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COMMUNITY PHYSICIANS OF INDIANA INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY PHYSICIANS OF INDIANA INC (EIN 20-5392766)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-05
IRS object ID
202023109349300642
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-05T08:18:27-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN352123203PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KSM BUSINESS SERVICES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 40857AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462400857ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205392766EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY PHYSICIANS OFBusinessNameLine1Txt
Business Name Line2INDIANA INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone3176218064PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17240 SHADELAND STATION SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46256ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN KUNZER MD MMMPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3173555961PhoneNum
Signature2020-10-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCASSE TATEPreparerPersonNm
PTINP01271193PTIN
Phone3175802000PhoneNum
Preparation2020-10-26PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.132.79.18IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-26IPDt
IP Tm19:20:54IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC13238888B5CA0FD418F0CCA23B587B24FEAB329AtSubmissionCreationDeviceId
At Submission Filing Device Id0160684A8AA26F74BD61AF92E8FD57CF6FB46B49AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY PHYSICIAN NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJOHN KUNZER MD MMMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17240 SHADELAND STATION SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46256ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$340,072,003GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ECOMMUNITY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionCOMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI") IS A PHYSICIAN LED NONPROFIT CORPORATION, PART OF AN INTEGRATED HEALTH CARE NETWORK, WHICH SERVES AS THE LEADER IN PROVIDING COMPASSIONATE, QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO HELP PEOPLE ACHIEVE AND MAINTAIN OPTIMAL HEALTH IN THE COMMUNITY WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee4314TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$1,538TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$484NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,150,534PYContributionsGrantsAmt
CY Contributions Grants$695,969CYContributionsGrantsAmt
PY Program Service Revenue$309,333,017PYProgramServiceRevenueAmt
CY Program Service Revenue$334,513,998CYProgramServiceRevenueAmt
PY Investment Income$323,469PYInvestmentIncomeAmt
CY Investment Income$316,304CYInvestmentIncomeAmt
PY Other Revenue$3,617,540PYOtherRevenueAmt
CY Other Revenue$4,135,748CYOtherRevenueAmt
PY Total Revenue$314,424,560PYTotalRevenueAmt
CY Total Revenue$339,662,019CYTotalRevenueAmt
PY Grants And Similar Paid$3,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,606CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$467,950,948PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$504,882,215CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$174,649,051PYOtherExpensesAmt
CY Other Expenses$158,840,226CYOtherExpensesAmt
PY Total Expenses$642,603,499PYTotalExpensesAmt
CY Total Expenses$663,727,047CYTotalExpensesAmt
PY Revenues Less Expenses-$328,178,939PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$324,065,028CYRevenuesLessExpensesAmt
Total Assets BOY$80,152,370TotalAssetsBOYAmt
Total Assets EOY$115,813,296TotalAssetsEOYAmt
Total Liabilities BOY$1,658,967,312TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,018,693,266TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,578,814,942NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,902,879,970NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O COMMUNITY PHYSICIANS OF INDIANA, INC. IS A PHYSICIAN LED NONPROFIT CORPORATION, PART OF AN INTEGRATED HEALTH CARE NETWORK, WHICH SERVES AS THE LEADER IN PROVIDING COMPASSIONATE, QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO HELP PEOPLE ACHIEVE AND MAINTAIN OPTIMAL HEALTH IN THE COMMUNITY WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$592,329,717ExpenseAmt
Grant$4,606GrantAmt
Revenue$338,648,208RevenueAmt
DescCOMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI") IS A PHYSICIAN GOVERNED GROUP THAT IS PART OF A PATIENT-CENTERED, INTEGRATED HEALTH CARE NETWORK WHICH WILL, THROUGH CONTINUOUS QUALITY IMPROVEMENT, CONSISTENTLY PROVIDE A BETTER EXPERIENCE FOR PATIENTS, EMPLOYEES, PHYSICIANS, AND PAYERS. CPI INTENDS TO BE RECOGNIZED AS THE PRIMARY CARE AND SPECIALTY CARE GROUP PRACTICE IN CENTRAL INDIANA, SETTING BENCHMARK STANDARDS IN PHYSICIAN LOYALTY, QUALITY, SERVICE, AND COST PERFORMANCE. IN 2019, CPI HAD 2,725,423 PATIENT VISITS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescN/ADesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescN/ADesc
FieldValueIRS element (for citing)
