2015-11-13T07:56:21-06:00 2014-12-31 352032768 CASKEY & DAILY PC 4745 STATESMEN DRIVE SUITE C INDIANAPOLIS IN 46250 990 2014-01-01 351088640 COMMUNITY HOSPITAL SOUTH INC COMM 3178877112 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 ANTHONY LENNEN PRESIDENT 3178877112 2015-10-20 true JAMES A CASKEY CPA CFP P00172185 3175852647 2015-11-13 2014 2016-04-25 22:37:26Z ANTHONY LENNEN 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 212978874 false X WWW.ECOMMUNITY.COM X 1989 IN COMMUNITY HOSPITAL SOUTH,INC. ("CHS") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHS OPERATES A GENERAL ACUTE CARE HOSPITAL AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 13 8 1111 328 0 332858 23174 184713350 207776030 1700 31750 5185511 5146956 190233419 212977910 0 0 63386405 60304232 0 0 92401363 97046933 155787768 157351165 34445651 55626745 263787589 320328890 4734262 5648818 259053327 314680072 X COMMUNITY HOSPITAL SOUTH,INC. ("CHS") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHS OPERATES A GENERAL ACUTE CARE HOSPITAL AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. false false 99496096 212922986 COMMUNITY HOSPITAL SOUTH ("CHS") IS AN ACUTE CARE HOSPITAL IN INDIANAPOLIS, INDIANA WITH 158 LICENSED BEDS. IN 2014, CHS SERVED 8,595 INPATIENTS FOR A TOTAL OF 30,830 INPATIENT DAYS OF SERVICE. CHS ALSO PROVIDED 128,051 OUTPATIENT VISITS, WHICH INCLUDED 47,151 EMERGENCY VISITS. COMMUNITY HOSPITAL SOUTH OFFERS MANY PATIENT FOCUSED HEALTHCARE SERVICES THAT INCLUDE WOMEN AND CHILDREN SERVICES, PEDIATRICS, ONCOLOGY, NEUROSCIENCES, ORTHOPEDICS, JOINT REPLACEMENT, BREAST CARE SERVICES, SURGERY SERVICES, REHABILITATION SERVICES, HEALTH PROMOTION SERVICES, AND EMERGENCY SERVICES. 99496096 true true false false false false false false false false true false false true false false false true false false false false false false false false true true false false true false false false false false false false true false false false false false true true true false false true X 60 0 true 1111 true false false false false false false false false false false X 13 8 true true false false true true true true true false false false true true true true true false false false IN X BRIAN MCCONNELL 3173554212 8180 CLEARVISTA PKWY 200 INDIANAPOLIS IN 46256 BRYAN A MILLS DIRECTOR 1.00 59.00 X 0 965396 311390 HANY HADDAD MD DIRECTOR 1.00 54.00 X 0 524569 33822 KENNETH SHAVER MD DIRECTOR 1.00 54.00 X 0 262895 102407 KATHRYN G BETLEY DIRECTOR 1.00 5.00 X 0 0 0 BRUCE F KING DIRECTOR 1.00 5.00 X 0 0 0 JEFFREY MOSSLER MD DIRECTOR 1.00 5.00 X 0 0 0 MICHAEL PETERSON CHAIRMAN 1.00 5.00 X X 0 0 0 STEVEN PLUMP DIRECTOR 1.00 5.00 X 0 0 0 YVONNEE SHAHEEN SECRETARY 1.00 5.00 X X 0 0 0 KRISTEN SHERMAN TREASURER 1.00 5.00 X X 0 0 0 CHARLES E STALEY DIRECTOR 1.00 5.00 X 0 0 0 RUSSELL SWAN JR VICE CHAIRMA 1.00 5.00 X X 0 0 0 BRIAN K WILLIAMS DIRECTOR 1.00 5.00 X 0 0 0 ANTHONY LENNEN PRESIDENT 50.00 X 429693 0 161210 JEFFREY KIRKHAM CFO CLINICAL 55.00 X 0 307749 354482 SARAH KNISELY-KING COO/CHF NURS 50.00 X 227966 0 49313 RANDALL LEE MD VP CLINICAL 45.00 X 287829 0 104465 CRISTINA BOSWELL PHYSICIST 45.00 X 139724 