2015-11-10T08:43:04-06:00 2014-12-31 352032768 CASKEY & DAILY PC 4745 STATESMEN DRIVE SUITE C INDIANAPOLIS IN 46250 990 2014-01-01 237309596 COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION INC COMM 7654538458 PO BOX 9011 KOKOMO IN 469049011 RHONDA EASTMAN FOUNDATION DIRECTOR 7654538458 2015-11-10 true JAMES A CASKEY CPA CFP P00172185 3175852647 2015-11-10 2014 2016-02-25 16:41:14Z RHONDA EASTMAN PO BOX 9011 KOKOMO IN 469049011 748611 false X WWW.ECOMMUNITY.COM/S/HOWARD-FOUNDATION X 1958 IN TO IMPROVE THE QUALITY AND AVAILABILITY OF HEALTHCARE PROVIDED TO ALL PERSONS SERVED BY COMMUNITY HOWARD REGIONAL HEALTH. 19 16 0 19 0 163298 359918 0 137328 231784 -687 -879 299939 590823 264720 128649 0 32514 25643 0 5863 52027 37963 349261 192255 -49322 398568 3712363 3881351 32980 29903 3679383 3851448 TO IMPROVE THE QUALITY AND AVAILABILITY OF HEALTHCARE PROVIDED TO ALL PERSONS SERVED BY COMMUNITY HOWARD REGIONAL HEALTH. false false 96120 96120 TO RECEIVE AND MAINTAIN FUNDS FOR THE CONSTRUCTION, FURNISHING, EQUIPPING AND IMPROVEMENT OF THE FACILITIES AND SERVICES OF COMMUNITY HOWARD REGIONAL HEALTH (HOSPITAL). TO PROVIDE FINANCIAL ASSISTANCE FOR THE IMPROVEMENT OF THE HEALTH, SAFETY, AND GENERAL WELFARE AND TO AID IN THE ALLEVIATION OF HUMAN SUFFERING OF ALL PERSONS CONNECTED WITH OR USING THE FACILITIES AND SERVICES OF THE HOSPITAL. 31529 31529 TO PROVIDE SCHOLARSHIPS TO STUDENTS PURSUING DEGREES AND CERTIFICATES IN HEALTH CARE PROFESSIONS. 1000 1000 WARM HEART WARM HANDS 128649 true true false false false false false false false true true false false false true false false true false false false false false false true false false true true true false false false false false false false false true false false false false true false false false true 3 0 true 0 false false false false false true true false false false false X 19 16 true false false false false false false true true false false false true true true false false false false false IN X DONNA SHEPHERD 7654538066 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 KEVIN PURVIS DIRECTOR 1.00 40.00 X 0 137418 57538 TAMMIE MEADOWS DIRECTOR 1.00 40.00 X 0 78141 30648 CATHY KUENZLI DIRECTOR 1.00 40.00 X 0 56717 7323 JEFF CARDWELL DIRECTOR 1.00 0.00 X 0 0 0 GREG GRISWOLD 1ST VICE-PRE 1.00 0.00 X X 0 0 0 PAT HIMELICK DIRECTOR 1.00 0.00 X 0 0 0 CANDY HODGE DIRECTOR 1.00 0.00 X 0 0 0 AARON HUNLEY DIRECTOR 1.00 0.00 X 0 0 0 KIM LAFOLLETTE DIRECTOR 1.00 0.00 X 0 0 0 JEFF MCCOMMAS TREASURER 1.00 0.00 X X 0 0 0 JODY ORTMAN DIRECTOR 1.00 0.00 X 0 0 0 DR SUE SCIAME-GEISECKE DIRECTOR 1.00 0.00 X 0 0 0 BRIAN SHEARER DIRECTOR 1.00 0.00 X 0 0 0 DWIGHT SINGER DIRECTOR 1.00 0.00 X 0 0 0 GREG SULLIVAN DIRECTOR 1.00 0.00 X 0 0 0 MATT TATE DIRECTOR 1.00 0.00 X 0 0 0 REBECCA VENT PRESIDENT 1.00 0.00 X X 0 0 0 ALAN WARNER DIRECTOR 1.00 0.00 X 0 0 0 CHRIS WOLF DIRECTOR 1.00 0.00 X 0 0 0 JAMES ALENDER PRES & CEO T 40.00 X 0 361841 190498 THEODORE BROWN COO THRU JUN 40.00 X 0 241746 139932 JOSEPH T HOOPER PRESIDENT & 60.00 X 0 80865 0 RHONDA EASTMAN FOUNDATION D 40.00 0.00 X 2000 56916 24170 2000 1013644 450109 false true false 21121 338797 140000 359918 73028 73028 231433 77442 150119 81314 77442 158756 158756 6790 21121 7669 -879 -879 590823 230905 97120 97120 31529 31529 2000 2000 22492 22492 1151 1151 3000 3000 1060 1060 16308 16308 10533 9883 650 577 577 OTHER FUNDRAISING EXPENSE 3079 3079 MEALS & ENTERTAINMENT 3027 893 2134 DUES & SUBSCRIPTIONS 362 362 MISCELLANEOUS EXPENSE 17 17 192255 128649 57743 5863 64745 77708 478502 551642 860 2232 24004 1087 22917 3087492 3144368 81624 81624 3712363 3881351 3077 29903 29903 32980 29903 X 2951140 3000980 572059 694284 156184 156184 3679383 3851448 3712363 3881351 X 398568 -117428 -109075 X false true X true false X 421905 183257 208670 163298 359918 1337048 421905 183257 208670 163298 359918 1337048 210864 