Total Program Service Expenses$592,329,717TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4314EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIAN MCCONNELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3173554212PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18180 CLEARVISTA PARKWAY SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46256ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeInd
RAJESH MALLELA MD
PHYSICIAN50.000.00Yes (X)$1,816,078$0$160,878
BRYAN MILLS
DIRECTOR2.0058.00$0$1,448,357$424,280Yes (X)
JAMES CALLAHAN MD
PHYSICIAN48.002.00Yes (X)$1,801,778$0$46,303
KRISHNA MALINENI MD
PHYSICIAN50.000.00Yes (X)$1,640,958$0$156,428
SAKKAPOL ONGWIJITWAT MD
PHYSICIAN50.000.00Yes (X)$1,524,806$0$146,149
SAIFUL KABIR MD
PHYSICIAN50.000.00Yes (X)$1,380,237$0$132,507
RAMARAO YELETI MD
EVP CHIEF PHYS EXEC2.0048.00$0$1,005,224$201,033Yes (X)
MICHAEL ROBERTSON MD
CHAIRMAN50.000.00$942,564$0$100,602Yes (X)Yes (X)
JOHN KUNZER MMM MD
PRESIDENT46.004.00$606,304$0$143,725Yes (X)Yes (X)
ROBIN LEDYARD MD
FORMER INTERIM PRESIDENT0.0050.00$0$571,091$128,145Yes (X)
KATHY KRUSIE
CHIEF ADMINISTRATIVE OFFICER2.0048.00$0$559,465$124,312Yes (X)
STEVE O'NEIL MD
DIRECTOR50.000.00$596,016$0$86,197Yes (X)
ERNEST ASAMOAH MD
DIRECTOR50.000.00$579,768$0$85,328Yes (X)
PAUL WILSON MD
FORMER SVP-PHYSICIAN EXEC50.000.00$517,613$0$93,761Yes (X)
ANNETTE MOORE MD
TREASURER/SECRETARY50.005.00$589,504$0$16,800Yes (X)Yes (X)
ANTHONY SANDERS MD
DIRECTOR50.000.00$517,829$0$65,350Yes (X)
ROBERT GOULET MD
DIRECTOR50.000.00$416,383$0$53,578Yes (X)
STEPHANIE OVERMARS MD
DIRECTOR50.000.00$400,069$0$35,869Yes (X)
GWEN O'MALLEY
FORMER SVP AMBULATORY SERV0.000.00$0$403,096$8,456Yes (X)
JAMES READ
FORMER CFO0.0050.00$0$355,006$60,507Yes (X)
CHARLES PLATZ MD
VICE CHAIRMAN50.005.00$283,679$0$64,730Yes (X)Yes (X)
JASON LANDIS
VP FINANCE50.000.00$0$244,687$48,969Yes (X)
BARB WINNINGHAM DNP NP CNM
DIRECTOR STARTING MAY 201950.000.00$178,249$0$29,781Yes (X)
MICHAEL ALLEY
DIRECTOR2.000.00$0$0$0Yes (X)
BP HOUSE
DIRECTOR STARTING MAY 20192.000.00$0$0$0Yes (X)
STEVEN PLUMP
DIRECTOR2.005.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,791,835TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,586,926TotReportableCompRltdOrgAmt
Total Other Compensation$2,413,688TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K965IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALDERSON COMMERCIAL GROUP INC
425 WEST SOUTH ST 100INDIANAPOLISIN46225CONSTRUCTION$3,447,001
WEATHERBY LOCUMS INC
7259 BINGHAM JUNCTION BLVDMIDVALEUT84047TEMPORARY STAFFING$1,566,018
IU HEALTH PHYSICIANS
2568 RELIABLE PARKWAYCHICAGOIL60686SUPPORT AGREEMENTS$1,488,360
OTOLARYNGOLOGY ASSOCIATES LLC
9002 N MERIDIAN ST 222INDIANAPOLISIN46260MEDICAL GROUP$1,317,368
HAYES BROTHERS INC
1241 EAST 400 SOUTHKOKOMOIN46902CONSTRUCTION$1,072,899
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K45CntrctRcvdGreaterThan100KCnt
Related Organizations$695,969RelatedOrganizationsAmt
Total Contributions$695,969TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621110$334,384,619$334,384,619
RENTAL INCOME531120$86,741$86,741
PHYSICIAN FEES541990$42,638$42,638
FieldValueIRS element (for citing)
Total Program Service Revenue$334,513,998TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$384,458TotalRevenueColumnAmt
Exclusion$384,458ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$68,154OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$68,154OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$68,154TotalRevenueColumnAmt
Exclusion-$68,154ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$400,666GrossSalesOfInventoryAmt
Cost Of Goods Sold$341,830CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,836TotalRevenueColumnAmt
Related Or Exempt Func Income$57,298RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,538UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CORPORATE HEALTH PROMOTIONS541990$3,545,938$3,545,938
EMR INCENTIVE PAYMENTS900099$515,668$515,668
PURCHASE DISCOUNT900099$15,306$15,306
FieldValueIRS element (for citing)
Other Revenue Total$4,076,912OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$339,662,019TotalRevenueColumnAmt
Related Or Exempt Func Income$338,648,208RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,538UnrelatedBusinessRevenueAmt
Exclusion$316,304ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,606TotalAmt
Program Services$4,606ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,792,325TotalAmt
Program Services$5,042,296ProgramServicesAmt
Management And General$750,029ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$611,374TotalAmt
Program Services$611,374ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$428,253,891TotalAmt
Program Services$427,249,126ProgramServicesAmt
Management And General$1,004,765ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,024,778TotalAmt
Program Services$14,971,577ProgramServicesAmt
Management And General$53,201ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$34,368,386TotalAmt
Program Services$34,162,467ProgramServicesAmt
Management And General$205,919ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$20,831,461TotalAmt
Program Services$20,665,332ProgramServicesAmt
Management And General$166,129ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$67,993,518TotalAmt
Management And General$67,993,518ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$202,013TotalAmt
