COMMUNITY HEALTH NETWORK INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH NETWORK INC (EIN 35-0983617)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201513179349302296
- Schema version
- 2014v5.0
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T08:52:26-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350983617 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH NETWORK INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 3176210395 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7330 SHADELAND STATION SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46256 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH KESSLER | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3176210395 | PhoneNum |
| Signature | 2015-10-20 | 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 | 2015-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRYAN A MILLS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7330 SHADELAND STATION SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46256 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $958,577,841 | 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 | 1952 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY HEALTH NETWORK, INC. ("CHNW") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHNW OPERATES TWO GENERAL ACUTE CARE HOSPITALS AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHNW'S MISSION IS TO: A) PROMOTE THE HEALTH OF THE RESIDENTS OF CENTRAL INDIANA BY PROMOTING, SUPPORTING AND FURTHERING THE CHARITABLE PURPOSES OF: COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY LTC, INC., COMMUNITY HOME HEALTH SERVICES, INC., AND INDIANA HEART HOSPITAL, LLC (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"), AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES, TO CONSIDER, COORDINATE, AND FACILITATE THE ALIGNMENT OF INITIATIVES WITHIN THE COMMUNITY HEALTH NETWORK ("NETWORK"). B) SERVE AS THE PARENT OF THE NETWORK, AN INTEGRATED DELIVERY SYSTEM, AND EXERCISE COMMON SUPERVISION | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 6677 | TotalEmployeeCnt |
| Total Volunteers | 577 | TotalVolunteersCnt |
| Total Gross UBI | $5,337,779 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $3,688,262 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,256,069 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,184,189 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $769,724,798 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $837,485,287 | CYProgramServiceRevenueAmt |
| PY Investment Income | $31,627,374 | PYInvestmentIncomeAmt |
| CY Investment Income | $16,120,084 | CYInvestmentIncomeAmt |
| PY Other Revenue | $41,891,053 | PYOtherRevenueAmt |
| CY Other Revenue | $48,582,437 | CYOtherRevenueAmt |
| PY Total Revenue | $853,499,294 | PYTotalRevenueAmt |
| CY Total Revenue | $913,371,997 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $380,281,485 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $359,469,687 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $327,448,579 | PYOtherExpensesAmt |
| CY Other Expenses | $346,971,986 | CYOtherExpensesAmt |
| PY Total Expenses | $707,730,064 | PYTotalExpensesAmt |
| CY Total Expenses | $706,441,673 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $145,769,230 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $206,930,324 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,888,798,996 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,033,853,045 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $869,531,835 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $936,902,966 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,019,267,161 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,096,950,079 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COMMUNITY HEALTH NETWORK, INC. ("CHNW") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHNW OPERATES TWO GENERAL ACUTE CARE HOSPITALS AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHNW'S MISSION IS TO: A) PROMOTE THE HEALTH OF THE RESIDENTS OF CENTRAL INDIANA BY PROMOTING, SUPPORTING AND FURTHERING THE CHARITABLE PURPOSES OF: COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY LTC, INC., COMMUNITY HOME HEALTH SERVICES, INC., AND INDIANA HEART HOSPITAL, LLC (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"), AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES, TO CONSIDER, COORDINATE, AND FACILITATE THE ALIGNMENT OF INITIATIVES WITHIN THE COMMUNITY HEALTH NETWORK ("NETWORK"). B) SERVE AS THE PARENT OF THE NETWORK, AN INTEGRATED DELIVERY SYSTEM, AND EXERCISE COMMON SUPERVISION | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $476,303,632 | ExpenseAmt |
| Revenue | $879,788,607 | RevenueAmt |
| Desc | COMMUNITY HEALTH NETWORK, INC. OPERATES TWO ACUTE CARE FULL SERVICE HOSPITALS IN INDIANAPOLIS, INDIANA WITH 1,029 LICENSED BEDS. IN 2014, THE HOSPITALS SERVED 29,759 INPATIENTS FOR A TOTAL OF 132,638 INPATIENT DAYS OF SERVICE. THE TWO HOSPITALS ALSO PROVIDED 1,133,122 OUTPATIENT VISITS, WHICH INCLUDED 138,444 EMERGENCY VISITS AND 638,639 MENTAL HEALTH VISITS. THE HOSPITALS OFFER MANY PATIENT FOCUSED HEALTHCARE SERVICES THAT INCLUDE WOMEN AND CHILDREN SERVICES, PEDIATRICS, ONCOLOGY, MENTAL HEALTH SERVICES, NEUROSCIENCES, ORTHOPEDICS, JOINT REPLACEMENT, BREAST CARE SERVICES, SURGERY SERVICES, REHABILITATION SERVICES, HEALTH PROMOTION SERVICES, EMERGENCY SERVICES, AND TRAINING AND EDUCATION FOR HEALTH CARE PROFESSIONALS. ON 10/01/14, INDIANA HEART HOSPITAL, LLC ("IHH"), MERGED WITH COMMUNITY HEALTH NETWORK, INC. IHH OPERATES A HEART HOSPITAL IN INDIANAPOLIS, INDIANA WITH 56 LICENSED BEDS. IHH PROVIDES COMPLETE CARDIOVASCULAR CARE INCLUDING NON-INVASIVE DIAGNOSTIC TESTING, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, VASCULAR SURGERY, OPEN HEART SURGERY AND DIAGNOSTIC CATHETERIZATION. IN THE FOURTH QUARTER OF 2014, IHH SERVED 699 INPATIENTS FOR A TOTAL OF 2,778 INPATIENT DAYS OF SERVICE. IHH ALSO PROVIDED 10,523 OUTPATIENT VISITS WHICH INCLUDED 1,228 EMERGENCY VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,074,260 | ExpenseAmt |
| Revenue | $813,142 | RevenueAmt |
| Desc | COMMUNITY HEALTH NETWORK, INC. PROVIDES SHARED SERVICES TO THE ORGANIZATIONS COLLECTIVELY REFERRED TO AS THE COMMUNITY HEALTH NETWORK. THESE SERVICES INCLUDE FINANCE AND ACCOUNTING, MATERIALS MANAGEMENT, PATIENT ACCOUNTING, TRANSCRIPTION SERVICES, MEDICAL RECORDS, LEGAL, HUMAN RESOURCES, INFORMATION TECHNOLOGY, AND BUSINESS DEVELOPMENT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $498,377,892 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | 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 | false | 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 | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 359 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 6677 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | 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 KESSLER | PersonNm |
| Phone | 3176210395 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7330 SHADELAND STATION SUITE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46256 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN A MILLS | ||||||||||
| DIRECTOR/PRE | 45.00 | 15.00 | Yes (X) | Yes (X) | $965,396 | $0 | $311,390 | |||
| HANY HADDAD MD | ||||||||||
| DIRECTOR | 2.00 | 53.00 | Yes (X) | $0 | $524,569 | $33,822 | ||||
| KENNETH SHAVER MD | ||||||||||
| DIRECTOR | 2.00 | 53.00 | Yes (X) | $0 | $262,895 | $102,407 | ||||
