2016-11-15T12:45:16-06:00 2015-12-31 352032768 CASKEY & DAILY PC 4745 STATESMEN DRIVE SUITE C INDIANAPOLIS IN 46250 990 2015-01-01 351069822 COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY INC COMM 7652985125 1515 NORTH MADISON AVENUE ANDERSON IN 460113453 JOHN B HARRIS VP OF FINANCE & CFO 7656465103 2016-10-31 true JAMES A CASKEY CPA CFP P00172185 3175852647 2016-11-15 2015 2017-02-10 21:41:12Z ELIZABETH S THARP 1515 NORTH MADISON AVENUE ANDERSON IN 460113453 169480160 false X WWW.COMMUNITYANDERSON.COM X 1961 IN DEEPLY COMMITTED TO THE COMMUNITIES WE SERVE, WE ENHANCE HEALTH AND WELL- BEING. TO SIMPLY DELIVER AN EXCEPTIONAL EXPERIENCE - WITH EVERY LIFE WE TOUCH. 15 12 1245 114 0 763723 588863 151949741 163254667 1543091 2685649 991027 2855556 155247582 169384735 248641 319059 0 72052753 71789856 0 0 56914073 63918500 129215467 136027415 26032115 33357320 189039034 210888752 26430866 23944634 162608168 186944118 DEEPLY COMMITTED TO THE COMMUNITIES WE SERVE, WE ENHANCE HEALTH AND WELL- BEING. TO SIMPLY DELIVER AN EXCEPTIONAL EXPERIENCE - WITH EVERY LIFE WE TOUCH. false false 126400238 165301041 COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. ("CHA") IS AN ACUTE CARE MEDICAL FACILITY WITH 140 STAFFED BEDS (EXCLUDING NURSERY). IN 2015, THERE WERE 6,210 ADMISSIONS, 7,240 SURGERIES PERFORMED, 929 BIRTHS WITH A TOTAL OF 203,265 PATIENTS SERVED IN ALL DISCIPLINES. CHA PARTICIPATES IN MEDICARE, MEDICAID, CHAMPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. WE PROVIDE AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. OUR STAFF MAKES EVERY EFFORT TO PROVIDE AN EFFECTIVE AND EFFICIENT HEALTH CARE DELIVERY SYSTEM. FINALLY, WE HAVE A GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE THE MAJORITY. 319059 319059 COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. CONTRIBUTED TO A FEW LOCAL CHARITABLE ORGANIZATIONS. THE LARGEST DONATIONS ARE LISTED ON SCHEDULE I. 126719297 true true false false false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 152 0 true 1245 true false false false false false false false false false false X 15 12 true false false false true true true true true false false false true true true true true true true true false IN X JOHN B HARRIS 7652985125 1515 N MADISON AVENUE ANDERSON IN 46011 X BRYAN A MILLS DIRECTOR 2.00 58.00 X 0 1185136 127327 ELIZABETH S THARP PRESIDENT & 50.00 0.00 X X 463598 0 52673 TROY ABBOTT MD DIRECTOR 2.00 50.00 X 16500 252608 84966 D BENJAMIN MCCURDY MD DIRECTOR 42.77 X 158000 0 0 LARRY BLANKENSHIP MD DIRECTOR 2.00 0.00 X 0 0 0 MARIAN DUNNICHAY DIRECTOR 2.00 0.00 X 0 0 0 JULIE HETTINGA DIRECTOR 2.00 0.00 X 0 0 0 MARY JAMERSON VICE CHAIRMA 2.00 0.00 X X 0 0 0 JOHN KANE TREASURER 2.00 0.00 X X 0 0 0 ARTHUR J LEAK SECRETARY 2.00 0.00 X X 0 0 0 MARY JO LEE DIRECTOR 2.00 0.00 X 0 0 0 RICK MOORE DIRECTOR 2.00 0.00 X 0 0 0 MARIE MORRIS DIRECTOR 2.00 0.00 X 0 0 0 BILL O'NEAL PHD DIRECTOR 2.00 0.00 X 0 0 0 JAY B RICKER CHAIRMAN JUN 2.00 0.00 X X 0 0 0 DANA STUART DIRECTOR 2.00 0.00 X 0 0 0 CHARLES STALEY CHAIRMAN JAN 2.00 0.00 X X 0 0 0 JOHN B HARRIS VP OF FINANC 50.00 0.00 X 308525 0 121774 NIGHAT TAHIR MD PHYSICIAN 50.00 0.00 X 417636 0 224304 LEE ANN MCDANIEL CRNA 50.00 0.00 X 322521 0 41801 CAROL