Program Services$175,357ProgramServicesAmt
Management And General$26,656ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,689,399TotalAmt
Program Services$8,516,869ProgramServicesAmt
Management And General$172,530ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$306,211TotalAmt
Program Services$265,806ProgramServicesAmt
Management And General$40,405ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$33,350,368TotalAmt
Program Services$32,528,398ProgramServicesAmt
Management And General$821,970ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$396,193TotalAmt
Program Services$382,651ProgramServicesAmt
Management And General$13,542ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,006,132TotalAmt
Program Services$2,005,404ProgramServicesAmt
Management And General$728ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,744,364TotalAmt
Program Services$5,692,560ProgramServicesAmt
Management And General$51,804ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,221,037TotalAmt
Program Services$7,221,037ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$31,507,045$31,507,045
DUES, LICENSES, SUBSCRP$1,067,185$1,040,195$26,990
RECRUITMENT$114,982$99,810$15,172
UBI TAXES$5,814$5,814

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$235,965TotalAmt
Program Services$187,807ProgramServicesAmt
Management And General$48,158ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$663,727,047TotalAmt
Program Services$592,329,717ProgramServicesAmt
Management And General$71,397,330ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,872BOYAmt
EOY$18,710EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,428,456BOYAmt
EOY$31,149,202EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$18,088,055BOYAmt
EOY$19,348,924EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,721,141BOYAmt
EOY$1,825,755EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$69,790,482LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$35,472,543LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,711,677BOYAmt
EOY$34,317,939EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$183,169BOYAmt
EOY$158,883EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$28,993,883EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$80,152,370BOYAmt
EOY$115,813,296EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,262,211BOYAmt
EOY$19,037,515EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,630,705,101BOYAmt
EOY$1,999,655,751EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,658,967,312BOYAmt
EOY$2,018,693,266EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,578,814,942BOYAmt
EOY-$1,902,879,970EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,578,814,942BOYAmt
EOY-$1,902,879,970EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$80,152,370BOYAmt
EOY$115,813,296EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$324,065,028ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,005CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$177,678CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$153,753CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,150,534CurrentTaxYearMinus1YearAmt
Current Tax Year$695,969CurrentTaxYearAmt
Total$2,179,939TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$291,082,148CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$267,832,292CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$295,001,475CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$313,222,992CurrentTaxYearMinus1YearAmt
Current Tax Year$338,983,889CurrentTaxYearAmt
Total$1,506,122,796TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$291,084,153CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$268,009,970CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$295,155,228CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$314,373,526CurrentTaxYearMinus1YearAmt
Current Tax Year$339,679,858CurrentTaxYearAmt
Total$1,508,302,735TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,508,302,735PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,760CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,962CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,467CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$542,921CurrentTaxYearMinus1YearAmt
Current Tax Year$384,458CurrentTaxYearAmt
Total$962,568TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,760CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,962CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,467CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$542,921CurrentTaxYearMinus1YearAmt
Current Tax Year$384,458CurrentTaxYearAmt
Total$962,568TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,129CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,064CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,424CurrentTaxYearMinus1YearAmt
Current Tax Year$1,538CurrentTaxYearAmt
Total$44,042TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$291,122,042CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$268,022,819CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$295,178,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$314,919,871CurrentTaxYearMinus1YearAmt
Current Tax Year$340,065,854CurrentTaxYearAmt
Total$1,509,309,345TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99930PublicSupportCY509Pct
