2015-11-13T08:09:48-06:00 2014-12-31 352032768 CASKEY & DAILY PC 4745 STATESMEN DRIVE SUITE C INDIANAPOLIS IN 46250 990 2014-01-01 351094734 INDIANAPOLIS OSTEOPATHIC HOSPITAL INC INDI 3179208439 3630 GUION ROAD INDIANAPOLIS IN 46222 DAVID C WILLIAMS DO CEO 3179208439 2015-10-20 true JAMES A CASKEY CPA CFP P00172185 3175852647 2015-11-13 2014 2016-04-25 22:37:26Z COMMUNITY WESTVIEW HOSPITAL DAVID C WILLIAMS DO 3630 GUION ROAD INDIANAPOLIS IN 46222 46946745 false X WWW.WESTVIEWHOSPITAL.ORG X 1961 IN TO PROVIDE QUALITY HEALTHCARE TO THE CENTRAL INDIANA COMMUNITY - REGARDLESS OF THEIR ABILITY TO PAY - WITH FACILITIES, SUPPORT AND GROWTH FOR THE OSTEOPATHIC PROFESSION THROUGH OUR INTERN/RESIDENT EDUCATION PROGRAMS, INCREASED PHYSICIAN PRACTICES, PRESENCE AND EXPERTISE. 13 8 536 42 0 96778 55150 59756666 45380681 -402805 -131502 1914599 1282586 61365238 46586915 0 0 41580182 27229048 0 0 31859999 25551010 73440181 52780058 -12074943 -6193143 53056959 39357955 29197698 21691837 23859261 17666118 X TO PROVIDE QUALITY HEALTHCARE TO THE CENTRAL INDIANA COMMUNITY - REGARDLESS OF THEIR ABILITY TO PAY - WITH FACILITIES, SUPPORT AND GROWTH FOR THE OSTEOPATHIC PROFESSION THROUGH OUR INTERN/RESIDENT EDUCATION PROGRAMS, INCREASED PHYSICIAN PRACTICES, PRESENCE AND EXPERTISE. false true 30675893 40992634 AT INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. ("IOH") OUR OSTEOPATHIC PHILOSOPHY OF CARE MEANS WE TREAT YOU AS A WHOLE PERSON AND ASSESS YOUR ENTIRE LIFESTYLE. THE HOSPITAL OFFERS AN ARRAY OF SERVICES ON THE WESTSIDE OF INDIANAPOLIS, INDIANA, INCLUDING A 24-HOUR EMERGENCY ROOM, INTENSIVE ACUTE CARE NURSING UNITS, SURGICAL SERVICES, IMAGING SERVICES, LABORATORY SERVICES, CANCER CARE, CARDIOPULMONARY REHABILITATION, SLEEP LAB, RENAL/DIALYSIS SERVICES, INPATIENT AND OUTPATIENT REHABILITATION SERVICES, AND GERIATRIC PSYCHIATRIC CARE. THE HOSPITAL OFFERS A FULL RANGE OF DIAGNOSTIC, TREATMENT, MEDICAL AND SURGICAL SERVICES WITH A MEDICAL STAFF COMPRISED OF OVER 30 MEDICAL AND SURGICAL SPECIALTIES. THE HOSPITAL SERVED 961 INPATIENTS AND PROVIDED 85,287 OUTPATIENT VISITS, WHICH INCLUDED 10,660 EMERGENCY VISITS. THE IOH SURGERY DEPARTMENT PERFORMED 2,989 SURGERIES IN 2014. 10771393 5501745 PHYSICIAN CLINICS - IN ADDITION TO THE HOSPITAL SERVICES THAT IOH PROVIDES, THE HOSPITAL ALSO PROVIDED SPECIALTY AND PRIMARY CARE IN ITS CLINICS. WITHIN THE CLINIC SITES, 24,988 ENCOUNTERS WERE ACCOMPLISHED IN 2014 BEFORE THE RESTRUCTURING WHEN THE PHYSICIAN PRACTICES WERE MOVED TO COMMUNITY PHYSICIAN NETWORK, INC., A RELATED TAX-EXEMPT ORGANIZATION. 41447286 true true false false false false false false false false true false true false true false false true false false false false false false false false true true false false true false false false false false false false true false false false false false true true true false false true X 52 0 true 536 true false false false false false false false false false false X 13 8 true true true false true true true true true false false false true true true true true false false true false IN X BRIAN MCCONNELL 3173554212 8180 CLEARVISTA PWKY 200 INDIANAPOLIS IN 46256 BRYAN A MILLS DIRECTOR 1.00 59.00 X 0 965396 311390 HANY HADDAD MD DIRECTOR 1.00 54.00 X 0 524569 33822 DAVID C WILLIAMS DO DIR THRU 01/ 45.00 