COMMUNITY BUSINESS INNOVATIONS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY BUSINESS INNOVATIONS INC (EIN 35-2088279)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201103159349303110
Schema version
2010v3.4
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)
Timestamp2011-11-11T12:59:00-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CASKEY & DAILY PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14745 STATESMEN DRIVE SUITE CAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46250ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN352088279EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY BUSINESS INNOVATIONS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone3173554887Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11500 N RITTER AVENUEAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46219ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS P FISCHERName
TitleVICE PRESIDENTTitle
Phone3173554887Phone
Date Signed2011-11-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES A CASKEY CPA CFPName
Phone3175852647Phone
Date Prepared2011-11-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Terminated ReturnXTerminatedReturn
Name Of Principal Officer PersonJILL PARRISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11500 N RITTER AVENUEAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46219ZIPCode
FieldValueIRS element (for citing)
Gross Receipts119779400GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ECOMMUNITY.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionCOMMUNUNITY BUSINESS INNOVATIONS, INC.'S MISSION IS AS FOLLOWS: TO DELIGHT OUR CLIENT BUSINESSES BY DELIVERING HIGH QUALITY, COST EFFECTIVE, CUSTOMIZED ADMINISTRATIVE SERVICES; TO SUPPORT THE FULFILLMENT OF EACH CLIENT'S MISSION; AND TO SUPPORT THE FULFILLMENT OF THE COMMUNITY HEALTH NETWORK'S MISSION.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1118TotalNbrEmployees
Total Gross UBI2718361TotalGrossUBI
Contributions Grants Prior Year7760ContributionsGrantsPriorYear
Contributions Grants Current Year37107ContributionsGrantsCurrentYear
Program Service Revenue Prior Year110847617ProgramServiceRevenuePriorYear
Program Service Revenue CY116989751ProgramServiceRevenueCY
Investment Income Prior Year35633InvestmentIncomePriorYear
Investment Income Current Year34181InvestmentIncomeCurrentYear
Other Revenue Prior Year3106150OtherRevenuePriorYear
Other Revenue Current Year2718361OtherRevenueCurrentYear
Total Revenue Prior Year113997160TotalRevenuePriorYear
Total Revenue Current Year119779400TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year71340632SalariesEtcPriorYear
Salaries Etc Current Year70082034SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year43909303OtherExpensePriorYear
Other Expenses Current Year60257497OtherExpensesCurrentYear
Total Expenses Prior Year115249935TotalExpensesPriorYear
Total Expenses Current Year130339531TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1252775RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-10560131RevenuesLessExpensesCY
Total Assets BOY6268594TotalAssetsBOY
Total Assets EOY0TotalAssetsEOY
Total Liabilities BOY11153299TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-4884705NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCOMMUNUNITY BUSINESS INNOVATIONS, INC.'S MISSION IS AS FOLLOWS: TO DELIGHT OUR CLIENT BUSINESSES BY DELIVERING HIGH QUALITY, COST EFFECTIVE, CUSTOMIZED ADMINISTRATIVE SERVICES; TO SUPPORT THE FULFILLMENT OF EACH CLIENT'S MISSION; AND TO SUPPORT THE FULFILLMENT OF THE COMMUNITY HEALTH NETWORK'S MISSION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangetrueSignificantChange
Expense130262936Expense
Revenue116989751Revenue
DescriptionCOMMUNITY BUSINESS INNOVATIONS, 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.Description
Total Program Service Expense130262936TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedtrueTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109636NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1118NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHOMAS P FISCHERNamePerson
Telephone Number3173554887TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11500 N RITTER AVENUEAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46219ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
