2017-11-09T12:13:43-05:00 2016-12-31 352032768 CASKEY & DAILY PC 4745 STATESMEN DRIVE SUITE C INDIANAPOLIS IN 46250 990 2016-01-01 205392766 COMMUNITY PHYSICIANS OF INDIANA INC COMM 3176218064 7240 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 RAMARAO YELETI MD PRESIDENT 3176217454 2017-10-19 true JAMES A CASKEY CPA CFP P00172185 3175852647 2017-11-01 3E83E976884D6852BF626D3B074032779D209233 3E83E976884D6852BF626D3B074032779D209233 2016 2018-03-14 21:41:22Z COMMUNITY PHYSICIAN NETWORK RAMARAO YELETI MD 7240 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 268085473 false X WWW.ECOMMUNITY.COM/CPI/ X 2006 IN 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. 14 3 3281 3 14708 10887 2005 177678 281712073 255880262 6624 -136989 8922028 11434216 290642730 267355167 6500 0 351686146 385504579 0 0 131792362 94536497 483478508 480047576 -192835778 -212692409 63504828 63709147 830264928 1035716537 -766760100 -972007390 X 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. false false 448853757 6500 267299770 COMMUNITY 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 AND THUS BECOME THEIR NETWORK OF CHOICE. 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 2016, CPI'S PATIENT VISITS WERE 1,475,106. 448853757 true true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true X 0 0 true 3281 true true true false false false false false false false false false X 14 3 true true false false true true true true true false false false true true true true true true true false IN X JOSEPH M KESSLER 3176210395 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 X BRYAN A MILLS DIRECTOR 2.00 58.00 X 0 1427576 452142 MICHAEL ROBERTSON MD VICE CHAIRMA 50.00 0.00 X X 904125 0 163177 RAMARAO YELETI MD PRESIDENT 48.00 2.00 X X 801035 0 312107 TIMOTHY HOBBS MD DIRECTOR 2.00 48.00 X 0 728080 272804 FRANK COVINGTON MD CHAIRMAN 50.00 0.00 X X 0 663538 205756 ANNETTE MOORE MD DIRECTOR 49.00 6.00 X 577241 0 15900 ERNEST O ASAMOAH MD VICE CHARMN 50.00 0.00 X X 517868 0 158995 ANTHONY SANDERS MD DIRECTOR 50.00 0.00 X 512243 0 96912 ROBERT GOULET MD DIRECTOR 50.00 0.00 X 414357 0 91911 CHARLES PLATZ MD DIRECTOR 50.00 0.00 X 341171 0 141350 STEPHANIE OVERMARS MD DIRECTOR 50.00 0.00 X 340289 0 104986 CARRIE MELLOH MD DIRECTOR 50.00 0.00 X 194708 0 102001 MICHAEL ALLEY DIRECTOR 2.00 0.00 X 0 0 0 JASON BECKER DIRECTOR 2.00 6.00 X 0 0 0 STEVEN PLUMP DIRECTOR 2.00 6.00 X 0 0 0 ANTHONY JAVORKA COO 46.00 4.00 X 421404 0 192807 JAMES READ CFO MARCH - 50.00 0.00 X 0 230771 50674 JAMES CALLAHAN MD PHYSICIAN 50.00 0.00 X 1881218 0 269001 DANIEL KIM MD PHYSICIAN 50.00 0.00 X 1423885 0 117602 PREETHAM JETTY MD PHYSICIAN 50.00 0.00 X 1386977 0 295772 DEEPAK GUTTIKONDA MD PHYSICIAN 50.00 0.00 X 1356128 0 218134 KRISHNA MALINENI MD PHYSICIAN 50.00 0.00 X 1203167 0 277249 12275816 3049965 3539280 693 false true false ALDERSON PROPERTY SERVICES 425 W SOUTH SUITE 100 INDIANAPOLIS IN 46225 CONSTRUCTION 5559451 BAF CORPORATION 6084 FALL CREEK ROAD INDIANAPOLIS IN 46220 CONSTRUCTION 1756265 ST VINCENT HOSPITAL 10330 N MERIDIAN STREET INDIANAPOLIS IN 46290 MEDICAL 1582600 WEATHERBY LOCUMS INC 