COMMUNITY HOWARD REGIONAL HEALTH INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY HOWARD REGIONAL HEALTH INC (EIN 35-1865344)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-15
IRS object ID: 201603209349305255
Schema version: 2015v2.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-15T10:08:24-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	352032768	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CASKEY & DAILY PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4745 STATESMEN DRIVE SUITE C	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46250	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	351865344	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY HOWARD REGIONAL HEALTH	BusinessNameLine1Txt
Business Name Line2	INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	COMM	BusinessNameControlTxt
Phone	7654538371	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3500 S LAFOUNTAIN STREET	AddressLine1Txt
City	KOKOMO	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46902	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH T HOOPER	PersonNm
Person Title	PRES - HOWARD REGION	PersonTitleTxt
Phone	7654538371	PhoneNum
Signature	2016-10-31	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JAMES A CASKEY CPA CFP	PreparerPersonNm
PTIN	P00172185	PTIN
Phone	3175852647	PhoneNum
Preparation	2016-11-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH T HOOPER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3500 S LAFOUNTAIN STREET	AddressLine1Txt
City	KOKOMO	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46902	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$123,267,101	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ECOMMUNITY.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1992	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	OUR MISSION IS TO PROVIDE EXCEPTIONAL QUALITY, PATIENT-CENTERED CARE. IN KEEPING WITH OUR MISSION, WE EMBRACE THE FOLLOWING VALUES: COMPASSION AND UNDERSTANDING; CUSTOMER SERVICE; DEDICATION AND COMMITMENT TO PROVIDE THE HIGHEST QUALITY SERVICES AND TO MEET THE NEEDS OF OUR COMMUNITY; RESPECT FOR OUR PATIENTS, VISITORS, PHYSICIANS, AND STAFF; SAFETY; A SAFE AND POSITIVE WORKING ENVIRONMENT; AND TRUTH AND INTEGRITY IN ALL ENCOUNTERS AND SERVICES OFFERED.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	899	TotalEmployeeCnt
Total Volunteers	83	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$4,134,866	PYContributionsGrantsAmt
CY Contributions Grants	$4,125,089	CYContributionsGrantsAmt
PY Program Service Revenue	$122,246,624	PYProgramServiceRevenueAmt
CY Program Service Revenue	$113,123,531	CYProgramServiceRevenueAmt
PY Investment Income	$1,528,252	PYInvestmentIncomeAmt
CY Investment Income	$1,603,469	CYInvestmentIncomeAmt
PY Other Revenue	$3,310,341	PYOtherRevenueAmt
CY Other Revenue	$4,414,150	CYOtherRevenueAmt
PY Total Revenue	$131,220,083	PYTotalRevenueAmt
CY Total Revenue	$123,266,239	CYTotalRevenueAmt
PY Grants And Similar Paid	$110,235	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$107,481	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$54,873,075	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$45,597,874	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$62,528,517	PYOtherExpensesAmt
CY Other Expenses	$63,430,526	CYOtherExpensesAmt
PY Total Expenses	$117,511,827	PYTotalExpensesAmt
CY Total Expenses	$109,135,881	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,708,256	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,130,358	CYRevenuesLessExpensesAmt
Total Assets BOY	$184,512,110	TotalAssetsBOYAmt
Total Assets EOY	$196,697,063	TotalAssetsEOYAmt
Total Liabilities BOY	$96,436,435	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$93,187,170	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$88,075,675	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$103,509,893	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSION IS TO PROVIDE EXCEPTIONAL QUALITY, PATIENT-CENTERED CARE. IN KEEPING WITH OUR MISSION, WE EMBRACE THE FOLLOWING VALUES: COMPASSION AND UNDERSTANDING; CUSTOMER SERVICE; DEDICATION AND COMMITMENT TO PROVIDE THE HIGHEST QUALITY SERVICES AND TO MEET THE NEEDS OF OUR COMMUNITY; RESPECT FOR OUR PATIENTS, VISITORS, PHYSICIANS, AND STAFF; SAFETY; A SAFE AND POSITIVE WORKING ENVIRONMENT; AND TRUTH AND INTEGRITY IN ALL ENCOUNTERS AND SERVICES OFFERED.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$67,474,120	ExpenseAmt
Revenue	$117,262,670	RevenueAmt
Desc	COMMUNITY HOWARD REGIONAL HEALTH, INC. ("CHRH") OPERATES AN ACUTE CARE FULL SERVICE HOSPITAL IN KOKOMO, INDIANA WITH 162 LICENSED BEDS. IN 2015, CHRH SERVED 77,012 PATIENTS WITH A TOTAL OF 16,441 INPATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED 114,668 OUTPATIENT VISITS, WHICH INCLUDED 26,291 EMERGENCY VISITS. CHRH PROVIDES SERVICES INCLUDING WOMEN AND CHILDREN'S, CANCER CARE, CARDIOVASCULAR CARE, SURGICAL SERVICES, BEHAVIORAL HEALTH, AND PEDIATRIC SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$107,481	ExpenseAmt
Grant	$107,481	GrantAmt
Desc	PROVIDED DONATIONS TO OTHER ORGANIZATIONS IN THE CENTRAL INDIANA COMMUNITY SERVED BY CHRH.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$67,581,601	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	53	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	899	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOSEPH T HOOPER	PersonNm
Phone	7654538547	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3500 S LAFOUNTAIN STREET	AddressLine1Txt
City	KOKOMO	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46902	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRYAN A MILLS
DIRECTOR	2.00	58.00	Yes (X)	$0	$1,185,136	$127,327
TIMOTHY HOBBS MD
DIRECTOR	2.00	48.00	Yes (X)	$0	$655,467	$119,949
LYNETTE HAZELBAKER MD
DIRECTOR	2.00	0.00	Yes (X)	$1,800	$0	$0
BENJAMIN CHIU MD
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
JAY FREEMAN
CHAIRMAN	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ROBERT HAYES
DIRECTOR	2.00	0.00	Yes (X)	$0	$0	$0
TOM HILLIGOSS
VICE CHAIRMA	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
LYNDA NARWOLD RN
SECRETARY	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JOSEPH T HOOPER
PRES - HOWAR	58.00	2.00		$302,153	$0	$56,014	Yes (X)
JOHN BILO
ED OF FINANC	50.00	0.00		$0	$121,566	$13,608	Yes (X)
JOHN SCHILTZ MD
PSYCHIATRIST	50.00	0.00		$333,186	$0	$41,835		Yes (X)
ERIKA CORNETT MD
PSYCHIATRIST	50.00	0.00		$290,754	$0	$25,532		Yes (X)
CARL RATLIFF MD
PSYCHIATRIST	50.00	0.00		$257,461	$0	$8,775		Yes (X)
MELODI GREENE
VP PATIENT C	40.00	0.00		$198,338	$0	$30,068		Yes (X)
PAUL DELUISE
ED FAC & CLI	40.00	0.00		$185,031	$0	$42,735		Yes (X)
JEFFREY KIRKHAM
FORMER CFO C	0.00	50.00		$0	$380,387	$126,313			Yes (X)
RON LEWIS
FORMER INTRM	0.00	50.00		$0	$277,412	$35,885			Yes (X)
JAMES ALENDER
FORMER CEO	0.00	0.00		$157,064	$0	$9,297			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,725,787	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,619,968	TotReportableCompRltdOrgAmt