10.00 X X 0 440107 196034 DAVID HARRISON DO DIRECTOR THR 11.00 30.00 X 105672 317017 37243 ALLAN ARKUSH DO DIRECTOR THR 11.00 30.00 X 99719 299155 17374 KENNETH SHAVER MD DIRECTOR 1.00 54.00 X 0 262895 102407 LISA RICHTER DO DIRECTOR THR 11.00 30.00 X 65380 196142 15600 CINDY BROWN DO VICE CHR THR 11.00 30.00 X X 40739 122215 18004 ROBERT BEHNING DIRECTOR THR 1.00 0.00 X 0 0 0 ANDREW CARDIMEN SEC/TREAS TH 1.00 0.00 X X 0 0 0 PAUL EVANS DO DIRECTOR THR 1.00 0.00 X 0 0 0 MARIA WILEY CHAIRMAN THR 1.00 0.00 X X 0 0 0 KATHRYN G BETLEY DIRECTOR 1.00 5.00 X 0 0 0 BRUCE F KING DIRECTOR 1.00 5.00 X 0 0 0 JEFFREY MOSSLER MD DIRECTOR 1.00 5.00 X 0 0 0 MICHAEL PETERSON CHAIRMAN 1.00 5.00 X X 0 0 0 STEVEN R PLUMP DIRECTOR 1.00 5.00 X 0 0 0 YVONNE SHAHEEN SECRETARY 1.00 5.00 X X 0 0 0 KRISTIN T SHERMAN TREASURER 1.00 5.00 X X 0 0 0 CHARLES E STALEY DIRECTOR 1.00 5.00 X 0 0 0 RUSSELL SWAN JR VICE CHAIRMA 1.00 5.00 X X 0 0 0 BRIAN K WILLIAMS DIRECTOR 1.00 5.00 X 0 0 0 DOUG PENLEY COO 45.00 X 176310 0 85764 DEBORAH LEE CNO 45.00 X 147352 0 50698 ELIZABETH HALL DIRECTOR OF 45.00 X 92570 0 42548 ROBERT MURRAY DO PHYSICIAN 11.25 33.75 X 88393 265177 21317 THOMAS SOUTHERN MD PHYSICIAN 11.25 33.75 X 84142 252426 5090 STEWART BROWN DO PHYSICIAN 11.25 33.75 X 80084 240251 54244 YOUNG PARK DO PHYSICIAN 11.25 33.75 X 61402 184204 42744 DANNIEL G VLAHOVICH DO PHYSICIAN 11.25 33.75 X 60618 181854 24367 JON ANDERSON FORMER CEO X 147707 0 0 1250088 4251408 1058646 22 true true false MID AMERICA CLINICAL LAB 2560 N SHADELAND AVENUE INDIANAPOLIS IN 46219 LAB SERVICES 1750344 EMCARE 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 STAFFING 977664 SUBURBAN HEALTH ORGANIZATION 2647 WATERFRONT PKWY E DR SUITE 300 INDIANAPOLIS IN 46214 PHY RECRUITMENT 682508 WESTVIEW ANESTHESIA GROUP 8736 SANTANA LANE INDIANAPOLIS IN 46278 MEDICAL 549000 ACCELECARE WOUND CENTERS INC PO BOX 671242 DALLAS TX 752671242 MEDICAL 469205 17 55150 55150 PATIENT REVENUE 622110 40288824 40288824 PHYSICIAN CLINICS 900099 4368415 4368415 PHYSICIAN CLINIC ADMIN FEES 900099 364488 364488 RENT - RELATED PURPOSE 531120 358954 358954 45380681 53441 53441 174887 359830 -184943 -184943 -184943 ELECTRONIC MED RCRD INCENTIVE 900099 750772 750772 EXPENSE REIMBURSEMENT 900099 172614 172614 CAFETERIA SALES 722514 168888 168888 190312 190312 1282586 46586915 46494379 37386 X 928808 333566 595242 147707 147707 20824840 17524830 3300010 1084140 791422 292718 2747971 2240699 507272 1495582 1305979 189603 25937 25937 52050 52050 8479886 6130683 2349203 281671 197588 84083 1451280 982390 468890 190862 43364 147498 2680145 2185394 494751 69642 59539 10103 24556 22243 2313 72278 72278 1850078 188564 1661514 504634 174035 330599 MEDICAL SUPPLIES 6917244 6917244 HOSPITAL ASSESSMENT FEE 2256203 2256203 DUES & SUBSCRIPTIONS 322699 9061 313638 PHYSICIAN DEVELOPMENT 201265 45727 155538 170580 38755 131825 52780058 41447286 11332772 0 3413502 4356429 7513953 4846537 4794187 614464 516230 81757 70848 26164978 5278490 23223540 20886488 3073668 7279314 7069300 421094 3062574 1191029 53056959 39357955 6321296 3875398 5679831 17196571 17816439 29197698 21691837 X 23859261 17666118 23859261 17666118 53056959 39357955 -6193143 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1710000 1710000 16449452 1505302 