISIN46219REHABILITATION
WORK COMP REHAB
6922 HILLSDALE COURTINDIANAPOLISIN46250REHABILITATION
HRC NEUROPSYCH SERVICES
7250 CLEARVISTA DRIVE 327INDIANAPOLISIN46256HEALTH CARE
HRC NEUROPSYCHOLOGY
8501 E 56TH STREET 140INDIANAPOLISIN46216HEALTH CARE
MEDCHECK ANDERSON
1030 S SCATTERFIELD ROADANDERSONIN46012HEALTH CARE
OCCUPATIONAL HEALTH
8177 CLEARVISTA PKWYINDIANAPOLISIN46256HEALTH CARE
SHELBYVILLE GROUP HOME
18 E MECHANIC STREETSHELBYVILLEIN46176HEALTH CARE
NORTH RIVER CROSS ORTHOPEDICS
18051 RIVER ROADNOBLESVILLEIN46062HEALTH CARE
COMMUNITY SLEEP SPECIALISTS
7250 CLEARVISTA DRIVE 330INDIANAPOLISIN46256HEALTH CARE
GREENFIELD OCCUPATIONAL HEALTH
124 W MUSKEGAN DRIVEGREENFIELDIN46140HEALTH CARE
WOMEN'S & CHILDREN'S CARE CENTER
2040 N SHADELAND AVENUE SUITE 300INDIANAPOLISIN46219HEALTH CARE
OLIO ROAD IMAGING CENTER
13121 OLIO ROAD 110FISHERSIN46037DIAGNOSTIC CENTER
REHAB & SPORTS MEDICINE
10122 E 10TH STREET 225INDIANAPOLISIN46229REHABILITATION
YOUTH DAY PROGRAM
6950 HILLSDALE COURTINDIANAPOLISIN46250HEALTH CARE
COMM REPRODUCTIVE ENDOCRINOLOGY
7250 CLEARVISTA DRIVE SUITE 365INDIANAPOLISIN46256HEALTH CARE
ASSISTED FERTILITY
8040 CLEARVISTA PKWY 510INDIANAPOLISIN46256HEALTH CARE
OCCUPATIONAL HEALTH
1030 S SCATTERFIELD ROADANDERSONIN46012HEALTH CARE
REHAB & SPORTS MEDICINE
11911 N MERIDIAN STREET 170CARMELIN46032REHABILITATION
REHAB & SPORTS MEDICINE
740 W GREEN MEADOWS DRIVE 120GREENFIELDIN46140REHABILITATION
COMMUNITY IMAGING CENTER
740 W GREEN MEADOWS DRIVE 120GREENFIELDIN46140DIAGNOSTIC CENTER
EVENING THERAPY
6950 HILLSDALE COURTINDIANAPOLISIN46250HEALTH CARE
COMMUNITY SLEEP SPECIALISTS
1400 N RITTER AVENUE SUITE 410INDIANAPOLISIN46219HEALTH CARE
MEDCHECK EXPRESS FISHERS
8300 E 96TH STREETFISHERSIN46038HEALTH CARE
MEDCHECK EXPRESS NOBLESVILLE
16865 CLOVER ROADNOBLESVILLEIN46060HEALTH CARE
CHN BARIATRIC SERVICES
7250 CLEARVISTA DRIVE 355INDIANAPOLISIN46256HEALTH CARE
MEDCHECK EXPRESS INDIANAPOLIS
10617 E WASHINGTON STREETINDIANAPOLISIN46229HEALTH CARE
LIFECHECK
7250 CLEARVISTA DRIVE 227INDIANAPOLISIN46256HEALTH CARE
BEHAVIORAL MEDICINE
6950 HILLSDALE COURTINDIANAPOLISIN46250HEALTH CARE
GMHC OUTPATIENT ADDICTION TREATMENT
145 GREEN MEADOWS DRIVEGREENFIELDIN46140HEALTH CARE
MEDCHECK NOBLESVILLE
9669 E 146TH STREET 100NOBLESVILLEIN46060HEALTH CARE
HOOK REHAB SILP HOME
9716 E 16TH STREETINDIANAPOLISIN46229REHABILITATION
BREAST HEALTH NAVIGATORS
1550 E COUNTY LINE ROAD 325INDIANAPOLISIN46227HEALTH CARE
GMHC HANCOCK INTENSIVE ADDICTION TR
145 GREEN MEADOWS DRIVEGREENFIELDIN46140HEALTH CARE

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A - RELATED ORGANIZATION INFORMATIONA COMMUNITY BENEFIT REPORT IS COMPLETED FOR THE COMMUNITY HEALTH NETWORK INCLUDING COMMUNITY HEALTH NETWORK, INC. AND OTHER TAX-EXEMPT AFFILIATES OF THE NETWORK.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONA COST TO CHARGE RATIO WAS UTILIZED TO DETERMINE COSTS FOR LINES A THROUGH C IN THE TABLE. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. LINES E THROUGH I OF THE TABLE ARE BASED ON ACTUAL INCURRED EXPENSES. PART II COMMUNITY BUILDING ACTIVITIES SEE ATTACHED IRS SCHEDULE H SUPPLEMENTAL INFORMATION REPORT.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYTHE COST TO CHARGE RATIO UTILIZED FOR PURPOSES OF REPORTING BAD DEBT COSTS WAS DERIVED FROM WORKSHEET 2 AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. PART III, LINE 3 - BAD DEBT EXPENSE, PATIENTS ELIBIBLE FOR ASSISTANCE THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED UTILIZING THE HISTORICAL LEVEL OF PATIENTS THAT WERE DETERMINED AS ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON A PRESUMPTIVE ELIBIBILITY PROCESS AND APPLYING THIS RATIO TO THE REPORTED BAD DEBT EXPENSE ON THE FINANCIAL STATEMENTS. PART III, LINE 4 - BAD DEBT EXPENSE EXPLANATION THE AUDITED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING TEXT WITHIN THE FOOTNOTES TO DESCRIBE BAD DEBT EXPENSE: THE NETWORK'S PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ADJUSTMENTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE NETWORK ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, THE NETWORK ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, INCLUDING PATIENT DEDUCTIBLES AND CO-INSURANCE, THE NETWORK RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS ADJUSTED THROUGH THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. CERTAIN ACCOUNTS THAT ARE SENT TO COLLECTION COMPANIES REMAIN AS ACCOUNTS RECEIVABLE ON THE BALANCE SHEET. THESE ACCOUNTS ARE NOT WRITTEN OFF UNLESS RETURNED FROM THE COLLECTION COMPANY. HOWEVER, THEY ARE FULLY RESERVED WITHIN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE NETWORK RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE NETWORK RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED OR ON THE BASIS OF DISCOUNTED RATES IF IN ACCORDANCE WITH POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF THE NETWORK'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE NETWORK RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS RECOGNIZED IN THE PERIOD FROM THESE MAJOR PAYOR SOURCES, IS AS FOLLOWS FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY: THIRD PARTY PAYORS SELF-PAY TOTAL ALL PAYORS 2015 PATIENT SERVICE REVENUE(NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) 1,985,324 118,573 2,103,897 ========== ======== ========== 2014 PATIENT SERVICE REVENUE(NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) 1,846,217 142,537 1,988,754 ========== ======== ========== THE NETWORK MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE NETWORK PROVIDES 100% CHARITY CARE TO PATIENTS WHOSE INCOME LEVEL IS BELOW 200% OF THE FEDERAL POVERTY LEVEL. PATIENTS WITH INCOME LEVELS RANGING FROM 200% - 300% OF THE CURRENT YEAR'S FEDERAL POVERTY LEVEL WILL QUALIFY FOR PARTIAL ASSISTANCE DETERMINED BY A SLIDING SCALE. THE NETWORK USES COST AS THE MEASUREMENT BASIS FOR CHARITY CARE DISCLOSURE PURPOSES WITH THE COST BEING IDENTIFIED AS THE DIRECT AND INDIRECT COSTS OF PROVIDING THE CHARITY CARE. CHARITY CARE AT COST WAS 10,566000 AND 15,657000 FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY. CHARITY CARE COST WAS ESTIMATED ON THE APPLICATION OF THE ASSOCIATED COST-TO-CHARGE RATIOS. THE DECREASE IN CHARITY CARE IS THE RESULT OF MORE PATIENTS BEING COVERED UNDER HEALTH EXCHANGE PROGRAMS MANDATED BY THE AFFORDABLE HEALTH CARE ACT AND THE HEALTHY INDIANA PLAN 2.0. BEGINNING JUNE 2012, THE STATE OF INDIANA OFFERED VOLUNTARY PARTICIPATION IN THE STATE OF INDIANA'S HOSPITAL ASSESSMENT FEE ("HAF") PROGRAM. THE STATE OF INDIANA IMPLEMENTED THIS PROGRAM TO UTILIZE SUPPLEMENTAL REIMBURSEMENT PROGRAMS FOR THE PURPOSE OF PROVIDING REIMBURSEMENT TO PROVIDERS TO OFFSET A PORTION OF THE COST OF PROVIDING CARE TO MEDICAID AND INDIGENT PATIENTS. THIS PROGRAM IS DESIGNED WITH INPUT FROM CENTERS FOR MEDICARE AND MEDICAID SERVICES AND IS FUNDED WITH A COMBINATION OF STATE AND FEDERAL RESOURCES, INCLUDING FEES OR TAXES LEVIED ON THE PROVIDERS. THE NETWORK RECOGNIZES REVENUES AND RELATED FEES ASSOCIATED WITH THE HAF PROGRAM IN THE PERIOD IN WHICH AMOUNTS ARE ESTIMABLE AND COLLECTION OR PAYMENT IS REASONABLY ASSURED. REIMBURSEMENT UNDER THE PROGRAM IS REFLECTED WITHIN NET PATIENT SERVICE REVENUE AND THE FEES PAID FOR PARTICIPATION IN THE HAF PROGRAM ARE RECORDED IN SUPPLIES AND OTHER EXPENSES WITHIN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. THE FEES AND REIMBURSEMENTS ARE SETTLED MONTHLY. REVENUE RECOGNIZED RELATED TO THE HAF PROGRAM WAS 71,953000 AND 85,581000 FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY. EXPENSE FOR FEES RELATED TO THE HAF PROGRAM WAS 41,044000 AND 48,683000 FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY. THE HAF PROGRAM RUNS ON AN ANNUAL CYCLE FROM JULY 1 TO JUNE 30 AND IS EFFECTIVE UNTIL JUNE 30, 2017. THE CONSOLIDATED BALANCE SHEET AT DECEMBER 31, 2015 INCLUDES LESS THAN ONE MONTH OF HAF ACTIVITY, OR 4,202000 AND 7,658000 IN ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS RECEIVABLE AND PAYABLE, RESPECTIVELY, RELATED TO THE HAF PROGRAM. ADJUSTMENTS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE AFTER THE NETWORK HAS ANALYZED HISTORICAL CASH COLLECTIONS AND CONSIDERED THE IMPACT OF ANY KNOWN MATERIAL EVENTS. UNCOLLECTIBLE ACCOUNTS ARE WRITTEN-OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER EXHAUSTING COLLECTION EFFORTS. ANY SUBSEQUENT RECOVERIES ARE RECORDED AGAINST THE PROVISION FOR BAD DEBTS.