WHITESEL VP PATIENT C 50.00 0.00 X 245409 0 58666 LISA HALSTEAD VP PROF & AM 50.00 0.00 X 226060 0 59606 MARK A FIELD CRNA 50.00 0.00 X 219884 0 204085 2378133 1437744 975202 48 false true false WR DUNKIN & SON INC 2409 W 18TH STREET ANDERSON IN 46016 CONSTRUCTION 4879024 KRM ARCHITECTURE 1020 JACKSON STREET ANDERSON IN 46016 ARCHITECT FEES 985210 EPCHA PC 12953 PUBLISHERS DRIVE FISHERS IN 47360 MEDICAL SERVICE 607992 SOUTH BEND MEDICAL FOUNDATION INC 530 N LAFAYETTE BLVD SOUTH BEND IN 466011098 LABORATORY SRV 587608 EXECUTIVE HEALTH RESOURCES INC 3797 MOMENTUM PLACE CHICAGO IL 606895337 MANAGEMENT FEES 572035 38 588863 588863 PATIENT CARE SERVICE 622110 158741171 158741171 RENTAL INCOME - RELATED 531120 3202936 3202936 CLINICAL RESEARCH 541700 716319 716319 JOINT VENTURES 621400 594241 594241 163254667 2413799 2413799 29990 337285 23006 72419 6984 264866 271850 271850 EHR INCENTIVE PAYMENTS 900099 1644175 1644175 CAFETERIA SALES 722514 743905 743905 PROPERTY TAX TRUE UP 900099 240000 240000 227476 162199 65277 2855556 169384735 165301041 3494831 319059 319059 1121070 174500 946570 55101799 49973542 5128257 3024815 2697987 326828 8545056 7621771 923285 3997116 3565231 431885 74342 70967 3375 287938 274866 13072 77831 77831 9619617 9182909 436708 93723 89468 4255 3271672 3123145 148527 693839 662340 31499 7923457 7563751 359706 221690 211626 10064 354878 338767 16111 7108638 6785923 322715 850050 811460 38590 MEDICAL SUPPLIES 27926067 27926067 HAF PROGRAM FEES 3457817 3457817 RENOVATION EXPENSE 1518146 1449226 68920 DUES & SUBSCRIPTIONS 283262 270403 12859 155533 148472 7061 136027415 126719297 9308118 0 27045279 32094686 23076262 17839197 2347680 2610971 64929 290261 141308399 81287806 56658136 60020593 78003856 96598794 1842892 1434250 189039034 210888752 14678529 13716640 10082167 8468863 1670170 1759131 26430866 23944634 X 162608168 186944118 162608168 186944118 189039034 210888752 33357320 -9021370 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6323988 6323988 65810285 31655686 34154599 67102522 47786727 19315795 2071604 1845393 226211 60020593 DUE TO AFFILIATES 909161 ESTIMATED THIRD PARTY SETTLEMENTS 849970 1759131 true true X true X true X true true false true true 5797 6002135 6002135 0.04410 19830303 6458421 13371882 0.09830 5797 25832438 6458421 19374017 0.14240 34 15436 60721 60721 0.00040 1 1200 9929 9929 0.00010 35 16636 70650 70650 0.00050 35 22433 25903088 6458421 19444667 0.14290 1 108 1536 1536 1 108 1536 1536 true 8627355 70803812 66463584 4340228 X true true COMM ENDOSCOPY CTR ENDOSCOPY CENTER 0.41000 0.41000 1 1 COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 WWW.COMMUNITYANDERSON.COM 15-005100-1 X X X SEE PART VI, ADD'L INFORMATION COMM HOSP OF ANDERSON & MADISON CTY 1 false false true X X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C true false true X 200.000000000000 300.000000000000 X X X X true true X X X true X ECOMMUNITYCOMFINANCIALASSISTANCE X ECOMMUNITYCOMFINANCIALASSISTANCE X X X X X X true X true X X X X true X false false FACILITY 1, COMM HOSP OF ANDERSON & MADISON CTY - PART V, LINE 5 SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR PERSONS CONSULTED AND HOW INPUT FROM THESE PERSONS WAS TAKEN INTO ACCOUNT. FACILITY 