| KATHRYN G BETLEY | ||||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRUCE F KING | ||||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEFFREY MOSSLER MD | ||||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL PETERSON | ||||||||||
| CHAIRMAN | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| STEVEN R PLUMP | ||||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| YVONNEE SHAHEEN | ||||||||||
| SECRETARY | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KRISTIN T SHERMAN | ||||||||||
| TREASURER | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CHARLES E STALEY | ||||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| RUSSELL SWAN JR | ||||||||||
| VICE CHAIRMA | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| BRIAN K WILLIAMS | ||||||||||
| DIRECTOR | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| KYLE FISHER | ||||||||||
| CEO - VEI | 50.00 | Yes (X) | $0 | $598,024 | $204,254 | |||||
| TIMOTHY HOBBS MD | ||||||||||
| CHIEF PHYSIC | 46.00 | 4.00 | Yes (X) | $581,945 | $0 | $194,418 | ||||
| SCOTT TEFFETELLER | ||||||||||
| PRES - EAST | 50.00 | Yes (X) | $495,366 | $0 | $100,894 | |||||
| JASON FAHRLANDER | ||||||||||
| PRES - NORTH | 50.00 | 0.00 | Yes (X) | $434,641 | $0 | $190,808 | ||||
| HOLLY A MILLARD | ||||||||||
| INTM CFO THR | 50.00 | Yes (X) | $315,706 | $0 | $174,088 | |||||
| JOSEPH KESSLER | ||||||||||
| CFO | 50.00 | Yes (X) | $245,817 | $0 | $79,227 | |||||
| JEFFERY KIRKHAM | ||||||||||
| CFO CLINICAL | 50.00 | 5.00 | $307,749 | $0 | $354,482 | Yes (X) | ||||
| FRANK COVINGTON MD | ||||||||||
| MEDICAL DIRE | 50.00 | $665,448 | $0 | $132,599 | Yes (X) | |||||
| WESLEY WONG MD | ||||||||||
| CHIEF PHY IN | 50.00 | $511,790 | $0 | $167,024 | Yes (X) | |||||
| DAVID WILLIAMS DO | ||||||||||
| CEO - IOH | 50.00 | $440,107 | $0 | $196,034 | Yes (X) | |||||
| THOMAS MALASTO | ||||||||||
| CHIEF PATIEN | 50.00 | $431,805 | $0 | $171,350 | Yes (X) | |||||
| ANTHONY LENNEN | ||||||||||
| PRESIDENT - | 50.00 | $0 | $429,693 | $161,210 | Yes (X) | |||||
| MICHAEL C BLANCHET | ||||||||||
| FORMER COO | $313,808 | $0 | $264,991 | Yes (X) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,709,578 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,815,181 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,838,998 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 285 | 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 | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MID AMERICA CLINICAL LABS | |||||
| 2560 NORTH SHADELAND AVENUE | INDIANAPOLIS | IN | 46219 | LAB SERVICES | $12,227,819 |
| PEPPER CONSTRUCTION CO OF INDIANA | |||||
| 1850 W 15TH STREET | INDIANAPOLIS | IN | 46202 | CONSTRUCTION | $10,015,154 |
| EPIC SYSTEMS CORPORATION | |||||
| PO BOX 88314 | MILWAUKEE | WI | 53288 | SOFTWARE MAINT | $5,746,472 |
| NETECH | |||||
| PO BOX 99613 | TROY | MI | 48099 | NETWK SOLUTIONS | $4,976,639 |
| ARAMARK | |||||
| 25271 NETWORK PLACE | CHICAGO | IL | 60673 | FOOD SERVICE | $3,934,763 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 363 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,225,962 | RelatedOrganizationsAmt |
| Government Grants | $8,958,227 | GovernmentGrantsAmt |
| Total Contributions | $11,184,189 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 622110 | $830,842,881 | $830,842,881 |
| RENT | 561000 | $5,829,264 | $5,829,264 |
| PROGRAM SERVICES | 531120 | $813,142 | $813,142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $837,485,287 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,886,007 | TotalRevenueColumnAmt |
| Exclusion | $16,886,007 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $44,432,690 | SecuritiesAmt |
| Other | $7,231 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $45,203,785 | SecuritiesAmt |
| Other | $2,059 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$771,095 | SecuritiesAmt |
| Other | $5,172 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$765,923 | TotalRevenueColumnAmt |
| Exclusion | -$765,923 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| EQUITY INVESTMENT INCOME | 900003 | $28,689,951 | $28,689,951 | |
| JMH MANAGEMENT | 900099 | $4,563,196 | $4,563,196 | |
| MANAGED CARE FEES | 900099 | $3,088,508 | $3,088,508 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,240,782 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,338,003 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $774,583 | UnrelatedBusinessRevenueAmt |
| Exclusion | $128,196 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $48,582,437 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $913,371,997 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $880,601,749 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,337,779 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,248,280 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,751,927 | TotalAmt |
| Management And General | $4,751,927 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $578,799 | TotalAmt |
| Management And General | $578,799 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,886,762 | TotalAmt |
| Program Services | $204,311,494 | ProgramServicesAmt |
| Management And General | $76,575,268 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,063,070 | TotalAmt |
| Program Services | $7,363,509 | ProgramServicesAmt |
| Management And General | $7,699,561 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,308,291 | TotalAmt |
| Program Services | $27,056,610 | ProgramServicesAmt |
| Management And General | $11,251,681 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,880,838 | TotalAmt |
| Program Services | $14,020,931 | ProgramServicesAmt |
| Management And General | $5,859,907 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,937,928 | TotalAmt |
| Program Services | $106,434 | ProgramServicesAmt |
| Management And General | $1,831,494 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,888,186 | TotalAmt |
| Program Services | $1,162,061 | ProgramServicesAmt |
| Management And General | $3,726,125 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,664 | TotalAmt |
| Management And General | $159,664 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,605 | TotalAmt |
| Management And General | $213,605 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,347,943 | TotalAmt |
| Program Services | $21,992,394 | ProgramServicesAmt |
| Management And General | $30,355,549 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,179,846 | TotalAmt |
| Program Services | $3,139,170 | ProgramServicesAmt |
| Management And General | $40,676 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,070,273 | TotalAmt |
| Program Services | $18,396,462 | ProgramServicesAmt |
| Management And General | $2,673,811 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,442,502 | TotalAmt |
| Program Services | $13,892,387 | ProgramServicesAmt |
| Management And General | $4,550,115 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,960,261 | TotalAmt |
| Program Services | $13,875,399 | ProgramServicesAmt |
| Management And General | $15,084,862 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,216,666 | TotalAmt |
| Program Services | $861,897 | ProgramServicesAmt |
| Management And General | $354,769 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $807,028 | TotalAmt |
| Program Services | $676,663 | ProgramServicesAmt |
| Management And General | $130,365 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,371,890 | TotalAmt |
| Management And General | $12,371,890 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,978,339 | TotalAmt |
