2016-11-15T09:15:06-06:00 2015-12-31 352032768 CASKEY & DAILY PC 4745 STATESMEN DRIVE SUITE C INDIANAPOLIS IN 46250 990 2015-01-01 351088640 COMMUNITY HOSPITAL SOUTH INC COMM 3178877112 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 ANTHONY LENNEN PRESIDENT 3178877000 2016-10-31 true JAMES A CASKEY CPA CFP P00172185 3175852647 2016-11-15 2015 2017-02-10 21:41:12Z ANTHONY LENNEN 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 228146273 false X WWW.ECOMMUNITY.COM X 1989 IN COMMUNITY HOSPITAL SOUTH,INC. ("CHS") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHS OPERATES A GENERAL ACUTE CARE HOSPITAL AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 14 11 1131 291 0 23174 300000 207776030 224408281 31750 236782 5146956 3201210 212977910 228146273 0 0 60304232 62074973 0 0 97046933 101929121 157351165 164004094 55626745 64142179 320328890 388169152 5648818 9346901 314680072 378822251 X COMMUNITY HOSPITAL SOUTH,INC. ("CHS") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHS OPERATES A GENERAL ACUTE CARE HOSPITAL AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. false false 107992351 227609491 COMMUNITY HOSPITAL SOUTH ("CHS") IS AN ACUTE CARE HOSPITAL IN INDIANAPOLIS, INDIANA WITH 158 LICENSED BEDS. IN 2015, CHS SERVED 9,374 INPATIENTS FOR A TOTAL OF 34,718 INPATIENT DAYS OF SERVICE. CHS ALSO PROVIDED 132,026 OUTPATIENT VISITS, WHICH INCLUDED 50,983 EMERGENCY VISITS. COMMUNITY HOSPITAL SOUTH OFFERS MANY PATIENT FOCUSED HEALTHCARE SERVICES THAT INCLUDE WOMEN AND CHILDREN SERVICES, PEDIATRICS, ONCOLOGY, NEUROSCIENCES, ORTHOPEDICS, JOINT REPLACEMENT, BREAST CARE SERVICES, SURGERY SERVICES, REHABILITATION SERVICES, HEALTH PROMOTION SERVICES, AND EMERGENCY SERVICES. 107992351 true true false false false false false false false false true false false true true false false true false false false false false false false false true true 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 1131 true false false false false false false false false false false X 14 11 true true false false true false true true true false false false true true true true true false false false IN X BRIAN MCCONNELL 3173554212 8180 CLEARVISTA PKWY 200 INDIANAPOLIS IN 46256 X BRYAN A MILLS DIRECTOR 1.00 59.00 X 0 1185136 127327 HANY HADDAD MD DIRECTOR 1.00 54.00 X 0 523272 34276 KENNETH SHAVER MD DIRECTOR 1.00 54.00 X 0 274306 50392 JASON BECKER DIRECTOR 1.50 X 0 0 0 KATHRYN G BETLEY DIRECTOR 1.00 5.00 X 0 0 0 BRUCE F KING DIRECTOR 1.00 5.00 X 0 0 0 JEFFREY MOSSLER MD DIRECTOR 1.00 5.00 X 0 0 0 MICHAEL PETERSON CHAIRMAN 1.00 5.00 X X 0 0 0 STEVEN PLUMP DIRECTOR 1.00 6.00 X 0 0 0 JAY RICKER DIRECTOR 1.00 6.00 X 0 0 0 YVONNEE SHAHEEN SECRETARY 1.00 5.00 X X 0 0 0 KRISTEN SHERMAN TREASURER 1.00 5.00 X X 0 0 0 CHARLES E STALEY DIRECTOR 1.00 6.00 X 0 0 0 RUSSELL SWAN JR VICE CHAIRMA 1.00 5.00 X X 0 0 0 BRIAN K WILLIAMS DIRECTOR 1.00 5.00 X 0 0 0 JOSEPH KESSLER EVP CFO 1.00 49.00 X 0 563487 99951 ANTHONY LENNEN PRESIDENT 50.00 X 529775 0 88502 SARAH KNISELY-KING COO/CHF NURS 50.00 X 262802 0 36181 RANDALL LEE MD VP CLINICAL 50.00 X 355889 0 68148 MARK WALKE ED SURGICAL 45.00 X 163354 0 46603 LUSHAWNA LAWSON DIRECTOR PHA 45.00 X 144701 0 21478 PAMELA COX RN RN COORDINAT 45.00 X 143427 0 88129 EDIE GARRIOTT DIRECTOR HR 