14944150 238405 43439 194966 7617121 3729749 3887372 150000 150000 20886488 INVESTMENT IN AFFILIATES 7069300 C 7069300 DUE TO AFFILIATES 17320012 CAPITAL LEASE 309443 THIRD PARTY SETTLEMENTS 186984 17816439 true true X true X true X true true false true true 248 278684 278684 0.00530 4329 7395739 3252449 4143290 0.07850 4577 7674423 3252449 4421974 0.08380 2 1890615 497514 1393101 0.02640 2 1890615 497514 1393101 0.02640 2 4577 9565038 3749963 5815075 0.11020 1 12508 12508 0.00020 1 12508 12508 0.00020 true 2509756 7980731 10590962 -2610231 X true true NORTHWEST SURG CTR SURGERY 0.20000 0.43000 1 1 WESTVIEW HOSPITAL 3630 GUION ROAD INDIANAPOLIS IN 46222 WWW.ECOMMUNITY.COM/WESTVIEW 14-005110-1 X X X X WESTVIEW HOSPITAL 1 false false true X X X X X X X X X X 12 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 13 false true false true X 200.000000000000 300.000000000000 X X X X true true X X X true X X X X X X X true X true X X X X true X false false FACILITY 1, WESTVIEW HOSPITAL - 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, WESTVIEW HOSPITAL - PART V, LINE 6A THE CHNA FOR INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH & EAST), COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY HOWARD REGIONAL HEALTH, INC., INDIANA HEART HOSPITAL, LLC, AND INDIANAPOLIS OSTEPATHIC HOSPITAL, INC. FACILITY 1, WESTVIEW HOSPITAL - PART V, LINE 7D WWW.ECOMMUNITY.COM/S/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS FACILITY 1, WESTVIEW HOSPITAL - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP FACILITY 1, WESTVIEW HOSPITAL - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX FACILITY 1, WESTVIEW HOSPITAL - 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, WESTVIEW HOSPITAL - PART V, LINE 16I THE POLICY IS REFERENCED ON THE BILL. FACILITY 1, WESTVIEW HOSPITAL - PART V, LINE 22D THE UNINSURED DISCOUNT WAS DETERMINED UTILIZING THE NETWORK'S TOP COMMERCIAL PAYORS. UNINSURED DISCOUNTS REPRESENT A STANDARD DISCOUNT ON CHARGES AS IT RELATES TO PATIENTS WHO HAVE NO INSURANCE COVERAGE. 22 STIRLING CENTER FOR OSTEOPATHIC MED 3725 KENTUCKY AVENUE INDIANAPOLIS IN 46241 PRIMARY CARE CLINIC CENTER FOR INTEGRATED MEDICINE 3660 N GUION ROAD INDIANAPOLIS IN 46222 PRIMARY CARE CLINIC GLENDALE FAMILY MEDICINE 2620 KESSLER BLVD EAST DRIVE INDIANAPOLIS IN 46220 PRIMARY CARE CLINIC ROCKVILLE PLAZA FAMILY PRACTICE 101 N GIRLS SCHOOL ROAD INDIANAPOLIS IN 46214 PRIMARY CARE CLINIC SPEEDWAY FAMILY PHYSICIANS 1426 MAIN STREET INDIANAPOLIS IN 46224 PRIMARY CARE CLINIC WESTVIEW PRIMARY CARE CENTER - GEO 5471 GEORGETOWN ROAD INDIANAPOLIS IN 46254 PRIMARY CARE CLINIC WESTVIEW WOMEN'S SPECIALTY CARE CTR 3660 N GUION ROAD INDIANAPOLIS IN 46222 SPECIALTY CARE CENTER INDIANA GENERAL SURGERY 3630 N GUION ROAD INDIANAPOLIS IN 46222 SPECIALTY CARE CENTER STARSIAK ORTHOPEDICS AND SPORTS MED 3660 N GUION ROAD INDIANAPOLIS IN 46222 SPECIALTY CARE CENTER WESTVIEW UROLOGY 3520 GUION ROAD INDIANAPOLIS IN 46222 SPECIALTY CARE CENTER WESTVIEW BONE AND OMT CLINIC 3660 N GUION ROAD INDIANAPOLIS IN 46222 SPECIALTY CARE CENTER BROWNSBURG FAMILY MEDICAL 321 E NORTHFIELD DRIVE 100 BROWNSBURG IN 46112 PRIMARY CARE CLINIC WESTVIEW RADIOLOGISTS 3660 N GUION ROAD INDIANAPOLIS IN 46222 SPECIALTY CARE CENTER HEALTHPLEX INTERNAL MEDICINE 3660 N GUION ROAD