| Program Services | $13,091,673 | ProgramServicesAmt |
| Management And General | $24,886,666 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,220,384 | TotalAmt |
| Program Services | $130,792 | ProgramServicesAmt |
| Management And General | $3,089,592 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $125,482,377 | $125,482,377 | |
| HAF PROGRAM FEES | $28,090,583 | $28,090,583 | |
| TAXES | $2,075,598 | $2,075,598 | |
| DUES & SUBSCRIPTIONS | $1,820,317 | $528,927 | $1,291,390 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,708,596 | TotalAmt |
| Program Services | $2,122,531 | ProgramServicesAmt |
| Management And General | $586,065 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,441,673 | TotalAmt |
| Program Services | $498,377,892 | ProgramServicesAmt |
| Management And General | $208,063,781 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,947,731 | BOYAmt |
| EOY | $95,898,731 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,227,372 | BOYAmt |
| EOY | $113,839,166 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,000 | BOYAmt |
| EOY | $152,511 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,961,381 | BOYAmt |
| EOY | $11,778,728 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,371,186 | BOYAmt |
| EOY | $10,423,071 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,009,050,945 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $578,880,586 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $373,792,375 | BOYAmt |
| EOY | $430,170,359 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $432,672,540 | BOYAmt |
| EOY | $448,682,469 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $525,823,032 | BOYAmt |
| EOY | $457,196,669 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,896,150 | BOYAmt |
| EOY | $46,053,785 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,997,229 | BOYAmt |
| EOY | $419,657,556 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,888,798,996 | BOYAmt |
| EOY | $2,033,853,045 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,934,107 | BOYAmt |
| EOY | $75,857,243 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $542,214,548 | BOYAmt |
| EOY | $530,901,082 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,469,576 | BOYAmt |
| EOY | $50,990,441 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,913,604 | BOYAmt |
| EOY | $279,154,200 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $869,531,835 | BOYAmt |
| EOY | $936,902,966 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,019,267,161 | BOYAmt |
| EOY | $1,096,950,079 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,019,267,161 | BOYAmt |
| EOY | $1,096,950,079 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,888,798,996 | BOYAmt |
| EOY | $2,033,853,045 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $206,930,324 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,570,384 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$131,817,790 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (true) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $20,326 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $139,338 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $159,664 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | LINE 1F - A PORTION OF THE DUES COMMUNITY HEALTH NETWORK, INC. ("CHNW") PAID TO THE INDIANA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING. LINE 1G - COMMUNITY HEALTH NETWORK, INC. RETAINS A LOBBYIST TO DISCUSS AND WORK WITH LEGISLATORS ON THE IMPACT OF PROPOSED LEGISLATION AND TO PROACTIVELY SUPPORT LEGISLATION THAT FURTHERS THE MISSION AND GOALS OF THE NETWORK. IN ADDITION, ONE EMPLOYEE OF CHNW ASSISTS WITH LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,448,901 | OtherCostOrOtherBasisAmt |
| Book Value | $5,448,901 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $557,567,997 | OtherCostOrOtherBasisAmt |
| Depreciation | $237,160,295 | DepreciationAmt |
| Book Value | $320,407,702 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,115,444 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,702,494 | DepreciationAmt |
| Book Value | $12,412,950 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $416,364,152 | OtherCostOrOtherBasisAmt |
| Depreciation | $324,821,262 | DepreciationAmt |
| Book Value | $91,542,890 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,554,451 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,196,535 | DepreciationAmt |
| Book Value | $357,916 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $430,170,359 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CLOSELY-HELD EQUITY INTERESTS | Desc |
| Book Value | $457,196,669 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $457,196,669 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATED ENTITIES | $301,592,426 |
| FUNDS HELD BY TRUSTEE | $88,761,725 |
| OTHER RECEIVABLES | $14,165,323 |
| THIRD PARTY RECEIVABLE | $10,057,392 |
| DEFERRED FINANCING COSTS | $4,684,238 |
| OTHER ASSETS | $396,452 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $419,657,556 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| UNDERFUNDED PENSION FAS 158 | $243,175,956 |
| THIRD PARTY SETTLEMENTS | $26,067,126 |
| OTHER LT LIABILITY | $9,911,118 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $279,154,200 | 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 | 8868 | PersonsServedCnt |
| Total Community Benefit Expns | $4,345,931 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,345,931 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 67267 | PersonsServedCnt |
| Total Community Benefit Expns | $127,870,231 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $133,374,960 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$5,504,729 | NetCommunityBenefitExpnsAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 76135 | PersonsServedCnt |
| Total Community Benefit Expns | $132,216,162 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $133,374,960 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$1,158,798 | NetCommunityBenefitExpnsAmt |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 19 | ActivitiesOrProgramsCnt |
| Persons Served | 18 | PersonsServedCnt |
| Total Community Benefit Expns | $12,292,481 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,292,481 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01740 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $11,014,769 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,827,642 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,187,127 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01160 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $614,917 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $614,917 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,863,113 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,863,113 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 38 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $262,408 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $262,408 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 68 | ActivitiesOrProgramsCnt |
| Persons Served | 18 | PersonsServedCnt |
| Total Community Benefit Expns | $26,047,688 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,827,642 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,220,046 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03290 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 68 | ActivitiesOrProgramsCnt |