45.00 X 138437 0 201785 JEFFREY KIRKHAM FORMER CFO C 50.00 X 0 380387 126313 1738385 2926588 989085 33 true true false MID AMERICA CLINICAL LABS 2560 NORTH SHADELAND AVENUE INDIANAPOLIS IN 46219 LAB SERVICES 3985453 PEPPER CONSTRUCTION COMPANY 1850 W 15TH STREET INDIANAPOLIS IN 46202 CONSTRUCTION 3496525 INPATIENT SERVICES OF INDIANA 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOSPITALISTS 2988856 AMERIPATH INDIANAPOLIS LLC 13179 COLLECTION CENTER DRIVE CHICAGO IL 606930131 LAB SERVICES 820633 ARAMARK 25271 NETWORK PLACE CHICAGO IL 606731252 DIETARY MGMT 471501 16 300000 300000 PATIENT REVENUE 622110 222853159 222853159 RENT 531120 743263 743263 RADIOLOGY 900099 411216 411216 MEDICAL STAFF SERVICES 900099 200795 200795 JOHNSON MEMORIAL REVENUE 621500 138542 138542 61306 61306 224408281 236782 236782 236782 236782 LEASED EQUIPMENT 532420 1871912 1871912 EQUITY INVESTMENT INCOME 900003 818908 818908 EHR INCENTIVE PAYMENTS 900099 262827 262827 247563 247563 3201210 228146273 227609491 236782 X 917260 917260 48454419 41937356 6517063 2870978 1167600 1703378 6353991 5397215 956776 3478325 2963706 514619 43137176 9990975 33146201 3528515 1681155 1847360 606898 273160 333738 2708494 2300653 407841 62065 42869 19196 19294 3155 16139 3321451 3321451 11121249 4932507 6188742 9900 9900 MEDICAL SUPPLIES 30391727 30391727 HAF PROGRAM FEES 6864883 6864883 CORPORATE SPONSORSHIP 89134 15825 73309 DUES & SUBSCRIPTIONS 51705 26612 25093 16630 2953 13677 164004094 107992351 56011743 0 2675 2700 26244276 34128653 2670100 2691433 243679772 103075287 130227065 140604485 5568 161184774 210736313 320328890 388169152 5648818 8030120 1316781 5648818 9346901 X 314680072 378822251 314680072 378822251 320328890 388169152 64142179 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 497000 497000 170658258 48922458 121735800 2710911 1061791 1649120 66975584 51145697 15829887 2838019 1945341 892678 140604485 DUE FROM AFFILIATED ENTITIES 209668316 THIRD PARTY RECEIVABLE 1067997 210736313 THIRD PARTY SETTLEMENT 1316781 1316781 true true X true X true X true true false true true 1456 1024746 1024746 0.00630 23535 29794037 18177852 11616185 0.07080 24991 30818783 18177852 12640931 0.07710 2 2215836 4973 2210863 0.01350 2 271884 57946 213938 0.00130 4 2487720 62919 2424801 0.01480 4 24991 33306503 18240771 15065732 0.09190 true 4206852 2953833 43209515 40687500 2522015 X true true NONE 1 1 COMMUNITY HOSPITAL SOUTH 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 WWW.ECOMMUNITY.COM 15-005109-1 X X X X COMMUNITY HOSPITAL SOUTH 1 false false true X X X X X X X X X X 15 true true true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 15 true SEE PART V, SECTION C true false true X 200.000000000000 300.000000000000 X X X X true true X X X true X ECOMMUNITYCOMSFINANCIALASSISTANCE X ECOMMUNITYCOMSFINANCIALASSISTANCE X X X X X X true X true X X X X true X false false FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 5 SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR PERSONS CONSULTED AND HOW INPUT FROM THESE PERSONS WAS TAKEN INTO ACCOUNT. FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 6A THE CHNA FOR COMMUNITY HOSPITAL SOUTH, INC. WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH, EAST, & INDIANA HEART