PART III, LINE 8 - MEDICARE EXPLANATIONPER THE 990 INSTRUCTIONS, THE MEDICARE COST REPORT WAS UTILIZED TO DETERMINE THE MEDICARE SHORTFALL. HOWEVER, THE MEDICARE COST REPORT IS NOT REFLECTIVE OF ALL COSTS ASSOCIATED WITH MEDICARE PROGRAMS SUCH AS PHYSICIAN SERVICES AND SERVICES BILLED VIA FREE STANDING CLINICS. FURTHER, THE MEDICARE COST REPORT EXCLUDES REVENUES AND COSTS OF MEDICARE PART C AND D. THE MEDICARE SHORTFALL ATTRIBUTED TO THOSE AREAS NOT INCLUDED ON THE MEDICARE COST REPORT IS 24,223,904. AS SUCH, THE TOTAL MEDICARE SHORTFALL FOR ALL MEDICARE PROGRAMS IS 36,217,599. MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE MEDICARE REPRESENTS 40.53% OF THE OVERALL PAYER MIX FOR COMMUNITY HEALTH NETWORK, INC.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONSEE ATTACHED FINANCIAL ASSISTANCE POLICY.
ADDITIONAL INFORMATIONPART VI, ITEMS 2 THROUGH 5 ARE DISCUSSED WITHIN THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT. FOR A COPY OF THIS REPORT, PLEASE CONTACT HOLLY MILLARD AT (317) 355-5860. PART VI, ITEM 6 - AFFILIATED HEALTH CARE SYSTEM COMMUNITY HEALTH NETWORK, INC. ("CHNW") IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. SEE THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW CHNW IS INVOLVED IN PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES. PART VI, ITEM 7 - STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRYAN A MILLS
DIRECTOR/PRES & CEO$901,429$263,340$20,367$100,308$27,019$1,312,463$263,340
HANY HADDAD MD
DIRECTOR$504,201$19,071$15,900$18,376$557,548
KENNETH SHAVER MD
DIRECTOR$194,445$70,878$32,916$17,476$324,698$8,983$8,983
TIMOTHY HOBBS MD
EVP CHIEF PHYSICIAN$530,600$104,500$20,367$100,150$19,799$775,416$104,500
JASON FAHRLANDER
EVP ACUTE CARE SRV$450,769$165,300$2,260$70,246$26,927$715,502$165,300
KYLE FISHER
EVP STRTGY & INNOVTN$419,253$2,087$79,750$26,164$688,754$161,500$161,500
JOSEPH M KESSLER
EVP CHIEF FIN OFFR$490,846$70,274$2,367$72,000$27,951$663,438$70,274
SCOTT TEFFETELLER
PRES EAST REGION$390,600$76,000$1,966$63,350$26,624$558,540$76,000
ANTHONY JAVORKA
EVP PRES AMBULATORY$357,235$1,809$59,765$28,274$551,961$104,878$104,878
RONALD THIEME
EVP CHF KNOWLDG/INFO$342,336$116,124$1,668$41,015$26,301$527,444
KATHLEEN KRUSIE
PRES NORTH REGION$141,499$85,000$206$17,758$4,881$249,344
FRANK COVINGTON MD
MEDICAL DIRECTOR$468,091$70,110$215,184$51,022$11,275$815,682$70,110
DAVID WILLIAMS DO
PRES WEST REGION$403,505$161,500$19,858$66,150$17,476$668,489$161,500
WESLEY WONG MD
CHIEF PHY INTEGRTN$425,303$122,550$1,740$73,590$19,953$643,136$122,550
KAREN ANN LLOYD
EVP GENERAL COUNSEL$385,037$144,400$2,280$116,847$15,759$664,323
ANTHONY LENNEN
PRES SOUTH REGION$391,365$118,275$20,135$71,670$16,832$618,277$118,275
HOLLY A MILLARD
FORMER INTERIM CFO$277,774$109,019$1,589$56,923$16,339$461,644$109,019
JEFFERY KIRKHAM
FORMER KEY EMPLOYEE$293,408$85,500$1,479$100,012$26,301$506,700$85,500

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART IIIFormAndLineReferenceDesc