Total Other Compensation	$637,338	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	38	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TURNER CONSTRUCTION
9190 PRIORITY WAY WEST DRIVE	SUITE 210	INDIANAPOLIS	IN	46240	CONSTRUCTION	$3,187,099
MID AMERICA CLINICAL LABORATORIES
2560 N SHADELAND AVENUE		INDIANAPOLIS	IN	462190163	LAB SERVICES	$2,915,029
CERNER CORPORATION
PO BOX 412702		KANSAS CITY	MO	64141	CLINICAL SYSTEM	$1,549,454
ICE MILLER
27230 NETWORK PLACE		CHICAGO	IL	606731272	LEGAL	$1,285,744
LEIDOS HEALTH
PO BOX 223866		PITTSBURGH	PA	152512866	CONSULTING	$1,007,761

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	32	CntrctRcvdGreaterThan100KCnt
Related Organizations	$58,811	RelatedOrganizationsAmt
Government Grants	$4,066,278	GovernmentGrantsAmt
Noncash Contributions	$38,245	NoncashContributionsAmt
Total Contributions	$4,125,089	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	622110	$110,650,454	$110,650,454
RENT	531120	$1,691,825	$1,691,825
LAB SERVICES	621500	$483,896	$483,896
MISCELLANEOUS MEDICAL REVENUE	900099	$297,356	$297,356

Field	Value	IRS element (for citing)
Total Program Service Revenue	$113,123,531	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$575,488	TotalRevenueColumnAmt
Exclusion	$575,488	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$563	SecuritiesAmt
Other	$1,028,280	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$547	SecuritiesAmt
Other	$315	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$16	SecuritiesAmt
Other	$1,027,965	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,027,981	TotalRevenueColumnAmt
Exclusion	$1,027,981	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EQUITY INVESTMENT INCOME	900003	$2,218,257	$2,218,257
EMR MEANINGFUL USE REVENUE	900099	$1,235,287	$1,235,287
MANAGEMENT SERVICES	900099	$379,896	$379,896

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$580,710	TotalRevenueColumnAmt
Related Or Exempt Func Income	$305,699	RelatedOrExemptFuncIncomeAmt
Exclusion	$275,011	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,414,150	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$123,266,239	TotalRevenueColumnAmt
Related Or Exempt Func Income	$117,262,670	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,878,480	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$107,481	TotalAmt
Program Services	$107,481	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$358,167	TotalAmt
Management And General	$358,167	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$166,361	TotalAmt
Management And General	$166,361	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,123,857	TotalAmt
Program Services	$27,762,891	ProgramServicesAmt
Management And General	$7,360,966	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,415,537	TotalAmt
Program Services	$914,552	ProgramServicesAmt
Management And General	$1,500,985	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,966,349	TotalAmt
Program Services	$3,869,097	ProgramServicesAmt
Management And General	$1,097,252	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,567,603	TotalAmt
Program Services	$2,005,576	ProgramServicesAmt
Management And General	$562,027	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,327,722	TotalAmt
Management And General	$1,327,722	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$229,472	TotalAmt
Management And General	$229,472	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,973,591	TotalAmt
Program Services	$6,362,486	ProgramServicesAmt
Management And General	$14,611,105	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$83,787	TotalAmt
Program Services	$27,670	ProgramServicesAmt
Management And General	$56,117	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,176,427	TotalAmt
Program Services	$1,802,081	ProgramServicesAmt
Management And General	$374,346	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$889,532	TotalAmt
Program Services	$322,435	ProgramServicesAmt
Management And General	$567,097	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,595,427	TotalAmt
Program Services	$2,032,804	ProgramServicesAmt
Management And General	$3,562,623	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$108,958	TotalAmt
Program Services	$68,594	ProgramServicesAmt
Management And General	$40,364	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$51,149	TotalAmt
Program Services	$31,540	ProgramServicesAmt
Management And General	$19,609	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,492,925	TotalAmt
Management And General	$1,492,925	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,241,372	TotalAmt
Program Services	$591,005	ProgramServicesAmt
Management And General	$7,650,367	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$454,451	TotalAmt
Program Services	$5,251	ProgramServicesAmt
Management And General	$449,200	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$17,447,129	$17,447,129
HAF PROGRAM FEES	$3,804,651	$3,804,651
MEDICAL LICENSES	$398,523	$398,523
DUES & SUBSCRIPTIONS	$118,785	$26,440	$92,345

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$36,625	TotalAmt
Program Services	$1,395	ProgramServicesAmt
Management And General	$35,230	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$109,135,881	TotalAmt
Program Services	$67,581,601	ProgramServicesAmt
Management And General	$41,554,280	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$43,738	BOYAmt
EOY	$3,400	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$18,707,675	BOYAmt
EOY	$26,588,246	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,980,589	BOYAmt
EOY	$23,683,615	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,352,464	BOYAmt
EOY	$4,070,514	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$547,805	BOYAmt
EOY	$410,966	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$119,901,799	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$23,430,137	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$94,170,991	BOYAmt
EOY	$96,471,662	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$27,075,727	BOYAmt
EOY	$30,158,446	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,198,592	BOYAmt
EOY	$14,930,528	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,434,529	BOYAmt
EOY	$379,686	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$184,512,110	BOYAmt
EOY	$196,697,063	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,101,083	BOYAmt
EOY	$7,940,148	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$43,480,000	BOYAmt
EOY	$41,959,935	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$517,970	BOYAmt
EOY	$152,872	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,680,118	BOYAmt
EOY	$6,128,551	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,657,264	BOYAmt
EOY	$37,005,664	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$96,436,435	BOYAmt
EOY	$93,187,170	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$88,075,675	BOYAmt
EOY	$103,509,893	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$88,075,675	BOYAmt