HOSPITAL), 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. FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 6B HEALTHY COMMUNITIES INSTITUTE FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 7D HTTP://WEBAPP.ECOMMUNITY.COM/ABOUTUS/ FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 11 SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS. FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 16I THE POLICY IS REFERENCED ON THE BILL. FACILITY 1, COMMUNITY HOSPITAL SOUTH - 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. 7 COMMUNITY REGIONAL CANCER CENTER 1550 E COUNTY LINE ROAD SUITE 325 INDIANAPOLIS IN 46227 HEALTH CARE COMM HEART & VASCULAR CV TESTING 1402 E COUNTY LINE ROAD 2200 INDIANAPOLIS IN 46227 HEALTH CARE COMMUNITY IMAGING CENTER 333 E COUNTY LINE ROAD SUITE A GREENWOOD IN 46143 DIAGNOSTIC CENTER CHS SLEEP DISORDERS CENTER 333 E COUNTY LINE ROAD SUITE D GREENWOOD IN 46143 HEALTH CARE REHAB & SPORTS MEDICINE 98 SOUTHPARK BLVD GREENWOOD IN 46143 REHABILITATION REHAB & SPORTS MEDICINE 1340 E COUNTY LINE ROAD U INDIANAPOLIS IN 46227 REHABILITATION CENTER FOR WOMEN'S HEALTH 533 E COUNTY LINE ROAD 101 GREENWOOD IN 46143 HEALTH CARE PART I, LINE 6A - RELATED ORGANIZATION INFORMATION A COMMUNITY BENEFIT REPORT IS COMPLETED FOR THE COMMUNITY HEALTH NETWORK INCLUDING COMMUNITY HOSPITAL SOUTH, 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 3 - BAD DEBT EXPENSE, PATIENTS ELIBIBLE FOR ASSISTANCE THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED UTILIZING THE HISTORICAL LEVEL OF PATIENTS THAT WERE DETERMINED AS ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON A PRESUMPTIVE ELIBIBILITY PROCESS AND APPLYING THIS RATIO TO THE REPORTED BAD DEBT EXPENSE ON THE 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 HEALTH 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 OR PAYMENT IS REASONABLY ASSURED. REIMBURSEMENT UNDER THE PROGRAM IS REFLECTED WITHIN NET PATIENT SERVICE REVENUE AND THE FEES PAID FOR PARTICIPATION IN THE HAF PROGRAM ARE RECORDED IN SUPPLIES AND OTHER EXPENSES WITHIN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS. THE FEES AND REIMBURSEMENTS ARE SETTLED MONTHLY. REVENUE RECOGNIZED RELATED TO THE HAF PROGRAM WAS 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 5,590,716. AS SUCH, THE TOTAL MEDICARE SHORTFALL FOR ALL MEDICARE PROGRAMS IS 3,068,701. MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE MEDICARE REPRESENTS 42.28% OF THE OVERALL PAYER MIX FOR COMMUNITY HEALTH NETWORK, 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 HOSPITAL SOUTH, INC. ("CHS") IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. SEE THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW CHS IS INVOLVED IN PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES. PART VI, ITEM 7 - STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA false true false false false false false true false BRYAN A MILLS DIRECTOR 901429 263340 20367 100308 27019 1312463 263340 HANY HADDAD MD DIRECTOR 504201 19071 15900 18376 557548 KENNETH SHAVER MD DIRECTOR 194445 8983 70878 32916 17476 324698 8983 JOSEPH KESSLER EVP CFO 490846 70274 2367 72000 27951 663438 ANTHONY LENNEN PRESIDENT 391365 118275 20135 71670 16832 618277 118275 SARAH KNISELY-KING COO/CHF NURS