BRYAN A MILLS
CHAIRMAN40.00XX10658100288164
DAVID DELANEY
DIRECTOR40.00X700135045294
JULIE PHEGLEY DELANEY
DIRECTOR40.00X689890044573
MICHAEL C BLANCHET
DIRECTOR5.00X047766463132
WILLIAM C VANNESS II MD
DIRECTOR5.00X045071071528
THOMAS P FISCHER
TREASURER40.00XX419332051322
TIMOTHY HOBBS MD
DIRECTOR5.00X034628648277
CLIF KNIGHT MD
DIRECTOR5.00X033476858487
KYLE FISHER
DIRECTOR5.00X033128441296
JILL PARRIS
SECRETARY40.00XX326602070135
KAREN ANN LLOYD
DIRECTOR40.00X318646039592
THOMAS A MALASTO
DIRECTOR5.00X031761646313
ANTHONY LENNEN
DIRECTOR5.00X030395143107
EDWARD KOSCHKA JR
DIRECTOR40.00X3028550448388
JACK FRANK
DIRECTOR40.00X294568072163
ROBIN LEDYARD MD
DIRECTOR5.00X024729545860
JON FOHRER
DIRECTOR5.00X024629354787
JANET M BINGLE MS RN
DIRECTOR5.00X021808156568
JESSIE WESTLUND RN
DIRECTOR5.00X019296247267
JEFFERY KIRKHAM
CHI CFO40.00242343067006X
KELLY GEORGE
NETWORK TREA40.00229421053007X
HARRY LAWS MD
CHIEF MED IN40.00227581042519X
CHARLES B MEADOWS
VP - REVENUE40.00222336060736X
HOLLY A MILLARD
NETWORK CAO40.00219789036489X
WILLIAM E CORLEY
FORMER CHAIR0.00318315052185X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5577623TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3466910TotalReportableCompFrmRltdOrgs
Total Other Compensation1948195TotalOtherCompensation
Number Individuals GT100 K59NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TECHNOLOGY INTEGRATION GROUP
PO BOX 85244SAN DIEGOCA92186INFO SYSTEMS4204033
NEXTGEN HEALTHCARE INFO SYSTEMS
PO BOX 809390CHICAGOIL60693INFO SYSTEMS2766643
MEYER AND WALLIS
731 N JACKSON STREETMILWAUKEEWI53202ADVERTISING2633681
CIT TECHNOLOGY FINANCIAL SERV INC
23896 NETWORK PLCHICAGOIL60673SOFTWARE TECHN2113449
CB RICHARD ELLIS
PO BOX 6103HICKSVILLENY11802SPACE LEASES1577036
FieldValueIRS element (for citing)
Number Of Contractors GT100 K39NumberOfContractorsGT100K
Related Organizations37107RelatedOrganizations
Total Contributions37107TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICESDescription
Business Code561000BusinessCode
Total Revenue Column116989751TotalRevenueColumn
Related Or Exempt Function Income116989751RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue116989751TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column34181TotalRevenueColumn
Exclusion$34,181ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenue
INFORMATION TECHNOLOGY SRV56100018061901806190
MISC. SERVICES561000912171912171
FieldValueIRS element (for citing)
Total Other Revenue2718361TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column119779400TotalRevenueColumn
Related Or Exempt Function Income116989751RelatedOrExemptFunctionIncome
Unrelated Business Revenue2718361UnrelatedBusinessRevenue
Exclusion$34,181ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5177469Total
Program Services5177469ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total50291367Total
Program Services50291367ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1563098Total
Program Services1563098ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9417213Total
Program Services9417213ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3632887Total
Program Services3632887ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total288128Total
Program Services288128ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total594098Total
Program Services594098ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total76595Total
Management And General76595ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total27867905Total
Program Services27867905ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total4113033Total
Program Services4113033ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14200169Total
Program Services14200169ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7370149Total
Program Services7370149ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4643826Total
Program Services4643826ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total216275Total
Program Services216275ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total102114Total
Program Services102114ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3228Total