6451 N FEDERAL HWY STE 801 FORT LAUDERDALE FL 33308 TEMPORARY STAFF 1471851 HAYES BROTHERS INC 1241 E 400 SOUTH KOKOMO IN 46902 CONSTRUCTION 943316 37 177678 177678 PATIENT SERVICES 621110 255296751 255296751 JANE PAULEY ADMIN FEES 900099 366663 366663 PHYSICIAN FEES 900099 207904 207904 RENTAL INCOME 531120 8944 8944 255880262 1962 1962 138951 -138951 -138951 -138951 327482 591355 -263873 -278581 14708 ONSITE SERVICE FEES 900099 6997392 6997392 CORPORATE HEALTH PROMOTIONS 900099 2760102 2760102 EMR INCENTIVE PAYMENTS 900099 1923521 1923521 17074 17074 11698089 267355167 267299770 14708 -136989 6500 6500 6404587 5790376 614211 328650166 326928157 1722009 9461669 9366431 95238 26014849 25685806 329043 14973308 14724049 249259 20766 5766 15000 10070 10070 26071448 26071448 487984 153538 334446 5821406 5562910 258496 433243 136314 296929 26378942 25591029 787913 444573 336166 108407 1267059 1199572 67487 4429356 4353769 75587 6436248 6436248 MEDICAL SUPPLIES 21757821 21757821 DUES, LICENSES, SUBSCRPTN 820460 782552 37908 MEALS & ENTERTAINMENT 75968 23902 52066 CORPORATE SPONSORSHIP 44148 44148 37005 12851 24154 480047576 448853757 31193819 0 16070 19882 39696169 34282397 3246483 2722619 1332500 1229091 48945829 23490671 19213606 25455158 63504828 63709147 46689275 38303744 783575653 997412793 830264928 1035716537 X -766760100 -972007390 -766760100 -972007390 63504828 63709147 X -212692409 7445119 X false true X true false X 145458 108432 8584 2005 177678 442157 173142889 174357109 238686388 291082148 267832292 1145100826 173288347 174465541 238694972 291084153 268009970 1145542983 1145542983 6331 6058 5924 24760 1962 45035 6331 6058 5924 24760 1962 45035 43220 9680 20176 13129 5708 91913 173337898 174481279 238721072 291122042 268017640 1145679931 0.99990 0.99990 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25842155 9893915 15948240 23103674 13596756 9506918 25455158 DUE FROM AFFILIATES 997412793 997412793 false true false true false false false true false BRYAN A MILLS DIRECTOR 1233291 73920 120365 417734 34408 1879718 73920 MICHAEL ROBERTSON MD VICE CHAIRMAN/SECRTY 621098 91218 191809 131347 34230 1067302 91218 RAMARAO YELETI MD PRESIDENT 627657 72332 101046 277253 34854 1113142 72332 TIMOTHY HOBBS MD DIRECTOR 546192 161600 20288 247459 25345 1000884 161600 FRANK COVINGTON MD CHAIRMAN 420396 32472 210670 192180 13576 869294 32472 ANNETTE MOORE MD DIRECTOR 557901 19340 15900 593141 ERNEST O ASAMOAH MD VICE CHARMN JAN-JUNE 485118 31416 1334 123424 35571 676863 31416 ANTHONY SANDERS MD DIRECTOR 394373 39891 77979 74202 22710 609155 ROBERT GOULET MD DIRECTOR 302036 51103 61218 80908 11003 506268 CHARLES PLATZ MD DIRECTOR 242557 34241 64373 105779 35571 482521 34241 STEPHANIE OVERMARS MD DIRECTOR 301723 9517 29049 104986 445275 9517 CARRIE MELLOH MD DIRECTOR 167388 12196 15124 67344 34657 296709 12196 ANTHONY JAVORKA COO 378361 41215 1828 155436 37371 614211 41215 JAMES READ CFO MARCH - DECEMBER 190858 39913 37904 12770 281445 JAMES CALLAHAN MD PHYSICIAN 1610793 251085 19340 235087 33914 2150219 251085 DANIEL KIM MD PHYSICIAN 1349367 67622 6896 83522 34080 1541487 