0 20138 SANDRA LEMON SITE CLINICA 45.00 X 133280 0 32202 NATHAN GWINNUP CLINICAL PHA 45.00 X 130189 0 33421 REGINA WARD EXEC DIR ONC 45.00 X 127362 0 49598 MICHAEL C BLANCHET FORMER COO - 0.00 X 0 313808 264991 1476043 2374417 1517439 29 true true false INPATIENT SERVICES OF INDIANA 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 HOSPITALISTS 2438442 ROLLINS CONSTRUCTION CO LLC 3024 N RIDGEVIEW DRIVE INDIANAPOLIS IN 46226 CONSTRUCTION 695153 ARAMARK 25271 NETWORK PLACE CHICAGO IL 606731252 DIETARY MGMT 554481 INDPLS GASTROENTEROLOGY & HEPATOLOGY 8051 S EMERSON AVENUE INDIANAPOLIS IN 46237 MEDICAL 415250 UROLOGY OF INDIANA LLC 679 E COUNTY LINE ROAD GREENWOOD IN 46143 MEDICAL 392839 57 23174 23174 PATIENT REVENUE 622110 206855107 206855107 RADIOLOGY 900099 301152 301152 JOHNSON MEMORIAL REVENUE 621500 230802 230802 MEDICAL STAFF SERVICES 900099 193637 193637 RENT 531120 146760 146760 48572 48572 207776030 32714 32714 964 -964 -964 -964 LEASED EQUIPMENT 532420 3055915 3055915 EHR INCENTIVE PAYMENTS 900099 1034506 1034506 EQUITY INVESTMENT INCOME 900003 727890 727890 328645 328645 5146956 212977910 212922986 31750 X 868182 868182 44923269 34710106 10213163 2818079 974607 1843472 8445543 6401756 2043787 3249159 2495576 753583 306 306 36729041 10167385 26561656 10877 10877 4269160 2681824 1587336 429173 221484 207689 2180363 1652724 527639 57151 26039 31112 30807 21345 9462 6403563 6403563 11209688 4491318 6718370 3976 3976 MEDICAL SUPPLIES 27887027 27887027 HAF PROGRAM FEES 7719393 7719393 DUES & SUBSCRIPTIONS 49536 123 49413 CORPORATE DEVELOPMENT 46088 23785 22303 20784 10727 10057 157351165 99496096 57855069 0 2675 2675 23158667 26244276 2646391 2670100 236588597 106361532 129519576 130227065 108460280 161184774 263787589 320328890 4616294 5648818 117968 4734262 5648818 X 259053327 314680072 259053327 314680072 263787589 320328890 55626745 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 497000 497000 171260619 44043488 127217131 1527876 930174 597702 60527224 59524216 1003008 2775878 1863654 912224 130227065 DUE FROM AFFLIATED ENTITIES 161021233 THIRD PARTY RECEIVABLE 163541 161184774 true true X true X true X true true false true true 3271 1236585 1236585 0.00790 16076 23000367 14779734 8220633 0.05220 19347 24236952 14779734 9457218 0.06010 9 3284605 3284605 0.02090 3 483527 108202 375325 0.00240 1 247306 247306 0.00150 13 4015438 108202 3907236 0.02480 13 19347 28252390 14887936 13364454 0.08490 true 6222751 4398141 38963544 41993953 -3030409 X true true NONE 1 1 COMMUNITY HOSPITAL SOUTH 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 WWW.ECOMMUNITY.COM 14-005109-1 X X X X COMMUNITY HOSPITAL SOUTH 1 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 FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 5 SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR PERSONS CONSULTED AND HOW INPUT FROM THESE PERSONS WAS TAKEN INTO ACCOUNT. FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 6A THE CHNA FOR COMMUNITY HOSPITAL SOUTH, INC. WAS A JOINT PROCESS AMONG ALL OF THE COMMUNITY HEALTH NETWORK HOSPITALS WHICH INCLUDES: COMMUNITY HEALTH NETWORK, INC. (NORTH & EAST), 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 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 7D WWW.ECOMMUNITY.COM/S/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 11 SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT COMMUNITY HEALTH NEEDS. FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 13H OTHER CRITERIA INCLUDE MEDICAID/MEDICARE AND STATE REGULATION FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 16I THE POLICY IS REFERENCED ON THE BILL. FACILITY 1, COMMUNITY HOSPITAL SOUTH - PART V, LINE 22D THE 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. 7 COMMUNITY REGIONAL CANCER CENTER 1550 E COUNTY LINE ROAD SUITE 325 INDIANAPOLIS IN 46227 HEALTH CARE COMM HEART & VASCULAR CV TESTING 1402 E COUNTY LINE ROAD 2200 INDIANAPOLIS IN 46227 HEALTH CARE COMMUNITY IMAGING CENTER 333 E COUNTY LINE ROAD SUITE A GREENWOOD IN 46143 DIAGNOSTIC CENTER CHS SLEEP DISORDERS CENTER 333 E COUNTY LINE ROAD SUITE D GREENWOOD IN 46143 HEALTH CARE REHAB & SPORTS MEDICINE 98 SOUTHPARK BLVD GREENWOOD IN 46143 REHABILITATION REHAB & SPORTS MEDICINE 1340 E COUNTY LINE ROAD U INDIANAPOLIS IN 46227 REHABILITATION CENTER FOR WOMEN'S HEALTH 533 E COUNTY LINE ROAD 101 GREENWOOD IN 46143 HEALTH CARE PART I, LINE 6A - RELATED ORGANIZATION INFORMATION A COMMUNITY BENEFIT REPORT IS COMPLETED FOR THE COMMUNITY HEALTH NETWORK INCLUDING COMMUNITY HOSPITAL SOUTH, INC. AND OTHER TAX-EXEMPT AFFILIATES OF THE NETWORK. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION A COST TO CHARGE RATIO WAS UTILIZED TO DETERMINE COSTS FOR LINES A THROUGH C IN THE TABLE. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. LINES E THROUGH I OF THE TABLE ARE BASED ON ACTUAL INCURRED EXPENSES. PART II - COMMUNITY BUILDING ACTIVITIES SEE ATTACHED IRS SCHEDULE H SUPPLEMENTAL INFORMATION REPORT PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY THE COST TO CHARGE RATIO UTILIZED FOR PURPOSES OF REPORTING BAD DEBT COSTS WAS DERIVED FROM WORKSHEET 2 AND IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. PART III, LINE 3 - BAD DEBT EXPENSE, PATIENTS ELIBIBLE FOR ASSISTANCE THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED UTILIZING THE HISTORICAL LEVEL OF PATIENTS THAT WERE DETERMINED AS ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON A PRESUMPTIVE ELIBIBILITY PROCESS AND APPLYING THIS RATIO TO THE REPORTED BAD DEBT EXPENSE ON THE FINANCIAL STATEMENTS. PART III, LINE 4 - BAD DEBT EXPENSE EXPLANATION THE AUDITED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING TEXT WITHIN THE FOOTNOTES TO DESCRIBE BAD DEBT EXPENSE: THE NETWORK'S 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. MEDICARE REPRESENTS 41.61% OF THE OVERALL PAYER MIX FOR COMMUNITY HOSPITAL SOUTH, 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 COMMUNITY BENEFIT REPORT. FOR A COPY OF THIS REPORT, PLEASE CONTACT HOLLY MILLARD AT (317) 355-5860. PART VI, ITEM 6 - AFFILIATED HEALTH CARE SYSTEM COMMUNITY HOSPITAL SOUTH, INC. ("CHS") IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. SEE THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW CHS IS INVOLVED IN PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES. PART VI, ITEM 7 - STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA true true false false false false false true false BRYAN A MILLS DIRECTOR 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 ANTHONY LENNEN PRESIDENT 390302 20919 18472 136475 24735 590903 20919 JEFFREY KIRKHAM CFO CLINICAL ENTERPR 293123 12999 1627 329903 24579 662231 12999 SARAH KNISELY-KING COO/CHF NURS EXEC 219002 7782 1182 49313 277279 7782 RANDALL LEE MD VP CLINICAL PERFORMN 256876 11956 18997 96843 7622 392294 11956 CRISTINA BOSWELL PHYSICIST 139022 702 20138 159862 SANDRA LEMON SITE CLINICAL COORDN 128207 250 4823 24016 8186 165482 NATHAN GWINNUP CLINICAL PHARMACIST 123475 250 6464 9545 23876 163610 REGINA WARD EXEC DIR ONCOLOGY 121848 5000 514 37128 12470 176960 MICHAEL C BLANCHET FORMER COO - CHNW 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 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION COMMUNITY HOSPITAL SOUTH, INC. ("CHS") CEO/EXECUTIVE DIRECTOR IS PAID BY COMMUNITY HEALTH NETWORK, INC. ("CHNW"), A RELATED 501(C)(3) ORGANIZATION. CHNW USES THE FOLLOWING IN DETERMINING THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) COMPENSATION SURVEY OR STUDY, AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN BRYAN A. MILLS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH HIS EMPLOYER, CHNW. DURING 2014, MR. MILLS DID NOT RECEIVE A PAYMENT FROM SUCH PLAN. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED COMMUNITY HOSPITAL SOUTH, INC., PARTICIPATES IN THE NETWORK'S SENIOR LEADERSHIP INCENTIVE PROGRAM. CERTAIN INDIVIDUALS OF THE LEADERSHIP TEAM PARTICIPATE IN THIS PROGRAM. THE PROGRAM WAS ADOPTED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND IS INTENDED TO INFLUENCE OUTSTANDING PERFORMANCE BY THE SENIOR LEADERS, AS MEASURED AGAINST BOTH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. THE PROGRAM IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED ENTIRELY OF INDEPENDENT COMMUNITY MEMBERS. THE INCENTIVE COMPENSATION THAT IS AWARDED IS INCLUDED IN TOTAL COMPENSATION TO THE EXECUTIVE. THE TOTAL COMPENSATION (INCLUDING ANY PAYMENTS UNDER THE PROGRAM) IS SUBJECT TO THE REVIEW AND APPROVAL OF THE EXECUTIVE COMPENSATION COMMITTEE AND INDEPENDENT COMPENSATION CONSULTANT, IN CONSIDERATION OF CODE SECTION 4958 (AND THE CORRESPONDING TREASURY REGULATIONS) TO ENSURE THAT IT REFLECTS ARMS LENGTH, FAIR MARKET TERMS. VISIONARY ENTERPRISES INC SHARE BD MEMBER 1695673 HLTH & PHARM/MGMT false FORM 990 - ORGANIZATION'S MISSION COMMUNITY HOSPITAL SOUTH,INC. ("CHS") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHS OPERATES A GENERAL ACUTE CARE HOSPITAL AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. FORM 990 FORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS COMMUNITY HOSPITAL SOUTH, INC. ("CHS") IS AN AFFILIATE OF COMMUNITY HEALTH NETWORK ("THE NETWORK"), AN INTEGRATED HEALTH DELIVERY SYSTEM. CHS IS CONTROLLED BY ITS PARENT, COMMUNITY HEALTH NETWORK, INC ("CHNW"), THE TAX- EXEMPT PARENT OF THE INTEGRATED HEALTH DELIVERY SYSTEM. CHS' ARTICLES OF INCORPORATION AND BYLAWS DESIGNATE THE MEMBERS OF THE BOARD