INDIANAPOLIS IN 46222 PRIMARY CARE CLINIC NORTHWEST FAMILY MEDICINE 7439 WOODLAND DRIVE SUITE 105 INDIANAPOLIS IN 46278 PRIMARY CARE CLINIC BETHESDA COLON AND RECTAL CENTER 3660 N GUION ROAD INDIANAPOLIS IN 46222 SPECIALTY CARE CENTER BANTA AND ASSOCIATES 3077 E 98TH STREET SUITE 100 INDIANAPOLIS IN 46280 SPECIALTY CARE CENTER CTR FOR RHEUMATIC & IMMUNE DISORDER 3660 N GUION ROAD INDIANAPOLIS IN 46222 SPECIALTY CARE CENTER MANDEL FAMILY PRACTICE 4007 N HIGH SCHOOL ROAD INDIANAPOLIS IN 46254 PRIMARY CARE CLINIC SOUTHERN PLASTIC & RECONSTRUC SRG 3630 GUION ROAD INDIANAPOLIS IN 46222 SPECIALTY CARE CENTER WESTVIEW GASTROENTEROLOGY 3520 GUION ROAD INDIANAPOLIS IN 46222 SPECIALTY CARE CENTER OSTEOPATHIC INTEGRATED MEDICINE 17 MOORE STREET MOORESVILLE IN 46158 PRIMARY CARE CLINIC PART I, LINE 6A - RELATED ORGANIZATION INFORMATION A COMMUNITY BENEFIT REPORT IS COMPLETED FOR THE COMMUNITY HEALTH NETWORK INCLUDING INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. 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 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT 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 THE AUDITED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING TEXT WITHIN THE FOOTNOTES TO DESCRIBE BAD DEBT EXPENSE: THE NETWORK'S 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 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, 2014 AND 2013, RESPECTIVELY: THIRD PARTY PAYORS SELF-PAY TOTAL ALL PAYORS 2014 PATIENT SERVICE REVENUE(NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) 1,846,217 142,537 1,988,754 ========== ======== ========== 2013 PATIENT SERVICE REVENUE(NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) 1,666,086 94,024 1,760,110 ========== ======= ========== 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 15,657000 AND 83,731000 FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013, RESPECTIVELY. CHARITY CARE COST WAS ESTIMATED ON THE APPLICATION OF THE ASSOCIATED COST-TO-CHARGE RATIOS. THE REDUCTION IN CHARITY CARE AND OFFSETTING INCREASE IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE REFLECTIONS OF CHANGES THE NETWORK MADE TO ITS CHARITY CARE POLICY EFFECTIVE JANUARY 1, 2014, WHICH PRIMARILY INCLUDED BEING MORE RESTRICTIVE TO PROVIDE CARE TO INDIVIDUALS WHO RESIDE IN THE NETWORKS SERVICE AREA. FURTHER, BEGINNING IN JANUARY 2014, MORE PATIENTS WERE COVERED UNDER HEALTH EXCHANGE PROGRAMS MANDATED BY THE AFFORDABLE HEALTH CARE ACT. 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 85,581000 AND 91,705000 FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013, RESPECTIVELY. EXPENSE FOR FEES RELATED TO THE HAF PROGRAM WAS 48,683000 AND 59,757000 FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013, RESPECTIVELY. THE HAF PROGRAM RUNS ON AN ANNUAL CYCLE FROM JULY 1 TO JUNE 30 AND WAS ORIGINALLY EFFECTIVE UNTIL JUNE 30, 2013. THE PROGRAM WAS RENEWED ON MARCH 21, 2014 WITH A RETROACTIVE EFFECTIVE DATE OF JULY 1, 2013, AND IS EFFECTIVE UNTIL JUNE 30, 2017. AS A RESULT OF THE RETROACTIVE APPLICATION, THE NETWORK ACCRUED BOTH THE ESTIMATED REIMBURSEMENT AND EXPENSE FOR THE PERIOD JULY 1, 2013 THROUGH DECEMBER 31, 2013 IN ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS ON THE DECEMBER 31, 2013 BALANCE SHEET. THE CONSOLIDATED BALANCE SHEET AT