Program Services3228ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
RECRUITMENT EXPENSES330183330183
DUES & LICENSING154026154026
PROPERTY TAXES120097120097
HR EMPLOYEE ACTIVITIES9091590915
BOOKS & SUBSCRIPTIONS4222442224

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total44532Total
Program Services44532ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total130339531Total
Program Services130262936ProgramServices
Management And General76595ManagementAndGeneral
Fundraising0Fundraising

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6268594BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6268594BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11153299BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11153299BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-4884705BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-4884705BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6268594BOY
EOY0EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-10560131ReconcilationRevenueExpenses
Reconcilation Other Changes15444836ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HOSPITALS OF INDIANA INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN350983617EIN
Type Of Organization3TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedfalseSupportedOrganizationNotified
Organized In USfalseOrganizedInUS
Amount$65,978,128Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs7TotalNumberOfSupportedOrgs
Sum Of Amounts99871365SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
Form1120 Pol FiledfalseForm1120PolFiled
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$76,595DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB76595TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax
Substantially All Dues NondeductfalseSubstantiallyAllDuesNondeduct
Only In House LobbyingfalseOnlyInHouseLobbying
Agree To Carryover Prior YearfalseAgreeToCarryoverPriorYear

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementtrueEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBonus Related OrgsBonusRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRYAN A MILLS
75105629551419240264294238701353974295514
DAVID DELANEY
26578843434745294745429
JULIE PHEGLEY DELANEY
2620954277952162522948734463
MICHAEL C BLANCHET
4749702694558947238540796
WILLIAM C VANNESS II MD
31767621394584811304752223811164020263
THOMAS P FISCHER
4169472385489042418470654
TIMOTHY HOBBS MD
34440318833027817999394563
CLIF KNIGHT MD
33283319353462523862393255
KYLE FISHER
329819146541296372580
JILL PARRIS
32475118515561014525396737
KAREN ANN LLOYD
3168511795313128280358238
THOMAS A MALASTO
31582017962289923414363929
ANTHONY LENNEN
30218417671470028407347058
EDWARD KOSCHKA JR
2248317802443288415504751243
JACK FRANK
29285717115009022073366731
ROBIN LEDYARD MD
24586514302378722073293155
JON FOHRER
24220340903037324414301080
JANET M BINGLE MS RN
21679112903711219456274649
JESSIE WESTLUND RN
19162413383152715740240229
JEFFERY KIRKHAM
24094014034519121815309349
KELLY GEORGE
22810313183076722240282428
HARRY LAWS MD
22640011812183020689270100
CHARLES B MEADOWS
22104612903523025506283072
HOLLY A MILLARD
21849912901463921850256278
WILLIAM E CORLEY
31831552185370500248754

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSSCHEDULE J, PAGE 1, PART I, LINE 4BRYAN A. MILLS 0 0 295,514 DAVID DELANEY 390,000 0 0 JULIE PHEGLEY DELANEY 390,000 0 0 EDWARD KOSCHKA, JR. 69,230 0 0 WILLIAM E. CORLEY 0 248,754 0
OTHER ADDITIONAL INFORMATIONSCHEDULE J, PART IIIPART I, LINE 4A - SEVERANCE PAYMENT COMMUNITY BUSINESS INNOVATIONS, INC. ("CBI") PROVIDED SEVERANCE PACKAGES EQUAL TO 18 MONTHS' COMPENSATION TO EDWARD KOSCHKA, DAVID DELANEY, AND JULIE PHEGLEY DELANEY FROM THE DATE OF THEIR RESPECTIVE TERMINATIONS OF EMPLOYMENT. FOR EACH INDIVIDUAL, THE AMOUNT OF HIS OR HER SEVERANCE IS INCLUDED IN OTHER COMPENSATION. MR. AND MRS. DELANEY ELECTED LUMP SUM PAYOUTS AS OF DECEMBER 31, 2010. MR. KOSCHKA'S SEVERANCE IS BEING PAID RATABLY OVER AN 18 MONTH PERIOD. THE PAYMENTS RECEIVED DURING 2010 WERE REPORTED AS REPORTABLE COMPENSATION ON THEIR FORM W-2S AND ON SCHEDULE J. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WILLIAM E. CORLEY AND BRYAN A. MILLS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. DURING 2010, MR. CORLEY RECEIVED A PAYMENT OF 248,754 FROM HIS PLAN. MR. MILLS RECEIVED AN AWARD OF 100,000 TOWARDS HIS PLAN, BUT DID NOT RECEIVE A PAYMENT FROM SUCH PLAN. PART I, LINE 4C - PERFORMANCE-BASED COMPENSATION ARRANGEMENT BRYAN A. MILLS PARTICIPATED IN TWO PERFORMANCE BASED PLANS DURING 2010, ONE WITH CBI AND ONE WITH VISIONARY ENTERPRISES, INC. MR. MILLS RECEIVED A PAYOUT OF 295,514 FROM ONE PLAN. HE RECEIVED AN AWARD OF 139,794 FROM THE OTHER PLAN, BUT DID NOT RECEIVE A PAYMENT FROM THAT PLAN IN 2010.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