1, COMM HOSP OF ANDERSON & MADISON CTY - PART V, LINE 6A THE CHNA FOR COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., 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. FACILITY 1, COMM HOSP OF ANDERSON & MADISON CTY - PART V, LINE 6B HEALTHY COMMUNITIES INSTITUTE FACILITY 1, COMM HOSP OF ANDERSON & MADISON CTY - PART V, LINE 7D HTTP://WEBAPP.ECOMMUNITY.COM/ABOUTUS FACILITY 1, COMM HOSP OF ANDERSON & MADISON CTY - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP FACILITY 1, COMM HOSP OF ANDERSON & MADISON CTY - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX FACILITY 1, COMM HOSP OF ANDERSON & MADISON CTY - PART V, LINE 11 SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS. FACILITY 1, COMM HOSP OF ANDERSON & MADISON CTY - PART V, LINE 16I CHA PUBLICIZES THE FACT THAT WE HAVE FINANCIAL ASSISTANCE AVAILABLE FOR THOSE WHO CANNOT PAY FOR HEALTHCARE. SIGNS ARE POSTED THROUGHOUT THE HOSPITAL (INCLUDING ER, THE ADMITTING OFFICE, AND THE PATIENT ACCOUNTS OFFICE) LETTING PEOPLE KNOW WE HAVE ASSISTANCE AVAILABLE. INFORMATION IS ALSO INCLUDED IN THE ADMISSION PACKET AS WELL AS ON THE CONSENT FORMS AND BILLS. OUR POLICY IS ALSO POSTED ON OUR WEBSITE. WE HAVE DEDICATED AN ENTIRE PAGE ON OUR WEBSITE TO THOSE WITHOUT INSURANCE. THERE IS ALSO INFORMATION ON OUR STATEMENTS AND COLLECTION LETTERS INFORMING PATIENTS WE HAVE ASSISTANCE AVAILABLE. IN ADDITION, ALL CUSTOMER SERVICE STAFF AND FINANCIAL COUNSELORS ARE TRAINED TO SCREEN FOR POSSIBLE FINANCIAL ASSISTANCE. FACILITY 1, COMM HOSP OF ANDERSON & MADISON CTY - PART V, LINE 22D THE 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. PART I, LINE 6A - RELATED ORGANIZATION INFORMATION A COMMUNITY BENEFIT REPORT IS COMPLETED FOR THE COMMUNITY HEALTH NETWORK INCLUDING COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. ("CHA") AND OTHER TAX-EXEMPT AFFILIATES OF THE NETWORK. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION A 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 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT WHICH INCLUDES INFORMATION FOR COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE 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 4 - BAD DEBT EXPENSE EXPLANATION CHA DOES NOT HAVE INDIVIDUALLY AUDITED FINANCIAL STATEMENTS. ITS FINANCIAL RESULTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY HEALTH NETWORK, INC. AND AFFILIATES. THE NETWORK 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 DOUBTFULACCOUNTS 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. 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 AND CHARITY 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 EXPLANATION PER 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 PARTS C AND D. MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE MEDICARE REPRESENTS 50.18% OF THE OVERALL PAYER MIX FOR COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION SEE ATTACHED FINANCIAL ASSISTANCE POLICY ADDITIONAL INFORMATION PART V - FACILITY INFORMATION, SECTION A - OTHER CHA IS AN ACUTE CARE MEDICAL FACILITY WITH 140 STAFFED BEDS. IN 2015, THERE WERE 6,210 ADMISSIONS WITH AN AVERAGE LENGTH OF STAY OF 3.56 DAYS. THERE WERE 33,197 EMERGENCY ROOM CASES RESPONDED TO IN OUR 24-HOUR/SEVEN