DECEMBER 31, 2013 INCLUDES 46,036000 AND 35,240000 IN ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS RECEIVABLE AND PAYABLE, RESPECTIVELY, RELATED TO THE HAF PROGRAM. THE CONSOLIDATED BALANCE SHEET AT DECEMBER 31, 2014 INCLUDES LESS THAN ONE MONTH OF HAF ACTIVITY, OR 700000 AND 1,600000 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 PART C AND D. THE MEDICARE SHORTFALL ATTRIBUTED TO THOSE AREAS NOT INCLUDED ON THE MEDICARE COST REPORT IS 4,691,505. AS SUCH, THE TOTAL MEDICARE SHORTFALL FOR ALL MEDICARE PROGRAMS IS 7,301,736. MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE MEDICARE REPRESENTS 42.83% OF THE OVERALL PAYER MIX FOR INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION SEE ATTACHED FINANCIAL ASSISTANCE POLICY. ADDITIONAL INFORMATION PART VI, ITEMS 2 THROUGH 5 ARE DISCUSSED WITHIN THE ATTACHED COMMUNITY BENEFIT REPORT. FOR A COPY OF THIS REPORT, PLEASE CONTACT HOLLY MILLARD AT (317) 355-5860. PART VI, ITEM 6 - AFFILIATED HEALTH CARE SYSTEM INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. ("IOH")IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. SEE THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW IOH IS INVOLVED IN PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES. PART VI, ITEM 7 - STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA X true false true true false false false false false true false BRYAN A MILLS DIRECTOR 899084 46200 20112 286605 24785 1276786 46200 HANY HADDAD MD DIRECTOR 505548 19021 15600 18222 558391 DAVID C WILLIAMS DO DIR THRU 01/29 & CEO 404649 14174 21284 179700 16334 636141 14174 DAVID HARRISON DO DIRECTOR THRU 01/29 90187 270561 15485 46456 3900 11700 5411 16232 114983 344949 ALLAN ARKUSH DO DIRECTOR THRU 01/29 97735 293203 1984 5952 4344 13030 104063 312185 KENNETH SHAVER MD DIRECTOR 194289 68606 86073 16334 365302 LISA RICHTER DO DIRECTOR THRU 01/29 43706 131119 21674 65023 3900 11700 69280 207842 CINDY BROWN DO VICE CHR THRU 01/29 35990 107969 4749 14246 2094 6283 2407 7220 45240 135718 DOUG PENLEY COO 171386 3702 1222 60462 25302 262074 3702 DEBORAH LEE CNO 141245 4727 1380 50698 198050 4727 ROBERT MURRAY DO PHYSICIAN 70696 212087 17697 53090 3900 11700 1429 4288 93722 281165 THOMAS SOUTHERN MD PHYSICIAN 76546 229637 7596 22789 1273 3817 85415 256243 STEWART BROWN DO PHYSICIAN 67774 203321 5513 16537 6797 20393 9412 28238 4149 12445 93645 280934 YOUNG PARK DO PHYSICIAN 59811 179433 1591 4771 3839 11515 6848 20542 72089 216261 DANNIEL G VLAHOVICH DO PHYSICIAN 53127 159382 7491 22472 3658 10972 2434 7303 66710 200129 JON ANDERSON FORMER CEO 483 147224 147707 143844 SCHEDULE J, PAGE 1, PART I, LINE 1A HEALTH CLUB DUES PAID FOR THE CNO ARE INCLUDED IN THE WRITTEN EMPLOYMENT CONTRACT. THE CONTRACT WAS APPROVED BY THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS. THE DUES ARE TREATED AS TAXABLE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 4 JON ANDERSON 147,018 0 0 SCHEDULE J, PART III PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. ("IOH") CEO/EXECUTIVE DIRECTOR IS PAID BY COMMUNITY HEALTH NETWORK, INC. ("CHNW"), A RELATED 501(C)(3) ORGANIZATION. CHNW USES THE FOLLOWING IN DETERMINING THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) COMPENSATION SURVEY OR STUDY, AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BRYAN A. MILLS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH HIS EMPLOYER, CHNW. DURING 2014, MR. MILLS DID NOT RECEIVE A PAYMENT FROM THE PLAN. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED INDIANAPOLIS OSTEOPATHIC HOSPITAL 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. AMERIPATH INDIANAPOLIS LLC BD MBR = PRES 300679 FEES false VISIONARY ENTERPRISES INC SHR BOARD MBR 360455 RENT EXPENSE false FORM 990 - ORGANIZATION'S MISSION TO PROVIDE QUALITY HEALTHCARE TO THE CENTRAL INDIANA COMMUNITY - REGARDLESS OF THEIR ABILITY TO PAY - WITH FACILITIES, SUPPORT AND GROWTH FOR THE OSTEOPATHIC PROFESSION THROUGH OUR INTERN/RESIDENT EDUCATION PROGRAMS, INCREASED PHYSICIAN PRACTICES, PRESENCE AND EXPERTISE. FORM 990 FORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. ("IOH") IS AN AFFILIATE OF COMMUNITY HEALTH NETWORK ("THE NETWORK"), AN INTEGRATED HEALTH DELIVERY SYSTEM. IOH IS CONTROLLED BY ITS PARENT, COMMUNITY HEALTH NETWORK, INC. ("CHNW"), THE TAX-EXEMPT PARENT OF THE INTEGRATED HEALTH DELIVERY SYSTEM. IOH'S ARTICLES OF INCORPORATION AND BYLAWS DESIGNATE THE MEMBERS OF THE BOARD OF DIRECTORS OF CHNW TO BE THE DIRECTORS OF IOH. CHNW EXERCISES CONTROL OVER IOH THROUGH A SERIES OF GOVERNANCE RIGHTS: A) CHNW IS THE SOLE MEMBER OF IOH; B) IOH HAS DELEGATED EXCLUSIVE AUTHORITY TO CHNW, ACTING THROUGH CHNW'S BOARD OF DIRECTORS, IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING; CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIANCE; EXECUTIVE COMPENSATION; AND DISPUTE RESOLUTION; C) CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF IOH'S ARTICLES OF INCORPORATION; AND D) CHNW MUST APPROVE ANY SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF IOH. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW HAS DELEGATED AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION, INCLUDING IOH'S EXECUTIVES, TO A NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN SUM, IOH HAS REMOVED ANY RISK OF INAPPROPRIATE RELATED PARTY TRANSACTIONS BY DELEGATING (THROUGH CHNW) ITS EXECUTIVE COMPENSATION DECISIONS TO A NETWORK EXECUTIVE COMPENSATION COMMITTEE AND ITS CONFLICT OF INTEREST DECISIONS TO A NETWORK AUDIT COMMITTEE, WITH EACH COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. FORM 990, PAGE 2, PART III, LINE 3 IN 2014, THE PHYSICIAN PRACTICES WERE MOVED TO COMMUNITY PHYSICIAN NETWORK, INC., A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PAGE 2, PART III, LINE 4A 10,660 EMERGENCY VISITS. THE IOH SURGERY DEPARTMENT PERFORMED 2,989 SURGERIES IN 2014. FORM 990, PART V FORM 990, PART V, LINE 1A - BOX 3 OF FORM 1096 FORM 1099S WERE PROCESSED UNDER THE NAME AND FEDERAL IDENTIFICATION NUMBER OF COMMUNITY HEALTH NETWORK, INC. FORM 990, PART VI FORM 990, PART VI, LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS THE BOARD OF DIRECTORS FOR IOH IS ALSO THE BOARD OF DIRECTORS FOR THE FOLLOWING ORGANIZATIONS: COMMUNITY HEALTH NETWORK, INC. COMMUNITY HOME HEALTH SERVICES, INC., COMMUNITY HOSPITAL SOUTH, INC. HEALTH INSTITUTE OF INDIANA, INC., AND INDIANA HEART HOSPITAL, LLC IN ADDITION, BRYAN MILLS RECEIVED COMPENSATION FROM COMMUNITY HEALTH NETWORK, ("CHNW"). THE FOLLOWING DIRECTORS ALSO SERVED AS A DIRECTOR OF COMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI"): BRYAN