GLENN BINGLE MD
FAMILY MEMBER22220COMPENSATIONfalse
INDIANA PROHEALTH NETWORK INC
SHARE BD MBRS14134029MANAGEMENT SERVICESfalse
VISIONARY ENTERPRISES INC
SHARE BD MEMBER5041806MANAGEMENT SERVICESfalse

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail

FieldValueIRS element (for citing)
Description Of AssetDUE FROM AFFILIATESDescriptionOfAsset
Date Of Distribution2010-12-31DateOfDistribution
FMV Of Asset12884022FMVOfAsset
Method Of FMV DeterminationBOOK VALUEMethodOfFMVDetermination
EIN311038302EIN
Name PersonCOMMUNITY HEALTH NETWORK INCNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11500 NORTH RITTER AVENUEAddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46219ZIPCode
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSection
FieldValueIRS element (for citing)
Director Of SuccessortrueDirectorOfSuccessor
Employee Of SuccessortrueEmployeeOfSuccessor
Owner Of SuccessorfalseOwnerOfSuccessor
Receive CompensationfalseReceiveCompensation
Assets DistributedtrueAssetsDistributed
Required To Notify AGtrueRequiredToNotifyAG
Liabilities PaidtrueLiabilitiesPaid
Bonds OutstandingfalseBondsOutstanding
Bond Liabilities DischargedfalseBondLiabilitiesDischarged

Form990 Schedule N Part III Form990ScheduleNPartIII

FieldValueIRS element (for citing)
IdentifierDETAILIdentifier
Return ReferenceSCHEDULE N PAGE 1 PART I LINE 2EReturnReference
ExplanationBRYAN A MILLS WAS SERVING AS A DIRECTOR FOR BOTH COMMUNITY BUSINESS INNOVATIONS AND COMMUNITY HEALTH NETWORK INC CHNW HE WILL CONTINUE IN THAT CAPACITY POST MERGER EFFECTIVE JANUARY 1 2011 ALL EMPLOYEES OF THE NETWORK EXCLUDING COMMUNITY HOSPITAL OF ANDERSON MADISON COUNTY BECAME EMPLOYEES OF CHNW AS THE NETWORK MOVED TO A COMMON EMPLOYER THOSE EMPLOYEES INCLUDE JANET M BINGLE MS RN MICHAEL C BLANCHET THOMAS P FISCHER KYLE FISHER JON FOHRER JACK FRANK TIMOTHY HOBBS MD J WILLIAM KINGSTON CLIF KNIGHT MD EDWARD KOSCHKA JR ROBIN LEDYARD MD ANTHONY LENNEN KAREN ANN LLOYD THOMAS A MALASTO BRYAN A MILLS JILL PARRIS JESSIE WESTLUND RNExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONCOMMUNUNITY BUSINESS INNOVATIONS, INC.'S MISSION IS AS FOLLOWS: TO DELIGHT OUR CLIENT BUSINESSES BY DELIVERING HIGH QUALITY, COST EFFECTIVE, CUSTOMIZED ADMINISTRATIVE SERVICES; TO SUPPORT THE FULFILLMENT OF EACH CLIENT'S MISSION; AND TO SUPPORT THE FULFILLMENT OF THE COMMUNITY HEALTH NETWORK'S MISSION.
ADDITIONAL INFORMATIONFORM 990FORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS COMMUNITY BUSINESS INNOVATIONS, INC. ("CBI") IS AN AFFILIATE OF COMMUNITY HEALTH NETWORK ("THE NETWORK"), AN INTEGRATED HEALTH DELIVERY SYSTEM. CBI, TOGETHER WITH THE OTHER TAX-EXEMPT AFFILIATES OF THE NETWORK, IS CONTROLLED BY A TAX-EXEMPT PARENT ORGANIZATION, COMMUNITY HEALTH NETWORK, INC. ("CHNW"). CHNW EXERCISES CONTROL OVER CBI THROUGH A SERIES OF GOVERNANCE RIGHTS: A) CHNW IS THE SOLE MEMBER OF CBI; B) AS THE SOLE MEMBER, CHNW HAS THE AUTHORITY TO APPROVE EVERY DIRECTOR THAT IS ELECTED TO CBI'S BOARD OF DIRECTORS; C) CBI 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; D) CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATE- MENT OF CBI'S ARTICLES OF INCORPORATION; AND E) CHNW MUST APPROVE ANY SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF CBI. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW HAS DELEGATED AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION, INCLUDING CBI'S EXECUTIVES, TO A NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. THEREFORE, WHILE CBI DOES NOT HAVE A COMMUNITY BOARD, CHNW DOES HAVE A COMMUNITY BOARD WITH THE MAJORITY OF ITS MEMBERS COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. FURTHERMORE, CBI 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.
ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICESFORM 990, PAGE 2, PART III, LINE 3EFFECTIVE DECEMBER 31, 2010 AT 11:59 P.M., CBI WAS MERGED INTO CHNW. THIS IS THE FINAL 990 TAX RETURN TO BE COMPLETED BY CBI.
ADDITIONAL INFORMATIONFORM 990, PART VIFORM 990, PART VI, LINE 1B - VOTING MEMBERS THAT ARE INDEPENDENT SEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE FORM 990, PART VI, LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS MANY OF CBI'S DIRECTORS, OFFICERS, AND KEY EMPLOYEES SERVE IN AN EXECUTIVE ROLE FOR OTHER TAX-EXEMPT AND TAXABLE AFFILIATES THROUGHOUT THE NETWORK. SPECIFICALLY, THE FOLLOWING DIRECTORS SERVE AS DIRECTORS AND/OR OFFICERS OF THE FOLLOWING ORGANIZATIONS: MICHAEL C. BLANCHET - COMMUNITY HOSPITALS OF INDIANA, INC. - COMMUNITY HOSPITAL SOUTH, INC. - COMMUNITY HOME HEALTH SERVICES, INC. - INDIANA PROHEALTH NETWORK, INC. JULIE PHEGLEY DELANEY - INDIANA PROHEALTH NETWORK, INC. THOMAS P. FISCHER - INDIANA PROHEALTH NETWORK, INC. KYLE FISHER - VISIONARY ENTERPRISES, INC. TIMOTHY HOBBS, M.D. - COMMUNITY PHYSICIANS OF INDIANA, INC. THOMAS A. MALASTO - THE INDIANA HEART HOSPITAL, LLC BRYAN A. MILLS - COMMUNITY HEALTH NETWORK, INC. - COMMUNITY HEALTH NETWORK FOUNDATION, INC. - COMMUNITY HOME HEALTH SERVICES, INC. - COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. - COMMUNITY PHYSICIANS OF INDIANA, INC. - INDIANA PROHEALTH NETWORK, INC. - THE INDIANA HEART HOSPITAL, LLC - VISIONARY ENTERPRISES, INC. JILL PARRIS - COMMUNITY PHYSICIANS OF INDIANA, INC. WILLIAM C. VANNESS II, M.D. - COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. JESSIE WESTLUND, R.N. - COMMUNITY HOME HEALTH SERVICES, INC.
RELATED PARTY INFORMATION AMONG OFFICERSFORM 990, PAGE 6, PART VI, LINE 2GLENN BINGLE JANET BINGLE HUSBAND & WIFE DAVID DELANEY JULIE PHEGLEY DELANEY HUSBAND & WIFE
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3CBI 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. IN ADDITION, CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF CBI'S ARTICLES OF INCORPORATION. FINALLY, CHNW MUST APPROVE ANY SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF CBI.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6SEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ASEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BSEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BAS DISCUSSED IN PART I, LINE 4, CBI HAS DELEGATED AUTHORITY FOR AUDIT, COMPLIANCE, AND EXECUTIVE COMPENSATION TO CHNW. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CBI'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CBI'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CBI'S FORM 990. IN ADDITION, CBI'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CBI AND CHNW UTILIZED THIS PROCESS TO ENSURE THAT CBI'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CBI'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CAS DISCUSSED IN PART I, LINE 4, CBI HAS DELEGATED AUTHORITY FOR AUDIT AND COMPLIANCE TO CHNW. CHNW HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO EVERY TAX-EXEMPT ORGANIZATION WITHIN THE NETWORK, INCLUDING CBI. 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 CBI. 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 CBI, 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 CBI.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AAS DISCUSSED IN PART I, LINE 4, CBI HAS DELEGATED AUTHORITY FOR EXECUTIVE COMPENSATION TO CHNW. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO EVERY TAX-EXEMPT ORGANIZATION WITHIN THE NETWORK, INCLUDING CBI. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CBI'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 CBI'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 2010, THE NETWORK EXECUTIVE COMPENSATION COMMITTEE FOLLOWED THIS PROCESS FOR ALL CHIEF EXECUTIVE OFFICERS FOR ALL NETWORK ENTITIES; THE NETWORK CHIEF FINANCIAL OFFICER; THE NETWORK VICE PRESIDENT OF HUMAN RESOURCES; THE NETWORK VICE PRESIDENT OF MEDICAL AND ACADEMIC AFFAIRS; THE NETWORK VICE PRESIDENT OF CLINICAL STANDARDS, EDUCATION, AND RESEARCH; THE NETWORK VICE PRESIDENT OF LEGAL SERVICES; THE NETWORK CHIEF INFORMATION OFFICER; THE VICE PRESIDENT OF BUSINESS DEVELOPMENT AND MARKETING; THE EXECUTIVE DIRECTOR OF PROHEALTH; AND THE CHIEF FINANCIAL OFFICER OF INDIANA PROHEALTH NETWORK, INC. DURING 2010, THE CHIEF EXECUTIVE OFFICERS, CHIEF FINANCIAL OFFICERS, AND HUMAN RESOURCES REPRESENTATIVES FOR ALL NETWORK ENTITIES FOLLOWED A PROCESS WHEREBY SALARIES FOR ALL POSITIONS REPRESENTING MANAGER AND ABOVE WERE COMPARED AGAINST COMPARATIVE SALARY MARKET DATA.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BSEE LINE 15A ABOVE
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 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) AS A SUBSIDIARY OF CHNW, CBI HAS ADOPTED THE NETWORK CONFLICT OF INTEREST POLICY. WHILE THIS POLICY IS NOT AVAILABLE TO THE PUBLIC, THE NETWORK'S DEFINITION OF A 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) CBI 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. CBI DOES FILE THE 990 TAX RETURN ON AN ANNUAL BASIS WHICH IS AVAILABLE UPON REQUEST AND/OR AVAILABLE ON A DELAYED BASIS ON GUIDESTAR.COM.
ADDITIONAL INFORMATIONFORM 990, PART VIIFORM 990, PART VII - AVERAGE HOURS WORKED FOR RELATED ORGANIZATION JANET M. BINGLE, M.S., R.N. - 40 MICHAEL C. BLANCHET - 40 KYLE FISHER - 40 JON FOHRER - 40 TIMOTHY HOBBS, M.D. - 40 CLIF KNIGHT, M.D. - 40 ROBIN LEDYARD, M.D. - 40 ANTHONY LENNEN - 40 THOMAS A. MALASTO - 40 WILLIAM C. VANNESS II, M.D. - 40 JESSIE WESTLUND, R.N. - 40
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5EFFECTIVE DECEMBER 31, 2010, CBI WAS MERGED INTO CHNW. THE ASSETS, LIABILITIES, AND FUND BALANCE FOR CBI WERE TRANSFERRED TO CHNW.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COMMUNITY HEALTH NETWORK INC
1500 NORTH RITTER AVENUEINDIANAPOLISIN46219311038302PARENTIN501C311BNAfalse
COMMUNITY HEALTH NETWORK FDN INC
1500 NORTH RITTER AVENUEINDIANAPOLISIN46219510181688SUPPORTIN501C311BCHNWtrue
COMMUNITY HOME HEALTH SERVICES INC
9894 EAST 121ST STREETFISHERSIN46037350953467HLTH CAREIN501C39CHNWtrue
COMMUNITY HOSPITALS OF INDIANA INC
1500 NORTH RITTER AVENUEINDIANAPOLISIN46219350983617HOSPITALIN501C33CHNWtrue
COMMUNITY HOSPITAL SOUTH INC
1402 E COUNTY LINE ROAD SOUTHINDIANAPOLISIN46227351088640HOSPITALIN501C33CHItrue
COMMUNITY PHYSICIANS OF IN INC
7240 SHADELAND STATION SUITE 300INDIANAPOLISIN46256205392766PHY SRVIN501C39CHItrue
THE INDIANA HEART HOSPITAL LLC
8075 NORTH SHADELAND AVENUEINDIANAPOLISIN46250352123783HOSPITALIN501C33CHItrue
COMM HOSP OF ANDERSON & MADISON CTY
1515 NORTH MADISON AVENUEANDERSONIN46011351069822HOSPITALIN501C33CHItrue
COMMUNITY HOSP ANDERSON FDN INC
1515 NORTH MADISON AVENUEANDERSONIN46011861053152SUPPORTIN501C37CHAtrue
COMMUNITY LTC INC
1031 MONTICELLO DRIVEANDERSONIN46011351877441HLTH CAREIN501C39CHAtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
EAST CAMPUS SURGERY CENTER LLC
7330 SHADLEAND STATION SUITE 200INDIANAPOLISIN46256352028517SURGERYINN/Afalsefalse