ExplanationPART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BRYAN A. MILLS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. DURING 2015, MR. MILLS DID NOT RECEIVE A PAYMENT FROM SUCH PLAN. PART I, LINE 5A - COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION DR. FRANK COVINGTON WAS ELIGIBLE TO PARTICIPATE IN CHNW'S INCENTIVE COMPENSATION PLAN. CHNW DEVELOPED ITS COMPENSATION PLAN IN CONJUNCTION WITH AN INDEPENDENT COMPENSATION CONSULTANT. IN ADDITION, THE PLAN WAS APPROVED BY THE NETWORK EXECUTIVE COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN ADOPTING ITS INCENTIVE BASED COMPENSATION PLAN, CHNW (TOGETHER WITH ITS INDEPENDENT COMPENSATION CONSULTANT, ITS EXTERNAL LEGAL COUNSEL, AND THE NETWORK EXECUTIVE COMPENSATION COMMITTEE) CONSIDERED AND APPLIED THE PROVISIONS OF CODE SECTION 4958 AND THE CORRESPONDING TREASURY REGULATIONS TO ENSURE THAT ITS COMPENSATION DECISIONS REFLECT ARMS LENGTH, FAIR MARKET TERMS. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED COMMUNITY HEALTH NETWORK, INC., PARTICIPATES IN THE NETWORK'S SENIOR LEADERSHIP INCENTIVE PROGRAM. CERTAIN INDIVIDUALS OF THE LEADERSHIP TEAM PARTICIPATE IN THIS PROGRAM. THE PROGRAM WAS ADOPTED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND IS INTENDED TO INFLUENCE OUTSTANDING PERFORMANCE BY THE SENIOR LEADERS, AS MEASURED AGAINST BOTH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. THE PROGRAM IS REVIEWED ANNUALLY BY THE 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.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY
A35160231645471AAM42009-06-30$100,000,000SOUTH HOSP EXPANSIONfalsefalsefalse
INDIANA FINANCE AUTHORITY
B35160231645471AKA92012-11-27$404,346,943SEE PART VIfalsefalsefalse
INDIANA FINANCE AUTHORITY
C3516023162012-11-27$74,250,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmt
A$64,420,000$100,013,940$842,000$499,875$98,672,0652010falsefalseYes (true)Yes (true)
B$16,150,000$404,722,600$4,254,900$63,063,065Yes (true)Yes (true)falseYes (true)$250,092,043$87,312,592
C$5,005,000$74,250,000$270,000Yes (true)falseYes (true)Yes (true)$73,980,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.005900.00590Yes (true)falseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.005700.00570Yes (true)falseYes (true)
CfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.007800.00780Yes (true)falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)falseYes (true)falsefalsefalseYes (true)
BfalseYes (true)falsefalsefalsefalsefalseYes (true)Yes (true)
CfalsefalseYes (true)falseYes (true)falsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K - PURPOSE OF ISSUE DESCRIPTIONINDIANA FINANCE AUTHORITY PART I, LINE B, COLUMN (F) ADVANCE REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2005A (COMMUNITY HEALTH NETWORK PROJECT) ISSUED ON MAY 4, 2005; CURRENTLY REFUND THE HOSPITAL AUTHORITY OF MADISON COUNTY HOSPITAL REVENUE REFUNDING BONDS, SERIES 1988A (COMMUNITY HOSPITAL OF ANDERSON PROJECT) ISSUED ON APRIL 21, 1988; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY HOSPITAL REVENUE BONDS, SERIES 1992 (COMMUNITY HOSPITALS PROJECT) ISSUED ON JANUARY 14, 1992; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY HOSPITAL REVENUE BONDS, SERIES 1993 (COMMUNITY HOSPITAL OF ANDERSON PROJECT) ISSUED ON JUNE 16, 1993; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY HOSPITAL REVENUE REFUNDING AND IMPROVEMENT BONDS, SERIES 1995 (COMMUNITY HOSPITALS PROJECT) ISSUED ON JANUARY 4, 1996; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 1997A (COMMUNITY HOSPITALS PROJECT) ISSUED ON AUGUST 7, 1997; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 1997B (COMMUNITY HOSPITALS PROJECT) ISSUED ON AUGUST 7, 1997; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 2005C (COMMUNITY HEALTH NETWORK PROJECT) ON MAY 4, 2005 AND CONSTRUCTION OF A CANCER CENTER AT SOUTH AND NORTH, RENOVATION OF THE EMERGENCY DEPARTMENT AT EAST AND THE CONSTRUCTION OF TWO HYBRID OPERATING SUITES AT COMMUNITY HEART AND VASCULAR HOSPITAL. INDIANA FINANCE AUTHORITY PART I, LINE C, COLUMN (F) CURRENT REFUNDING OF THE INDIANA HEALTH FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 2005B (COMMUNITY HEALTH NETWORK PROJECT) ISSUED ON MAY 4, 2005 AND CURRENT REFUNDING OF THE INDIANA FINANCE AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 2009B (COMMUNITY HEALTH NETWORK PROJECT) ISSUED ON JUNE 30, 2009.