| Persons Served | 76153 | PersonsServedCnt |
| Total Community Benefit Expns | $158,263,850 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $136,202,602 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,061,248 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03120 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $87,463 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $87,463 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 200 | PersonsServedCnt |
| Total Community Benefit Expns | $3,347 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,347 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 122 | PersonsServedCnt |
| Total Community Benefit Expns | $1,805 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,805 | NetCommunityBenefitExpnsAmt |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 1761 | PersonsServedCnt |
| Total Community Benefit Expns | $4,012,059 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,012,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $873,526 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $873,526 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 2083 | PersonsServedCnt |
| Total Community Benefit Expns | $4,978,200 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,978,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $22,402,993 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $16,485,052 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $151,022,881 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $154,281,591 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,258,710 | 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 (7 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| COMMUNITY IMAGING | ||
| PROVIDE MEDICAL IMAGING SERVICES | 0.50000 | 0.50000 |
| EAST CAMPUS SURG CTR | ||
| PROVIDE OUTPATIENT SURGERY SERVICES | 0.51000 | 0.49000 |
| HAMILTON SURGERY CTR | ||
| PROVIDE OUTPATIENT SURGERY SERVICES | 0.11000 | 0.49000 |
| IN SPECIALTY GROUP | ||
| PROVIDE SPECIALTY PHYSICIAN SERVICES | 0.70000 | 0.30000 |
| INDPLS ENDOSCOPY CTR | ||
| PROVIDE MEDICAL SERVICES | 0.19000 | 0.49000 |
| NORTHPOINT PEDIATRIC | ||
| PROVIDE PHYSICIANS SERVICES | 0.51000 | 0.49000 |
| SOUTH CAMPUS SURG CT | ||
| PROVIDE OUTPATIENT SURGERY SERVICES | 0.06000 | 0.45000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HOSPITAL NORTH | |||||||||||
| 1 | 7150 CLEARVISTA DRIVE | INDIANAPOLIS | IN | 46256 | WWW.ECOMMUNITY.COM | 14-011437-1 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A |
| INDIANA HEART HOSPITAL LLC | |||||||||||
| 2 | 8075 N SHADELAND AVENUE SUITE 33 | INDIANAPOLIS | IN | 46250 | WWW.ECOMMUNITY.COM | 14-03312-1 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
| COMMUNITY HOSPITAL EAST | |||||||||||
| 3 | 1500 NORTH RITTER AVENUE | INDIANAPOLIS | IN | 46219 | WWW.ECOMMUNITY.COM | 14-005068-1 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | OtherOtherInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | FacilityFacilityNum |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 13 | false | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | |
| INDIANA HEART HOSPITAL LLC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| false | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (true) | 13 | false | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | 2 |
Supplemental Information SupplementalInformationGrp (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - 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 HOSPITAL NORTH - PART V, LINE 6A | THE CHNA FOR COMMUNITY HOSPITAL NORTH WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH & EAST), 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. |
| GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 7D | WWW.ECOMMUNITY.COM/S/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX |
| GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - 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 HOSPITAL NORTH - PART V, LINE 13H | OTHER CRITERIA INCLUDE MEDICAID/MEDICARE AND STATE REGULATION |
| GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 16I | THE POLICY IS REFERENCED ON THE BILL. |
| GROUP A, FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 22D | THE UNINSURED DISCOUNT WAS DETERMINED UTILIZING THE NETWORK'S TOP COMMERICIAL PAYORS. UNINSURED DISCOUNTS REPRESENT A STANDARD DISCOUNT ON CHARGES AS IT RELATES TO PATIENTS WHO HAVE NO INSURANCE COVERAGE. |
| FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 2 | ON 10/01/2014, INDIANA HEART HOSPITAL, LLC MERGED WITH COMMUNITY HEALTH NETWORK, INC. |
| FACILITY 2, INDIANA HEART HOSPITAL, LLC - 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 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 6A | THE CHNA FOR INDIANA HEART HOSPITAL, LLC WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH & EAST), 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. |
| FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 7D | WWW.ECOMMUNITY.COM/S/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX |
| FACILITY 2, INDIANA HEART HOSPITAL, LLC - 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 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 13H | OTHER CRITERIA INCLUDE MEDICAID/MEDICARE AND STATE REGULATION |
| FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 16I | THE POLICY IS REFERENCED ON THE BILL. |
| FACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 22D | THE UNINSURED DISCOUNT WAS DETERMINED UTILIZING THE NETWORK'S TOP COMMERICIAL PAYORS. UNINSURED DISCOUNTS REPRESENT A STANDARD DISCOUNT ON CHARGES AS IT RELATES TO PATIENTS WHO HAVE NO INSURANCE COVERAGE. |
| GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - 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 3, COMMUNITY HOSPITAL EAST - PART V, LINE 6A | THE CHNA FOR COMMUNITY HOSPITAL EAST WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH & EAST), 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. |
| GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 7D | WWW.ECOMMUNITY.COM/S/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX |
| GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - 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 3, COMMUNITY HOSPITAL EAST - PART V, LINE 13H | OTHER CRITERIA INCLUDE MEDICAID/MEDICARE AND STATE REGULATION |
| GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 16I | THE POLICY IS REFERENCED ON THE BILL. |
| GROUP A, FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 22D | THE UNINSURED DISCOUNT WAS DETERMINED UTILIZING THE NETWORK'S TOP COMMERICIAL PAYORS. UNINSURED DISCOUNTS REPRESENT A STANDARD DISCOUNT ON CHARGES AS IT RELATES TO PATIENTS WHO HAVE NO INSURANCE COVERAGE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 67 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (67 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| COMMUNITY REGIONAL CANCER CENTER | ||||
| 1400 N RITTER AVENUE 340 | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| COMMUNITY IMAGING CENTER NORTH | ||||
| 8181 CLEARVISTA PKWY | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| COMMUNITY BREAST CARE | ||||
| 8040 CLEARVISTA PKWY 290 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| SLEEP WAKE DISORDERS | ||||
| 7250 CLEARVISTA DRIVE 350 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| COMMUNITY IMAGING CTR NOBLESVILLE | ||||
| 9669 E 146TH STREET 140 | NOBLESVILLE | IN | 46060 | DIAGNOSTIC CENTER |
| CHE SLEEP WAKE DISORDERS | ||||
| 1400 N RITTER AVENUE 481 | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| REHAB & SPORTS MEDICINE | ||||
