2015-11-13T08:52:26-06:00 2014-12-31 352032768 CASKEY & DAILY PC 4745 STATESMEN DRIVE SUITE C INDIANAPOLIS IN 46250 990 2014-01-01 350983617 COMMUNITY HEALTH NETWORK INC COMM 3176210395 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 JOSEPH KESSLER CHIEF FINANCIAL OFFICER 3176210395 2015-10-20 true JAMES A CASKEY CPA CFP P00172185 3175852647 2015-11-13 2014 2016-02-25 16:41:14Z BRYAN A MILLS 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 958577841 false X WWW.ECOMMUNITY.COM X 1952 IN 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 13 8 6677 577 5337779 3688262 10256069 11184189 769724798 837485287 31627374 16120084 41891053 48582437 853499294 913371997 0 0 380281485 359469687 0 0 327448579 346971986 707730064 706441673 145769230 206930324 1888798996 2033853045 869531835 936902966 1019267161 1096950079 X 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 true false 476303632 879788607 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. 22074260 813142 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. 498377892 true true false true false false false false false false true false true true true false false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true true true false false true X 359 0 true 6677 true true true true false false false false false false false false X 13 8 true false false false false false false true true false false false true true true true true true true true false IN X JOSEPH KESSLER 3176210395 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 BRYAN A MILLS DIRECTOR/PRE 45.00 15.00 X X 965396 0 311390 HANY HADDAD MD DIRECTOR 2.00 53.00 X 0 524569 33822 KENNETH SHAVER MD DIRECTOR 2.00 53.00 X 0 262895 102407 KATHRYN G BETLEY DIRECTOR 2.00 4.00 X 0 0 0 BRUCE F KING DIRECTOR 2.00 4.00 X 0 0 0 JEFFREY MOSSLER MD DIRECTOR 2.00 4.00 X 0 0 0 MICHAEL PETERSON CHAIRMAN 2.00 4.00 X X 0 0 0 STEVEN R PLUMP DIRECTOR 2.00 4.00 X 0 0 0 YVONNEE SHAHEEN SECRETARY 2.00 4.00 X X 0 0 0 KRISTIN T SHERMAN TREASURER 2.00 4.00 X X 0 0 0 CHARLES E STALEY DIRECTOR 2.00 4.00 X 0 0 0 RUSSELL SWAN JR VICE CHAIRMA 2.00 4.00 X X 0 0 0 BRIAN K WILLIAMS DIRECTOR 2.00 4.00 X 0 0 0 KYLE FISHER CEO - VEI 50.00 X 0 598024 204254 TIMOTHY HOBBS MD CHIEF PHYSIC 46.00 4.00 X 581945 0 194418 SCOTT TEFFETELLER PRES - EAST 50.00 X 495366 0 100894 JASON FAHRLANDER PRES - NORTH 50.00 0.00 X 434641 0 190808 HOLLY A MILLARD INTM CFO THR 50.00 X 315706 0 174088 JOSEPH KESSLER CFO 50.00 X 245817 0 79227 JEFFERY KIRKHAM CFO CLINICAL 50.00 5.00 X 307749 0 354482 FRANK COVINGTON MD MEDICAL DIRE 50.00 X 665448 0 132599 WESLEY WONG MD CHIEF PHY IN 50.00 X 511790 0 167024 DAVID WILLIAMS DO CEO - IOH 50.00 X 440107 0 196034 THOMAS MALASTO CHIEF PATIEN 50.00 X 431805 0 171350 ANTHONY LENNEN PRESIDENT - 50.00 X 0 429693 161210 MICHAEL C BLANCHET FORMER COO X 313808 0 264991 5709578 1815181 2838998 285 true true false MID AMERICA CLINICAL LABS 2560 NORTH SHADELAND AVENUE INDIANAPOLIS IN 46219 LAB SERVICES 12227819 PEPPER CONSTRUCTION CO OF INDIANA 1850 W 15TH STREET INDIANAPOLIS IN 46202 CONSTRUCTION 10015154 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 SOFTWARE MAINT 5746472 NETECH PO BOX 99613 TROY MI 48099 NETWK SOLUTIONS 4976639 ARAMARK 25271 NETWORK PLACE CHICAGO IL 60673 FOOD SERVICE 3934763 363 2225962 8958227 11184189 PATIENT SERVICES 622110 830842881 830842881 RENT 561000 5829264 5829264 PROGRAM SERVICES 531120 813142 813142 837485287 16886007 