SCHEDULE K - ADDITIONAL INFORMATIONINDIANA FINANCE AUTHORITY PART II, LINE 3, COLUMN A - DIFFERENCES IN ISSUE PRICE EXPLANATION ISSUE PRICE 100,000,000 INTEREST EARNED 13,940 INDIANA FINANCE AUTHORITY PART II, LINE 3, COLUMN B - DIFFERENCES IN ISSUE PRICE EXPLANATION ISSUE PRICE 404,346,943 INTEREST EARNED 375,658 THE HIGHER AMOUNT OF INVESTMENT EARNINGS ACCOUNTED FOR IN PRIOR YEARS WAS DUE TO THE FACT THAT ESCROW EARNINGS WERE INCLUDED. THE ESCROW TERMINATED ON MAY 1, 2015 AND THEREFORE, ESCROW EARNINGS ARE NO LONGER INCLUDED. PART III, LINE 7 COLUMNS A, B, AND C - THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST. PART IV, LINE 2C COLUMN A - DATE REBATE COMPUTATION PERFORMED THE 2009A BONDS AND THE 2009B BONDS MET THE 18 MONTH SPENDING EXCEPTION AS OF 12/30/10. PART IV, LINE 2C COLUMN C - DATE REBATE COMPUTATION PERFORMED THE 2012B BONDS MET THE 6 MONTH SPENDING EXCEPTION AS OF 12/31/12.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONCOMMUNITY HEALTH NETWORK, INC. ("CHNW") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHNW OPERATES THREE GENERAL ACUTE CARE HOSPITALS AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHNW'S MISSION IS TO: A) PROMOTE THE HEALTH OF THE RESIDENTS OF CENTRAL INDIANA BY PROMOTING, SUPPORTING AND FURTHERING THE CHARITABLE PURPOSES OF: COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY LTC, INC., AND COMMUNITY HOME HEALTH SERVICES, INC. (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"), AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES, TO CONSIDER, COORDINATE, AND FACILITATE THE ALIGNMENT OF INITIATIVES WITHIN THE COMMUNITY HEALTH NETWORK ("NETWORK"). B) SERVE AS THE PARENT OF THE NETWORK, AN INTEGRATED DELIVERY SYSTEM, AND EXERCISE COMMON SUPERVISION AND CONTROL OVER THE NETWORK BY INTEGRATING, COORDINATING, AND MANAGING THE DELIVERY OF CAPITAL, RESOURCES, AND SERVICES THROUGHOUT THE NETWORK. IN FURTHERANCE OF ITS ROLE AS THE PARENT, THE CORPORATION WILL BE RESPONSIBLE FOR CARRYING OUT A NUMBER OF SIGNIFICANT MANAGEMENT, GOVERNANCE, AND OPERATIONAL FUNCTIONS ON BEHALF OF THE ENTIRE NETWORK, THE SUPPORTED ORGANIZATIONS, AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES.
FORM 990FORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS THE BOARD OF DIRECTORS FOR CHNW IS ALSO THE BOARD OF DIRECTORS FOR THE FOLLOWING ORGANIZATIONS: COMMUNITY HOME HEALTH SERVICES, INC., COMMUNITY HOSPITAL SOUTH, INC., HEALTH INSTITUTE OF INDIANA, INC., AND INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW REVIEWS AND APPROVES EXECUTIVE COMPENSATION THROUGH THE DELIBERATIONS OF THE NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. LIKEWISE, CHNW REVIEWS AND MANAGES CONFLICT OF INTEREST TRANSACTIONS THROUGH THE DELIBERATIONS OF A NETWORK AUDIT COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. FORM 990, PART I, LINE 5 - NUMBER OF EMPLOYEES AS OF JANUARY 1, 2012, CHNW BECAME THE EMPLOYER FOR VARIOUS RELATED ENTITIES. THE TOTAL EMPLOYEES REPORTED ON FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS FILED FOR 2015 WAS 14,784.