EOY	$103,509,893	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$184,512,110	BOYAmt
EOY	$196,697,063	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,130,358	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,632,658	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,936,518	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,928,000	OtherCostOrOtherBasisAmt
Book Value	$4,928,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$93,457,121	OtherCostOrOtherBasisAmt
Depreciation	$10,476,635	DepreciationAmt
Book Value	$82,980,486	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$72,506	OtherCostOrOtherBasisAmt
Depreciation	$24,764	DepreciationAmt
Book Value	$47,742	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,891,825	OtherCostOrOtherBasisAmt
Depreciation	$11,618,795	DepreciationAmt
Book Value	$6,273,030	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,552,347	OtherCostOrOtherBasisAmt
Depreciation	$1,309,943	DepreciationAmt
Book Value	$2,242,404	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$96,471,662	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$28,129,455
DERIVATIVE INTEREST	$7,267,954
THIRD PARTY SETTLEMENTS	$1,608,255

Field	Value	IRS element (for citing)
Total Liability	$37,005,664	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	714	PersonsServedCnt
Total Community Benefit Expns	$173,377	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$173,377	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	6344	PersonsServedCnt
Total Community Benefit Expns	$16,987,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,902,364	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,085,453	NetCommunityBenefitExpnsAmt
Total Expense	0.03740	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	7058	PersonsServedCnt
Total Community Benefit Expns	$17,161,194	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,902,364	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,258,830	NetCommunityBenefitExpnsAmt
Total Expense	0.03900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$427,832	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$427,832	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,092,402	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$271,686	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$820,716	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$1,520,234	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$271,686	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,248,548	NetCommunityBenefitExpnsAmt
Total Expense	0.01140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	7108	PersonsServedCnt
Total Community Benefit Expns	$18,681,428	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,174,050	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,507,378	NetCommunityBenefitExpnsAmt
Total Expense	0.05040	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$271,183	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$271,183	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$271,183	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$271,183	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,860,410	BadDebtExpenseAmt
Reimbursed By Medicare	$30,515,645	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$37,434,328	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,918,683	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	HOWARD COMM SURG CTR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SURGERY	PrimaryActivitiesTxt
Org Profit Or Ownership	0.55000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.23000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
COMMUNITY HOWARD REGIONAL HEALTH
1	3500 S LAFOUNTAIN STREET	KOKOMO	IN	46902	WWW.ECOMMUNITY.COM	15-005007-1	Yes (X)	Yes (X)	Yes (X)	A
HOWARD REGIONAL SPECIALTY CARE
2	829 NORTH DIXON ROAD	KOKOMO	IN	46901	WWW.ECOMMUNITY.COM	15-003868-1	Yes (X)			A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	ECOMMUNITYCOMSFINANCIALASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	ECOMMUNITYCOMSFINANCIALASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 5	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR PERSONS CONSULTED AND HOW INPUT FROM THESE PERSONS WAS TAKEN INTO ACCOUNT.
GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 6A	THE CHNA FOR COMMUNITY HOWARD REGIONAL HEALTH, INC. WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH, EAST, & INDIANA HEART HOSPITAL, LLC), COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY HOWARD REGIONAL HEALTH, INC., AND INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. IN ADDITION, THE HOSPITAL COLLABORATED WITH FRANCISCAN ST. FRANCIS HEALTH, IU HEALTH UNIVERSITY HOSPITAL, AND ST. VINCENT HOSPITAL.
GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 6B	HEALTHY COMMUNITIES INSTITUTE
GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 7D	HTTP://WEBAPP.ECOMMUNITY.COM/ABOUTUS GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT HTTP://WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX
GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 11	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS.
GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 16I	THE POLICY IS REFERENCED ON THE BILL.
GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 22D	THE AMOUNT GENERALLY BILLED ("AGB") TO INSURED PATIENTS FOR EMERGENT OR MEDICALLY NECESSARY CARE IS CALCULATED BY REVIEWING TWELVE MONTH CLOSED CLAIM REIMBURSEMENT RATES FOR MEDICARE AND COMMERCIAL INSURANCE. AGB IS UPDATED ANNUALLY. PATIENTS WHO ARE UNINSURED AND DO NOT MEET THE INCOME REQUIREMENTS WILL RECEIVE A DISCOUNT OF 60% ON GROSS CHARGES FOR FACILITY SERVICES, BASED ON AGB AND A DISCOUNT OF 25% ON GROSS CHARGES FOR PROFESSIONAL SERVICES FOR MEDICALLY NECESSARY AND EMERGENCY CARE SERVICES THEY RECEIVE.
GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 5	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR PERSONS CONSULTED AND HOW INPUT FROM THESE PERSONS WAS TAKEN INTO ACCOUNT.
GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 6A	THE CHNA FOR COMMUNITY HOWARD REGIONAL HEALTH, INC. WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH, EAST, & INDIANA HEART HOSPITAL, LLC), COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY HOWARD REGIONAL HEALTH, INC., INDIANA HEART HOSPITAL, LLC, AND INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. IN ADDITION, THE HOSPITAL COLLABORATED WITH FRANCISCAN ST. FRANCIS HEALTH, IU HEALTH UNIVERSITY HOSPITAL, AND ST. VINCENT HOSPITAL.
GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 6B	HEALTHY COMMUNITIES INSTITUTE
GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 7D	HTTP://WEBAPP.ECOMMUNITY.COM/ABOUTUS GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX
GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 11	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS.
GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 16I	THE POLICY IS REFERENCED ON THE BILL.
GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 22D	THE AMOUNT GENERALLY BILLED ("AGB") TO INSURED PATIENTS FOR EMERGENT OR MEDICALLY NECESSARY CARE IS CALCULATED BY REVIEWING TWELVE MONTH CLOSED CLAIM REIMBURSEMENT RATES FOR MEDICARE AND COMMERCIAL INSURANCE. AGB IS UPDATED ANNUALLY. PATIENTS WHO ARE UNINSURED AND DO NOT MEET THE INCOME REQUIREMENTS WILL RECEIVE A DISCOUNT OF 60% ON GROSS CHARGES FOR FACILITY SERVICES, BASED ON AGB AND A DISCOUNT OF 25% ON GROSS CHARGES FOR PROFESSIONAL SERVICES FOR MEDICALLY NECESSARY AND EMERGENCY CARE SERVICES THEY RECEIVE.

Field	Value	IRS element (for citing)
Facility	26	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NORTH CENTRAL INDIANA PEDIATRIC CTR
3506 S LAFOUNTAIN STREET	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
COMMUNITY ONCOLOGY
3506 S LAFOUNTAIN STREET	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
COMMUNITY OBGYN CENTER
3510 S LAFOUNTAIN STREET	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
COMMUNITY HOWARD GASTROENTEROLOGY
3611 S REED ROAD SUITE 108	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
KOKOMO PULMONARY PRACTICE
2401 COLUMBUS BLVD	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
SPINE & SPORTS MEDICINE CENTER
226 WEST ALTO ROAD	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
COMMUNITY HOWARD ORTHOPAEDICS
2312 SOUTH DIXON ROAD	KOKOMO	IN	46901	PHYSICIAN'S OFFICE
MEDICAL SURGICAL ASSOCIATES
401 E REYNOLDS DRIVE	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
REPLAY PHYSICAL THERAPY
2312 S DIXON ROAD 260	KOKOMO	IN	46902	REHABILITATION CENTER
INDIANA SINUS & ENT
3425 S LAFOUNTAIN STREET	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
COMMUNITY SURGERY CENTER
3503 S REED ROAD	KOKOMO	IN	46902	SURGERY CENTER
INTERVENTIONAL PAIN MANAGEMENT
3611 S REED ROAD SUITE 214	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
KUENZLI INTERNAL MEDICINE
3512 S LAFOUNTAIN STREET	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
KOKOMO SPORTS CENTER
111 W SOUTHWAY BLVD	KOKOMO	IN	46902	REHAB/FITNESS CENTER
HOWARD REG DIABETES & ENDOCRINOLOGY
3509 S REED ROAD	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
COMM PHY NTWK HEART & VASCULAR CARE
208 CORWIN LANE	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
SEDAGHAT INTERNAL MED & PEDIATRICS
118 S MERIDIAN STREET	GREENTOWN	IN	46936	PHYSICIAN'S OFFICE
ANDREW MANDERY MD FACS
1948 W BOULEVARD	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
NORTH CENTRAL IN CARDIO & THORACIC
3611 S REED ROAD SUITE 103	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
FACIAL PLASTIC SURGERY & ENT
2220 WEST ALTO ROAD	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
COMMUNITY HOWARD WOUND CLINIC
408 SOUTHWAY BLVD EAST	KOKOMO	IN	46902	CLINIC
COMMUNITY FAMILY HEALTH CENTER
3508 S LAFOUNTAIN STREET	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
COMMUNITY HOWARD INTERNAL MED & PED
806 S BERKLEY ROAD	KOKOMO	IN	46901	PHYSICIAN'S OFFICE
GATEWOOD INTERNAL MEDICINE
3611 S REED ROAD SUITE 212	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
NORTH CENTRAL INDIANA INTERNISTS
3504 S LAFOUNTAIN STREET	KOKOMO	IN	46902	PHYSICIAN'S OFFICE
NORTH CENTRAL INDIANA PEDIATRIC CTR
GRISSOM AEROPLEX 1200 KITTY HAWK	PERU	IN	46970	PHYSICIAN'S OFFICE

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A - RELATED ORGANIZATION INFORMATION	A COMMUNITY BENEFIT REPORT IS COMPLETED FOR THE COMMUNITY HEALTH NETWORK INCLUDING COMMUNITY HOWARD REGIONAL HEALTH, INC. AND OTHER TAX-EXEMPT AFFILIATES OF THE NETWORK.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	A COST TO CHARGE RATIO WAS UTILIZED TO DETERMINE COSTS FOR LINES A THROUGH C IN THE TABLE. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. LINES E THROUGH I OF THE TABLE ARE BASED ON ACTUAL INCURRED EXPENSES. PART II - COMMUNITY BUILDING ACTIVITIES SEE ATTACHED IRS SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	THE COST TO CHARGE RATIO UTILIZED FOR PURPOSES OF REPORTING BAD DEBT COSTS WAS DERIVED FROM WORKSHEET 2 AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. PART III, LINE 4 - BAD DEBT EXPENSE EXPLANATION THE AUDITED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING TEXT WITHIN THE FOOTNOTES TO DESCRIBE BAD DEBT EXPENSE: THE NETWORK'S PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND CONTRACTUAL ADJUSTMENTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE NETWORK ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, THE NETWORK ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, INCLUDING PATIENT DEDUCTIBLES AND CO-INSURANCE, THE NETWORK RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS ADJUSTED THROUGH THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. CERTAIN ACCOUNTS THAT ARE SENT TO COLLECTION COMPANIES REMAIN AS ACCOUNTS RECEIVABLE ON THE BALANCE SHEET. THESE ACCOUNTS ARE NOT