DAY A WEEK EMERGENCY ROOM. 70.5% OF THE BIRTHS IN MADISON COUNTY WERE DELIVERED AT CHA FOR A TOTAL OF 929 BIRTHS IN 2015. PART VI, ITEMS 2 THROUGH 5 ARE DISCUSSED WITHIN THE ATTACHED COMMUNITY BENEFIT REPORT. PART VI, ITEM 6 - AFFILIATED HEALTH CARE SYSTEM CHA IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. SEE THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW CHA IS INVOLVED IN PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES. PART VI, ITEM 7 - STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA true ALTERNATIVES INC PO BOX 1302 ANDERSON IN 46015 310986769 501C3 10500 GENERAL SUPPORT ANDERSON INNOVATION CENTER LLC 1735 W 53RD STREET ANDERSON IN 46013 455588780 25000 WIND TURBINE ANDERSON SYMPHONY ORCHESTRA 1124 MERIDIAN PLAZA ANDERSON IN 46015 310940546 501C3 11250 GENERAL SUPPORT CITY OF ANDERSON 120 E 8TH STREET ANDERSON IN 46018 356000939 GOV 20000 GENERAL SUPPORT COMMUNITY HEALTH NETWORK FOUNDATION 7240 SHADELAND STATION SUITE 125 INDIANAPOLIS IN 46256 510181688 501C3 7000 GENERAL SUPPORT COMMUNITY LTC INC 1031 MONTICELLO DRIVE ANDERSON IN 46011 351877441 501C3 20000 GENERAL SUPPORT FIRST UNITED METHODIST CHURCH 1215 JACKSON STREET ANDERSON IN 46016 350874263 501C3 15592 BUDDY BAG PROGRAM HEALTH & HOSPITAL CORP OF MARION CO 3838 N RURAL STREET 8TH FLOOR INDIANAPOLIS IN 46205 356005697 GOV 10000 GENERAL SUPPORT IVY TECH FOUNDATION 345 S HIGH STREET MUNCIE IN 47305 237073977 501C3 15000 ANDERSON EXPANSION MADISON COUNTY COMMUNITY FOUNDATION 33 W 10TH STREET SUITE 600 ANDERSON IN 46016 351859959 501C3 38500 GENERAL SUPPORT PARAMOUNT HERITAGE FOUNDATION INC 1124 MERIDIAN PLAZA ANDERSON IN 46015 351774217 501C3 13068 GENERAL SUPPORT SOUTH MADISON COMMUNITY FOUNDATION 233 S MAIN STREET PENDLETON IN 46064 351839759 501C3 20000 GENERAL SUPPORT THE ANDERSON IMPACT CENTER 630 NICHOL AVENUE ANDERSON IN 46016 900521040 501C3 25000 GENERAL SUPPORT THE CROSSING NATIONAL INC 2930 S NAPPANEE STREET ELKHART IN 46517 260588186 501C3 6000 GENERAL SUPPORT UNITED WAY OF MADISON COUNTY INC 1201 E 5TH STREET SUITE 1019 ANDERSON IN 46015 351052350 501C3 40000 GENERAL SUPPORT 14 1 SCHEDULE I, PAGE 1, PART I, LINE 2 THE CONTRIBUTIONS TO VARIOUS LOCAL CHARITABLE ORGANIZATIONS WERE UNRESTRICTED DONATIONS. X X X X false true false false false false false true false BRYAN A MILLS DIRECTOR 901429 263340 20367 100308 27019 1312463 263340 ELIZABETH S THARP PRESIDENT & CEO 297538 105401 60659 51015 1658 516271 105401 TROY ABBOTT MD DIRECTOR 16500 227088 8432 17088 69334 15632 16500 337574 8432 D BENJAMIN MCCURDY MD DIRECTOR 158000 158000 JOHN B HARRIS VP OF FINANCE & CFO 226221 62974 19330 101825 19949 430299 62974 NIGHAT TAHIR MD PHYSICIAN 239256 167520 10860 195184 29120 641940 167520 LEE ANN MCDANIEL CRNA 304834 6656 11031 25206 16595 364322 6656 CAROL WHITESEL VP PATIENT CARE/CNO 180653 49951 14805 47811 10855 304075 49591 LISA HALSTEAD VP PROF & AMBUL SRV 198351 26882 827 30486 29120 285666 26882 MARK A FIELD CRNA 213876 4077 1931 186610 17475 423969 SCHEDULE J, PART III PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BRYAN A. MILLS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH HIS EMPLOYER, COMMUNITY HEALTH NETWORK, INC. MR. MILLS DID NOT RECEIVE A PAYMENT FROM THE PLAN IN 2015. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED DR. TAHIR IS ELIGIBLE FOR AN INCENTIVE PAYMENT BASED ON PRODUCTIVITY. CHA DEVELOPED ITS COMPENSATION PLAN IN CONJUNCTION WITH AN INDEPENDENT COMPENSATION CONSULTANT. IN ADDITION, THE PLAN WAS APPROVED BY THE CHA EXECUTIVE COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN ADOPTING ITS INCENTIVE BASED COMPENSATION PLAN, CHA (TOGETHER WITH ITS INDEPENDENT COMPENSATION CONSULTANT, ITS EXTERNAL LEGAL COUNSEL, AND THE NETWORK EXEUTIVE 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. CERTAIN INDIVIDUALS OF THE LEADERSHIP TEAM PARTICIPATE IN A SENIOR LEADERSHIP INCENTIVE PROGRAM. THE PROGRAM WAS ADOPTED BY CHA'S 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 OF EXTERNAL BOARD MEMBERS. THE INCENTIVE COMPENSATION THAT IS AWARDED IS INCLUDED IN TOTAL COMPENSATION TO THE EXECUTIVE. THE TOTAL COMPENSATION (INCLUDING ANY PAYMENTS UNDER THE PROGRAM) IS SUBJECT TO THE REVIEW AND APPROVAL OF THE EXECUTIVE COMPENSATION COMMITTEE AND INDEPENDENT COMPENSATION CONSULTANT, IN CONSIDERATION OF CODE SECTION 4958 (AND THE CORRESPONDING TREASURY REGULATIONS) TO ENSURE THAT IT REFLECTS ARMS LENGTH, FAIR MARKET TERMS. FORM 990, PART VI FORM 990, PART VI, LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS JAY B. RICKER & BRYAN A. MILLS SERVED AS DIRECTORS OF COMMUNITY HEALTH NETWORK, INC. ("CHNW") AND BRYAN A. MILLS RECEIVED COMPENSATION FROM CHNW. FORM 990, PAGE 6, PART VI, LINE 3 THROUGH AN AFFILIATION AGREEMENT EFFECTIVE SEPTEMBER 1, 1996, CHA'S BOARD OF TRUSTEES RETAINS CONTROL OVER MANAGEMENT DUTIES FOR CHA. HOWEVER, FOR THE FOLLOWING GOVERNANCE ITEMS, CHA INITIATES RECOMMENDATIONS TO THE COMMUNITY HEALTH NETWORK, INC. ("CHNW") BOARD OF DIRECTORS FOR ITS APPROVAL OF THE FOLLOWING: A) STRATEGIC AND OPERATING PLANS; B) ANNUAL OPERATING AND CAPITAL BUDGETS AND ANY UNBUDGETED CAPITAL EXPENDITURES; C) AMENDMENTS TO THE ARTICLES OR BYLAWS OF THE CHA BOARD OF TRUSTEES, THE BYLAWS OF THE CHA MEDICAL STAFF, OR TO THE AFFILIATION AGREEMENT; D) APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF CHA; E) UNBUDGETED SALES, LEASES, OR TRANSFERS OF ASSETS ABOVE 500,000; F) INCURRENCE OF DEBT OTHER THAN IN THE ORDINARY COURSE OF BUSINESS OR IN ACCORDANCE WITH THE OPERATING PLANS, OPERATING BUDGET, OR CAPITAL BUDGET RECOMMENDED BY THE CHA BOARD OF TRUSTEES AND APPROVED BY THE CHNW BOARD OF DIRECTORS; G) CHANGE IN THE MISSION OF CHA; H) ELECTION OF NEW MEMBERS OR REAPPOINTMENT OF CURRENT MEMBERS TO THE CHA BOARD OF TRUSTEES; I) PARTICIPATION IN MANAGED CARE AND OTHER NETWORKS OR AFFILIATIONS; AND J) RELOCATION OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH CHNW TO MADISON COUNTY. FORM 990, PAGE 6, PART VI, LINE 6 COMMUNITY HEALTH NETWORK, INC. ("CHNW") IS THE SOLE MEMBER OF COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. ("CHA"). CHNW IS AN EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3). FORM 990, PAGE 6, PART VI, LINE 7A CHA'S BOARD OF TRUSTEES MEMBERSHIP IS DETERMINED AS FOLLOWS: A) CHNW, AS THE SOLE MEMBER OF CHA, SHALL NOMINATE AND ELECT ONE MEMBER OF CHA'S BOARD OF TRUSTEES, B) ONE MEMBER OF THE CHA BOARD OF TRUSTEES SHALL BE THE CHIEF EXECUTIVE OFFICER OF CHA, C) FOUR