PREETHAM JETTY MD PHYSICIAN 1216318 151319 19340 274321 21451 1682749 151319 DEEPAK GUTTIKONDA MD PHYSICIAN 1243482 93306 19340 182563 35571 1574262 93306 KRISHNA MALINENI MD PHYSICIAN 1082520 119307 1340 242739 34510 1480416 SCHEDULE J, PAGE 1, PART I, LINE 4 BRYAN A. MILLS 0 118,000 0 SCHEDULE J, PART III PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION COMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI") CEO/EXECUTIVE DIRECTOR IS PAID BY COMMUNITY HEALTH NETWORK, INC. ("CHNW"), A RELATED 501(C)(3) ORGANIZATION. CHNW USES THE FOLLOWING IN DETERMINING THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) COMPENSATION SURVEY OR STUDY, AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BRYAN A. MILLS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH HIS EMPLOYER, CHNW, WHICH WAS PAYABLE IN 2016. PART I, LINE 5A - COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION DR. ERNEST ASAMOAH, DR. JAMES CALLAHAN, DR. ROBERT GOULET, DR. DEEPAK GUTTIKONDA, DR. PREETHAM JETTY, DR. DANIEL KIM, DR. KRISHNA MALINENI, DR. CARRIE MELLOH, DR. ANNETTE MOORE, DR. STEPHANIE OVERMARS, DR. CHARLES PLATZ, DR. MICHAEL ROBERTSON, DR. ANTHONY SANDERS, AND DR. RAMARAO YELETI ARE ELIGIBLE TO PARTICIPATE IN COMMUNITY PHYSICIANS OF INDIANA, INC.'S ("CPI") INCENTIVE COMPENSATION PLAN. CPI DEVELOPED ITS COMPENSATION PLAN IN CONJUNCTION WITH AN INDEPENDENT COMPENSATION CONSULTANT. IN ADDITION, THE PLAN WAS APPROVED BY THE NETWORK EXECUTIVE COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN ADOPTING ITS INCENTIVE-BASED COMPENSATION PLAN, CPI (TOGETHER WITH ITS INDEPENDENT COMPENSATION CONSULTANT, ITS EXTERNAL LEGAL COUNSEL, AND THE NETWORK EXECUTIVE COMPENSATION COMMITTEE) CONSIDERED AND APPLIED THE PROVISIONS OF CODE SECTION 4958 AND THE CORRESPONDING TREASURY REGULATIONS TO ENSURE THAT ITS COMPENSATION DECISIONS REFLECT ARMS LENGTH, FAIR MARKET TERMS. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED CPI 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. FORM 990 - ORGANIZATION'S MISSION 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. FORM 990 FORM 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 FORM 990, PART V, LINE 1A - BOX 3 OF FORM 1096 FORM 1099'S WERE PROCESSED UNDER THE NAME AND FEDERAL IDENTIFICATION NUMBER OF COMMUNITY HEALTH NETWORK, INC. FORM 990, PART V, LINE 2A - NUMBER OF EMPLOYEES CPI EMPLOYEES ARE LEASED FROM COMMUNITY HEALTH NETWORK, INC. FORM 990, PART VI FORM 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 THE FOLLOWING DIRECTORS SERVED AS A DIRECTOR OR OFFICER OF COMMUNITY HEALTH NETWORK, INC. ("CHNW"): JASON BECKER TIMOTHY HOBBS, M.D. ANTHONY JAVORKA BRYAN A. MILLS ANNETTE MOORE, M.D. STEVEN PLUMP AND THE FOLLOWING RECEIVED COMPENSATION FROM CHNW: FRANK COVINGTON, M.D. TIMOTHY HOBBS, M.D. BRYAN A. MILLS JAMES READ FORM 990, PAGE 6, PART VI, LINE 3 CPI DELEGATED AUTHORITY IN ITS ARTICLES OF INCORPORATION TO CHNW IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING, CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIANCE; 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, PAGE 6, PART VI, LINE 6 CHNW