WRITTEN OFF UNLESS RETURNED FROM THE COLLECTION COMPANY. HOWEVER, THEY ARE FULLY RESERVED WITHIN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE NETWORK RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE NETWORK RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED OR ON THE BASIS OF DISCOUNTED RATES IF IN ACCORDANCE WITH POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF THE NETWORK'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE NETWORK RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. PATIENT SERVICE REVENUE, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS RECOGNIZED IN THE PERIOD FROM THESE MAJOR PAYOR SOURCES, IS AS FOLLOWS FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY: THIRD PARTY PAYORS SELF-PAY TOTAL ALL PAYORS 2015 PATIENT SERVICE REVENUE(NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) 1,985,324 118,573 2,103,897 ========== ======== ========== 2014 PATIENT SERVICE REVENUE(NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) 1,846,217 142,537 1,988,754 ========== ======== ========== THE NETWORK MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE NETWORK PROVIDES 100% CHARITY CARE TO PATIENTS WHOSE INCOME LEVEL IS BELOW 200% OF THE FEDERAL POVERTY LEVEL. PATIENTS WITH INCOME LEVELS RANGING FROM 200% - 300% OF THE CURRENT YEAR'S FEDERAL POVERTY LEVEL WILL QUALIFY FOR PARTIAL ASSISTANCE DETERMINED BY A SLIDING SCALE. THE NETWORK USES COST AS THE MEASUREMENT BASIS FOR CHARITY CARE DISCLOSURE PURPOSES WITH THE COST BEING IDENTIFIED AS THE DIRECT AND INDIRECT COSTS OF PROVIDING THE CHARITY CARE. CHARITY CARE AT COST WAS 10,566000 AND 15,657000 FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY. CHARITY CARE COST WAS ESTIMATED ON THE APPLICATION OF THE ASSOCIATED COST-TO-CHARGE RATIOS. THE DECREASE IN CHARITY CARE IS THE RESULT OF MORE PATIENTS BEING COVERED UNDER HEALTH EXCHANGE PROGRAMS MANDATED BY THE AFFORDABLE CARE ACT AND THE HEALTHY INDIANA PLAN 2.0. BEGINNING JUNE 2012, THE STATE OF INDIANA OFFERED VOLUNTARY PARTICIPATION IN THE STATE OF INDIANA'S HOSPITAL ASSESSMENT FEE ("HAF") PROGRAM. THE STATE OF INDIANA IMPLEMENTED THIS PROGRAM TO UTILIZE SUPPLEMENTAL REIMBURSEMENT PROGRAMS FOR THE PURPOSE OF PROVIDING REIMBURSEMENT TO PROVIDERS TO OFFSET A PORTION OF THE COST OF PROVIDING CARE TO MEDICAID AND INDIGENT PATIENTS. THIS PROGRAM IS DESIGNED WITH INPUT FROM CENTERS FOR MEDICARE AND MEDICAID SERVICES AND IS FUNDED WITH A COMBINATION OF STATE AND FEDERAL RESOURCES, INCLUDING FEES OR TAXES LEVIED ON THE PROVIDERS. THE NETWORK RECOGNIZES REVENUES AND RELATED FEES ASSOCIATED WITH THE HAF PROGRAM IN THE PERIOD IN WHICH AMOUNTS ARE ESTIMABLE AND COLLECTION OF PAYMENT IS REASONABLY ASSURED. REIMBURSEMENT UNDER THE PROGRAM IS REFLECTED WITHIN NET PATIENT SERVICE REVENUE AND THE FEES PAID FOR PARTICIPATION IN THE HAF PROGRAM ARE RECORDED IN SUPPLIES AND OTHER EXPENSES WITHIN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. THE FEES AND REIMBURSEMENTS ARE SETTLED MONTHLY. REVENUE RECOGNIZED RELATED TO THE HAF PROGRAM WAS 71,953000 AND 85,581000 FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY. EXPENSE FOR FEES RELATED TO THE HAF PROGRAM WAS 41,044000 AND 48,683000 FOR THE YEARS ENDED DECEMBER 31, 2015 AND 2014, RESPECTIVELY. THE HAF PROGRAM RUNS ON AN ANNUAL CYCLE FROM JULY 1 TO JUNE 30 AND IS EFFECTIVE UNTIL JUNE 30, 2017. THE CONSOLIDATED BALANCE SHEET AT DECEMBER 31, 2015 INCLUDES LESS THAN ONE MONTH OF HAF ACTIVITY, OR 4,202000 AND 7,658000 IN ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS RECEIVABLE AND PAYABLE, RESPECTIVELY, RELATED TO THE HAF PROGRAM. ADJUSTMENTS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE AFTER THE NETWORK HAS ANALYZED HISTORICAL CASH COLLECTIONS AND CONSIDERED THE IMPACT OF ANY KNOWN MATERIAL EVENTS. UNCOLLECTIBLE ACCOUNTS ARE WRITTEN-OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER EXHAUSTING COLLECTION EFFORTS. ANY SUBSEQUENT RECOVERIES ARE RECORDED AGAINST THE PROVISION FOR BAD DEBTS.
PART III, LINE 8 - MEDICARE EXPLANATION	PER THE 990 INSTRUCTIONS, THE MEDICARE COST REPORT WAS UTILIZED TO DETERMINE THE MEDICARE SHORTFALL. HOWEVER, THE MEDICARE COST REPORT IS NOT REFLECTIVE OF ALL COSTS ASSOCIATED WITH MEDICARE PROGRAMS SUCH AS PHYSICIAN SERVICES AND SERVICES BILLED VIA FREE STANDING CLINICS. FURTHER, THE MEDICARE COST REPORT EXCLUDES REVENUES AND COSTS OF MEDICARE PART C AND D. THE MEDICARE SHORTFALL ATTRIBUTED TO THOSE AREAS NOT INCLUDED ON THE MEDICARE COST REPORT IS 5,737,387. AS SUCH, THE TOTAL MEDICARE SHORTFALL FOR ALL MEDICARE PROGRAMS IS 12,656,070. MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE MEDICARE REPRESENTS 48.89% OF THE OVERALL PAYER MIX FOR COMMUNITY HOWARD REGIONAL HEALTH, INC.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	SEE ATTACHED FINANCIAL ASSISTANCE POLICY.