OF DIRECTORS OF CHNW TO BE THE DIRECTORS OF CHS. CHNW EXERCISES CONTROL OVER CHS THROUGH A SERIES OF GOVERNANCE RIGHTS: A) CHNW IS THE SOLE MEMBER OF CHS; B) CHS HAS DELEGATED EXCLUSIVE AUTHORITY TO CHNW, ACTING THROUGH CHNW'S BOARD OF DIRECTORS, IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING; CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIANCE; EXECUTIVE COMPENSATION; AND DISPUTE RESOLUTION; C) CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF CHS' ARTICLES OF INCORPORATION; AND D) CHNW MUST APPROVE ANY SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF CHS. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW HAS DELEGATED AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION, INCLUDING CHS' EXECUTIVES, TO A NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN SUM, CHS HAS REMOVED ANY RISK OF INAPPROPRIATE RELATED PARTY TRANSACTIONS BY DELEGATING (THROUGH CHNW) ITS EXECUTIVE COMPENSATION DECISIONS TO A NETWORK EXECUTIVE COMPENSATION COMMITTEE AND ITS CONFLICT OF INTEREST DECISIONS TO A NETWORK AUDIT COMMITTEE, WITH EACH COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. FORM 990, PART I, LINE 5 - NUMBER OF EMPLOYEES CHS EMPLOYEES ARE LEASED FROM COMMUNITY HEALTH NETWORK, INC. FORM 990, PART V FORM 990, PART V, LINE 1A - BOX 3 OF FORM 1096 FORM 1099S WERE PROCESSED UNDER THE NAME AND FEDERAL IDENTIFICATION NUMBER OF COMMUNITY HEALTH NETWORK, INC. FORM 990, PART VI FORM 990, PART VI, LINE 1B - VOTING MEMBERS THAT ARE INDEPENDENT SEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE FORM 990, PART VI, LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS THE BOARD OF DIRECTORS FOR CHS IS ALSO THE BOARD OF DIRECTORS FOR THE FOLLOWING ORGANIZATIONS: COMMUNITY HEALTH NETWORK, INC. COMMUNITY HOME HEALTH SERVICES, INC., HEALTH INSTITUTE OF INDIANA, INC., INDIANA HEART HOSPITAL, LLC, AND INDIANAPOLIS OSTEOPATHIC HOSPITAL, INC. IN ADDITION, JEFFREY KIRKHAM SERVED AS AN OFFICER OF CHNW AND RECEIVED COMPENSATION FROM CHNW. BRYAN A. MILLS ALSO RECEIVED COMPENSATION FROM CHNW. THE FOLLOWING DIRECTORS ALSO SERVED AS A DIRECTOR OF COMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI"): 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 SERVED AS DIRECTORS OF COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC. ("CHA"): BRYAN A. MILLS CHARLES E. STALEY THE FOLLOWING DIRECTORS/OFFICERS ALSO SERVED AS A DIRECTOR/OFFICER OF COMMUNITY HOWARD REGIONAL HEALTH, INC. ("CHRH"): BRYAN A. MILLS JEFFREY KIRKHAM THE FOLLOWING DIRECTORS SERVED AS DIRECTORS OF VISIONARY ENTERPRISES, INC., A TAXABLE AFFILIATE OF CHNW: BRUCE F. KING BRYAN A. MILLS JEFFREY A. MOSSLER, M.D. FORM 990, PAGE 6, PART VI, LINE 3 CHS HAS DELEGATED EXCLUSIVE AUTHORITY TO CHNW, ACTING THROUGH CHNW'S BOARD OF DIRECTORS, IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING, CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIANCE; EXECUTIVE COMPENSATION; AND DISPUTE RESOLUTION. IN ADDITION, CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF CHS' ARTICLES OF INCORPORATION. FINALLY, CHNW MUST APPROVE ANY MATERIAL SALE OR DISPOSITION OF THE ASSETS OF CHS. FORM 990, PAGE 6, PART VI, LINE 6 SEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE FORM 990, PAGE 6, PART VI, LINE 7A SEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE FORM 990, PAGE 6, PART VI, LINE 7B SEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE FORM 990, PAGE 6, PART VI, LINE 11B AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY FOR CHS' AUDIT, COMPLIANCE, AND EXECUTIVE COMPENSATION MATTERS. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHS' FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHS' FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CHS' FORM 990. IN ADDITION, CHS' OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHS AND CHNW UTILIZED THIS PROCESS TO ENSURE THAT CHS' FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHS' ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE. FORM 990, PAGE 6, PART VI, LINE 12C AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY FOR CHS' AUDIT AND COMPLIANCE MATTERS. CHNW HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO CHS. THE CONFLICT OF INTEREST POLICY REQUIRES DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THE ANNUAL DISCLOSURE REQUIRES DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO DISCLOSE, IN WRITING, ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL (TOGETHER WITH FAMILY MEMBERS) HAS IN ANY BUSINESS ENTITY THAT TRANSACTS BUSINESS WITH CHS. IN ADDITION, DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST THAT ARISES MID-YEAR IN RELATION TO A PROPOSED TRANSACTION. THE CONFLICT OF INTEREST POLICY REQUIRES THAT ANY INDIVIDUAL WITH A CONFLICT BE RECUSED FROM THE DECISION MAKING PROCESS, THAT INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS DETERMINE THAT THE PROPOSED TRANSACTION IS IN THE BEST INTEREST OF CHS, AND THE TRANSACTION MUST BE APPROVED BY A VOTE OF INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS WITHOUT THE PARTICIPATION OF ANY INTERESTED INDIVIDUAL. THE ANNUAL CONFLICT DISCLOSURE STATEMENTS ARE SUBMITTED TO, AND REVIEWED BY, CHNW'S AUDIT COMMITTEE, COMPOSED OF INDEPENDENT DIRECTORS. IN ADDITION, THE EXECUTIVE STAFF AND GENERAL COUNSEL OF THE NETWORK ARE RESPONSIBLE FOR MONITORING ANY POSSIBLE CONFLICT TRANSACTIONS THAT ARISE AND MANAGING THEM TO ENSURE THAT ALL TRANSACTIONS REPRESENT ARMS LENGTH, FAIR MARKET VALUE TERMS FOR THE BENEFIT OF CHS. FORM 990, PAGE 6, PART VI, LINE 15A AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY FOR CHS' EXECUTIVE COMPENSATION MATTERS. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO CHS. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHS' COMPENSATION ARRANGEMENTS WITH RELATED PARTIES ARE EVALUATED AND ENTERED AT ARMS LENGTH AND THAT ANY COMPENSATION THAT IS PAID TO A RELATED PARTY IS REASONABLE AND REFLECTS FAIR MARKET VALUE. THIS POLICY ENCOURAGES THE APPLICATION OF THE REBUTTABLE PRESUMPTION STANDARD OF CODE SECTION 4958 AND THE RELATED TREASURY REGULATIONS BY: A) EXCLUDING ANY INTERESTED PARTY FROM THE DECISION MAKING PROCESS, B) REQUIRING DISINTERESTED BOARD OR COMMITTEE MEMBERS TO OBTAIN AND RELY UPON COMPARABILITY DATA WHEN SETTING THE PROPOSED COMPENSATION TERMS, C) REQUIRING