IMAGING EQUIPMENT LEASING CO LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256201293154LEASINGINN/Afalsefalse
INDIANA SPECIALTY GROUP LLC
7240 SHADELAND STATION SUITE 300INDIANAPOLISIN46256351976258HLTH CAREINN/Afalsefalse
MICHIGAN SURGERY INVESTMENT LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256320147008SURG CTRSINN/Afalsefalse
NORTH CAMPUS OFFICE ASSOCIATES LP
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256351808625RNTL PROPINN/Afalsefalse
NORTH CAMPUS SURGERY CENTER LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256352147088SURGERYINN/Afalsefalse
SURGICARE LLC
2907 MCINTIRE DRIVEBLOOMINGTONIN47403351975122SURGERYINN/Afalsefalse
EAST CAMPUS SURGERY CENTER LLC
7330 SHADLEAND STATION SUITE 200INDIANAPOLISIN46256352028517SURGERYINN/Afalsefalse
IMAGING EQUIPMENT LEASING CO LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256201293154LEASINGINN/Afalsefalse
INDIANA SPECIALTY GROUP LLC
7240 SHADELAND STATION SUITE 300INDIANAPOLISIN46256351976258HLTH CAREINN/Afalsefalse
MICHIGAN SURGERY INVESTMENT LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256320147008SURG CTRSINN/Afalsefalse
NORTH CAMPUS OFFICE ASSOCIATES LP
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256351808625RNTL PROPINN/Afalsefalse
NORTH CAMPUS SURGERY CENTER LLC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256352147088SURGERYINN/Afalsefalse
SURGICARE LLC
2907 MCINTIRE DRIVEBLOOMINGTONIN47403351975122SURGERYINN/Afalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
CHN ASSURANCE COMPANY LTD
PO BOX 1051GTGRAND CAYMANCJ980418913INSURANCECJN/A
INDIANA PROHEALTH NETWORK INC
351614719INSURANCEN/A8180 CLEARVISTA PARKWAY SUITE 230INDIANAPOLISIN46256IN
VISIONARY ENTERPRISES INC
351538433MGMT SRVCSN/A7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256IN
VEI MICHIGAN INC
300097377MGMT SRVCSN/A940 N MAIN STREETANN HARBORMI48104MI
CHN ASSURANCE COMPANY LTD
PO BOX 1051GTGRAND CAYMANCJ980418913INSURANCECJN/A
INDIANA PROHEALTH NETWORK INC
351614719INSURANCEN/A8180 CLEARVISTA PARKWAY SUITE 230INDIANAPOLISIN46256IN
VISIONARY ENTERPRISES INC
351538433MGMT SRVCSN/A7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256IN
VEI MICHIGAN INC
300097377MGMT SRVCSN/A940 N MAIN STREETANN HARBORMI48104MI
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (84 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COMMUNITY HEALTH NETWORK FOUNDATION
P676224ACTUAL AMOUNT PER BOOKS
COMMUNITY HEALTH NETWORK FOUNDATION
Q78734ACTUAL AMOUNT PER BOOKS
COMMUNITY HOME HEALTH SERVICES INC
P1534110ACTUAL AMOUNT PER BOOKS
COMMUNITY HOME HEALTH SERVICES INC
Q1540291ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITALS OF INDIANA INC
J9850263ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITALS OF INDIANA INC
P65978128ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITALS OF INDIANA INC
R16573377ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITAL SOUTH INC
J2333459ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITAL SOUTH INC
P16017952ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITAL SOUTH INC
R407461ACTUAL AMOUNT PER BOOKS
COMMUNITY PHYSICIANS OF IN INC
P5104192ACTUAL AMOUNT PER BOOKS
COMMUNITY PHYSICIANS OF IN INC
Q5405681ACTUAL AMOUNT PER BOOKS
THE INDIANA HEART HOSPITAL
P12257803ACTUAL AMOUNT PER BOOKS
THE INDIANA HEART HOSPITAL
R330544ACTUAL AMOUNT PER BOOKS
COMM HOSP OF ANDERSON & MADISON CTY
P1783285ACTUAL AMOUNT PER BOOKS
EAST CAMPUS SURGERY CENTER LLC