ADDITIONAL INFORMATION	PART VI, ITEMS 2 THROUGH 5 ARE DISCUSSED WITHIN THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT. FOR A COPY OF THIS REPORT, PLEASE CONTACT HOLLY MILLARD AT (317) 355-5860. PART VI, ITEM 6 - AFFILIATED HEALTH CARE SYSTEM COMMUNITY HOWARD REGIONAL HEALTH, INC. ("CHRH") IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. SEE THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW CHRH IS INVOLVED IN PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES. PART VI, ITEM 7 - STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
5635 W 96TH STREET SUITE 100	INDIANAPOLIS	IN	46278	131788491	501C3	$5,250	GENERAL SUPPORT
GREATER KOKOMO ECONOMIC DEVELOPMENT
700 E FIRMIN SUITE 200	KOKOMO	IN	46902	351499686	501C3	$10,100	GENERAL SUPPORT
HOWARD COUNTY 4-H FAIR
PO BOX 275 610 EAST PAYTON ST	GREENTOWN	IN	46936	356263604	501C4	$12,500	GENERAL SUPPORT
MENTAL HEALTH AMERICA OF HOWARD CTY
507 N WEBSTER	KOKOMO	IN	46901	350965636	501C3	$16,250	GENERAL SUPPORT
UNITED WAY OF HOWARD COUNTY
210 W WALNUT STREET	KOKOMO	IN	46901	350877579	501C3	$10,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 1, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PRIOR TO THE DISBURSEMENT OF ANY GRANT PROCEEDS, CHRH ENSURES THAT THE PURPOSE OF THE GRANT IS CONSISTENT WITH CHRH'S CHARITABLE PURPOSES. THE TERMS OF ALL GRANTS REQUIRE THAT THE RECIPIENT EXPEND THE FUNDS SOLELY FOR CHARITABLE PURPOSES. FOR THE FUNDS DONATED TO HELP SUPPORT MENTAL HEALTH AMERICA, THE FINANCIAL STATEMENTS ARE REVIEWED BY THE CHIEF ADMINISTRATIVE & CLINICAL OFFICER, BEHAVIORAL HEALTH DIVISION OF CHRH.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
BRYAN A MILLS
DIRECTOR	$901,429	$263,340	$20,367	$100,308	$27,019	$1,312,463	$263,340
TIMOTHY HOBBS MD
DIRECTOR	$530,600	$104,500	$20,367	$100,150	$19,799	$775,416	$104,500
JOSEPH T HOOPER
PRES - HOWARD REGION								$301,003	$1,150	$39,040	$16,974	$358,167
JOHN SCHILTZ MD
PSYCHIATRIST								$315,373	$17,813	$15,900	$25,935	$375,021
ERIKA CORNETT MD
PSYCHIATRIST								$287,064	$3,690	$15,900	$9,632	$316,286
CARL RATLIFF MD
PSYCHIATRIST								$256,270	$1,191		$8,775	$266,236
MELODI GREENE
VP PATIENT CARE SVCS								$64,222	$108,919	$14,166	$15,902	$228,406	$25,197	$25,197
PAUL DELUISE
ED FAC & CLIN SUPP								$161,008	$809	$34,582	$8,153	$227,766	$23,214	$23,214
JEFFREY KIRKHAM
FORMER CFO CLNCL ENT	$293,409	$85,500	$1,478	$100,012	$26,301	$506,700	$85,500
RON LEWIS
FORMER INTRM CEO	$202,281	$74,067	$1,064	$15,900	$19,985	$313,297	$70,067
JAMES ALENDER
FORMER CEO									$157,064	$9,297		$166,361		$154,946

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PAGE 1, PART I, LINE 4

MELODI GREENE 108,813 0 0 JAMES ALENDER 154,946 0 0

SCHEDULE J, PART III

PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION COMMUNITY HOWARD REGIONAL HEALTH, INC. ("CHRH") 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. DURING 2015, MR. MILLS DID NOT RECEIVE A PAYMENT FROM SUCH PLAN. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED CHRH 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	351602316	BondIssuerEIN
CUSIP	45479RAB3	CUSIPNum
Bond Issued	2012-07-01	BondIssuedDt
Issue Price	$45,420,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,965,000	RetiredAmt
Total Proceeds	$45,420,000	TotalProceedsAmt
Other Spent Proceeds	$45,420,000	OtherSpentProceedsAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION	INDIANA FINANCE AUTHORITY CURRENT REFUNDING OF THE INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 2005A AND 2005B (HOWARD REGIONAL HEALTH SYSTEM PROJECT) ISSUED ON AUGUST 31, 2005.
SCHEDULE K - ADDITIONAL INFORMATION	INDIANA FINANCE AUTHORITY PART IV, LINE 2C THE BONDS CONSTITUTE A REISSUANCE OF A PRIOR OBLIGATION. ACCORDINGLY, ALL SALES PROCEEDS OF THE BONDS WERE CONSIDERED EXPENDED IMMEDIATELY AS OF THE ISSUE DATE. THERE HAVE BEEN NO OTHER SOURCES OF GROSS PROCEEDS SUBJECT TO THE REBATE REQUIREMENT. ACCORDINGLY, THE REQUIREMENTS OF THE 6 MONTH SPENDING EXCEPTION WERE MET.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	EQUIPMENT	Desc
Contribution	24	ContributionCnt
Noncash Contributions Rpt F990	$38,245	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PAGE 2, PART II	FormAndLineReferenceDesc
Explanation	LINE 25, COLUMN B REFLECTS THE NUMBER OF ITEMS RECEIVED IN 2015.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	OUR MISSION IS TO PROVIDE EXCEPTIONAL QUALITY, PATIENT-CENTERED CARE. IN KEEPING WITH OUR MISSION, WE EMBRACE THE FOLLOWING VALUES: COMPASSION AND UNDERSTANDING; CUSTOMER SERVICE; DEDICATION AND COMMITMENT TO PROVIDE THE HIGHEST QUALITY SERVICES AND TO MEET THE NEEDS OF OUR COMMUNITY; RESPECT FOR OUR PATIENTS, VISITORS, PHYSICIANS, AND STAFF; SAFETY; A SAFE AND POSITIVE WORKING ENVIRONMENT; AND TRUTH AND INTEGRITY IN ALL ENCOUNTERS AND SERVICES OFFERED.
FORM 990, PART VI	FORM 990, PART VI, LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS THE FOLLOWING DIRECTORS SERVED AS DIRECTORS OR OFFICERS OF COMMUNITY HEALTH NETWORK, INC. ("CHNW") AND ALSO RECEIVED COMPENSATION FROM CHNW: TIMOTHY HOBBS, M.D. BRYAN A. MILLS JOHN BILO ALSO RECEIVED COMPENSATION FROM CHNW.
FORM 990, PAGE 6, PART VI, LINE 3	CHRH HAS DELEGATED EXCLUSIVE AUTHORITY TO COMMUNITY HEALTH NETWORK ("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 CHRH'S ARTICLES OF INCORPORATION. FINALLY, CHNW MUST APPROVE ANY MATERIAL SALE OR DISPOSITION OF THE ASSETS OF CHRH.
FORM 990, PAGE 6, PART VI, LINE 6	COMMUNITY HEALTH NETWORK, INC. ("CHNW") IS THE SOLE MEMBER OF CHRH. CHNW IS AN EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3).