MEMBERS SHALL BE ACTIVE MEMBERS OF THE CHA MEDICAL STAFF AND SHALL BE NOMINATED AND ELECTED BY THE CHA MEDICAL STAFF, AND RATIFIED BY THE CHA BOARD OF TRUSTEES, D) THE TWELVE REMAINING POSITIONS SHALL BE FILLED BY PERSONS ELECTED BY CHNW'S BOARD OF DIRECTORS, AND E) ADDITIONALLY, THE PRESIDENT OF THE MEDICAL STAFF SHALL SERVE AS AN EX OFFICIO, NONVOTING MEMBER OF THE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 7B CHNW, AS THE SOLE MEMBER OF CHA, MUST APPROVE THE FOLLOWING: A) STRATEGIC AND OPERATING PLANS; B) ANNUAL OPERATING AND CAPITAL BUDGETS AND ANY UNBUDGETED CAPITAL EXPENDITURES; C) AMENDMENTS TO THE ARTICLES OR BYLAWS OF THE CORPORATION AND THE BYLAWS OF THE MEDICAL STAFF OF THE CORPORATION, D) APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; E) UNBUDGETED SALES, LEASES, OR TRANSFERS OF ASSETS ABOVE 500,000, WHICH AMOUNT MAY BE ADJUSTED FROM TIME TO TIME AS AGREED BY THE BOARD OF TRUSTEES AND THE BOARD OF DIRECTORS OF THE MEMBER; F) INCURRENCE OF DEBT OTHER THAN IN THE ORDINARY COURSE OF BUSINESS OR IN ACCORDANCE WITH THE OPERATING PLANS, OPERATING BUDGET, OR CAPITAL BUDGET RECOMMENDED BY THE BOARD OF TRUSTEES AND APPROVED BY THE BOARD OF DIRECTORS OF THE MEMBER; G) CHANGE IN THE MISSION OF THE CORPORATION; H) ELECTION OF NEW MEMBERS OR REAPPOINTMENT OF CURRENT MEMBERS TO THE BOARD OF TRUSTEES; I) PARTICIPATION IN MANAGED CARE AND OTHER NETWORKS OR AFFILIATIONS; AND J) RELOCATION OF PHYSICIANS EMPLOYED BY OR UNDER CONTRACT WITH THE MEMBER TO MADISON COUNTY. FORM 990, PAGE 6, PART VI, LINE 11B CHA'S BOARD OF TRUSTEES HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHA'S FORM 990 TO THE EXECUTIVE COMMITTEE. IN ADDITION, CHA'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHA UTILIZED THIS PROCESS TO ENSURE THAT ITS FORM 990 RECEIVED SUBSTANTIVE REVIEW BY PROFESSIONALS WITH SPECIFIC KNOWLEDGE REGARDING CHA'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE. FORM 990, PAGE 6, PART VI, LINE 12C CHA HAS ADOPTED A CONFLICT OF INTEREST POLICY APPLICABLE TO ALL EMPLOYEES. THE CONFLICT OF INTEREST POLICY REQUIRES EMPLOYEES SUBMIT A CONFLICT OF INTEREST DISCLOSURE FORM UPON EMPLOYMENT WITH CHA AND ON AN ANNUAL BASIS THEREAFTER. PRIOR TO COMPLETING AND SIGNING THE DISCLOSURE, ALL EMPLOYEES MUST READ AND UNDERSTAND CHA'S CONFLICT OF INTEREST POLICY STATEMENT, WHICH PROVIDES THAT NO CHA EMPLOYEE SHALL MAKE A PROFIT BECAUSE OF HIS OR HER POSITION AT CHA. THE DISCLOSURE REQUIRES EMPLOYEES TO DISCLOSE, IN WRITING, ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL (TOGETHER WITH THEIR SPOUSE AND FAMILY MEMBERS) HAS IN ANY BUSINESS ENTITY THAT CONDUCTS OR WILL POTENTIALLY CONDUCT BUSINESS WITH CHA. EMPLOYEES ARE ALSO REQUIRED TO IMMEDIATELY DISCLOSE TO THE CHA HUMAN RESOURCES DEPARTMENT ANY SUBSEQUENT CHANGES THAT ARISE MID-YEAR AND WOULD OTHERWISE BE REPORTED ON THE ANNUAL DISCLOSURE STATEMENT. IN ADDITION, THE CHA AMENDED AND RESTATED CODE OF BYLAWS PROVIDES A CONFLICT OF INTEREST POLICY FOR THE CHA BOARD OF TRUSTEES. CHA'S AMENDED AND RESTATED CODE OF BYLAWS REQUIRES ALL BOARD MEMBERS TO DISCLOSE ANY DUALITY OR CONFLICT OF INTEREST TO THE OTHER BOARD MEMBERS. THE DIRECTOR IS PROHIBITED FROM VOTING OR EXERTING ANY PERSONAL INFLUENCE ON ANY ISSUE