EXEC 214674 47025 1103 36181 298983 47025 RANDALL LEE MD VP CLINICAL PERFORMN 257897 78643 19349 59974 8174 424037 78643 MARK WALKE ED SURGICAL SERVICES 135666 26980 708 27420 19183 209957 LUSHAWNA LAWSON DIRECTOR PHARMACY 119742 24320 639 5993 15485 166179 PAMELA COX RN RN COORDINATOR 134108 8817 502 88129 231556 EDIE GARRIOTT DIRECTOR HR 114549 23275 613 174995 26790 340222 JEFFREY KIRKHAM FORMER CFO CLNCL ENT 293408 85500 1479 100012 26301 506700 85500 SCHEDULE J, PART III PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION COMMUNITY HOSPITAL SOUTH, INC. ("CHS") CEO/EXECUTIVE DIRECTOR IS PAID BY COMMUNITY HEALTH NETWORK, INC. ("CHNW"), A RELATED 501(C)(3) ORGANIZATION. CHNW USES THE FOLLOWING IN DETERMINING THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) COMPENSATION SURVEY OR STUDY, AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BRYAN A. MILLS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH HIS EMPLOYER, CHNW. DURING 2015, MR. MILLS DID NOT RECEIVE A PAYMENT FROM SUCH PLAN. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED COMMUNITY HOSPITAL SOUTH, INC., PARTICIPATES IN THE NETWORK'S SENIOR LEADERSHIP INCENTIVE PROGRAM. CERTAIN INDIVIDUALS OF THE LEADERSHIP TEAM PARTICIPATE IN THIS PROGRAM. THE PROGRAM WAS ADOPTED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND IS INTENDED TO INFLUENCE OUTSTANDING PERFORMANCE BY THE SENIOR LEADERS, AS MEASURED AGAINST BOTH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. THE PROGRAM IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED ENTIRELY OF INDEPENDENT COMMUNITY MEMBERS. THE INCENTIVE COMPENSATION THAT IS AWARDED IS INCLUDED IN TOTAL COMPENSATION TO THE EXECUTIVE. THE TOTAL COMPENSATION (INCLUDING ANY PAYMENTS UNDER THE PROGRAM) IS SUBJECT TO THE REVIEW AND APPROVAL OF THE EXECUTIVE COMPENSATION COMMITTEE AND INDEPENDENT COMPENSATION CONSULTANT, IN CONSIDERATION OF CODE SECTION 4958 (AND THE CORRESPONDING TREASURY REGULATIONS) TO ENSURE THAT IT REFLECTS ARMS LENGTH, FAIR MARKET TERMS. FORM 990 - ORGANIZATION'S MISSION COMMUNITY HOSPITAL SOUTH,INC. ("CHS") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHS OPERATES A GENERAL ACUTE CARE HOSPITAL AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. FORM 990 FORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS COMMUNITY HOSPITAL SOUTH, INC. ("CHS") IS AN AFFILIATE OF COMMUNITY HEALTH NETWORK ("THE NETWORK"), AN INTEGRATED HEALTH DELIVERY SYSTEM. CHS IS CONTROLLED BY ITS PARENT, COMMUNITY HEALTH NETWORK, INC ("CHNW"), THE TAX- EXEMPT PARENT OF THE INTEGRATED HEALTH DELIVERY SYSTEM. CHS' ARTICLES OF INCORPORATION AND BYLAWS DESIGNATE THE MEMBERS OF THE BOARD OF DIRECTORS OF CHNW TO BE THE DIRECTORS OF CHS. CHNW EXERCISES CONTROL OVER CHS THROUGH A SERIES OF GOVERNANCE RIGHTS: A) CHNW IS THE SOLE MEMBER OF CHS; B) CHS HAS DELEGATED EXCLUSIVE AUTHORITY TO CHNW, ACTING THROUGH CHNW'S BOARD OF DIRECTORS, IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING; CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIANCE; EXECUTIVE COMPENSATION; AND DISPUTE RESOLUTION; C) CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF CHS' ARTICLES OF INCORPORATION; AND D) CHNW MUST APPROVE ANY SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF CHS. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW HAS DELEGATED AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION, INCLUDING CHS' EXECUTIVES, TO A NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN SUM, CHS HAS REMOVED ANY RISK OF INAPPROPRIATE RELATED PARTY TRANSACTIONS BY DELEGATING (THROUGH CHNW) ITS EXECUTIVE COMPENSATION DECISIONS TO A NETWORK EXECUTIVE COMPENSATION COMMITTEE AND ITS CONFLICT OF INTEREST DECISIONS TO A NETWORK AUDIT COMMITTEE, WITH EACH COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. FORM 990, PART I, LINE 5 - NUMBER OF EMPLOYEES CHS EMPLOYEES ARE LEASED FROM COMMUNITY HEALTH NETWORK, INC. FORM 990, PART V FORM 990, PART V, LINE 1A - BOX 3 OF FORM 1096 FORM 1099S WERE PROCESSED UNDER THE NAME AND FEDERAL IDENTIFICATION NUMBER OF COMMUNITY HEALTH NETWORK, INC. FORM 990, PART VI FORM 990, PART VI, LINE 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 BOARD OF DIRECTORS FOR CHS IS ALSO THE BOARD OF DIRECTORS FOR COMMUNITY HEALTH NETWORK, INC. ("CHNW") AND JOSEPH KESSLER AND BRYAN A. MILLS RECEIVED COMPENSATION FROM CHNW. THE FOLLOWING DIRECTORS ALSO SERVED AS A DIRECTOR OF COMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI"): BRYAN A. MILLS STEVEN R. PLUMP AND KENNETH SHAVER, M.D. AND HANY HADDAD, M.D. RECEIVED COMPENSATION FROM CPI. THE FOLLOWING DIRECTORS SERVED AS DIRECTORS OF VISIONARY ENTERPRISES, INC., A TAXABLE AFFILIATE OF CHNW: BRUCE F. KING BRYAN A. MILLS FORM 990, PAGE 6, PART VI, LINE 3 CHS HAS DELEGATED EXCLUSIVE AUTHORITY TO CHNW, ACTING THROUGH CHNW'S BOARD OF DIRECTORS, IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING, CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIANCE; EXECUTIVE COMPENSATION; AND DISPUTE RESOLUTION. IN ADDITION, CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF CHS' ARTICLES OF INCORPORATION. FINALLY, CHNW MUST APPROVE ANY MATERIAL SALE OR DISPOSITION OF THE ASSETS OF CHS. FORM 990, PAGE 6, PART VI, LINE 6 CHNW IS THE SOLE MEMBER OF CHS. 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 MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF THE ARTICLES OF INCORPORATION AND 2) ANY MATERIAL SALE OR OTHER DISPOSITION OF THE ASSETS OF CHS. FORM 990, PAGE 6, PART VI, LINE 11B AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY FOR CHS' AUDIT, COMPLIANCE, AND EXECUTIVE COMPENSATION MATTERS. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHS' FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHS' FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CHS' FORM 990. IN ADDITION, CHS' OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHS AND CHNW UTILIZED THIS PROCESS TO ENSURE THAT CHS' FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHS' 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 CHS' AUDIT AND COMPLIANCE MATTERS. CHNW HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO CHS. 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 CHS. 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 CHS, 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 CHS. FORM 990, PAGE 6, PART VI, LINE 15A AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY FOR CHS' EXECUTIVE COMPENSATION MATTERS. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO CHS. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHS' 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 CHS' 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) AS AN AFFILIATE OF CHNW, CHS HAS ADOPTED THE NETWORK CONFLICT OF INTEREST POLICY. WHILE THIS POLICY IS NOT AVAILABLE TO THE PUBLIC, THE NETWORK'S DEFINITION OF 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) CHS 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. CHS 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 CONTRACTORS - COMPENSATION TO PEPPER CONSTRUCTION COMPANY INCLUDES MATERIAL COSTS. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES 3,287,184 1,243,949 0 SERVICE EXPENSE 6,703,791 31,902,252 0 COMMUNITY HEALTH NETWORK INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 350983617 HOSPITAL IN 501C3 3 NA false COMMUNITY HEALTH NETWORK FOUNDATION 7240 SHADELAND STATION SUITE 125 INDIANAPOLIS IN 46256 510181688 SUPPORT IN 501C3 11B CHNW true COMMUNITY HLTH SERVICES OF INDIANA 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 454817436 HLTH CARE IN 501C3 3 CHNW true COMMUNITY HOME HEALTH SERVICES INC 9894 EAST 121ST STREET FISHERS IN 46037 350953467 HLTH CARE IN 501C3 9 CHNW true COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 351069822 HOSPITAL IN 501C3 3 CHNW true COMMUNITY HOSP ANDERSON FDN INC 1515 NORTH MADISON AVENUE ANDERSON IN 46011 861053152 SUPPORT IN 501C3 11A CHA true COMMUNITY HOWARD REGIONAL HEALTH 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351865344 HOSPITAL IN 501C3 3 CHNW true COMM HOWARD REGIONAL HEALTH FDN PO BOX 9011 KOKOMO IN 46904 237309596 SUPPORT IN 501C3 7 NA false COMMUNITY LTC INC 1031 MONTICELLO DRIVE ANDERSON IN 46011 351877441 HLTH CARE IN 501C3 9 CHA true COMMUNITY PHYSICIANS OF IN INC 7240 SHADELAND STATION SUITE 300 INDIANAPOLIS IN 46256 205392766 PHY SRV IN 501C3 9 CHNW true HEALTH INSTITUTE OF INDIANA INC 3660 GUION ROAD INDIANAPOLIS IN 46222 352022402 FITNESS IN 501C3 9 CHNW true 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 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 474728937 HLTH CARE IN N/A false false SOUTH CAMPUS SURGERY CENTER LLC 1550 EAST COUNTY LINE ROAD INDIANAPOLIS IN 46227 352038072 SURGERY IN N/A false false CHN ASSURANCE COMPANY LTD PO BOX 1051GT GRAND CAYMAN GRAND CAYMAN CJ 980418913 INSURANCE CJ N/A true MIDWEST RACQUETBALL INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351396016 HEALTH IN N/A true PILLARS COMMUNITY HOUSING INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652666 HOUSING IN N/A true VISIONARY ENTERPRISES INC 6626 EAST 75TH STREET INDIANAPOLIS IN 46250 351538433 MGMT SRVS IN N/A true VEI MICHIGAN INC 940 N MAIN STREET ANN HARBOR MI 48104 300097377 MGMT SRVS MI N/A true WESTVIEW DELIVERY SYSTEM INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351910292 MGMT SRVS IN N/A true true false true false false false false false false true true false false false false true false true true COMMUNITY HEALTH NETWORK FOUNDATION C 300000 BOOK VALUE COMMUNITY PHYSICIANS OF INDIANA INC A 721464 BOOK VALUE COMMUNITY PHYSICIANS OF INDIANA INC R 394158 BOOK VALUE VISIONARY ENTERPRISESINC A 21799 BOOK VALUE VISIONARY ENTERPRISESINC K 118501 BOOK VALUE VISIONARY ENTERPRISESINC P 6414573 BOOK VALUE VISIONARY ENTERPRISESINC R 87025 BOOK VALUE