IS THE SOLE MEMBER OF CPI. FORM 990, PAGE 6, PART VI, LINE 7A CHNW, ACTING THROUGH ITS BOARD OF DIRECTORS, HAS THE AUTHORITY TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS OF CPI. FORM 990, PAGE 6, PART VI, LINE 7B 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, PAGE 6, PART VI, LINE 11B 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, PAGE 6, PART VI, LINE 12C AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY 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, PAGE 6, PART VI, LINE 15A 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 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 2016, THE NETWORK EXECUTIVE COMPENSATION COMMITTEE FOLLOWED THIS PROCESS FOR ALL SENIOR EXECUTIVE LEADERS. FORM 990, PAGE 6, PART VI, LINE 15B SEE LINE 15A ABOVE FORM 990, PAGE 6, PART VI, LINE 19 A) THE ARTICLES OF INCORPORATION AND CERTIFICATE OF EXISTENCE ARE ON FILE WITH THE INDIANA SECRETARY OF STATE AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE INDIANA SECRETARY OF STATE OR FREE OF CHARGE ON THE SECRETARY OF STATE'S WEBSITE. B) 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 FORM 990, PART VII, SECTION B - INDEPENDENT CONTRACTOR DISCLOSURE COMPENSATION TO ALDERSON PROPERTY SERVICES, BAF CORPORATION, AND HAYES BROTHERS, INC. INCLUDES MATERIAL COSTS. FORM 990, PART XI, LINE 9 COMMUNITY ACCOUNTABLE CARE ASSET TRANSFER 7,445,119 COMMUNITY HEALTH NETWORK INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 350983617 HOSPITAL IN 501C3 3 NA false COMMUNITY HEALTH NETWORK FOUNDATION 7240 SHADELAND STATION SUITE 125 INDIANAPOLIS IN 46256 510181688 SUPPORT IN 501C3 12B CHNW true COMMUNITY HLTH SERVICES OF INDIANA 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 454817436 HLTH CARE IN 501C3 3 CHNW true COMMUNITY HOME HEALTH SERVICES INC 9894 EAST 121ST STREET FISHERS IN 46037 350953467 HLTH CARE IN 501C3 10 CHNW true COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 351069822 HOSPITAL IN 501C3 3 CHNW true COMMUNITY HOSP ANDERSON FDN INC 1515 NORTH MADISON AVENUE ANDERSON IN 46011 861053152 SUPPORT IN 501C3 12A CHA true COMMUNITY HOSPITAL SOUTH INC 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 351088640 HOSPITAL IN 501C3 3 CHNW true COMMUNITY HOWARD REGIONAL HEALTH 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351865344 HOSPITAL IN 501C3 3 CHNW true COMM HOWARD REGIONAL HEALTH FDN PO BOX 9011 KOKOMO IN 46904 237309596 SUPPORT IN 501C3 7 NA false COMMUNITY LTC INC 1031 MONTICELLO DRIVE ANDERSON IN 46011 351877441 HLTH CARE IN 501C3 10 CHA true HEALTH INSTITUTE OF INDIANA INC 3660 GUION ROAD INDIANAPOLIS IN 46222 352022402 FITNESS IN 501C3 10 CHNW true INDIANAPOLIS OSTEOPATHIC HOSP INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351094734 HOSPITAL IN 501C3 3 CHNW true BROWNSBURG OFFICE CENTER 2 LLP 321 E NORTHFIELD BROWNSBURG IN 46112 351929859 LEASING IN N/A false false CHNJMH VENTURES LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 462356266 DIAG/REHAB IN N/A false false COMMUNITY ENDOSCOPY CENTER LLC 1601 N MADISON AVENUE SUITE 300 ANDERSON IN 46011 611464136 HLTH CARE IN N/A false false COMM