FORM 990, PAGE 6, PART VI, LINE 7A	COMMUNITY HEALTH NETWORK, INC. ("CHNW") AS THE SOLE MEMBER OF CHRH APPOINTS A MAJORITY OF THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 7B	THE FOLLOWING GOVERNANCE ITEMS REQUIRE THE WRITTEN APPROVAL OF CHNW: A) AMENDMENT OF ORGANIZATIONAL DOCUMENTS; B) THE INCURRENCE OF ANY UNBUDGETED INDEBTEDNESS OR LOANS ABOVE 750,000; C) THE FORMATION OF LEGAL ENTITIES, THE SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CHRH, OR THE DIVESTURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION OR REORGANIZATION OF CHRH; D) THE ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION OF PROPERTY WHEN SUCH TRANSACTION IS ABOVE 1,000,OOO, DURING ANY FISCAL YEAR; E) DISPOSITION OF ASSETS ON DISSOLUTION; F) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS, PLANS, OR FORECASTS APPROVED BY THE BOARD; G) THE SELECTION OF THE INDEPENDENT AUDITING FIRM EITHER DIRECTLY OR THROUGH CHNW'S AUDIT AND COMPLIANCE COMMITTEE; H) THE DETERMINATION OF PHYSICIAN AND CEO COMPENSATION EITHER DIRECTLY OR THROUGH CHNW'S COMPENSATION COMMITTEE; I) ALL UNBUDGETED CAPITAL IMPROVEMENTS, ADDITIONS AND STRUCTURAL CHANGES TO THE PROPERTY GREATER THAN THE BUDGETED AMOUNT BY 500,000 PER FISCAL YEAR IN THE AGGREGATE; J) STRATEGIC PLANS, INCLUDING THE REGIONAL PLAN; AND K) THE HIRING AND FIRING OF THE CEO SUBJECT TO THE PRIOR OPPORTUNITY FOR THE BOARD TO REVIEW AND COMMENT.
FORM 990, PAGE 6, PART VI, LINE 11B	CHNW HAS ASSUMED RESPONSIBILITY FOR CHRH'S AUDIT, COMPLIANCE, AND EXECUTIVE COMPENSATION MATTERS. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHRH'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHRH'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CHRH'S FORM 990. IN ADDITION, CHRH'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHRH AND CHNW UTILIZED THIS PROCESS TO ENSURE THAT CHRH'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHRH'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE.
FORM 990, PAGE 6, PART VI, LINE 12C	CHRH HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO ITS DIRECTORS, OFFICERS, MANAGERS, MATERIAL MANAGEMENT ASSOCIATES AND KEY EMPLOYEES. THE CONFLICT POLICY REQUIRES THESE INDIVIDUALS TO SUBMIT AN ANNUAL WRITTEN CERTIFICATION OF COMPLIANCE UNDER WHICH THESE INDIVIDUALS MUST DISCLOSE (I) FINANCIAL OR OTHER INTERESTS THE INDIVIDUAL OR ANY FAMILY MEMBER HAS WITH ANY ENTITY ENGAGED IN THE DELIVERY OF HEALTH CARE SERVICES, BIOTECHNOLOGY COMPANIES, SOFTWARE COMPANIES PROVIDING EDUCATIONAL OR CONSULTING SERVICES OR ANY OTHER COMPANY OR ORGANIZATION THAT DOES OR CONTEMPLATES DOING BUSINESS WITH CHRH, AND (II) COMPENSATION OR GIFTS RECEIVED BY THE INDIVIDUAL OR ANY FAMILY MEMBER THAT MIGHT INFLUENCE THE INDIVIDUAL'S ACTIONS. THE DISCLOSURES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, PRESIDENT/CEO AND BOARD OF DIRECTORS, AS APPROPRIATE. THE INTENT OF THE POLICY IS TO AVOID THE PARTICIPATION OF ANY INTERESTED PERSON IN THE CONSIDERATION OF A MATTER OR DECISION WHICH POSES A CONFLICT OF INTEREST FOR THAT INTERESTED PERSON.
FORM 990, PAGE 6, PART VI, LINE 15A	AS A MEMBER OF THE NETWORK, CHRH IS SUBJECT TO THE EXECUTIVE COMPENSATION PRACTICES AND PROCEDURES OF CHNW, THE NETWORK PARENT. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO CHRH. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHRH'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 HAS DELEGATED AUTHORITY REGARDING CHRH'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 2015, THE NETWORK EXECUTIVE COMPENSATION COMMITTEE FOLLOWED THIS PROCESS FOR ALL SENIOR EXECUTIVE LEADERS.
FORM 990, PAGE 6, PART VI, LINE 15B	SALARIES WERE COMPARED AGAINST COMPARATIVE SALARY MARKET DATA FOR ALL POSITIONS REPRESENTING MANAGERS, CHIEF EXECUTIVE OFFICERS, CHIEF FINANCIAL OFFICERS, AND HUMAN RESOURCES REPRESENTATIVES FOR ALL NETWORK ENTITIES.
