2015-11-13T08:30:03-06:00 2014-12-31 352032768 CASKEY & DAILY PC 4745 STATESMEN DRIVE SUITE C INDIANAPOLIS IN 46250 990 2014-01-01 351865344 COMMUNITY HOWARD REGIONAL HEALTH INC COMM 7654538371 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 JOSEPH T HOOPER PRESIDENT & CEO 7654538371 2015-11-09 true JAMES A CASKEY CPA CFP P00172185 3175852647 2015-11-13 2014 2016-04-25 22:37:26Z JOSEPH T HOOPER 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 131950603 false X WWW.ECOMMUNITY.COM X 1992 IN OUR MISSION IS TO PROVIDE EXCEPTIONAL QUALITY, PATIENT-CENTERED CARE. IN KEEPING WITH OUR MISSION, WE EMBRACE THE FOLLOWING VALUES: COMPASSION AND UNDERSTANDING; CUSTOMER SERVICE; DEDICATION AND COMMITMENT TO PROVIDE THE HIGHEST QUALITY SERVICES AND TO MEET THE NEEDS OF OUR COMMUNITY; RESPECT FOR OUR PATIENTS, VISITORS, PHYSICIANS, AND STAFF; SAFETY; A SAFE AND POSITIVE WORKING ENVIRONMENT; AND TRUTH AND INTEGRITY IN ALL ENCOUNTERS AND SERVICES OFFERED. 8 5 1251 84 0 4124320 4134866 112303885 122246624 1096188 1528252 4644525 3310341 122168918 131220083 119325 110235 0 71735381 54873075 0 0 65724719 62528517 137579425 117511827 -15410507 13708256 182696536 184512110 107136442 96436435 75560094 88075675 X OUR MISSION IS TO PROVIDE EXCEPTIONAL QUALITY, PATIENT-CENTERED CARE. IN KEEPING WITH OUR MISSION, WE EMBRACE THE FOLLOWING VALUES: COMPASSION AND UNDERSTANDING; CUSTOMER SERVICE; DEDICATION AND COMMITMENT TO PROVIDE THE HIGHEST QUALITY SERVICES AND TO MEET THE NEEDS OF OUR COMMUNITY; RESPECT FOR OUR PATIENTS, VISITORS, PHYSICIANS, AND STAFF; SAFETY; A SAFE AND POSITIVE WORKING ENVIRONMENT; AND TRUTH AND INTEGRITY IN ALL ENCOUNTERS AND SERVICES OFFERED. false false 68979986 125289442 COMMUNITY HOWARD REGIONAL HEALTH, INC. ("CHRH") OPERATES AN ACUTE CARE FULL SERVICE HOSPITAL IN KOKOMO, INDIANA WITH 162 LICENSED BEDS. IN 2014, CHRH SERVED 6,121 PATIENTS WITH A TOTAL OF 18,115 INPATIENT DAYS OF SERVICE. THE HOSPITAL ALSO PROVIDED 82,095 OUTPATIENT VISITS, WHICH INCLUDED 25,561 EMERGENCY VISITS. CHRH PROVIDES SERVICES INCLUDING WOMEN AND CHILDREN'S, CANCER CARE, CARDIOVASCULAR CARE, SURGICAL SERVICES, BEHAVIORAL HEALTH, AND PEDIATRIC SERVICES. 110235 110235 PROVIDED DONATIONS TO OTHER ORGANIZATIONS IN THE CENTRAL INDIANA COMMUNITY SERVED BY CHRH. 69090221 true true false false false false false false false false true false false false true false false true false false false false false false false false true true true false true true false false false false false false false false false true true false false false true true true true false false true 71 0 true 1251 true false false false false false false false false false false X 8 5 true true false false true true true true true false false false true true true true true false false true true IN X JOSEPH T HOOPER 7654538547 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 BRYAN A MILLS DIRECTOR 2.00 58.00 X 0 965396 311390 TIMOTHY HOBBS MD DIRECTOR 2.00 48.00 X 0 581945 194418 BENJAMIN CHIU MD DIRECTOR 2.00 X 0 0 0 JAY FREEMAN CHAIRMAN 2.00 X X 0 0 0 ROBERT HAYES DIRECTOR 2.00 X 0 0 0 LYNETTE HAZELBAKER MD DIRECTOR 2.00 X 0 0 0 TOM HILLIGOSS VICE CHAIRMA 2.00 X X 0 0 0 LYNDA NARWOLD RN SECRETARY 2.00 X X 0 0 0 JAMES ALENDER CEO THRU JUN 60.00 X 361841 0 190498 JEFFREY KIRKHAM CFO CLINICAL 0.00 60.00 X 0 307749 354482 RON LEWIS INTER. CEO T 0.00 60.00 X 0 251558 94078 THEODORE BROWN COO/CFO THRU 60.00 X 241746 0 139932 JOSEPH T HOOPER PRESIDENT & 60.00 X 80865 0 0 JOHN SCHILTZ MD PSYCHIATRIST 50.00 X 346131 0 42616 ERIKA CORNETT MD PSYCHIATRIST 50.00 X 329386 0 26157 