FORM 990, PART VFORM 990, PART V, LINE 1A - NUMBER REPORTED IN BOX 3 OF FORM 1096 CHNW FILES 1099 FOR VARIOUS RELATED ENTITIES. THE TOTAL NUMBER REPORTED ON FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS FILED FOR 2015 WAS 377.
FORM 990, PART VIFORM 990, PART VI, LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS THE FOLLOWING DIRECTORS/OFFICERS SERVED AS A DIRECTOR OR OFFICER OF COMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI"): TIMOTHY HOBBS, M.D. ANTHONY JAVORKA BRYAN A. MILLS STEVEN R. PLUMP AND ANTHONY JAVORKA, HANY HADDAD, M.D., AND KENNETH SHAVER, M.D. RECEIVED COMPENSATION FROM CPI. THE FOLLOWING DIRECTORS/OFFICERS SERVED AS DIRECTORS OF VISIONARY ENTERPRISES, INC. ("VEI"), A TAXABLE AFFILIATE OF CHNW: KYLE FISHER BRUCE F. KING BRYAN A. MILLS AND KYLE FISHER RECEIVED COMPENSATION FROM VEI.
FORM 990, PAGE 6, PART VI, LINE 11BCHNW HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHNW'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHNW'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE FORM 990. IN ADDITION, CHNW'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHNW UTILIZED THIS PROCESS TO ENSURE THAT ITS FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHNW'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE.
FORM 990, PAGE 6, PART VI, LINE 12CCHNW HAS DELEGATED AUTHORITY FOR AUDIT AND COMPLIANCE TO THE AUDIT COMMITTEE, WHICH IS COMPOSED OF INDEPENDENT DIRECTORS. THE CONFLICT OF INTEREST POLICY REQUIRES DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THE ANNUAL DISCLOSURE REQUIRES DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO DISCLOSE, IN WRITING, ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL (TOGETHER WITH FAMILY MEMBERS) HAS IN ANY BUSINESS ENTITY THAT TRANSACTS BUSINESS WITH CHNW. IN ADDITION, DIRECTORS, OFFICERS, AND KEY EMPLOYEES 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 CHNW, AND THE TRANSACTION MUST BE APPROVED BY A VOTE OF INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS WITHOUT THE PARTICIPATION OF ANY INTERESTED INDIVIDUAL. THE ANNUAL CONFLICT DISCLOSURE STATEMENTS ARE SUBMITTED TO, AND REVIEWED BY, CHNW'S AUDIT COMMITTEE, COMPOSED OF INDEPENDENT DIRECTORS. IN ADDITION, THE EXECUTIVE STAFF AND GENERAL COUNSEL OF THE NETWORK ARE RESPONSIBLE FOR MONITORING ANY POSSIBLE CONFLICT TRANSACTIONS THAT ARISE AND MANAGING THEM TO ENSURE THAT ALL TRANSACTIONS REPRESENT ARMS LENGTH, FAIR MARKET VALUE TERMS FOR THE BENEFIT OF CHNW.
FORM 990, PAGE 6, PART VI, LINE 15ACHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHNW'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 COMMITTEE MEMBERS, AND D) REQUIRING CONTEMPORANEOUS DOCUMENTATION (I.E. MINUTES) REFLECTING THE DECISION AND THE PROCESS BY WHICH IT WAS MADE. CHNW ALSO DELEGATED AUTHORITY REGARDING CHNW'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 2015, THE NETWORK EXECUTIVE COMPENSATION COMMITTEE FOLLOWED THIS PROCESS FOR ALL SENIOR EXECUTIVE LEADERS.
FORM 990, PAGE 6, PART VI, LINE 15BSALARIES WERE COMPARED AGAINST COMPARATIVE SALARY MARKET DATA FOR ALL POSITIONS REPRESENTING MANAGERS, CHIEF EXECUTIVE OFFICERS, CHIEF FINANCIAL OFFICERS, AND HUMAN RESOURCES REPRESENTATIVES FOR ALL NETWORK ENTITIES.