16886007 44432690 7231 45203785 2059 -771095 5172 -765923 -765923 EQUITY INVESTMENT INCOME 900003 28689951 28689951 JMH MANAGEMENT 900099 4563196 4563196 MANAGED CARE FEES 900099 3088508 3088508 12240782 11338003 774583 128196 48582437 913371997 880601749 5337779 16248280 4751927 4751927 578799 578799 280886762 204311494 76575268 15063070 7363509 7699561 38308291 27056610 11251681 19880838 14020931 5859907 1937928 106434 1831494 4888186 1162061 3726125 159664 159664 213605 213605 52347943 21992394 30355549 3179846 3139170 40676 21070273 18396462 2673811 18442502 13892387 4550115 28960261 13875399 15084862 1216666 861897 354769 807028 676663 130365 12371890 12371890 37978339 13091673 24886666 3220384 130792 3089592 MEDICAL SUPPLIES 125482377 125482377 HAF PROGRAM FEES 28090583 28090583 TAXES 2075598 2075598 DUES & SUBSCRIPTIONS 1820317 528927 1291390 2708596 2122531 586065 706441673 498377892 208063781 0 129947731 95898731 88227372 113839166 110000 152511 7961381 11778728 6371186 10423071 1009050945 578880586 373792375 430170359 432672540 448682469 525823032 457196669 41896150 46053785 281997229 419657556 1888798996 2033853045 84934107 75857243 542214548 530901082 99469576 50990441 142913604 279154200 869531835 936902966 X 1019267161 1096950079 1019267161 1096950079 1888798996 2033853045 X 206930324 2570384 -131817790 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 20326 true 139338 false false 159664 false SCHEDULE C, PART II-B, LINE 1 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. 5448901 5448901 557567997 237160295 320407702 22115444 9702494 12412950 416364152 324821262 91542890 7554451 7196535 357916 430170359 CLOSELY-HELD EQUITY INTERESTS 457196669 C 457196669 DUE FROM AFFILIATED ENTITIES 301592426 FUNDS HELD BY TRUSTEE 88761725 OTHER RECEIVABLES 14165323 THIRD PARTY RECEIVABLE 10057392 DEFERRED FINANCING COSTS 4684238 OTHER ASSETS 396452 419657556 UNDERFUNDED PENSION FAS 158 243175956 THIRD PARTY SETTLEMENTS 26067126 OTHER LT LIABILITY 9911118 279154200 true true X true X true X true true false true true 8868 4345931 4345931 0.00620 67267 127870231 133374960 -5504729 76135 132216162 133374960 -1158798 19 18 12292481 12292481 0.01740 8 11014769 2827642 8187127 0.01160 1 614917 614917 0.00090 2 1863113 1863113 0.00260 38 262408 262408 0.00040 68 18 26047688 2827642 23220046 0.03290 68 76153 158263850 136202602 22061248 0.03120 1 87463 87463 0.00010 2 200 3347 3347 1 122 1805 1805 7 1761 4012059 4012059 0.00570 1 873526 873526 0.00120 12 2083 4978200 4978200 0.00700 true 22402993 16485052 151022881 154281591 -3258710 X true true 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 3 1 COMMUNITY HOSPITAL NORTH 7150 CLEARVISTA DRIVE INDIANAPOLIS IN 46256 WWW.ECOMMUNITY.COM 14-011437-1 X X X X A 2 INDIANA HEART HOSPITAL LLC 8075 N SHADELAND AVENUE SUITE 33 INDIANAPOLIS IN 46250 WWW.ECOMMUNITY.COM 14-03312-1 X X X X 3 COMMUNITY HOSPITAL EAST 1500 NORTH RITTER AVENUE INDIANAPOLIS IN 46219 WWW.ECOMMUNITY.COM 14-005068-1 X X X X A A false false true X X X X X X X X X X 12 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 13 false true false true X 200.000000000000 300.000000000000 X X X X X true true X X X true X X X X X X X true X true X X X X true X false false INDIANA HEART HOSPITAL LLC 2 false true true X X X X X X X X X X 12 true true false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 13 false true false true X 200.000000000000 300.000000000000 X X X X X true true X X X true X X X X X X X true X true X X X X true X false false 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. 