THAT PRESENTS A CONFLICT OF INTEREST. THE DIRECTOR'S ABSTENTION FROM THE VOTE AND THE DETAILS CONCERNING THE CONFLICT OF INTEREST ARE REPORTED IN THE MEETING'S MINUTES. FORM 990, PAGE 6, PART VI, LINE 15A CHA HAS A COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT MEMBERS OF ITS BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR EVALUATING AND DETERMINING COMPENSATION FOR CHA'S EXECUTIVE PERSONNEL. IN DISCHARGING THESE DUTIES, THE COMPENSATION COMMITTEE APPLIES THE PRINCIPLES OF THE REBUTTABLE PRESUMPTION AS OUTLINED IN CODE SECTION 4958 AND THE CORRESPONDING TREASURY REGULATIONS. MOST NOTABLY, THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABILITY DATA WHEN SETTING COMPENSATION AND CONTEMPORANEOUSLY DOCUMENTS ITS DECISIONS AND THE PROCESS THAT IT EMPLOYS IN WRITING. IN ADDITION, THE COMPENSATION COMMITTEE PERIODICALLY RETAINS AN OUTSIDE COMPENSATION CONSULTANT TO PROVIDE INPUT REGARDING THE APPROPRIATENESS OF CHA'S COMPENSATION DECISIONS. FORM 990, PAGE 6, PART VI, LINE 15B SEE PART VI, LINE 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 A) 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) WHILE NOT AVAILABLE TO THE PUBLIC, CHA'S CONFLICT OF INTEREST POLICY IS DESCRIBED IN PART VI, LINE 12C. C) CHA DOES NOT HAVE INDIVIDUALLY AUDITED FINANCIAL STATEMENTS. ITS FINANCIAL RESULTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF COMMUNITY HEALTH NETWORK, INC. AND AFFILIATES. AS SUCH, THERE ARE NO INDIVIDUAL FINANCIAL STATEMENTS TO POST. CHA 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 VII PART VII, SECTION B - INDEPENDENT CONTRACTOR DISCLOSURE COMPENSATION TO WR DUNKIN & SON, INC. INCLUDES MATERIAL COSTS. AUXILIARY OF COMMUNITY HOSPITAL 1515 NORTH MADISON AVENUE ANDERSON IN 46011 356065606 SUPPORT IN 501C3 11A NA false COMMUNITY HOSP ANDERSON FDN INC 1515 NORTH MADISON AVENUE ANDERSON IN 46011 861053152 SUPPORT IN 501C3 11A CHA true COMMUNITY LTC INC 1031 MONTICELLO DRIVE ANDERSON IN 46011 351877441 HLTH CARE IN 501C3 9 CHA true COMMUNITY HOME HEALTH SERVICES INC 9894 EAST 121ST STREET FISHERS IN 46037 350953467 HLTH CARE IN 501C3 9 CHNW true COMMUNITY HEALTH NETWORK INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 350983617 HOSPITAL IN 501C3 3 NA false COMMUNITY HEALTH NETWORK FOUNDATION 7240 SHADELAND STATION SUITE 125 INDIANAPOLIS IN 46256 510181688 SUPPORT IN 501C3 11B CHNW true COMMUNITY HLTH SERVICES OF INDIANA 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 454817436 HLTH CARE IN 501C3 3 CHNW true COMMUNITY HOSPITAL SOUTH INC 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 351088640 HOSPITAL IN 501C3 3 CHNW true COMMUNITY PHYSICIANS OF IN INC 7240 SHADELAND STATION SUITE 300 INDIANAPOLIS IN 46256 205392766 PHY SRV IN 501C3 9 CHNW true HEALTH INSTITUTE OF INDIANA INC 3660 GUION ROAD INDIANAPOLIS IN 46222 352022402 FITNESS IN 501C3 9 CHNW true INDIANAPOLIS OSTEOPATHIC HOSP INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351094734 HOSPITAL IN 501C3 3 CHNW true COMMUNITY HOWARD REGIONAL HEALTH 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351865344 HOSPITAL IN 501C3 3 CHNW true COMM HOWARD REGIONAL HEALTH FDN PO BOX 9011 KOKOMO IN 46904 237309596 SUPPORT IN 501C3 7 NA false BROWNSBURG OFFICE CENTER 