| 2040 N SHADELAND AVENUE | INDIANAPOLIS | IN | 46219 | REHABILITATION |
| MATERNAL FETAL MEDICINE | ||||
| 7120 E CLEARVISTA DRIVE 5900 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| COMMUNITY NEUROSURGERY | ||||
| 1400 N RITTER AVENUE 231 | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| HRC OP THERAPY | ||||
| 8501 E 56TH STREET 140 | INDIANAPOLIS | IN | 46216 | HEALTH CARE |
| REHAB & SPORTS MEDICINE | ||||
| 6922 HILLSDALE COURT | INDIANAPOLIS | IN | 46250 | REHABILITATION |
| FAMILY PRACTICE CENTER | ||||
| 10122 E 10TH STREET 100 | INDIANAPOLIS | IN | 46229 | HEALTH CARE |
| GALLAHUE ADDICTIONS | ||||
| 2040 N SHADELAND AVENUE SUITE 200 | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| GMHC LAWRENCE OP | ||||
| 6950 HILLSDALE COURT | INDIANAPOLIS | IN | 46250 | HEALTH CARE |
| WARREN OP OFFICE | ||||
| 2040 N SHADELAND AVENUE SUITE 200 | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| MEDCHECK CASTLETON | ||||
| 8177 CLEARVISTA PKWY | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| REHAB & SPORTS MEDICINE | ||||
| 13121 OLIO ROAD 140 | FISHERS | IN | 46037 | REHABILITATION |
| GALLAHUE MENTAL HEALTH SERVICES | ||||
| 145 GREEN MEADOWS DRIVE | GREENFIELD | IN | 46140 | HEALTH CARE |
| GALLAHUE MENTAL HEALTH SERVICES | ||||
| 2040 N SHADELAND AVENUE SUITE 250 | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| COMMUNITY IMAGING CENTER | ||||
| 11911 N MERIDIAN STREET 175 | CARMEL | IN | 46032 | DIAGNOSTIC CENTER |
| GALLAHUE MENTAL HEALTH SERVICES | ||||
| 7 E HENDRICKS STREET | SHELBYVILLE | IN | 46176 | HEALTH CARE |
| GALLAHUE MENTAL HEALTH SERVICES | ||||
| 2201 HILLCREST DRIVE | ANDERSON | IN | 46012 | HEALTH CARE |
| COMMUNITY SPINE CENTER | ||||
| 7120 E CLEARVISTA DRIVE 1500 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| COMMUNITY GENERAL SURGEONS | ||||
| 1400 N RITTER AVENUE 330 | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| SLEEP WAKE DISORDERS | ||||
| 11911 N MERIDIAN STREET 140 | CARMEL | IN | 46032 | HEALTH CARE |
| MEDCHECK CARMEL | ||||
| 1911 N MERIDIAN STREET 150 | CARMEL | IN | 46032 | HEALTH CARE |
| MEDCHECK GREENWOOD | ||||
| 1664 W SMITH VALLEY ROAD SUITE B | GREENWOOD | IN | 46142 | HEALTH CARE |
| MEDCHECK EAST | ||||
| 1703 N POST ROAD | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| ORTHOPEDIC SURGEONS OF CENTRAL IN | ||||
| 1400 N RITTER AVENUE 510 | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| COMM OCCUPATIONAL HEALTH CENTER | ||||
| 1709 N POST ROAD | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| DAY THERAPY | ||||
| 6950 HILLSDALE COURT | INDIANAPOLIS | IN | 46250 | HEALTH CARE |
| COMMUNITY BARIATRICS SURGEONS | ||||
| 7250 CLEARVISTA SUITE 355 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| FORGE AHEAD CLUBHOUSE | ||||
| 1640 N RITTER AVENUE | INDIANAPOLIS | IN | 46201 | HEALTH CARE |
| OUTPATIENT WORK COMP REHAB | ||||
| 1911 N MERIDIAN STREET 170 | CARMEL | IN | 46032 | HEALTH CARE |
| WORK COMP REHAB | ||||
| 1713 N POST ROAD | INDIANAPOLIS | IN | 46219 | REHABILITATION |
| WORK COMP REHAB | ||||
| 6922 HILLSDALE COURT | INDIANAPOLIS | IN | 46250 | REHABILITATION |
| HRC NEUROPSYCH SERVICES | ||||
| 7250 CLEARVISTA DRIVE 327 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| HRC NEUROPSYCHOLOGY | ||||
| 8501 E 56TH STREET 140 | INDIANAPOLIS | IN | 46216 | HEALTH CARE |
| MEDCHECK ANDERSON | ||||
| 1030 S SCATTERFIELD ROAD | ANDERSON | IN | 46012 | HEALTH CARE |
| OCCUPATIONAL HEALTH | ||||
| 8177 CLEARVISTA PKWY | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| SHELBYVILLE GROUP HOME | ||||
| 18 E MECHANIC STREET | SHELBYVILLE | IN | 46176 | HEALTH CARE |
| NORTH RIVER CROSS ORTHOPEDICS | ||||
| 18051 RIVER ROAD | NOBLESVILLE | IN | 46062 | HEALTH CARE |
| COMMUNITY SLEEP SPECIALISTS | ||||
| 7250 CLEARVISTA DRIVE 330 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| GREENFIELD OCCUPATIONAL HEALTH | ||||
| 124 W MUSKEGAN DRIVE | GREENFIELD | IN | 46140 | HEALTH CARE |
| WOMEN'S & CHILDREN'S CARE CENTER | ||||
| 2040 N SHADELAND AVENUE SUITE 300 | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| OLIO ROAD IMAGING CENTER | ||||
| 13121 OLIO ROAD 110 | FISHERS | IN | 46037 | DIAGNOSTIC CENTER |
| REHAB & SPORTS MEDICINE | ||||
| 10122 E 10TH STREET 225 | INDIANAPOLIS | IN | 46229 | REHABILITATION |
| YOUTH DAY PROGRAM | ||||
| 6950 HILLSDALE COURT | INDIANAPOLIS | IN | 46250 | HEALTH CARE |
| COMM REPRODUCTIVE ENDOCRINOLOGY | ||||
| 7250 CLEARVISTA DRIVE SUITE 365 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| ASSISTED FERTILITY | ||||
| 8040 CLEARVISTA PKWY 510 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| OCCUPATIONAL HEALTH | ||||
| 1030 S SCATTERFIELD ROAD | ANDERSON | IN | 46012 | HEALTH CARE |
| REHAB & SPORTS MEDICINE | ||||
| 11911 N MERIDIAN STREET 170 | CARMEL | IN | 46032 | REHABILITATION |
| REHAB & SPORTS MEDICINE | ||||
| 740 W GREEN MEADOWS DRIVE 120 | GREENFIELD | IN | 46140 | REHABILITATION |
| COMMUNITY IMAGING CENTER | ||||
| 740 W GREEN MEADOWS DRIVE 120 | GREENFIELD | IN | 46140 | DIAGNOSTIC CENTER |
| EVENING THERAPY | ||||
| 6950 HILLSDALE COURT | INDIANAPOLIS | IN | 46250 | HEALTH CARE |
| COMMUNITY SLEEP SPECIALISTS | ||||
| 1400 N RITTER AVENUE SUITE 410 | INDIANAPOLIS | IN | 46219 | HEALTH CARE |
| MEDCHECK EXPRESS FISHERS | ||||
| 8300 E 96TH STREET | FISHERS | IN | 46038 | HEALTH CARE |
| MEDCHECK EXPRESS NOBLESVILLE | ||||
| 16865 CLOVER ROAD | NOBLESVILLE | IN | 46060 | HEALTH CARE |
| CHN BARIATRIC SERVICES | ||||
| 7250 CLEARVISTA DRIVE 355 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| MEDCHECK EXPRESS INDIANAPOLIS | ||||
| 10617 E WASHINGTON STREET | INDIANAPOLIS | IN | 46229 | HEALTH CARE |
| LIFECHECK | ||||
| 7250 CLEARVISTA DRIVE 227 | INDIANAPOLIS | IN | 46256 | HEALTH CARE |
| BEHAVIORAL MEDICINE | ||||
| 6950 HILLSDALE COURT | INDIANAPOLIS | IN | 46250 | HEALTH CARE |
| GMHC OUTPATIENT ADDICTION TREATMENT | ||||
| 145 GREEN MEADOWS DRIVE | GREENFIELD | IN | 46140 | HEALTH CARE |
| MEDCHECK NOBLESVILLE | ||||
| 9669 E 146TH STREET 100 | NOBLESVILLE | IN | 46060 | HEALTH CARE |
| HOOK REHAB SILP HOME | ||||
| 9716 E 16TH STREET | INDIANAPOLIS | IN | 46229 | REHABILITATION |
| BREAST HEALTH NAVIGATORS | ||||
| 1550 E COUNTY LINE ROAD 325 | INDIANAPOLIS | IN | 46227 | HEALTH CARE |
| GMHC HANCOCK INTENSIVE ADDICTION TR | ||||
| 145 GREEN MEADOWS DRIVE | GREENFIELD | IN | 46140 | HEALTH CARE |