67 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 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 X X X X true true false true false false false true false BRYAN A MILLS DIRECTOR/PRES & CEO 899084 46200 20112 286605 24785 1276786 46200 HANY HADDAD MD DIRECTOR 505548 19021 15600 18222 558391 KENNETH SHAVER MD DIRECTOR 194289 68606 86073 16334 365302 KYLE FISHER CEO - VEI 416752 178974 2298 179700 24554 802278 28326 TIMOTHY HOBBS MD CHIEF PHYSICIAN EXEC 531002 32079 18864 175757 18661 776363 32079 SCOTT TEFFETELLER PRES - EAST REGION 390670 102668 2028 76000 24894 596260 2668 JASON FAHRLANDER PRES - NORTH REGION 424775 7514 2352 165300 25508 625449 7514 HOLLY A MILLARD INTM CFO THR AUG/CAO 301403 12650 1653 158810 15278 489794 12650 JOSEPH KESSLER CFO 170573 75000 244 70274 8953 325044 JEFFERY KIRKHAM CFO CLINICAL ENTERPR 293123 12999 1627 329903 24579 662231 12999 FRANK COVINGTON MD MEDICAL DIRECTOR 435682 12707 217059 121899 10700 798047 12707 WESLEY WONG MD CHIEF PHY INTEGRTN 423385 71500 16905 140750 26274 678814 21500 DAVID WILLIAMS DO CEO - IOH 404649 14174 21284 179700 16334 636141 THOMAS MALASTO CHIEF PATIENT EXPRNC 409743 19791 2271 144107 27243 603155 19791 ANTHONY LENNEN PRESIDENT - SOUTH 390302 20919 18472 136475 24735 590903 20919 MICHAEL C BLANCHET FORMER COO 313808 264991 578799 274000 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. A INDIANA FINANCE AUTHORITY 351602316 45471AAM4 2009-06-30 100000000 SOUTH HOSP EXPANSION false false false B INDIANA FINANCE AUTHORITY 351602316 45471AKA9 2012-11-27 404346943 SEE PART VI false false false C INDIANA FINANCE AUTHORITY 351602316 2012-11-27 74250000 SEE PART VI false false false A 63480000 100013940 842000 499875 98672065 2010 false false true true B 11130000 405571258 125841650 4254900 61491604 125246080 88737024 true true false true C 3295000 74250000 270000 73980000 true false true true A false true true true true true true false true B false true true true true true 0.00570 0.00570 true false true C false true true true true true 0.00780 0.00780 true false true A false false true false true false false false true B false true false false false false false false true C false false true false true false false false true 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. AMERIPATH INDIANAPOLIS LLC BD MBR = PRES 348163 LAB FEES false VISIONARY ENTERPRISES INC SHARE BD MEMBER 122816357 SERVICE REV/RENT false 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) COMMUNITY HEALTH NETWORK FOUNDATION 7240 SHADELAND STATION SUITE 125 INDIANAPOLIS IN 46256 510181688 SUPPORT IN 501C3 11B CHNW true COMMUNITY HLTH SERVICES OF INDIANA 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 454817436 HLTH CARE IN 501C3 3 CHNW true COMMUNITY HOME HEALTH SERVICES INC 9894 EAST 121ST STREET FISHERS IN 46037 350953467 HLTH CARE IN 501C3 9 CHNW true COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 351069822 HOSPITAL IN 501C3 3 CHNW true COMMUNITY HOSP ANDERSON FDN INC 1515 NORTH MADISON AVENUE ANDERSON IN 46011 861053152 SUPPORT IN 501C3 11A CHA true COMMUNITY HOSPITAL SOUTH INC 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 351088640 HOSPITAL IN 501C3 3 CHNW true COMMUNITY HOWARD REGIONAL HEALTH 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