FORM 990, PAGE 6, PART VI, LINE 19A) THE ARTICLES OF INCORPORATION AND CERTIFICATE OF EXISTENCE 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) CHNW HAS ADOPTED THE NETWORK CONFLICT OF INTEREST POLICY. WHILE THIS POLICY IS NOT AVAILABLE TO THE PUBLIC, THE NETWORK'S DEFINITION OF CONFLICT OF INTEREST AND HOW TO REPORT SUCH AN INCIDENT IS DESCRIBED IN THE NETWORK RESPONSIBILITY AND COMPLIANCE PROGRAM ("NRCP") MANUAL WHICH IS POSTED ON THE NETWORK'S WEBSITE, ECOMMUNITY.COM. THIS MANUAL IS AVAILABLE FOR THE PUBLIC TO REVIEW. C) CHNW DOES NOT HAVE INDIVIDUALLY AUDITED FINANCIAL STATEMENTS. ITS FINANCIAL RESULTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CHNW AND AFFILIATES. AS SUCH, THERE ARE NO INDIVIDUAL FINANCIAL STATEMENTS TO POST. CHNW 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 XI, LINE 9INCREASE IN ISC EAST EQUITY INVESTMENT 293,353 INCREASE IN UNDERFUNDED REPLACEMENT PLAN 2,682,381 DECREASE TO ADJUST INVESTMENTS -108,321,775 DECREASE TO CORRECT ISC EAST -347,546 DECREASE IN UNDERFUNDED PENSION -11,011,575 TOTAL -116,705,162

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
COMMUNITY HEALTH NETWORK FOUNDATION
7240 SHADELAND STATION SUITE 125INDIANAPOLISIN46256510181688SUPPORTIN501C311BCHNWYes (true)
COMMUNITY HLTH SERVICES OF INDIANA
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256454817436HLTH CAREIN501C33CHNWYes (true)
COMMUNITY HOME HEALTH SERVICES INC
9894 EAST 121ST STREETFISHERSIN46037350953467HLTH CAREIN501C39CHNWYes (true)
COMM HOSP OF ANDERSON & MADISON CTY
1515 NORTH MADISON AVENUEANDERSONIN46011351069822HOSPITALIN501C33CHNWYes (true)
COMMUNITY HOSP ANDERSON FDN INC
1515 NORTH MADISON AVENUEANDERSONIN46011861053152SUPPORTIN501C311ACHAYes (true)
COMMUNITY HOSPITAL SOUTH INC
1402 E COUNTY LINE ROAD SOUTHINDIANAPOLISIN46227351088640HOSPITALIN501C33CHNWYes (true)
COMMUNITY HOWARD REGIONAL HEALTH
3500 S LAFOUNTAIN STREETKOKOMOIN46902351865344HOSPITALIN501C33CHNWYes (true)
COMM HOWARD REGIONAL HEALTH FDN
PO BOX 9011KOKOMOIN46904237309596SUPPORTIN501C37NAfalse
COMMUNITY LTC INC
1031 MONTICELLO DRIVEANDERSONIN46011351877441HLTH CAREIN501C39CHAYes (true)
COMMUNITY PHYSICIANS OF IN INC
7240 SHADELAND STATION SUITE 300INDIANAPOLISIN46256205392766PHY SRVIN501C39CHNWYes (true)
HEALTH INSTITUTE OF INDIANA INC
3660 GUION ROADINDIANAPOLISIN46222352022402FITNESSIN501C39CHNWYes (true)
INDIANA HEALTH INFO EXCHANGE INC
846 N SENATE AVENUEINDIANAPOLISIN46202364550324INFOIN501C311AfalseN/A
INDIANAPOLIS OSTEOPATHIC HOSP INC
3630 GUION ROADINDIANAPOLISIN46222351094734HOSPITALIN501C33CHNWYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
BROWNSBURG OFFICE CENTER 2 LLP
321 E NORTHFIELDBROWNSBURGIN46112351929859LEASINGINN/Afalsefalse
CHNJMH VENTURES LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256462356266DIAG/REHABINfalsefalseCHNWRELATED-$2,508$1,954,9330.51000
COMMUNITY ENDOSCOPY CENTER LLC
1601 N MADISON AVENUE SUITE 300ANDERSONIN46011611464136HLTH CAREINN/Afalsefalse
COMM HEALTH NETWORK REHAB HOSP LLC
7343 CLEARVISTA DRIVEINDIANAPOLISIN46256453414249REHABINfalseYes (true)CHNWRELATED$3,437,921$9,140,4870.51000
EAST CAMPUS SURGERY CENTER LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256352028517SURGERYINfalsefalseCHNWRELATED$5,383,228$6,782,1260.51000
HAMILTON SURGERY CENTER LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256352061413SURGERYINfalsefalseNARELATED$684,611$2,113,1350.11000
HOWARD COMMUNITY SURGERY CTR LLC
3500 S LAFOUNTAIN STREETKOKOMOIN46904352118748SURGERYINN/Afalsefalse
HOWARD REGIONAL SPECIALTY CARE LLC
680 SOUTH FOURTH STREETLOUISVILLEKY40202371501021REHABINN/Afalsefalse
INDIANAPOLIS ENDOSCOPY CENTER LLC
7353 E 21ST STREETINDIANAPOLISIN46219352010874HLTH CAREINfalsefalseNARELATED$2,617,012$8,064,0670.18880