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 HEALTH NETWORK, INC. (NORTH & EAST), INDIANA HEART HOSPITAL, LLC 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 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 AND CHARITY 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, 2014 AND 2013, RESPECTIVELY: THIRD PARTY PAYORS SELF-PAY TOTAL ALL PAYORS 2014 PATIENT SERVICE REVENUE(NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) 1,846,217 142,537 1,988,754 ========== ======== ========== 2013 PATIENT SERVICE REVENUE(NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS) 1,666,086 94,024 1,760,110 ========== ======= ========== 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 15,657000 AND 83,731000 FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013, RESPECTIVELY. CHARITY CARE COST WAS ESTIMATED ON THE APPLICATION OF THE ASSOCIATED COST-TO-CHARGE RATIOS. THE REDUCTION IN CHARITY CARE AND OFFSETTING INCREASE IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE REFLECTIONS OF CHANGES THE NETWORK MADE TO ITS CHARITY CARE POLICY EFFECTIVE JANUARY 1, 2014, WHICH PRIMARILY INCLUDED BEING MORE RESTRICTIVE TO PROVIDE CARE TO INDIVIDUALS WHO RESIDE IN THE NETWORKS SERVICE AREA. FURTHER, BEGINNING IN JANUARY 2014, MORE PATIENTS WERE COVERED UNDER HEALTH EXCHANGE PROGRAMS MANDATED BY THE AFFORDABLE HEALTH CARE ACT. 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 85,581000 AND 91,705000 FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013, RESPECTIVELY. EXPENSE FOR FEES RELATED TO THE HAF PROGRAM WAS 48,683000 AND 59,757000 FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013, RESPECTIVELY. THE HAF PROGRAM RUNS ON AN ANNUAL CYCLE FROM JULY 1 TO JUNE 30 AND WAS ORIGINALLY EFFECTIVE UNTIL JUNE 30, 2013. THE PROGRAM WAS RENEWED ON MARCH 21, 2014 WITH A RETROACTIVE EFFECTIVE DATE OF JULY 1, 2013, AND IS EFFECTIVE UNTIL JUNE 30, 2017. AS A RESULT OF THE RETROACTIVE APPLICATION, THE NETWORK ACCRUED BOTH THE ESTIMATED REIMBURSEMENT AND EXPENSE FOR THE PERIOD JULY 1, 2013 THROUGH DECEMBER 31, 2013 IN ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS ON THE DECEMBER 31, 2013 BALANCE SHEET. THE CONSOLIDATED BALANCE SHEET AT DECEMBER 31, 2013 INCLUDES 46,036000 AND 35,240000 IN ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS RECEIVABLE AND PAYABLE, RESPECTIVELY, RELATED TO THE HAF PROGRAM. THE CONSOLIDATED BALANCE SHEET AT DECEMBER 31, 2014 INCLUDES LESS THAN ONE MONTH OF HAF ACTIVITY, OR 700000 AND 1,600000 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 25,879,530. AS SUCH, THE TOTAL MEDICARE SHORTFALL FOR ALL MEDICARE PROGRAMS IS 29,138,239. MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE MEDICARE REPRESENTS 39.67% 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 HEALTH NETWORK, INC. ("CHNW") IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. SEE THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW CHNW IS INVOLVED IN PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES. PART VI, ITEM 7 - STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | Yes (true) | 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 (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN A MILLS | ||||||||||||||
| DIRECTOR/PRES & CEO | $899,084 | $46,200 | $20,112 | $286,605 | $24,785 | $1,276,786 | $46,200 | |||||||
| HANY HADDAD MD | ||||||||||||||
| DIRECTOR | $505,548 | $19,021 | $15,600 | $18,222 | $558,391 | |||||||||
| KENNETH SHAVER MD | ||||||||||||||
| DIRECTOR | $194,289 | $68,606 | $86,073 | $16,334 | $365,302 | |||||||||
| KYLE FISHER | ||||||||||||||
| CEO - VEI | $416,752 | $2,298 | $179,700 | $24,554 | $802,278 | $178,974 | $28,326 | |||||||
| TIMOTHY HOBBS MD | ||||||||||||||
| CHIEF PHYSICIAN EXEC | $531,002 | $32,079 | $18,864 | $175,757 | $18,661 | $776,363 | $32,079 | |||||||
| SCOTT TEFFETELLER | ||||||||||||||
| PRES - EAST REGION | $390,670 | $102,668 | $2,028 | $76,000 | $24,894 | $596,260 | $2,668 | |||||||
| JASON FAHRLANDER | ||||||||||||||
| PRES - NORTH REGION | $424,775 | $7,514 | $2,352 | $165,300 | $25,508 | $625,449 | $7,514 | |||||||
| HOLLY A MILLARD | ||||||||||||||
| INTM CFO THR AUG/CAO | $301,403 | $12,650 | $1,653 | $158,810 | $15,278 | $489,794 | $12,650 | |||||||
| JOSEPH KESSLER | ||||||||||||||
| CFO | $170,573 | $75,000 | $244 | $70,274 | $8,953 | $325,044 | ||||||||
| JEFFERY KIRKHAM | ||||||||||||||
| CFO CLINICAL ENTERPR | $293,123 | $12,999 | $1,627 | $329,903 | $24,579 | $662,231 | $12,999 | |||||||
| FRANK COVINGTON MD | ||||||||||||||
| MEDICAL DIRECTOR | $435,682 | $12,707 | $217,059 | $121,899 | $10,700 | $798,047 | $12,707 | |||||||
| WESLEY WONG MD | ||||||||||||||
| CHIEF PHY INTEGRTN | $423,385 | $71,500 | $16,905 | $140,750 | $26,274 | $678,814 | $21,500 | |||||||
| DAVID WILLIAMS DO | ||||||||||||||
| CEO - IOH | $404,649 | $14,174 | $21,284 | $179,700 | $16,334 | $636,141 | ||||||||
| THOMAS MALASTO | ||||||||||||||
| CHIEF PATIENT EXPRNC | $409,743 | $19,791 | $2,271 | $144,107 | $27,243 | $603,155 | $19,791 | |||||||
| ANTHONY LENNEN | ||||||||||||||
| PRESIDENT - SOUTH | $390,302 | $18,472 | $136,475 | $24,735 | $590,903 | $20,919 | $20,919 | |||||||
| MICHAEL C BLANCHET | ||||||||||||||
| FORMER COO | $313,808 | $264,991 | $578,799 | $274,000 | ||||||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 4 | MICHAEL C. BLANCHET 274,000 0 0 |
| SCHEDULE J, PART III | PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BRYAN A. MILLS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. DURING 2014, MR. MILLS DID NOT RECEIVE A PAYMENT FROM SUCH PLAN. PART I, LINE 5A - COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION DR. FRANK COVINGTON WAS ELIGIBLE TO PARTICIPATE IN CHNW'S INCENTIVE COMPENSATION PLAN. CHNW DEVELOPED ITS COMPENSATION PLAN IN CONJUNCTION WITH AN INDEPENDENT COMPENSATION CONSULTANT. IN ADDITION, THE PLAN WAS APPROVED BY THE NETWORK EXECUTIVE COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN ADOPTING ITS INCENTIVE BASED COMPENSATION PLAN, CHNW (TOGETHER WITH ITS INDEPENDENT COMPENSATION CONSULTANT, ITS EXTERNAL LEGAL COUNSEL, AND THE NETWORK EXECUTIVE COMPENSATION COMMITTEE) CONSIDERED AND APPLIED THE PROVISIONS OF CODE SECTION 4958 AND THE CORRESPONDING TREASURY REGULATIONS TO ENSURE THAT ITS COMPENSATION DECISIONS REFLECT ARMS LENGTH, FAIR MARKET TERMS. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED COMMUNITY HEALTH NETWORK, 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. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY | ||||||||
| A | 351602316 | 45471AAM4 | 2009-06-30 | $100,000,000 | SOUTH HOSP EXPANSION | false | false | false |
| INDIANA FINANCE AUTHORITY | ||||||||
| B | 351602316 | 45471AKA9 | 2012-11-27 | $404,346,943 | SEE PART VI | false | false | false |
| INDIANA FINANCE AUTHORITY | ||||||||
| C | 351602316 | 2012-11-27 | $74,250,000 | SEE PART VI | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $63,480,000 | $100,013,940 | $842,000 | $499,875 | $98,672,065 | 2010 | false | false | Yes (true) | Yes (true) | |||
| B | $11,130,000 | $405,571,258 | $4,254,900 | $61,491,604 | Yes (true) | Yes (true) | false | Yes (true) | $125,841,650 | $125,246,080 | $88,737,024 | ||
| C | $3,295,000 | $74,250,000 | $270,000 | Yes (true) | false | Yes (true) | Yes (true) | $73,980,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | false | Yes (true) | ||
| B | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | false | Yes (true) | 0.00570 | 0.00570 |
| C | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (true) | false | Yes (true) | 0.00780 | 0.00780 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | false | Yes (true) | false | false | false | Yes (true) |
| B | false | Yes (true) | false | false | false | false | false | false | Yes (true) |