Public Support PY5090.99950PublicSupportPY509Pct
Investment Income CY0.00060InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,684OtherCostOrOtherBasisAmt
Depreciation$9,050DepreciationAmt
Book Value$101,634BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,778,012OtherCostOrOtherBasisAmt
Depreciation$17,530,213DepreciationAmt
Book Value$23,247,799BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,901,786OtherCostOrOtherBasisAmt
Depreciation$17,933,280DepreciationAmt
Book Value$10,968,506BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,317,939TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRIGHT OF USE OPERATING ASSETSDesc
Book Value$28,993,883BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$28,993,883TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
GUARANTEE LIABILITY$290,513
RIGHT OF USE OPERATING LIABILITIES$29,138,137
DUE TO AFFILIATES$1,970,227,101
FieldValueIRS element (for citing)
Total Liability$1,999,655,751TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAJESH MALLELA MD
PHYSICIAN$1,431,833$0$182,419$0$201,826$0$127,976$0$32,902$0$1,976,956$0$182,419$0
BRYAN MILLS
DIRECTOR$0$1,196,424$0$231,000$0$20,933$0$393,316$0$30,964$0$1,872,637$0$231,000
JAMES CALLAHAN MD
PHYSICIAN$1,650,738$0$0$0$151,040$0$16,800$0$29,503$0$1,848,081$0$0$0
KRISHNA MALINENI MD
PHYSICIAN$1,373,705$0$186,310$0$80,943$0$126,455$0$29,973$0$1,797,386$0$186,310$0
SAKKAPOL ONGWIJITWAT MD
PHYSICIAN$1,298,030$0$173,742$0$53,034$0$116,169$0$29,980$0$1,670,955$0$173,742$0
SAIFUL KABIR MD
PHYSICIAN$1,159,721$0$139,615$0$80,901$0$106,334$0$26,173$0$1,512,744$0$0$0
RAMARAO YELETI MD
EVP CHIEF PHYS EXEC$0$681,396$0$139,668$0$184,160$0$168,739$0$32,294$0$1,206,257$0$139,668
MICHAEL ROBERTSON MD
CHAIRMAN$652,980$0$103,215$0$186,369$0$73,033$0$30,169$0$1,045,766$0$103,215$0
JOHN KUNZER MMM MD
PRESIDENT$477,370$0$97,004$0$31,930$0$115,514$0$28,211$0$750,029$0$97,004$0
ROBIN LEDYARD MD
FORMER INTERIM PRESIDENT$0$455,696$0$94,484$0$20,911$0$107,592$0$20,553$0$699,236$0$94,484
KATHY KRUSIE
CHIEF ADMINISTRATIVE OFFICER$0$445,715$0$92,882$0$20,868$0$105,800$0$18,512$0$683,777$0$92,882
STEVE O'NEIL MD
DIRECTOR$483,029$0$74,854$0$38,133$0$56,486$0$29,711$0$682,213$0$74,854$0
ERNEST ASAMOAH MD
DIRECTOR$509,331$0$70,437$0$0$0$55,026$0$30,302$0$665,096$0$70,437$0
PAUL WILSON MD
FORMER SVP-PHYSICIAN EXEC$391,039$0$83,209$0$43,365$0$71,635$0$22,126$0$611,374$0$83,209$0
ANNETTE MOORE MD
TREASURER/SECRETARY$557,996$0$0$0$31,508$0$16,800$0$0$0$606,304$0$0$0
ANTHONY SANDERS MD
DIRECTOR$388,421$0$54,059$0$75,349$0$46,471$0$18,879$0$583,179$0$47,610$0
ROBERT GOULET MD
DIRECTOR$354,766$0$49,120$0$12,497$0$43,930$0$9,648$0$469,961$0$49,120$0
STEPHANIE OVERMARS MD
DIRECTOR$388,626$0$1,123$0$10,320$0$16,800$0$19,069$0$435,938$0$1,123$0
GWEN O'MALLEY
FORMER SVP AMBULATORY SERV$0$47,276$0$64,969$0$290,851$0$6,907$0$1,549$0$411,552$0$64,969
JAMES READ
FORMER CFO$0$277,233$0$57,583$0$20,190$0$50,508$0$9,999$0$415,513$0$57,583
CHARLES PLATZ MD
VICE CHAIRMAN$220,996$0$22,005$0$40,678$0$35,399$0$29,331$0$348,409$0$22,005$0
JASON LANDIS
VP FINANCE$0$213,820$0$29,995$0$872$0$40,245$0$8,724$0$293,656$0$29,995
BARB WINNINGHAM DNP NP CNM
DIRECTOR STARTING MAY 2019$164,140$0$10,205$0$3,904$0$20,480$0$9,301$0$208,030$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATIONCOMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI") CEO/EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED 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 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTSGWEN O'MALLEY SEVERANCE: $274,870 NONQUALIFIED: 0 EQUITY-BASED: 0
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANCOMMUNITY HEALTH NETWORK, INC. SECTION 457(F) PLAN COMMUNITY HEALTH NETWORK, INC. ("COMMUNITY") ADOPTED THIS COMMUNITY HEALTH NETWORK, INC. SECTION 457(F) PLAN ("PLAN") AS OF JANUARY 1, 2016 TO PROVIDE A SUPPLEMENTAL INCOME FOR RETIREMENT UPON VESTING IN THE BENEFIT AS DESCRIBED IN THE PLAN DOCUMENT. THE PLAN IS INTENDED TO BE EXEMPT FROM THE REQUIREMENTS OF CODE SECTION 409A AS A SHORT-TERM DEFERRAL PROGRAM DESCRIBED UNDER TREAS. REG. 1.409A-1 (B)(4). THE PLAN IS DESIGNED UNDER CODE SECTION 457(F) AS A "TOP-HAT PLAN" (I.E. AN UNFUNDED DEFERRED COMPENSATION PLAN MAINTAINED FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES) PURSUANT TO SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). ELIGIBILITY: INDIVIDUALS DESIGNATED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH NETWORK, INC. CONTRIBUTIONS: ANNUALLY FROM 2016 TO 2020 COMMUNITY WILL CREDIT A CONTRIBUTION TO A PARTICIPANT'S ACCOUNT IN AN AMOUNT EQUAL TO TEN PERCENT OF THEIR BASE COMPENSATION AS DEFINED IN THE PARTICIPANT'S EMPLOYMENT AGREEMENT WITH COMMUNITY. VESTING: SINGLE VESTING METHOD ELECTED BY THE EMPLOYER, IN ITS DISCRETION, FOR EACH PARTICIPANT, WHICH APPLIES TO ALL EMPLOYER CONTRIBUTION CREDITS. IN ADDITION, A PARTICIPANT'S ENTIRE ACCOUNT SHALL VEST ON THE PARTICIPANT'S DEATH, AN INVOLUNTARY TERMINATION OF THE PARTICIPANT'S EMPLOYMENT WITHOUT CAUSE (AS REASONABLY DETERMINED BY THE EMPLOYER), OR THE PARTICIPANT'S DISABILITY (AS DEFINED BY THE SOCIAL SECURITY ADMINISTRATION). FORFEITURE: IF ACCOUNT IS NOT VESTED AS DESCRIBED ABOVE, THE ACCOUNT WILL BE COMPLETELY FORFEITED. AMOUNTS FORFEITED DURING A PLAN YEAR REMAIN A GENERAL ASSET OF COMMUNITY.