HEALTH NETWORK REHAB HOSP LLC 7343 CLEARVISTA DRIVE INDIANAPOLIS IN 46256 453414249 REHAB IN N/A false false EAST CAMPUS SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 352028517 SURGERY IN N/A false false HAMILTON SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 352061413 SURGERY IN N/A false false HOWARD COMMUNITY SURGERY CTR LLC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 352118748 SURGERY IN N/A false false HOWARD REGIONAL SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 371501021 REHAB IN N/A false false INDIANAPOLIS ENDOSCOPY CENTER LLC 7353 E 121ST STREET INDIANAPOLIS IN 46219 352010874 HLTH CARE IN N/A false false MICHIGAN SURGERY INVESTMENT LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 320147008 SURG CTRS IN N/A false false NORTH CAMPUS OFFICE ASSOCIATES LP 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 351808625 RNTL PROP IN N/A false false NORTH CAMPUS SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 352147088 SURGERY IN N/A false false NORTHPOINT PEDIATRICS LLC 8101 CLEARVISTA PARKWAY SUITE 185 INDIANAPOLIS IN 46256 351960566 HLTH CARE IN N/A false false NORTHWEST SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 208754071 SURGERY IN N/A false false PILLARS HOUSING LP 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652671 HOUSING IN N/A false false PRIMARIA HEALTH LLC 9365 COUNSELORS ROW SUITE 210 INDIANAPOLIS IN 46240 474728937 CONSULTING IN N/A false false SOUTH CAMPUS SURGERY CENTER LLC 1550 EAST COUNTY LINE ROAD INDIANAPOLIS IN 46227 352038072 SURGERY IN N/A false false CHN ASSURANCE COMPANY LTD PO BOX 1051 GT GRAND CAYMAN GRAND CAYMAN CJ 980418913 INSURANCE CJ N/A true PILLARS COMMUNITY HOUSING INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652666 HOUSING IN N/A true VISIONARY ENTERPRISES INC 6626 EAST 75TH STREET INDIANAPOLIS IN 46250 351538433 MGMT SRVS IN N/A true VEI MICHIGAN INC 940 N MAIN STREET ANN HARBOR MI 48104 300097377 MGMT SRVS MI N/A true WESTVIEW DELIVERY SYSTEM INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351910292 MGMT SRVS IN N/A true false false true false false false false false false true true false false false false true true true true COMMUNITY HEALTH NETWORK FOUNDATION C 177678 BOOK VALUE COMMUNITY HEALTH NETWORK FOUNDATION R 209969 BOOK VALUE COMM HOSP OF ANDERSON & MADISON CTY K 1244871 BOOK VALUE COMM HOSP OF ANDERSON & MADISON CTY Q 3710680 BOOK VALUE COMM HOSP OF ANDERSON & MADISON CTY R 63003 BOOK VALUE COMMUNITY HOSPITAL SOUTH INC K 721464 BOOK VALUE COMMUNITY HOSPITAL SOUTH INC S 5750705 BOOK VALUE COMMUNITY HOWARD REGIONAL HEALTH R 3535823 BOOK VALUE HEALTH INSTITUTE OF INDIANA INC K 226819 BOOK VALUE HEALTH INSTITUTE OF INDIANA INC S 665571 BOOK VALUE HOWARD REGIONAL SPECIALTY CARE R 371076 BOOK VALUE INDIANAPOLIS OSTEOPATHIC HOSPITAL S 269718 BOOK VALUE NORTH CAMPUS OFFICE ASSOCIATES LP K 888496 BOOK VALUE NORTH CAMPUS OFFICE ASSOCIATES LP S 72572 BOOK VALUE VISIONARY ENTERPRISES INC K 2841500 BOOK VALUE VISIONARY ENTERPRISES INC Q 9175646 BOOK VALUE VISIONARY ENTERPRISES INC R 76705602 BOOK VALUE WESTVIEW DELIVERY SYSTEM R 71603 BOOK VALUE