APPROVAL OF THE TRANSACTION IN ADVANCE BY DISINTERESTED DIRECTORS OR COMMITTEE MEMBERS, AND D) REQUIRING CONTEMPORANEOUS DOCUMENTATION (I.E. MINUTES) REFLECTING THE DECISION AND THE PROCESS BY WHICH IT WAS MADE. CHNW ALSO DELEGATED AUTHORITY REGARDING CHS' EXECUTIVE COMPENSATION TO A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS, WHICH IS RESPONSIBLE FOR APPLYING THE TERMS AND PROCESS OF THE EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY AS OUTLINED ABOVE, AND B) THE NETWORK VICE PRESIDENT OF HUMAN RESOURCES WHO IS RESPONSIBLE FOR OBTAINING COMPARATIVE SALARY MARKET DATA FOR THE CHIEF EXECUTIVE OFFICER, OFFICERS, AND KEY EMPLOYEES, PERIODICALLY ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ESTABLISH REASONABLE COMPENSATION, AND PROVIDING STAFF SUPPORT TO THE NETWORK EXECUTIVE COMPENSATION COMMITTEE. DURING 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) AS AN AFFILIATE OF CHNW, CHS HAS ADOPTED THE NETWORK CONFLICT OF INTEREST POLICY. WHILE THIS POLICY IS NOT AVAILABLE TO THE PUBLIC, THE NETWORK'S DEFINITION OF CONFLICT OF INTEREST AND HOW TO REPORT SUCH AN INCIDENT IS DESCRIBED IN THE NETWORK RESPONSIBILITY AND COMPLIANCE PROGRAM ("NRCP") MANUAL WHICH IS POSTED ON THE NETWORK'S WEBSITE, ECOMMUNITY.COM. THIS MANUAL IS AVAILABLE FOR THE PUBLIC TO REVIEW. C) CHS DOES NOT HAVE INDIVIDUALLY AUDITED FINANCIAL STATEMENTS. ITS FINANCIAL RESULTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CHNW AND AFFILIATES. AS SUCH, THERE ARE NO INDIVIDUAL FINANCIAL STATEMENTS TO POST. CHS DOES FILE THE 990 TAX RETURN ON AN ANNUAL BASIS WHICH IS AVAILABLE UPON REQUEST AND/OR AVAILABLE ON A DELAYED BASIS ON GUIDESTAR.ORG. D) COMMUNITY HEALTH NETWORK, INC. AND AFFILIATES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL MEDICAL FEES 2,912,834 1,356,977 0 PURCHASED SERVICES 7,254,551 25,204,679 0 COMMUNITY HEALTH NETWORK INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 350983617 HOSP IN 501C3 3 NA false COMMUNITY HEALTH NETWORK FOUNDATION 7240 SHADELAND STATION SUITE 125 INDIANAPOLIS IN 46256 510181688 SUPPORT IN 501C3 11B CHNW true COMMUNITY HLTH SERVICES OF INDIANA 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 454817436 HLTH CARE IN 501C3 3 CHNW true COMMUNITY HOME HEALTH SERVICES INC 9894 EAST 121ST STREET FISHERS IN 46037 350953467 HLTH CARE IN 501C3 9 CHNW true COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 351069822 HOSPITAL IN 501C3 3 CHNW true COMMUNITY HOSP ANDERSON FDN INC 1515 NORTH MADISON AVENUE ANDERSON IN 46011 861053152 SUPPORT IN 501C3 11A CHA true COMMUNITY HOWARD REGIONAL HEALTH 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351865344 HOSPITAL IN 501C3 3 CHNW true COMM HOWARD REGIONAL HEALTH FDN PO BOX 9011 KOKOMO IN 46904 237309596 SUPPORT IN 501C3 7 NA false COMMUNITY LTC INC 1031 MONTICELLO DRIVE ANDERSON IN 46011 351877441 HLTH CARE IN 501C3 9 CHA true COMMUNITY PHYSICIANS OF IN INC 7240 SHADELAND STATION SUITE 300 INDIANAPOLIS IN 46256 205392766 PHY SRV IN 501C3 9 CHNW true HEALTH INSTITUTE OF INDIANA INC 3660 GUION ROAD INDIANAPOLIS IN 46222 352022402 FITNESS IN 501C3 9 CHNW true INDIANA HEART HOSPITAL