COMMUNITY HEALTH NETWORK, INC. RESTORATION PLANCOMMUNITY HEALTH NETWORK, INC. ("COMMUNITY") ADOPTED THIS COMMUNITY HEALTH NETWORK RESTORATION PLAN ("PLAN") AS OF DECEMBER 1, 2017 TO PROVIDE A SUPPLEMENTAL INCOME FOR RETIREMENT UPON VESTING IN THE BENEFITS AS DESCRIBED IN THE PLAN DOCUMENT. THE PLAN IS DESIGNED UNDER CODE SECTION 457(F) AS A "TOP-HAT PLAN" (I.E. AN UNFUNDED DEFERRED COMPENSATION PLAN MAINTAINED FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES PURSUANT TO SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). ELIGIBILITY: INDIVIDUALS WHO HAVE THE TITLE OF PRESIDENT, SENIOR VICE PRESIDENT OR EXECUTIVE VICE PRESIDENT AND WHOSE PLAN COMPENSATION FOR THE APPLICABLE PLAN YEAR EXCEEDS THE ANNUAL COMPENSATION LIMIT UNDER CODE SECTION 401(A)(17), AS ADJUSTED FROM TIME TO TIME. CONTRIBUTIONS: 1. MATCHING CONTRIBUTIONS: IF A PARTICIPANT RECEIVES THE MAXIMUM PERMISSIBLE MATCHING CONTRIBUION UNDER THE 401(K) PLAN, THEY WILL RECEIVE A MATCHING CONTRIBUTION IN THE PLAN THAT IS EQUAL TO THEIR COMPENSATION THAT IS GREATER THAN THE 401(K) PLAN LIMIT MULTIPLIED BY THE MAXIMUM PERMITTED MATCHING CONTRIBUTION PERCENTAGE IN THE 401(K) PLAN FOR THAT YEAR. 2. NON-ELECTIVE CONTRIBUTIONS: IF A PARTICIPANT RECEIVES A NON-ELECTIVE CONTRIBUTION IN THE 401(K) PLAN, THEY WILL RECEIVE A NON-ELECTIVE CONTRIBUTION IN THE PLAN THAT IS EQUAL TO THEIR COMPENSATION THAT IS GREATER THAN THE 401(K) PLAN LIMIT MULTIPLIED BY THE NON-ELECTIVE CONTRIBUTION PERCENTAGE IN THE 401(K) PLAN FOR THAT YEAR. NOTE THAT NO NON-ELECTIVE CONTRIBUTIONS ARE CURRENTLY BEING MADE TO THE 401(K) PLAN. CONTRIBUTIONS WILL BE CREDITED TO A PARTICIPANT'S ACCOUNT AS SOON AS ADMINISTRATIVELY FEASIBLE FOLLOWING THE END OF THE PLAN YEAR TO WHICH THE CONTRIBUTIONS RELATE. VESTING: A PARTICIPANT WILL BE 100% VESTED IN HIS ACCOUNT UPON THE EARLIEST TO OCCUR OF THE FOLLOWING: 1. ATTAINMENT OF AGE 65 PRIOR TO SEPARATION FROM SERVICE 2. DISABILITY 3. INVOLUNTARY SEPARATION FROM SERVICE FOR A REASON OTHER THAN FOR CAUSE 4. SEPARATION FROM SERVICE FOR GOOD REASON 5. A NONCOMPETITIVE PARTICIPANT'S COMPLIANCE WITH ALL TERMS OF A NONCOMPETING AGREEMENT, OR 6. DEATH FORFEITURES: IF ACCOUNT IS NOT VESTED AS DESCRIBED ABOVE, THE ACCOUNT WILL BE COMPLETELY FORFEITED. AMOUNTS FORFEITED DURING A PLAN YEAR REMAIN A GENERAL ASSET OF COMMUNITY.
PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDEDCPI 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ADDITIONAL INFORMATIONFORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS COMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI") IS AN AFFILIATE OF COMMUNITY HEALTH NETWORK ("THE NETWORK"), AN INTEGRATED HEALTH DELIVERY SYSTEM. CPI IS CONTROLLED BY ITS PARENT, COMMUNITY HEALTH NETWORK, INC. ("CHNW"), A TAX-EXEMPT HOSPITAL. CHNW HAS THE FOLLOWING POWERS OVER CPI: A) CHNW IS THE SOLE MEMBER OF CPI, B) CHNW APPOINTS ALL OF THE MEMBERS OF CPI'S BOARD OF DIRECTORS, C) CHNW HAS THE AUTHORITY TO REMOVE ANY MEMBERS OF CPI'S BOARD OF DIRECTORS, D) CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF CPI'S ARTICLES OF INCORPORATION, AND E) CHNW MUST APPROVE ANY SALE OF SUBSTANTIALLY ALL OF CPI'S ASSETS. CHNW HAS EXERCISED ITS CONTROL OVER CPI TO ENSURE THAT CHNW HAS EXCLUSIVE AUTHORITY OVER THE FOLLOWING AFFAIRS OF CPI: STRATEGIC PLANNING, CAPITAL ACCESS, BUDGETING AND ALLOCATION, AUDIT AND COMPLIANCE, EXECUTIVE COMPENSATION, AND DISPUTE RESOLUTION. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW REVIEWS AND APPROVES EXECUTIVE COMPENSATION, INCLUDING CPI'S EXECUTIVES, THROUGH THE DELIBERATIONS OF A NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. LIKEWISE, CHNW REVIEWS AND MANAGES CPI'S CONFLICT OF INTEREST TRANSACTIONS THROUGH THE DELIBERATIONS OF A NETWORK AUDIT COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN SUM, CPI IS CONTROLLED BY CHNW. CPI HAS DELEGATED SUBSTANTIAL AUTHORITY REGARDING ITS GOVERNANCE AND MANAGEMENT TO CHNW. THE MAJORITY OF THE BOARD MEMBERS FOR CHNW ARE INDEPENDENT OUTSIDE DIRECTORS.
FORM 990, PART V, LINE 1A - BOX 3 OF FORM 1096FORM 1099'S WERE PROCESSED UNDER THE NAME AND FEDERAL IDENTIFICATION NUMBER OF COMMUNITY HEALTH NETWORK, INC.
FORM 990, PART V, LINE 2A - NUMBER OF EMPLOYEESCPI EMPLOYEES ARE LEASED FROM COMMUNITY HEALTH NETWORK, INC.
FORM 990, PART VI, LINE 1B - VOTING MEMBERS THAT ARE INDEPENDENTSEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE
FORM 990, PART VI, SECTION A, LINE 2RELATED PARTY INFORMATION AMONG OFFICERS THE FOLLOWING DIRECTORS SERVED AS A DIRECTOR OR OFFICER OF COMMUNITY HEALTH NETWORK, INC. ("CHNW"): JOHN KUNZER, M.D., M.M.M. BRYAN A. MILLS ANNETTE MOORE, M.D. CHARLES PLATZ, M.D. STEVEN PLUMP RAMARAO YELETI, M.D. AND THE FOLLOWING RECEIVED COMPENSATION FROM CHNW: JASON LANDIS BRYAN A. MILLS RAMARAO YELETI, M.D.
FORM 990, PART VI, SECTION A, LINE 3MANAGEMENT DELEGATED CPI DELEGATED AUTHORITY IN ITS ARTICLES OF INCORPORATION TO CHNW IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING, CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIEANCE; EXECUTIVE COMPENSATION; AND DISPUTE RESOLUTION. CPI DELEGATED THESE AUTHORITIES TO ITS PARENT, CHNW, TO ENSURE THAT CPI'S ACTIVITIES WERE INTEGRATED INTO THE BROADER CHARITABLE EFFORTS OF THE NETWORK.
FORM 990, PART VI, SECTION A, LINE 6CLASSES OF MEMBERS OR STOCKHOLDERS CHNW IS THE SOLE MEMBER OF CPI.
FORM 990, PART VI, SECTION A, LINE 7AELECTION OF MEMBERS AND THEIR RIGHTS CHNW, ACTING THROUGH ITS BOARD OF DIRECTORS, HAS THE AUTHORITY TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS OF CPI.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS SUBJECT TO APPROVAL OF MEMBERS THE FOLLOWING GOVERNANCE DECISIONS REQUIRE THE APPROVAL OF CHNW, ACTING THROUGH ITS BOARD OF DIRECTORS: 1) ANY MATERIAL SALE OR OTHER DISPOSITION OF THE ASSETS OF CPI; AND 2) THE MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF THE ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BORGANIZATIONS PROCESS TO REVIEW FORM 990 AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY FOR CPI'S, AUDIT, COMPLIANCE, AND EXECUTIVE COMPENSATION MATTERS. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CPI'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CPI'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF CPI'S FORM 990. IN ADDITION, CPI'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CPI AND CHNW UTILIZED THIS PROCESS TO ENSURE THAT CPI'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CPI'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE.