| C | false | false | Yes (true) | false | Yes (true) | false | false | false | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION | INDIANA FINANCE AUTHORITY PART I, LINE B, COLUMN (F) ADVANCE REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2005A (COMMUNITY HEALTH NETWORK PROJECT) ISSUED ON MAY 4, 2005; CURRENTLY REFUND THE HOSPITAL AUTHORITY OF MADISON COUNTY HOSPITAL REVENUE REFUNDING BONDS, SERIES 1988A (COMMUNITY HOSPITAL OF ANDERSON PROJECT) ISSUED ON APRIL 21, 1988; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY HOSPITAL REVENUE BONDS, SERIES 1992 (COMMUNITY HOSPITALS PROJECT) ISSUED ON JANUARY 14, 1992; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY HOSPITAL REVENUE BONDS, SERIES 1993 (COMMUNITY HOSPITAL OF ANDERSON PROJECT) ISSUED ON JUNE 16, 1993; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY HOSPITAL REVENUE REFUNDING AND IMPROVEMENT BONDS, SERIES 1995 (COMMUNITY HOSPITALS PROJECT) ISSUED ON JANUARY 4, 1996; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 1997A (COMMUNITY HOSPITALS PROJECT) ISSUED ON AUGUST 7, 1997; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 1997B (COMMUNITY HOSPITALS PROJECT) ISSUED ON AUGUST 7, 1997; CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 2005C (COMMUNITY HEALTH NETWORK PROJECT) ON MAY 4, 2005 AND CONSTRUCTION OF A CANCER CENTER AT SOUTH AND NORTH, RENOVATION OF THE EMERGENCY DEPARTMENT AT EAST AND THE CONSTRUCTION OF TWO HYBRID OPERATING SUITES AT COMMUNITY HEART AND VASCULAR HOSPITAL. INDIANA FINANCE AUTHORITY PART I, LINE C, COLUMN (F) CURRENT REFUNDING OF THE INDIANA HEALTH FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 2005B (COMMUNITY HEALTH NETWORK PROJECT) ISSUED ON MAY 4, 2005 AND CURRENT REFUNDING OF THE INDIANA FINANCE AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 2009B (COMMUNITY HEALTH NETWORK PROJECT) ISSUED ON JUNE 30, 2009. |
| SCHEDULE K - ADDITIONAL INFORMATION | INDIANA FINANCE AUTHORITY PART II, LINE 3, COLUMN A - DIFFERENCES IN ISSUE PRICE EXPLANATION ISSUE PRICE 100,000,000 INTEREST EARNED 13,940 INDIANA FINANCE AUTHORITY PART II, LINE 3, COLUMN B - DIFFERENCES IN ISSUE PRICE EXPLANATION ISSUE PRICE 404,346,943 INTEREST EARNED 1,224,315 PART III, LINE 7 COLUMNS A, B, AND C - THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST. PART IV, LINE 2C COLUMN A - DATE REBATE COMPUTATION PERFORMED THE 2009A BONDS AND THE 2009B BONDS MET THE 18 MONTH SPENDING EXCEPTION AS OF 12/30/10. PART IV, LINE 2C COLUMN C - DATE REBATE COMPUTATION PERFORMED THE 2012B BONDS MET THE 6 MONTH SPENDING EXCEPTION AS OF 12/31/12. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| AMERIPATH INDIANAPOLIS LLC | |||
| BD MBR = PRES | $348,163 | LAB FEES | false |
| VISIONARY ENTERPRISES INC | |||
| SHARE BD MEMBER | $122,816,357 | SERVICE REV/RENT | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | COMMUNITY HEALTH NETWORK, INC. ("CHNW") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHNW OPERATES TWO GENERAL ACUTE CARE HOSPITALS AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHNW'S MISSION IS TO: A) PROMOTE THE HEALTH OF THE RESIDENTS OF CENTRAL INDIANA BY PROMOTING, SUPPORTING AND FURTHERING THE CHARITABLE PURPOSES OF: COMMUNITY HOSPITAL SOUTH, INC., COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC., COMMUNITY LTC, INC., COMMUNITY HOME HEALTH SERVICES, INC., AND INDIANA HEART HOSPITAL, LLC (COLLECTIVELY, THE "SUPPORTED ORGANIZATIONS"), AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES, TO CONSIDER, COORDINATE, AND FACILITATE THE ALIGNMENT OF INITIATIVES WITHIN THE COMMUNITY HEALTH NETWORK ("NETWORK"). B) SERVE AS THE PARENT OF THE NETWORK, AN INTEGRATED DELIVERY SYSTEM, AND EXERCISE COMMON SUPERVISION AND CONTROL OVER THE NETWORK BY INTEGRATING, COORDINATING, AND MANAGING THE DELIVERY OF CAPITAL, RESOURCES, AND SERVICES THROUGHOUT THE NETWORK. IN FURTHERANCE OF ITS ROLE AS THE PARENT, THE CORPORATION WILL BE RESPONSIBLE FOR CARRYING OUT A NUMBER OF SIGNIFICANT MANAGEMENT, GOVERNANCE, AND OPERATIONAL FUNCTIONS ON BEHALF OF THE ENTIRE NETWORK, THE SUPPORTED ORGANIZATIONS, AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES. |
| FORM 990 | FORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS THE BOARD OF DIRECTORS FOR CHNW IS ALSO THE BOARD OF DIRECTORS FOR THE FOLLOWING ORGANIZATIONS: COMMUNITY HOME HEALTH SERVICES, INC., COMMUNITY HOSPITAL SOUTH, INC., HEALTH INSTITUTE OF INDIANA, INC., INDIANA HEART HOSPITAL, LLC, AND INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW REVIEWS AND APPROVES EXECUTIVE COMPENSATION THROUGH THE DELIBERATIONS OF THE NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. LIKEWISE, CHNW REVIEWS AND MANAGES CONFLICT OF INTEREST TRANSACTIONS THROUGH THE DELIBERATIONS OF A NETWORK AUDIT COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. FORM 990, PART I, LINE 5 - NUMBER OF EMPLOYEES AS OF JANUARY 1, 2012, CHNW BECAME THE EMPLOYER FOR VARIOUS RELATED ENTITIES. THE TOTAL EMPLOYEES REPORTED ON FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS FILED FOR 2014 WAS 14,176. |
| FORM 990, PAGE 2, PART III, LINE 2 | ON 10/01/14, INDIANA HEART HOSPITAL, LLC ("IHH") MERGED WITH COMMUNITY HEALTH NETWORK, INC. IHH OPERATES A HEART HOSPITAL IN INDIANAPOLIS, INDIANA WITH 56 LICENSED BEDS. IHH PROVIDES COMPLETE CARDIOVASCULAR CARE INCLUDING NON-INVASIVE DIAGNOSTIC TESTING, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, VASCULAR SURGERY, OPEN HEART SURGERY AND DIAGNOSTIC CATHETERIZATION. |
| FORM 990, PAGE 2, PART III, LINE 4A | ON 10/01/14, INDIANA HEART HOSPITAL, LLC ("IHH"), MERGED WITH COMMUNITY HEALTH NETWORK, INC. IHH OPERATES A HEART HOSPITAL IN INDIANAPOLIS, INDIANA WITH 56 LICENSED BEDS. IHH PROVIDES COMPLETE CARDIOVASCULAR CARE INCLUDING NON-INVASIVE DIAGNOSTIC TESTING, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, VASCULAR SURGERY, OPEN HEART SURGERY AND DIAGNOSTIC CATHETERIZATION. IN THE FOURTH QUARTER OF 2014, IHH SERVED 699 INPATIENTS FOR A TOTAL OF 2,778 INPATIENT DAYS OF SERVICE. IHH ALSO PROVIDED 10,523 OUTPATIENT VISITS WHICH INCLUDED 1,228 EMERGENCY VISITS. |
| FORM 990, PART V | FORM 990, PART V, LINE 1A - NUMBER REPORTED IN BOX 3 OF FORM 1096 CHNW FILES FORM 1099S FOR VARIOUS RELATED ENTITIES. THE TOTAL NUMBER REPORTED ON FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS FILED FOR 2014 WAS 548. |
| FORM 990, PART VI | FORM 990, PART VI, LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS THE BOARD OF DIRECTORS FOR CHNW IS ALSO THE BOARD OF DIRECTORS FOR THE FOLLOWING ORGANIZATIONS: COMMUNITY HOME HEALTH SERVICES, INC., COMMUNITY HOSPITAL SOUTH, INC., HEALTH INSTITUTE OF INDIANA, INC., INDIANA HEART HOSPITAL, LLC, AND INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. IN ADDITION, THE FOLLOWING DIRECTORS/OFFICERS SERVED AS A DIRECTOR OR OFFICER OF COMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI"): TIMOTHY HOBBS, M.D. JEFFREY KIRKHAM BRYAN A. MILLS JEFFREY A. MOSSLER, M.D. STEVEN R. PLUMP AND KENNETH SHAVER, M.D. AND HANY HADDAD, M.D. RECEIVED COMPENSATION FROM CPI. THE FOLLOWING DIRECTORS/OFFICERS SERVED AS A DIRECTOR OR OFFICER OF COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC. ("CHA"): BRYAN A. MILLS CHARLES E. STALEY THE FOLLOWING DIRECTORS/OFFICERS SERVED AS A DIRECTOR OR OFFICER OF COMMUNITY HOWARD REGIONAL HEALTH, INC. ("CHRH"): TIMOTHY HOBBS, M.D. BRYAN A. MILLS THE FOLLOWING DIRECTORS/OFFICERS SERVED AS DIRECTORS OF VISIONARY ENTERPRISES, INC. ("VEI"), A TAXABLE AFFILIATE OF CHNW: KYLE FISHER BRUCE F. KING BRYAN A. MILLS JEFFREY A. MOSSLER, M.D. AND KYLE FISHER RECEIVED COMPENSATION FROM VEI. |
| FORM 990, PAGE 6, PART VI, LINE 11B | CHNW HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHNW'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHNW'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE FORM 990. IN ADDITION, CHNW'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHNW UTILIZED THIS PROCESS TO ENSURE THAT ITS FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHNW'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | CHNW HAS DELEGATED AUTHORITY FOR AUDIT AND COMPLIANCE TO THE AUDIT COMMITTEE, WHICH IS COMPOSED OF INDEPENDENT DIRECTORS. 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 CHNW. 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 CHNW, 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 CHNW. |