1126184 116496 69274 79889 67653 73028 406340 1743388 54083 0.64600 0.60970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 156184 3364 3364 156184 156184 2876 2876 156184 156184 156184 156184 156184 156184 156184 1.00000 true false 510 510 23494 577 22917 22917 LIABILITY UNDER TRUST AGRMNT 29903 29903 SCHEDULE D, PAGE 4, PART XIII THE ENDOWMENT PROVIDES FUNDS FOR SCHOLARSHIPS TO STUDENTS PURSUING DEGREES AND CERTIFICATES IN HEALTH CARE PROFESSIONS. GOLF OUTING 27911 21121 6790 7669 27911 21121 6790 7669 7669 -879 true COMMUNITY HOWARD REGIONAL HEALTH 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351865344 501C3 60738 35382 COST EQUIPMENT GENERAL PURPOSE 1 TO PROVIDE SCHOLARSHIPS 47 31529 SCHEDULE I, PAGE 1, PART I, LINE 2 THE VAST MAJORITY OF COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION'S ("CHRHF") GRANTS ARE MADE TO OTHER TAX-EXEMPT MEMBERS OF THE COMMUNITY HEALTH NETWORK OR TO OTHER PUBLIC CHARITIES INVOLVED IN HEALTH RELATED ACTIVITIES. PRIOR TO THE DISBURSEMENT OF ANY GRANT PROCEEDS, CHRHF ENSURES THAT THE PURPOSE OF THE GRANT IS CONSISTENT WITH CHRHF'S CHARITABLE PURPOSES AS DEFINED IN CODE SECTION 501(C)(3). THE TERMS OF ALL GRANTS REQUIRE THAT THE RECIPIENT EXPEND THE FUNDS SOLELY FOR CHARITABLE PURPOSES AS DEFINED BY CODE SECTION 501(C)(3). WITH REGARD TO GRANTS TO ORGANIZATIONS WITHIN THE NETWORK, CHRHF DOES NOT REQUIRE PERIODIC REPORTING REGARDING THE USE OF THE GRANT PROCEEDS SINCE ALL NETWORK MEMBERS ARE SUBJECT TO COMMON CONTROL BY A TAX-EXEMPT PARENT ORGANIZATION (CHNW). CHRHF ALSO AWARDS ACADEMIC SCHOLARSHIPS TO INDIVIDUALS UNDER THE TERMS OF A WRITTEN SCHOLARSHIP PROGRAM. CHRHF MONITORS THE RECIPIENT'S PROGRESS TOWARDS RECEIPT OF THE INTENDED CERTIFICATE OR DEGREE BY REQUIRING ACADEMIC RECORDS DURING THE SCHOLARSHIP PERIOD. true false false false false false false false false KEVIN PURVIS DIRECTOR 130999 5468 951 39214 18324 194956 5468 JAMES ALENDER PRES & CEO THRU JUNE 152789 11683 197369 173146 17352 552339 11683 THEODORE BROWN COO THRU JUNE 104749 6430 130567 114681 25251 381678 SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES ALENDER 195,367 0 0 THEODORE BROWN 129,763 0 0 SCHEDULE J, PART III PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION COMMUNITY HOWARD REGIONAL HEALTH FOUNDATION, INC. ("CHRHF") 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. X 1 140000 APPRAISAL 1 false false false SCHEDULE M, PAGE 2, PART II PART I, LINE 16 COLUMN (B) IS THE NUMBER OF CONTRIBUTIONS AS WELL AS THE NUMBER OF ITEMS RECEIVED. FORM 990, PART VI FORM 990, PART VI, LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS THE FOLLOWING OFFICERS SERVED AS OFFICERS OF COMMUNITY HOWARD REGIONAL HEALTH, INC. ("CHRH") AND RECEIVED COMPENSATION FROM CHRH: JAMES ALENDER THEODORE BROWN JOSEPH T. HOOPER IN ADDITION, KEVIN PURVIS AND RHONDA EASTMAN RECEIVED COMPENSATION FROM CHRH. FORM 990, PAGE 6, PART VI, LINE 11B THE FINANCE COMMITTEE OF THE GOVERNING BODY REVIEWS THE FORM 990 PRIOR TO ITS SIGNING AND SUBMISSION TO THE INTERNAL REVENUE SERVICE. CHRHF IS ALSO USING THE PROCESS ESTABLISHED BY COMMUNITY HEALTH NETWORK, INC. ("CHNW") FOR REVIEWING THE FORM 990. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHRHF'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHRHF'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CHRHF'S FORM 990. IN ADDITION, CHRHF'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHRHF UTILIZED THIS PROCESS TO ENSURE THAT CHRHF'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHRHF'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE. FORM 990, PAGE 6, PART VI, LINE 12C ALL INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST, OR POSSIBLE CONFLICTS OF INTEREST THAT MIGHT POTENTIALLY AFFECT THEIR JUDGMENT IN MAKING DECISIONS ON BEHALF OF THE FOUNDATION BY COMPLETING A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15A CHRHF HAS DELEGATED AUTHORITY FOR EXECUTIVE COMPENSATION TO CHNW. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO CHRHF. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHRHF'S COMPENSATION ARRANGEMENTS WITH RELATED PARTIES ARE EVALUATED AND ENTERED AT ARMS LENGTH AND THAT ANY COMPENSATION THAT IS PAID TO A RELATED PARTY IS REASONABLE AND REFLECTS FAIR MARKET VALUE. THIS POLICY ENCOURAGES THE APPLICATION OF THE REBUTTABLE PRESUMPTION STANDARD OF CODE SECTION 4958 AND THE RELATED TREASURY REGULATIONS BY: A) EXCLUDING ANY INTERESTED PARTY FROM THE DECISION MAKING PROCESS, B) REQUIRING DISINTERESTED BOARD OR COMMITTEE MEMBERS TO OBTAIN AND RELY UPON COMPARABILITY DATA WHEN SETTING THE PROPOSED COMPENSATION TERMS, C) REQUIRING APPROVAL OF THE TRANSACTION IN ADVANCE BY DISINTERESTED DIRECTORS OR COMMITTEE MEMBERS, AND D) REQUIRING CONTEMPORANEOUS DOCUMENTATION (I.E. MINUTES) REFLECTING THE DECISION AND THE PROCESS BY WHICH IT WAS MADE. CHNW ALSO DELEGATED AUTHORITY REGARDING CHRHF'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 2014, 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) CHRHF'S CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. C) CHRHF 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. CHRHF 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 XI, LINE 9 CHANGE IN CHARITABLE REM TRUST VALUE 7,431 FMV - COST DIFFERENCE ON DONATED BANK BUILDING 116,506 TOTAL ( 109,075) 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 false COMMUNITY HLTH SERVICES OF INDIANA 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 454817436 HLTH CARE IN 501C3 3 CHNW false COMMUNITY HOME HEALTH SERVICES INC 9894 EAST 121ST STREET FISHERS IN 46037 350953467 HLTH CARE IN 501C3 9 CHNW false COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 351069822 HOSPITAL IN 501C3 3 CHNW false COMMUNITY HOSP ANDERSON FDN INC 1515 NORTH MADISON AVENUE ANDERSON IN 46011 861053152 SUPPORT IN 501C3 11A CHA false COMMUNITY HOSPITAL SOUTH INC 1402 EAST COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 351088640 HOSPITAL IN 501C3 3 CHNW false COMMUNITY HOWARD REGIONAL HEALTH 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351865344 HOSPITAL IN 501C3 3 CHNW false COMMUNITY LTC INC 1031 MONTICELLO DRIVE ANDERSON IN 46011 351877441 HLTH CARE IN 501C3 9 CHA false COMMUNITY PHYSICIANS OF IN INC 7240 SHADELAND STATION SUITE 300 INDIANAPOLIS IN 46256 205392766 PHY SRV IN 501C3 9 CHNW false HEALTH INSTITUTE OF INDIANA INC 3660 GUION ROAD INDIANAPOLIS IN 46222 352022402 FITNESS IN 501C3 9 CHNW false INDIANA HEART HOSPITAL LLC 8075 NORTH SHADELAND AVENUE INDIANAPOLIS IN 46250 352123783 HOSPITAL IN 501C3 3 CHNW false INDIANAPOLIS OSTEOPATHIC HOSP INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351094734 HOSPITAL IN 501C3 3 CHNW false WESTVIEW HOSPITAL FOUNDATION INC 3630 GUION ROAD INDIANAPOLIS IN 46222 311036451 SUPPORT IN 501C3 11A CHNW false 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 INDIANA SPECIALTY GROUP LLC 7240 SHADELAND STATION SUITE 300 INDIANAPOLIS IN 46256 351976258 HLTH CARE IN N/A false false 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 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 CJ CJ 980418913 INSURANCE CJ N/A false MIDWEST RACQUETBALL INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351396016 HLTH IN N/A false PILLARS COMMUNITY HOUSING INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652666 HOUSING IN N/A false VISIONARY ENTERPRISES INC 6626 E 75TH STREET INDIANAPOLIS IN 46250 351538433 MGMT SRVS IN N/A false VEI MICHIGAN INC 940 N MAIN STREET ANN HARBOR MI 48104 300097377 MGMT SRVS MI N/A false WESTVIEW DELIVERY SYSTEM INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351910292 MGMT SRVS IN N/A false false true false false false false false false false false false false false true true true true true true