FORM 990, PART VI, SECTION B, LINE 12CENFORCEMENT OF CONFLICTS POLICY AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILTY FOR CPI'S AUDIT AND COMPLIANCE MATTERS. CHNW HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO CPI. 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 CPI. 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 CPI, 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 CPI. FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY FOR CPI'S EXECUTIVE COMPENSATION MATTERS. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO CPI. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CPI'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 CPI'S EXECUTIVE COMPENSATION TO A) THE NEWTORK 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 2019, THE NETWORK EXECUTIVE COMPENSATION COMMITTEE FOLLOWED THIS PROCESS FOR ALL SENIOR EXECUTIVE LEADERS. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS SEE LINE 15 A ABOVE
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS DISCLOSURE EXPLANATION A) THE ARTICLES OF INCORPORATION AND BUSINESS ENTITY REPORT ARE ON FILE WITH THE INDIANA SECRETARY OF STATE AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE INDIANA SECRETARY OF STATE OR FREE OF CHARGE ON THE SECRETARY OF STATE'S WEBSITE. B) AS AN AFFILIATE OF CHNW, CPI 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) CPI 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. CPI 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, SECTION B - INDEPENDENT CONTRACTOR DISCLOSURECOMPENSATION TO ALDERSON COMMERCIAL GROUP, INC. AND HAYES BROTHERS, INC. INCLUDES MATERIAL COSTS.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,017,025. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,017,025. PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 66,976,493. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,976,493.
FORM 990, PART XII, LINE 2C FINANCIAL STATEMENT OVERSIGHTTHE AUDIT OVERSIGHT AND SELECTION PROCESSES HAVE NOT CHANGED SINCE LAST YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COMMUNITY HEALTH NETWORK INC
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256350983617HOSPITALIN501(C)(3)LINE 3N/A0
COMMUNITY HEALTH NETWORK FDN
7330 SHADELAND STATION SUITE 100INDIANAPOLISIN46256510181688SUPPORTIN501(C)(3)LINE 12B, IIYes (1)CHNW
COMMUNITY HLTH SERV OF IN
7330 SHADELAND STATION SUITE 200INDIANAPOLISIN46256454817436HEALTH CAREIN501(C)(3)LINE 3Yes (1)CHNW
COMMUNITY HOME HLTH SERV INC
9894 EAST 121ST STREETFISHERSIN46037350953467HEALTH CAREIN501(C)(3)LINE 10Yes (1)CHNW
COMM HOSP OF ANDERSON & MADISON CTY
1515 NORTH MADISON AVENUEANDERSONIN46011351069822HOSPITALIN501(C)(3)LINE 3Yes (1)CHNW
COMMUNITY HOSP ANDERSON FDN INC
1515 NORTH MADISON AVENUEANDERSONIN46011861053152SUPPORTIN501(C)(3)LINE 12A, IYes (1)CHA
COMMUNITY HOSPITAL SOUTH INC
1402 E COUNTY LINE ROAD SOUTHINDIANAPOLISIN46227351088640HOSPITALIN501(C)(3)LINE 3Yes (1)CHNW
COMMUNITY HOWARD REGIONAL HEALTH
3500 S LAFOUNTAIN STREETKOKOMOIN46902351865344HOSPITALIN501(C)(3)LINE 3Yes (1)CHNW
COMM HOWARD REGIONAL HEALTH FDN
PO BOX 9011KOKOMOIN46904237309596SUPPORTIN501(C)(3)LINE 7N/A0
COMMUNITY LTC INC
1030 S SCATTERFIELD ROADANDERSONIN460124235351877441HEALTH CAREIN501(C)(3)LINE 10Yes (1)CHA
FAIRBANKS HOSPITAL INC
8102 CLEARVISTA PARKWAYINDIANAPOLISIN46256350811197HOSPITALIN501(C)(3)LINE 3Yes (1)CHNW
HEALTH INSTITUTE OF INDIANA INC
3660 GUION ROADINDIANAPOLISIN46222352022402FITNESSIN501(C)(3)LINE 10Yes (1)CHNW
INDIANAPOLIS OSTEOPATHIC HOSP INC
3630 GUION ROADINDIANAPOLISIN46222351094734HOSPITALIN501(C)(3)LINE 3Yes (1)CHNW