A. MILLS JEFFREY A. MOSSLER, M.D. STEVEN R. PLUMP AND KENNETH SHAVER, M.D. AND HANY HADDAD, M.D. RECEIVED COMPENSATION FROM CPI. THE FOLLOWING DIRECTORS SERVED AS DIRECTORS OF COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC. ("CHA"): BRYAN A. MILLS CHARLES E. STALEY THE FOLLOWING DIRECTORS SERVED AS DIRECTORS OF VISIONARY ENTERPRISES, INC., A TAXABLE AFFILIATE OF CHNW: BRUCE F. KING BRYAN A. MILLS JEFFREY A. MOSSLER, M.D. FORM 990, PAGE 6, PART VI, LINE 3 EFFECTIVE JANUARY 30, 2014, IOH DELEGATED EXCLUSIVE AUTHORITY TO CHNW (THE SOLE MEMBER), ACTING THROUGH CHNW'S BOARD OF DIRECTORS, IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING, CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIANCE; NETWORK COMPENSATION; AND DISPUTE RESOLUTION. IN ADDITION, CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF IOH'S ARTICLES OF INCORPORATION. FINALLY, CHNW MUST APPROVE ANY MATERIAL SALE OR DISPOSITION OF THE ASSETS OF IOH. FORM 990, PAGE 6, PART VI, LINE 4 IOH AMENDED ITS ARTICLES OF INCORPORATION TO BETTER DEFINE THE CHARITABLE PURPOSES SUPPORTED WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE AMENDED ARTICLES OF INCORPORATION ALSO CHANGED THE COMPOSITION OF THE BOARD OF DIRECTORS TO DESIGNATE THE BOARD AS THE MEMBERS OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH NETWORK, INC., A 501(C)(3) ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 6 CHNW IS THE SOLE MEMBER OF IOH. CHNW IS AN EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3). FORM 990, PAGE 6, PART VI, LINE 7A PRIOR TO JANUARY 30, 2014, THE BOARD OF DIRECTORS WAS TO CONSIST OF TEN (10) DIRECTORS, AT LEAST 1/2 OF WHOM WERE COMMUNITY BUSINESS AND CIVIC LEADERS SELECTED FROM THE COMMUNITY AT LARGE. ONE DIRECTOR WAS APPOINTED BY CHNW, AS THE SOLE MEMBER OF IOH. THE OTHER DIRECTORS WERE ELECTED BY THE BOARD OF DIRECTORS FROM A SLATE OF CANDIDATES RECOMMENDED BY IOH'S NOMINATING COMMITTEE. EFFECTIVE JANUARY 30, 2014, THE AMENDED AND RESTATED ARTICLES OF INCORPORATION DESIGNATED THE BOARD OF DIRECTORS AS THE MEMBERS OF THE BOARD OF DIRECTORS OF CHNW. FORM 990, PAGE 6, PART VI, LINE 7B SEE FORM 990, PART VI, SECTION A, LINE 3 FORM 990, PAGE 6, PART VI, LINE 11B IOH IS AN AFFILIATE OF COMMUNITY HEALTH NETWORK ("THE NETWORK"), AN INTEGRATED HEALTH DELIVERY SYSTEM. IOH HAS DELEGATED AUTHORITY FOR THE REVIEW OF THE FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF IOH'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE FORM 990. IN ADDITION, IOH'S BOARD OF DIRECTORS AND THE NETWORK'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. IOH UTILIZED THIS PROCESS TO ENSURE THAT IOH'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF IOH'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE. FORM 990, PAGE 6, PART VI, LINE 12C CHNW HAS ASSUMED RESPONSIBILITY FOR IOH'S AUDIT AND COMPLIANCE MATTERS. CHNW HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO IOH. 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 IOH. 