P442498ACTUAL AMOUNT PER BOOKS
INDIANA PROHEALTH NETWORK INC
O5502286ACTUAL AMOUNT PER BOOKS
INDIANA PROHEALTH NETWORK INC
P8358290ACTUAL AMOUNT PER BOOKS
INDIANA PROHEALTH NETWORK INC
R273453ACTUAL AMOUNT PER BOOKS
NORTH CAMPUS SURGERY CENTER LLC
P139963ACTUAL AMOUNT PER BOOKS
VISIONARY ENTERPRISES INC
P5041806ACTUAL AMOUNT PER BOOKS
COMMUNITY HEALTH NETWORK FOUNDATION
P676224ACTUAL AMOUNT PER BOOKS
COMMUNITY HEALTH NETWORK FOUNDATION
Q78734ACTUAL AMOUNT PER BOOKS
COMMUNITY HOME HEALTH SERVICES INC
P1534110ACTUAL AMOUNT PER BOOKS
COMMUNITY HOME HEALTH SERVICES INC
Q1540291ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITALS OF INDIANA INC
J9850263ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITALS OF INDIANA INC
P65978128ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITALS OF INDIANA INC
R16573377ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITAL SOUTH INC
J2333459ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITAL SOUTH INC
P16017952ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITAL SOUTH INC
R407461ACTUAL AMOUNT PER BOOKS
COMMUNITY PHYSICIANS OF IN INC
P5104192ACTUAL AMOUNT PER BOOKS
COMMUNITY PHYSICIANS OF IN INC
Q5405681ACTUAL AMOUNT PER BOOKS
THE INDIANA HEART HOSPITAL
P12257803ACTUAL AMOUNT PER BOOKS
THE INDIANA HEART HOSPITAL
R330544ACTUAL AMOUNT PER BOOKS
COMM HOSP OF ANDERSON & MADISON CTY
P1783285ACTUAL AMOUNT PER BOOKS
EAST CAMPUS SURGERY CENTER LLC
P442498ACTUAL AMOUNT PER BOOKS
INDIANA PROHEALTH NETWORK INC
O5502286ACTUAL AMOUNT PER BOOKS
INDIANA PROHEALTH NETWORK INC
P8358290ACTUAL AMOUNT PER BOOKS
INDIANA PROHEALTH NETWORK INC
R273453ACTUAL AMOUNT PER BOOKS
NORTH CAMPUS SURGERY CENTER LLC
P139963ACTUAL AMOUNT PER BOOKS
VISIONARY ENTERPRISES INC
P5041806ACTUAL AMOUNT PER BOOKS
COMMUNITY HEALTH NETWORK FOUNDATION
P676224ACTUAL AMOUNT PER BOOKS
COMMUNITY HEALTH NETWORK FOUNDATION
Q78734ACTUAL AMOUNT PER BOOKS
COMMUNITY HOME HEALTH SERVICES INC
P1534110ACTUAL AMOUNT PER BOOKS
COMMUNITY HOME HEALTH SERVICES INC
Q1540291ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITALS OF INDIANA INC
J9850263ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITALS OF INDIANA INC
P65978128ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITALS OF INDIANA INC
R16573377ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITAL SOUTH INC
J2333459ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITAL SOUTH INC
P16017952ACTUAL AMOUNT PER BOOKS
COMMUNITY HOSPITAL SOUTH INC
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THE INDIANA HEART HOSPITAL
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NORTH CAMPUS SURGERY CENTER LLC
P139963ACTUAL AMOUNT PER BOOKS
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COMMUNITY HOME HEALTH SERVICES INC
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COMMUNITY HOSPITALS OF INDIANA INC
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COMMUNITY HOSPITALS OF INDIANA INC
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COMMUNITY HOSPITAL SOUTH INC
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COMMUNITY HOSPITAL SOUTH INC
P16017952ACTUAL AMOUNT PER BOOKS
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EAST CAMPUS SURGERY CENTER LLC
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INDIANA PROHEALTH NETWORK INC
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NORTH CAMPUS SURGERY CENTER LLC
P139963ACTUAL AMOUNT PER BOOKS
VISIONARY ENTERPRISES INC
P5041806ACTUAL AMOUNT PER BOOKS

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