LLC 8075 NORTH SHADELAND AVENUE INDIANAPOLIS IN 46250 352123783 HOSPITAL IN 501C3 3 CHNW true INDIANAPOLIS OSTEOPATHIC HOSP INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351094734 HOSPITAL IN 501C3 3 CHNW true WESTVIEW HOSPITAL FOUNDATION INC 3630 GUION ROAD INDIANAPOLIS IN 46222 311036451 SUPPORT IN 501C3 11A IOH true BROWNSBURG OFFICE CENTER 2 LLP 321 E NORTHFIELD BROWNSBURG IN 46112 351929859 LEASING IN N/A false false CHNJMH VENTURES LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 462356266 DIAG/REHAB IN N/A false false COMMUNITY ENDOSCOPY CENTER LLC 1601 N MADISON AVENUE SUITE 300 ANDERSON IN 46011 611464136 HLTH CARE IN N/A false false COMM HEALTH NETWORK REHAB HOSP LLC 7343 CLEARVISTA DRIVE INDIANAPOLIS IN 46256 453414249 REHAB IN N/A false false EAST CAMPUS SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 352028517 SURGERY IN N/A false false HAMILTON SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 352061413 SURGERY IN N/A false false HOWARD COMMUNITY SURGERY CTR LLC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 352118748 SURGERY IN N/A false false HOWARD REGIONAL SPECIALTY CARE LLC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 371501021 REHAB IN N/A false false INDIANA SPECIALTY GROUP LLC 7240 SHADELAND STATION SUITE 300 INDIANAPOLIS IN 46256 351976258 HLTH CARE IN N/A false false INDIANAPOLIS ENDOSCOPY CENTER LLC 7353 E 121ST STREET INDIANAPOLIS IN 46219 352010874 HLTH CARE IN N/A false false MICHIGAN SURGERY INVESTMENT LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 320147008 SURG CTRS IN N/A false false NORTH CAMPUS OFFICE ASSOCIATES LP 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 351808625 RNTL PROP IN N/A false false NORTH CAMPUS SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 352147088 SURGERY IN N/A false false NORTHPOINT PEDIATRICS LLC 8101 CLEARVISTA PARKWAY SUITE 185 INDIANAPOLIS IN 46256 351960566 HLTH CARE IN N/A false false NORTHWEST SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 208754071 SURGERY IN N/A false false PILLARS HOUSING LP 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652671 HOUSING IN N/A false false SOUTH CAMPUS SURGERY CENTER LLC 1550 EAST COUNTY LINE ROAD INDIANAPOLIS IN 46227 352038072 SURGERY IN N/A false false CHN ASSURANCE COMPANY LTD PO BOX 1051GT GRAND CAYMAN GRAND CAYMAN CJ 980418913 INSURANCE CJ N/A true MIDWEST RACQUETBALL INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351396016 HLTH IN N/A true PILLARS COMMUNITY HOUSING INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652666 HOUSING IN N/A true VISIONARY ENTERPRISES INC 6626 EAST 75TH STREET INDIANAPOLIS IN 46250 351538433 MGMT SRVS IN N/A true VEI MICHIGAN INC 940 N MAIN STREET ANN HARBOR MI 48104 300097377 MGMT SRVS MI N/A true WESTVIEW DELIVERY SYSTEM INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351910292 MGMT SRVS IN N/A true false false true false false false false false false true true false false false false true false true true COMMUNITY PHYSICIANS OF INDIANA INC R 736289 BOOK VALUE VISIONARY ENTERPRISESINC K 118501 BOOK VALUE VISIONARY ENTERPRISESINC P 1577172 BOOK VALUE