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 IOH, 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 IOH. FORM 990, PAGE 6, PART VI, LINE 15A CHNW ASSUMED RESPONSIBILITY FOR IOH'S EXECUTIVE COMPENSATION MATTERS. CHNW 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 IOH'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 2014, THE NETWORK EXECUTIVE COMPENSATION COMMITTEE FOLLOWED THIS PROCESS FOR ALL SENIOR EXECUTIVE LEADERS. FORM 990, PAGE 6, PART VI, LINE 15B SEE 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) IOH DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. C) IOH 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. IOH 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 IX, LINE 11G PURCHASED SERVICES 746,305 57,887 0 SERVICE EXPENSE 5,384,378 2,291,316 0 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 CHARITY 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 HOME HEALTH SERVICES INC 9894 EAST 121ST STREET FISHERS IN 46037 350953467 HLTH CARE IN 501C3 9 CHNW true COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 351069822 HOSPITAL IN 501C3 3 CHNW true COMMUNITY HOSP ANDERSON FDN INC 1515 NORTH MADISON AVENUE ANDERSON IN 46011 861053152 SUPPORT IN 501C3 11A CHA true COMMUNITY HOSPITAL SOUTH INC 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 351088640 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 COMMUNITY LTC INC 1031 MONTICELLO DRIVE ANDERSON IN 46011 351877441 HLTH CARE IN 501C3 9 CHA 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 INDIANA HEART HOSPITAL LLC 8075 NORTH SHADELAND AVENUE INDIANAPOLIS IN 46250 352123783 HOSPITAL IN 501C3 3 CHNW true WESVIEW HOSPITAL FOUNDATION INC 3630 GUION ROAD INDIANAPOLIS IN 46222 311036451 SUPPORT IN 501C3 11A IOH true BROWNSBURG OFFICE CENTER 2 LLP 321 E NORTHFIELD BROWNSBURG IN 46112 351929859 LEASING IN CWH RELATED 5397 119695 false true 0.05000 CHNJMH VENTURES LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 462356266 DIAG/REHAB IN N/A false false COMMUNITY ENDOSCOPY CENTER LLC 1601 N MADISON AVENUE SUITE 300 ANDERSON IN 46011 611464136 HLTH CARE IN N/A false false 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 INDIANA SPECIALTY GROUP LLC 7240 SHADELAND STATION SUITE 300 INDIANAPOLIS IN 46256 351976258 HLTH CARE IN N/A false false INDIANAPOLIS ENDOSCOPY CENTER LLC 7353 E 21ST 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 CENTER 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 NA RELATED 100234 273019 false true 0.20000 PILLARS HOUSING LP 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652671 HOUSING 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 HLTH IN N/A true PILLARS COMMUNITY HOUSING INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652666 HOUSING IN N/A true VISIONARY ENTERPRISES INC 6626 EAST 75TH STREET INDIANAPOLIS IN 46250 351538433 MGMT SRVS IN N/A true VEI MICHIGAN INC 940 N MAIN STREET ANN HARBOR MI 48104 300097377 MGMT SRVS IN N/A true WESTVIEW DELIVERY SYSTEM INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351910292 MGMT SRVS IN N/A true true true true false false false false false false true false false false false false false true true true COMMUNITY PHYSICIANS OF IN INC S 512259 BOOK VALUE HEALTH INSTITUTE OF INDIANA INC A 86694 BOOK VALUE HEALTH INSTITUTE OF INDIANA INC J 424269 BOOK VALUE HEALTH INSTITUTE OF INDIANA INC Q 172614 BOOK VALUE HEALTH INSTITUTE OF INDIANA INC R 4786938 BOOK VALUE HEALTH INSTITUTE OF INDIANA INC S 4794187 BOOK VALUE VISIONARY ENTERPRISES INC J 360455 BOOK VALUE WESTVIEW DELIVERY SYSTEM INC R 237237 BOOK VALUE