MICHIGAN SURGERY INVESTMENT LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256320147008SURG CTRSINfalsefalseVEIUNRELATED-$142,422$725,8960.40000
NORTH CAMPUS OFFICE ASSOCIATES LP
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256351808625RNTL PROPINN/Afalsefalse
NORTH CAMPUS SURGERY CENTER LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256352147088SURGERYINfalsefalseVEIRELATED$8,039,545$7,973,6840.49000
NORTHPOINT PEDIATRICS LLC
8101 CLEARVISTA PARKWAY SUITE 185INDIANAPOLISIN46256351960566HLTH CAREINfalsefalseCHNWRELATED$150,601$330,4130.51000
NORTHWEST SURGERY CENTER LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256208754071SURGERYINN/Afalsefalse
PILLARS HOUSING LP
3500 S LAFOUNTAIN STREETKOKOMOIN46902161652671HOUSINGINN/Afalsefalse
PRIMARIA HEALTH LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256474728937HLTH CAREINN/AfalsefalseRELATED$245,027$243,9500.50000
SOUTH CAMPUS SURGERY CENTER LLC
1550 EAST COUNTY LINE ROADINDIANAPOLISIN46227352038072SURGERYINfalsefalseNARELATED$1,620,195$3,821,5460.08600

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
CHN ASSURANCE COMPANY LTD
PO BOX 1051GTGRAND CAYMANGRAND CAYMANCJ980418913INSURANCECJNAC CORP$15,485,2841.00000Yes (true)
MIDWEST RACQUETBALL INC
351396016HEALTHYes (true)3500 S LAFOUNTAIN STREETKOKOMOIN46902INN/A
PILLARS COMMUNITY HOUSING INC
161652666HOUSINGYes (true)3500 S LAFOUNTAIN STREETKOKOMOIN46902INN/A
VISIONARY ENTERPRISES INC
351538433MGMT SRVSYes (true)6626 EAST 75TH STREETINDIANAPOLISIN46250INN/A
VEI MICHIGAN INC
300097377MGMT SRVSYes (true)940 N MAIN STREETANN HARBORMI48104INN/A
WESTVIEW DELIVERY SYSTEM INC
351910292MGMT SRVSYes (true)3630 GUION ROADINDIANAPOLISIN46222INN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (31 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxtBusiness Name Line2OtherOrganizationName/BusinessNameLine2Txt
COMMUNITY HEALTH NETWORK FOUNDATION
C$3,164,427BOOK VALUE
COMMUNITY HEALTH NETWORK FOUNDATION
K$360,164BOOK VALUE
COMMUNITY HEALTH NETWORK FOUNDATION
S$2,857,413BOOK VALUE
COMM HEALTH NETWORK REHAB HOSP LLC
S$3,245,406BOOK VALUEK-1 DISTRIBUTION
COMMUNITY HOME HEALTH SERVICES INC
Q$766,221BOOK VALUE
COMMUNITY HOME HEALTH SERVICES INC
S$12,679,867BOOK VALUE
COMM HOSP OF ANDERSON & MADISON CTY
A$354,878BOOK VALUE
COMM HOSP OF ANDERSON & MADISON CTY
Q$134,740BOOK VALUE
COMM HOSP OF ANDERSON & MADISON CTY
S$2,120,188BOOK VALUE
COMMUNITY HOSPITAL SOUTH INC
S$283,061,185BOOK VALUE
COMMUNITY HOWARD REGIONAL HLTH INC
R$10,686,217BOOK VALUE
COMMUNITY PHYSICIANS OF IN INC
S$377,117,134BOOK VALUE
CHN ASSURANCE COMPANY LTD
P$4,245,000BOOK VALUE
CHN ASSURANCE COMPANY LTD
R$561,919BOOK VALUE
EAST CAMPUS SURGERY CENTER LLC
R$131,297BOOK VALUE
EAST CAMPUS SURGERY CENTER LLC
S$5,710,923BOOK VALUEK-1 DISTRIBUTION
HAMILTON SURGERY CENTER LLC
S$616,990BOOK VALUEK-1 DISTRIBUTION
HEALTH INSTITUTE OF INDIANA INC
S$1,219,097BOOK VALUE
INDIANA HEALTH INFO EXCHANGE INC
M$658,009BOOK VALUE
INDIANAPOLIS ENDOSCOPY CENTER LLP
S$2,458,540BOOK VALUEK-1 DISTRIBUTION
INDIANAPOLIS OSTEOPATHIC HOSPITAL
R$759,468BOOK VALUE
MICHIGAN SURGERY INVESTMENT LLC
A$261,538BOOK VALUE
NORTH CAMPUS OFFICE ASSOCIATES LP
K$72,226BOOK VALUE
NORTH CAMPUS SURGERY CENTER LLC
S$6,860,000BOOK VALUEK-1 DISTRIBUTION
SOUTH CAMPUS SURGERY CENTER LLC
B$1,582,046BOOK VALUEK-1 CAPITAL CONTRIBUTION
SOUTH CAMPUS SURGERY CENTER LLC
S$1,985,055BOOK VALUEK-1 DISTRIBUTION
VISIONARY ENTERPRISES INC
A$5,248,728BOOK VALUE
VISIONARY ENTERPRISES INC
K$1,112,817BOOK VALUE
VISIONARY ENTERPRISES INC
P$40,692,016BOOK VALUE
VISIONARY ENTERPRISES INC
Q$61,968,675BOOK VALUE
VISIONARY ENTERPRISES INC
S$111,461,900BOOK VALUE

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