2 LLP 321 E NORTHFIELD BROWNSBURG IN 46112 351929859 LEASING IN N/A false false CHNJMH VENTURES LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 462356266 DIAG/REHAB IN N/A false false COMMUNITY ENDOSCOPY CENTER 1601 N MADISON AVENUE SUITE 300 ANDERSON IN 46011 611464136 HLTH CARE IN NA RELATED 574619 491782 false false 0.41000 COMM HEALTH NETWORK REHAB HOSP LLC 7343 CLEARVISTA DRIVE INDIANAPOLIS IN 46256 453414249 REHAB IN N/A false false EAST CAMPUS SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 352028517 SURGERY IN N/A false false HAMILTON SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 352061413 SURGERY IN N/A false false HOWARD COMMUNITY SURGERY CTR LLC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 352118748 SURGERY IN N/A false false HOWARD REGIONAL SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 371501021 REHAB IN N/A false false INDIANAPOLIS ENDOSCOPY CENTER LLC 7353 E 121ST STREET INDIANAPOLIS IN 46219 352010874 HLTH CARE IN N/A false false MICHIGAN SURGERY INVESTMENT LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 320147008 SURG CTRS IN N/A false false NORTH CAMPUS OFFICE ASSOCIATES LP 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 351808625 RNTL PROP IN N/A false false NORTH CAMPUS SURGERY CENTERS LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 352147088 SURGERY IN N/A false false NORTHPOINT PEDIATRICS LLC 8101 CLEARVISTA PARKWAY SUITE 185 INDIANAPOLIS IN 46256 351960566 HLTH CARE IN N/A false false NORTHWEST SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 208754071 SURGERY IN N/A false false PILLARS HOUSING LP 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652671 HOUSING IN N/A false false PRIMARIA HEALTH LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 474728937 CONSULTING IN N/A false false SOUTH CAMPUS SURGERY CENTER LLC 1550 EAST COUNTY LINE ROAD INDIANAPOLIS IN 46227 352038072 SURGERY IN N/A false false CHN ASSURANCE COMPANY LTD PO BOX 1051GT GRAND CAYMAN GRAND CAYMAN CJ 980418913 INSURANCE CJ N/A true MIDWEST RACQUETBALL INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351396016 HEALTH IN N/A true PILLARS COMMUNITY HOUSING INC 3500 SOUTH LAFOUNTAIN STREET KOKOMO IN 46902 161652666 HOUSING IN N/A true VISIONARY ENTERPRISES INC 6626 EAST 75TH STREET INDIANAPOLIS IN 46250 351538433 MGMT SRVCS IN N/A true VEI MICHIGAN INC 940 N MAIN STREET ANN HARBOR MI 48104 300097377 MGMT SRVCS MI N/A true WESTVIEW DELIVERY SYSTEM INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351910292 MGMT SRVCS IN N/A true true true true false false false false false false true false false false false false true true true true COMMUNITY HOSP ANDERSON FDN INC C 588863 BOOK VALUE COMMUNITY HOSP ANDERSON FDN INC Q 211466 BOOK VALUE COMMUNITY HOSP ANDERSON FDN INC R 150999 BOOK VALUE COMMUNITY LTC INC J 189900 BOOK VALUE COMMUNITY LTC INC Q 1131975 BOOK VALUE COMMUNITY HOME HEALTH SERVICES INC Q 63506 BOOK VALUE COMMUNITY PHYSICIANS OF IN INC A 1151700 BOOK VALUE COMMUNITY PHYSICIANS OF IN INC P 3694739 BOOK VALUE COMMUNITY PHYSICIANS OF IN INC R 356230 BOOK VALUE VISIONARY ENTERPRISES INC P 9192012 BOOK VALUE VISIONARY ENTERPRISES INC Q 4426828 BOOK VALUE VISIONARY ENTERPRISES INC S 686362 BOOK VALUE