| FORM 990, PAGE 6, PART VI, LINE 15A | CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHNW'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 CHNW'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) CHNW 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) CHNW 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. CHNW 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 | INCREASE DUE TO ACQUISITION 105,330,903 INCREASE DUE TO CAPITAL LEASE FOR EQUIPMENT 1,192,133 DECREASE IN EQUITY INVESTMENTS 93,839,956 DECREASE IN UNRESTRICTED PENSION 144,500,870 TOTAL ( 131,817,790) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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) | |
| COMMUNITY HOWARD REGIONAL HEALTH | |||||||||||
| 3500 S LAFOUNTAIN STREET | KOKOMO | IN | 46902 | 351865344 | 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) | |
| INDIANA HEALTH INFO EXCHANGE INC | |||||||||||
| 846 N SENATE AVENUE | INDIANAPOLIS | IN | 46202 | 364550324 | INFO | IN | 501C3 | 11A | false | N/A | |
| INDIANA HEART HOSPITAL LLC | |||||||||||
| 8075 NORTH SHADELAND AVENUE | INDIANAPOLIS | IN | 46250 | 352123783 | HOSPITAL | IN | 501C3 | 3 | CHNW | Yes (true) | |
| INDIANAPOLIS OSTEOPATHIC HOSP INC | |||||||||||
| 3630 GUION ROAD | INDIANAPOLIS | IN | 46222 | 351094734 | HOSPITAL | IN | 501C3 | 3 | CHNW | Yes (true) | |
| WESTVIEW HOSPITAL FOUNDATION INC | |||||||||||
| 3630 GUION ROAD | INDIANAPOLIS | IN | 46222 | 311036451 | SUPPORT | IN | 501C3 | 11A | IOH | 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 | false | false | CHNW | RELATED | -$106,042 | $2,637,242 | 0.51000 | |
| 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 | false | Yes (true) | CHNW | RELATED | $2,215,882 | $8,333,427 | 0.51000 | |
| EAST CAMPUS SURGERY CENTER LLC | ||||||||||||||
| 7330 SHADELAND STATION SUITE 200 | INDIANAPOLIS | IN | 46256 | 352028517 | SURGERY | IN | false | false | CHNW | RELATED | $5,485,427 | $6,916,875 | 0.51000 | |
| HAMILTON SURGERY CENTER LLC | ||||||||||||||
| 7330 SHADELAND STATION SUITE 200 | INDIANAPOLIS | IN | 46256 | 352061413 | SURGERY | IN | false | false | NA | RELATED | $582,801 | $2,024,551 | 0.11000 | |
| HOWARD COMMUNITY SURGERY CTR LLC | ||||||||||||||
| 3500 S LAFOUNTAIN STREET | KOKOMO | IN | 46904 | 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 | false | false | CHNW | RELATED | $59,860 | 0.70000 | ||
| INDIANAPOLIS ENDOSCOPY CENTER LLC | ||||||||||||||
| 7353 E 21ST STREET | INDIANAPOLIS | IN | 46219 | 352010874 | HLTH CARE | IN | false | false | NA | RELATED | $2,261,199 | $7,872,728 | 0.18880 | |
| MICHIGAN SURGERY INVESTMENT LLC | ||||||||||||||
| 7330 SHADELAND STATION SUITE 200 | INDIANAPOLIS | IN | 46256 | 320147008 | SURG CTRS | IN | false | false | VEI | UNRELATED | -$29,643 | $903,705 | ||
| 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 | false | false | VEI | RELATED | $7,391,121 | $6,543,520 | 0.49000 | |
| NORTHPOINT PEDIATRICS LLC | ||||||||||||||
| 8101 CLEARVISTA PARKWAY SUITE 185 | INDIANAPOLIS | IN | 46256 | 351960566 | HLTH CARE | IN | false | false | CHNW | RELATED | $64,924 | $263,183 | 0.51000 | |
| 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 | false | false | NA | RELATED | $1,107,748 | $2,653,586 | 0.06260 | |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHN ASSURANCE COMPANY LTD | |||||||||||||||||
| PO BOX 1051GT | GRAND CAYMAN | GRAND CAYMAN | CJ | 980418913 | INSURANCE | CJ | NA | C CORP | $14,817,926 | 1.00000 | Yes (true) | ||||||
| MIDWEST RACQUETBALL INC | |||||||||||||||||
| 351396016 | HLTH | Yes (true) | 3500 S LAFOUNTAIN STREET | KOKOMO | IN | 46902 | IN | N/A | |||||||||
| PILLARS COMMUNITY HOUSING INC | |||||||||||||||||
| 161652666 | HOUSING | Yes (true) | 3500 S LAFOUNTAIN STREET | KOKOMO | IN | 46902 | IN | N/A | |||||||||
| VISIONARY ENTERPRISES INC | |||||||||||||||||
| 351538433 | MGMT SRVS | Yes (true) | 6626 EAST 75TH STREET | INDIANAPOLIS | IN | 46250 | IN | N/A | |||||||||
| VEI MICHIGAN INC | |||||||||||||||||
| 300097377 | MGMT SRVS | Yes (true) | 940 N MAIN STREET | ANN HARBOR | MI | 48104 | IN | N/A | |||||||||
| WESTVIEW DELIVERY SYSTEM INC | |||||||||||||||||
| 351910292 | MGMT SRVS | Yes (true) | 3630 GUION ROAD | INDIANAPOLIS | IN | 46222 | IN | N/A | |||||||||
| 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 | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (41 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt | Business Name Line2OtherOrganizationName/BusinessNameLine2Txt |
|---|---|---|---|
| COMMUNITY HEALTH NETWORK FOUNDATION | |||
| C | $2,225,962 | BOOK VALUE | |
| COMMUNITY HEALTH NETWORK FOUNDATION | |||
| K | $87,418 | BOOK VALUE | |
| COMMUNITY HEALTH NETWORK FOUNDATION | |||
| R | $11,415,019 | BOOK VALUE | |
| COMM HEALTH NETWORK REHAB HOSP LLC | |||
| B | $664,735 | BOOK VALUE | |
| COMM HEALTH NETWORK REHAB HOSP LLC | |||
| S | $1,058,281 | BOOK VALUE | K-1 DISTRIBUTION |
| COMMUNITY HOME HEALTH SERVICES INC | |||
| Q | $842,536 | BOOK VALUE | |
| COMMUNITY HOME HEALTH SERVICES INC | |||
| R | $6,553,040 | BOOK VALUE | |
| COMMUNITY HOME HEALTH SERVICES INC | |||
| S | $2,600,000 | BOOK VALUE | |
| COMM HOSP OF ANDERSON & MADISON CTY | |||
| A | $411,045 | BOOK VALUE | |
| COMM HOSP OF ANDERSON & MADISON CTY | |||
| Q | $157,366 | BOOK VALUE | |
| COMM HOSP OF ANDERSON & MADISON CTY | |||
| R | $92,474 | BOOK VALUE | |
| COMM HOSP OF ANDERSON & MADISON CTY | |||
| S | $1,613,304 | BOOK VALUE | |
| COMMUNITY HOSPITAL SOUTH INC | |||
| A | $62,524 | BOOK VALUE | |
| COMMUNITY HOSPITAL SOUTH INC | |||
| K | $240,488 | BOOK VALUE | |
| COMMUNITY HOSPITAL SOUTH INC | |||
| Q | $3,055,915 | BOOK VALUE | |
| COMMUNITY HOSPITAL SOUTH INC | |||
| S | $61,890,025 | BOOK VALUE | |
| COMMUNITY HOWARD REGIONAL HLTH INC | |||
| S | $4,239,711 | BOOK VALUE | |
| COMMUNITY PHYSICIANS OF IN INC | |||
| R | $149,336,398 | BOOK VALUE | |
| COMMUNITY PHYSICIANS OF IN INC | |||
| S | $725,488 | BOOK VALUE | |
| CHN ASSURANCE COMPANY LTD | |||
| P | $4,202,030 | BOOK VALUE | |
| CHN ASSURANCE COMPANY LTD | |||
| R | $645,150 | BOOK VALUE | |
| EAST CAMPUS SURGERY CENTER LLC | |||
| R | $289,354 | BOOK VALUE | |
| EAST CAMPUS SURGERY CENTER LLC | |||
| S | $6,035,329 | BOOK VALUE | K-1 DISTRIBUTION |
| HAMILTON SURGERY CENTER LLC | |||
| S | $542,850 | BOOK VALUE | K-1 DISTRIBUTION |
| HEALTH INSTITUTE OF INDIANA INC | |||
| S | $225,959 | BOOK VALUE | |
| INDIANA HEALTH INFO EXCHANGE INC | |||
| M | $1,544,491 | BOOK VALUE | |
| INDIANA HEART HOSPITAL LLC | |||
| A | $2,346,814 | BOOK VALUE | |
| INDIANA HEART HOSPITAL LLC | |||
| R | $3,617,814 | BOOK VALUE | |
| INDIANA HEART HOSPITAL LLC | |||
| S | $28,444,887 | BOOK VALUE | |
| INDIANA SPECIALTY GROUP LLP | |||
| S | $2,459,852 | BOOK VALUE | K-1 DISTRIBUTION |
| INDIANAPOLIS ENDOSCOPY CENTER LLP | |||
| S | $2,240,134 | BOOK VALUE | K-1 DISTRIBUTION |
| INDIANAPOLIS OSTEOPATHIC HOSPITAL | |||
| R | $7,203,121 | BOOK VALUE | |
| MICHIGAN SURGERY INVESTMENT LLC | |||
| A | $239,325 | BOOK VALUE | |
| NORTH CAMPUS SURGERY CENTER LLC | |||
| S | $6,860,000 | BOOK VALUE | K-1 DISTRIBUTION |
| SOUTH CAMPUS SURGERY CENTER LLC | |||
| S | $1,069,895 | BOOK VALUE | K-1 DISTRIBUTION |
| VISIONARY ENTERPRISES INC | |||
| A | $5,248,735 | BOOK VALUE | |
| VISIONARY ENTERPRISES INC | |||
| K | $2,909,070 | BOOK VALUE | |
| VISIONARY ENTERPRISES INC | |||
| P | $30,989,426 | BOOK VALUE | |
| VISIONARY ENTERPRISES INC | |||
| Q | $35,861,269 | BOOK VALUE | |
| VISIONARY ENTERPRISES INC | |||
| R | $38,375,792 | BOOK VALUE | |
| VISIONARY ENTERPRISES INC | |||
| S | $9,432,065 | BOOK VALUE | |