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) CHRH'S CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. C) CHRH 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. CHRH DOES FILE THE 990 TAX RETURN ON AN ANNUAL BASIS WHICH IS AVAILABLE UPON REQUEST AND/OR AVAILABLE ON A DELAYED BASIS ON GUIDESTAR.ORG. D) COMMUNITY HEALTH NETWORK, INC. AND AFFILIATES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VII	PART VII, SECTION B - INDEPENDENT CONTRACTOR DISCLOSURE COMPENSATION TO TURNER CONSTRUCTION INCLUDES MATERIAL COSTS.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES 6,345,263 14,611,105 0 MANDERY 17,223 0 0
FORM 990, PART XI, LINE 9	CLOSE OUT ANDREW MANDERY, MD, LLC INVESTMENT 2,332,767 CLOSE OUT KOKOMO SPORTS CENTER DUE TO 513,751 RECLASS LAND FROM HOWARD REGIONAL SPECIALTY CARE 90,000 TOTAL 2,936,518

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ANDREW MANDERY MD PLASTIC SURG LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1948 W BOULEVARD	AddressLine1Txt
City	KOKOMO	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46902	ZIPCd

Field	Value	IRS element (for citing)
EIN	272583026	EIN
Primary Activities	SURGERY	PrimaryActivitiesTxt
Legal Domicile State	IN	LegalDomicileStateCd
Total Income	-$93,868	TotalIncomeAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHRH	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
COMMUNITY HEALTH NETWORK INC
7330 SHADELAND STATION SUITE 200	INDIANAPOLIS	IN	46256	350983617	HOSPITAL	IN	501C3	3	NA	false
COMMUNITY HEALTH NETWORK FOUNDATION
7240 SHADELAND STATION SUITE 125	INDIANAPOLIS	IN	46256	510181688	SUPPORT	IN	501C3	11B	CHNW	Yes (true)
COMMUNITY HLTH SERVICES OF INDIANA
7330 SHADELAND STATION SUITE 200	INDIANAPOLIS	IN	46256	454817436	HLTH CARE	IN	501C3	3	CHNW	Yes (true)
COMMUNITY HOME HEALTH SERVICES INC
9894 EAST 121ST STREET	FISHERS	IN	46037	350953467	HLTH CARE	IN	501C3	9	CHNW	Yes (true)
COMM HOSP OF ANDERSON & MADISON CTY
1515 NORTH MADISON AVENUE	ANDERSON	IN	46011	351069822	HOSPITAL	IN	501C3	3	CHNW	Yes (true)
COMMUNITY HOSP ANDERSON FDN INC
1515 NORTH MADISON AVENUE	ANDERSON	IN	46011	861053152	SUPPORT	IN	501C3	11A	CHA	Yes (true)
COMMUNITY HOSPITAL SOUTH INC
1402 E COUNTY LINE ROAD SOUTH	INDIANAPOLIS	IN	46227	351088640	HOSPITAL	IN	501C3	3	CHNW	Yes (true)
COMM HOWARD REGIONAL HEALTH FDN
PO BOX 9011	KOKOMO	IN	46904	237309596	SUPPORT	IN	501C3	7	NA	false
COMMUNITY LTC INC
1031 MONTICELLO DRIVE	ANDERSON	IN	46011	351877441	HLTH CARE	IN	501C3	9	CHA	Yes (true)
COMMUNITY PHYSICIANS OF IN INC
7240 SHADELAND STATION SUITE 300	INDIANAPOLIS	IN	46256	205392766	PHY SRV	IN	501C3	9	CHNW	Yes (true)
HEALTH INSTITUTE OF INDIANA INC
3660 GUION ROAD	INDIANAPOLIS	IN	46222	352022402	FITNESS	IN	501C3	9	CHNW	Yes (true)
INDIANAPOLIS OSTEOPATHIC HOSP INC
3630 GUION ROAD	INDIANAPOLIS	IN	46222	351094734	HOSPITAL	IN	501C3	3	CHNW	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
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		false	Yes (true)	CHRH	RELATED	$1,871,543	$2,315,333	0.55290
HOWARD REGIONAL SPECIALTY CARE LLC
680 SOUTH FOURTH STREET	LOUISVILLE	KY	40202	371501021	REHAB	KY		false	Yes (true)	CHRH	RELATED	$747,061	$144,345	0.60000
INDIANAPOLIS ENDOSCOPY CENTER LLC
7353 E 21ST STREET	INDIANAPOLIS	IN	46219	352010874	HLTH CARE	IN	N/A	false	false
MICHIGAN SURGERY INVESTMENT LLC
7330 SHADELAND STATION SUITE 200	INDIANAPOLIS	IN	46256	320147008	SURG CTRS	IN	N/A	false	false
NORTH CAMPUS OFFICE ASSOCIATES LP
7330 SHADELAND STATION SUITE 200	INDIANAPOLIS	IN	46256	351808625	RNTL PROP	IN	N/A	false	false
NORTH CAMPUS SURGERY CENTER LLC
7330 SHADELAND STATION SUITE 200	INDIANAPOLIS	IN	46256	352147088	SURGERY	IN	N/A	false	false
NORTHPOINT PEDIATRICS LLC
8101 CLEARVISTA PARKWAY SUITE 185	INDIANAPOLIS	IN	46256	351960566	HLTH CARE	IN	N/A	false	false
NORTHWEST SURGERY CENTER LLC
7330 SHADELAND STATION SUITE 200	INDIANAPOLIS	IN	46256	208754071	SURGERY	IN	N/A	false	false
PILLARS HOUSING LP
3500 S LAFOUNTAIN STREET	KOKOMO	IN	46902	161652671	HOUSING	IN	N/A	false	false
PRIMARIA HEALTH LLC
7330 SHADELAND STATION SUITE 200	INDIANAPOLIS	IN	46256	474728937	CONSULTING	IN	N/A	false	false
SOUTH CAMPUS SURGERY CENTER LLC
1550 EAST COUNTY LINE ROAD	INDIANAPOLIS	IN	46227	352038072	SURGERY	IN	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	OwnershipOwnershipPct
CHN ASSURANCE COMPANY LTD
PO BOX 1051GT	GRAND CAYMAN	GRAND CAYMAN	CJ	980418913	INSURANCE	CJ	N/A	Yes (true)
MIDWEST RACQUETBALL INC
				351396016	HEALTH			Yes (true)	3500 S LAFOUNTAIN STREET	KOKOMO	IN	46902	IN	CHRH	C CORP	-$32,048	1.00000
PILLARS COMMUNITY HOUSING INC
				161652666	HOUSING			Yes (true)	3500 S LAFOUNTAIN STREET	KOKOMO	IN	46902	IN	CHRH	C CORP		1.00000
VEI MICHIGAN INC
				300097377	MGMT SRVS		N/A	Yes (true)	940 N MAIN STREET	ANN HARBOR	MI	48104	IN
VISIONARY ENTERPRISES INC
				351538433	MGMT SRVS		N/A	Yes (true)	6626 EAST 75TH STREET	INDIANAPOLIS	IN	46250	IN
WESTVIEW DELIVERY SYSTEM INC
				351910292	MGMT SRVS		N/A	Yes (true)	3630 GUION ROAD	INDIANAPOLIS	IN	46222	IN

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMM HOWARD REGIONAL HEALTH FDN
C	$55,877	BOOK VALUE
COMMUNITY PHYSICIANS OF INDIANA
S	$10,252,347	BOOK VALUE
HOWARD COMMUNITY SURGERY CENTER
J	$752,984	BOOK VALUE
HOWARD REGIONAL SPECIALTY CARE
A	$684,000	BOOK VALUE
HOWARD REGIONAL SPECIALTY CARE
Q	$379,896	BOOK VALUE
VISIONARY ENTERPRISES INC
Q	$2,637,568	BOOK VALUE