THE RECOVERY HIGH SCHOOL AT FAIRBANKS INC DBA HOPE ACADEMY
8102 CLEARVISTA PARKWAYINDIANAPOLISIN46256203094377CHARTER SCHOOLIN501(C)(3)LINE 2Yes (1)FAIRBANKS HOSPITAL INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
CHNJMH VENTURES LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250462356266DIAG/REHABINN/A
COMMUNITY ENDOSCOPY CENTER LLC
1601 N MADISON AVENUE SUITE 300ANDERSONIN46011611464136HEALTH CAREINN/A
COMMUNITY HEALTH AT HOME LLC
1700 EDISON DRIVEMILFORDOH451502729833536760HEALTH CAREINN/A
COMM HEALTH NETWORK REHAB HOSP LLC
680 S FOURTH STREETLOUISVILLEKY40202453414249REHABINN/A
COMM HLTH NTWRK RHB HOSP SOUTH LLC
680 S FOURTH STREETLOUISVILLEKY40202821385366REHABINN/A
EAST CAMPUS SURGERY CENTER LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250352028517SURGERYINN/A
HAMILTON SURGERY CENTER LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250352061413SURGERYINN/A
HEALTHBOX CHICAGO II LLC
33 WEST MONROE STREET SUITE 1700CHICAGOIL60603463871950INVESTMENTILN/A
HOWARD COMMUNITY SURGERY CTR LLC
3500 S LAFOUNTAIN STREETKOKOMOIN46902352118748SURGERYINN/A
HOWARD REGIONAL SPECIALTY CARE LLC
680 SOUTH FOURTH STREETLOUISVILLEKY40202371501021REHABINN/A
INDIANAPOLIS ENDOSCOPY CENTER LLP
8315 E 56TH STREETINDIANAPOLISIN46216352010874HEALTH CAREINN/A
MICHIGAN SURGERY INVESTMENT LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250320147008SURGERY CENTERSINN/A
NORTH CAMPUS OFFICE ASSOCIATES LP
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250351808625RENTAL PROPERTYINN/A
NORTH CAMPUS SURGERY CENTER LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250352147088SURGERYINN/A
NORTHPOINT PEDIATRICS LLC
8101 CLEARVISTA PARKWAY SUITE 185INDIANAPOLISIN46256351960566HEALTH CAREINN/A
NORTHWEST SURGERY CENTER LLC
6626 E 75TH STREET SUITE 200INDIANAPOLISIN46250208754071SURGERYINN/A
PILLARS HOUSING LP
3500 S LAFOUNTAIN STREETKOKOMOIN46902161652671HOUSINGINN/A
PRIMARIA HEALTH LLC
9365 COUNSELORS ROW SUITE 210INDIANAPOLISIN46240474728937CONSULTINGINN/A
SCP INDIANAPOLIS LLC
7430 SHADELAND AVENUE SUITE 100INDIANAPOLISIN46250460639908HEALTH CAREINN/A
SOUTH CAMPUS SURGERY CENTER LLC
1550 EAST COUNTY LINE ROADINDIANAPOLISIN46227352038072SURGERYINN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
CHN ASSURANCE COMPANY LTD
PO BOX 1051 GTGRAND CAYMANCJ980418913SELF INSURANCECJN/ACYes (1)
PILLARS COMMUNITY HOUSING INC
161652666HOUSINGN/ACYes (1)3500 S LAFOUNTAIN STREETKOKOMOIN46902IN
VISIONARY ENTERPRISES INC
351538433MANAGEMENT SERVICESN/ACYes (1)6626 EAST 75TH STREET SUITE 200INDIANAPOLISIN46250IN
VEI MICHIGAN INC
300097377MANAGEMENT SERVICESN/ACYes (1)940 N MAIN STREETANN HARBORMI48104MI
WESTVIEW DELIVERY SYSTEM INC
351910292MANAGEMENT SERVICESCYes (1)3630 GUION ROADINDIANAPOLISIN46222INCOMMUNITY PHYSICIANS OF INDIANA INC$590,956$88,6581.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY HEALTH NETWORK FOUNDATION
C$695,969BOOK VALUE
COMMUNITY HEALTH NETWORK FOUNDATION
R$808,946BOOK VALUE
COMM HOSP OF ANDERSON & MADISON CTY
K$1,451,433BOOK VALUE
COMM HOSP OF ANDERSON & MADISON CTY
Q$851,018BOOK VALUE
COMM HOSP OF ANDERSON & MADISON CTY
S$6,070,441BOOK VALUE
COMMUNITY HOSPITAL SOUTH INC
K$721,464BOOK VALUE
COMMUNITY HOSPITAL SOUTH INC
S$750,340BOOK VALUE
COMMUNITY HOWARD REGIONAL HEALTH
K$1,050,461BOOK VALUE
COMMUNITY HOWARD REGIONAL HEALTH
S$613,051BOOK VALUE
NORTH CAMPUS OFFICE ASSOCIATES LP
S$719,565BOOK VALUE
PRIMARIA HEALTH LLC
R$74,483BOOK VALUE
VISIONARY ENTERPRISES INC
K$4,110,683BOOK VALUE
VISIONARY ENTERPRISES INC
S$4,221,084BOOK VALUE
WESTVIEW DELIVERY SYSTEM
S$355,651BOOK VALUE