ARUN AGRAWAL MD PHYSICIAN 50.00 X 231724 0 9367 MEDOLI GREENE VP PATIENT C 40.00 X 178354 0 89670 PAUL DELUISE VP CLIN SUPP 40.00 X 165668 0 43159 1935715 2106648 1495767 35 false true false CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 CLINICAL SYSTEM 4603648 MID AMERICA CLINICAL LABORATORIES 2560 N SHADELAND AVENUE INDIANAPOLIS IN 46219 LAB SERVICES 1086017 LEIDOS HEALTH PO BOX 223866 PITTSBURGH PA 152512866 CONSULTING 716694 ICE MILLER 27230 NETWORK PLACE CHICAGO IL 606731272 LEGAL 661063 EMCARE INC 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ER PHYSICIANS 483524 24 96120 4021861 16885 35382 4134866 PATIENT SERVICES 622110 120002852 120002852 LAB SERVICES 621500 1041358 1041358 RENT 531120 998910 998910 MISCELLANEOUS MEDICAL REVENUE 900099 203504 203504 122246624 732041 732041 807000 719731 692459 38061 114541 681670 796211 796211 EMR MEANINGFUL USE REVENUE 900099 1350697 1350697 EQUIPMENT RENTAL 532420 732510 732510 INSURANCE INCENTIVES 900099 560798 560798 666336 398813 267523 3310341 131220083 125289442 1795775 X 110235 110235 762614 762614 43335157 28662211 14672946 1888723 953077 935646 5828526 205467 5623059 3058055 2010758 1047297 855296 855296 172119 172119 13662134 7052986 6609148 422854 422854 5718571 2360911 3357660 1707009 1707009 2407230 245409 2161821 120576 43867 76709 1804665 1804665 8782912 16827 8766085 949275 23751 925524 MEDICAL SUPPLIES 20177070 20177070 HAF PROGRAM FEES 4838305 4838305 DUES & SUBSCRIPTIONS 264330 203649 60681 MEDICAL LICENSES 252177 252177 393994 226512 167482 117511827 69090221 48421606 0 68239 43738 6085051 18707675 25490141 20980589 4975304 4352464 773371 547805 111992359 17821368 99576382 94170991 24447135 27075727 17271831 17198592 4009082 1434529 182696536 184512110 14279874 14101083 44470000 43480000 9969558 517970 3943314 3680118 34473696 34657264 107136442 96436435 X 75560094 88075675 75560094 88075675 182696536 184512110 X 13708256 -2486346 1293671 X false true X true true true X 1617077 4124320 4134866 9876263 1617077 4124320 4134866 9876263 9876263 619778 560556 732041 1912375 267523 267523 12056161 311561037 0.81920 0.82950 X SUPPLEMENTAL INFORMATION PART II, LINE 10 - OTHER INCOME CAFETERIA SALES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4728000 4728000 88718052 7369362 81348690 15088875 9519016 5569859 3457432 932990 2524442 94170991 DUE TO AFFILIATES 26422705 DERIVATIVE INTEREST 7327330 THIRD PARTY SETTLEMENTS 907229 34657264 true true X true X true X true true false true true 433 1992711 1992711 0.01700 2315 19158202 14209586 4948616 0.04210 2748 21150913 14209586 6941327 0.05910 2 39 2374 2374 2 1110239 42508 1067731 0.00910 4 39 1112613 42508 1070105 0.00910 4 2787 22263526 14252094 8011432 0.06820 1 210463 210463 0.00180 1 210463 210463 0.00180 true 3482732 33696254 43505311 -9809057 X true true HOWARD COMM SURG CTR SURGERY 0.55000 0.23000 2 1 COMMUNITY HOWARD REGIONAL HEALTH 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 SEE PART V, SECTION C 14-005007-1 X X X A 2 HOWARD REGIONAL SPECIALTY CARE 829 NORTH DIXON ROAD KOKOMO IN 46901 SEE PART V, SECTION C 14-003868-1 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 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 HOWARD REGIONAL HEALTH - 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 HOWARD REGIONAL HEALTH - PART V, LINE 6A THE CHNA FOR COMMUNITY HOWARD REGIONAL HEALTH, 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. GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 7D HTTP://WWW.ECOMMUNITY.COM/S/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT HTTP://WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - 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 HOWARD REGIONAL HEALTH - PART V, LINE 13H OTHER CRITERIA INCLUDE MEDICAID/MEDICARE AND STATE REGULATION GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - PART V, LINE 16I THE POLICY IS REFERENCED ON THE BILL. GROUP A, FACILITY 1, COMMUNITY HOWARD REGIONAL HEALTH - 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 2, HOWARD REGIONAL SPECIALTY CARE - 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 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 6A THE CHNA FOR COMMUNITY HOWARD REGIONAL HEALTH, 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. GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 7D WWW.ECOMMUNITY.COM/S/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 7B WWW.COMMUNITYANDERSON.COM/ABOUTUS/COMMUNITYNEEDSASSESSMENT.ASP GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 10A THE IMPLEMENTATION STRATEGY IS IN THE CHNA REPORT FOUND AT WWW.ECOMMUNITY.COM/ABOUTUS/CARE.ASPX GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - 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 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 13H OTHER CRITERIA INCLUDE MEDICAID/MEDICARE AND STATE REGULATION GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - PART V, LINE 16I THE POLICY IS REFERENCED ON THE BILL. GROUP A, FACILITY 2, HOWARD REGIONAL SPECIALTY CARE - 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. 29 NORTH CENTRAL INDIANA PEDIATRIC CTR 3506 S LAFOUNTAIN STREET KOKOMO IN 46902 PHYSICIAN'S OFFICE COMMUNITY ONCOLOGY 3506 S LAFOUNTAIN STREET KOKOMO IN 46902 PHYSICIAN'S OFFICE WOMENS' CENTERIMAGING CENTER 2201 W BOULEVARD KOKOMO IN 46902 DIAGNOSTIC CENTER COMMUNITY OBGYN CENTER 3510 S LAFOUNTAIN STREET KOKOMO IN 46902 PHYSICIAN'S OFFICE COMMUNITY HOWARD GASTROENTEROLOGY 3611 S REED ROAD SUITE 108 KOKOMO IN 46902 PHYSICIAN'S OFFICE HAENDIGES & ASSOCIATES 2030 W BOULEVARD KOKOMO IN 46902 PHYSICIAN'S OFFICE KOKOMO PULMONARY PRACTICE 2401 COLUMBUS BLVD KOKOMO IN 46902 PHYSICIAN'S OFFICE SPINE & SPORTS MEDICINE CENTER 226 WEST ALTO ROAD KOKOMO IN 46902 PHYSICIAN'S OFFICE COMMUNITY HOWARD ORTHOPAEDICS 2312 SOUTH DIXON ROAD KOKOMO IN 46901 PHYSICIAN'S OFFICE MEDICAL SURGICAL ASSOCIATES 401 E REYNOLDS DRIVE KOKOMO IN 46902 PHYSICIAN'S OFFICE REPLAY PHYSICAL THERAPY 2312 S DIXON ROAD 260 KOKOMO IN 46902 REHABILITATION CENTER INDIANA SINUS & ENT 3425 S LAFOUNTAIN STREET KOKOMO IN 46902 PHYSICIAN'S OFFICE COMMUNITY SURGERY CENTER 3503 S REED ROAD KOKOMO IN 46902 SURGERY CENTER INTERVENTIONAL PAIN MANAGEMENT 3611 S REED ROAD SUITE 214 KOKOMO IN 46902 PHYSICIAN'S OFFICE KUENZLI INTERNAL MEDICINE 3512 S LAFOUNTAIN STREET KOKOMO IN 46902 PHYSICIAN'S OFFICE KOKOMO SPORTS CENTER 111 W SOUTHWAY BLVD KOKOMO IN 46902 REHAB/FITNESS CENTER HOWARD REG DIABETES & ENDOCRINOLOGY 3509 S REED ROAD KOKOMO IN 46902 PHYSICIAN'S OFFICE COMM PHY NTWK HEART & VASCULAR CARE 208 CORWIN LANE KOKOMO IN 46902 PHYSICIAN'S OFFICE SEDAGHAT INTERNAL MED & PEDIATRICS 118 S MERIDIAN STREET GREENTOWN IN 46936 PHYSICIAN'S OFFICE ANDREW MANDERY MD FACS 1948 W BOULEVARD KOKOMO IN 46902 PHYSICIAN'S OFFICE NORTH CENTRAL IN CARDIO & THORACIC 3611 S REED ROAD SUITE 103 KOKOMO IN 46902 PHYSICIAN'S OFFICE FACIAL PLASTIC SURGERY & ENT 2220 WEST ALTO ROAD KOKOMO IN 46902 PHYSICIAN'S OFFICE COMMUNITY HOWARD WOUND CLINIC 408 SOUTHWAY BLVD EAST KOKOMO IN 46902 CLINIC HEALTHY CHILDREN HEALTHY TEENS 117 - 119 W SYCAMORE STREET KOKOMO IN 46902 CLINIC COMMUNITY FAMILY HEALTH CENTER 3508 S LAFOUNTAIN STREET KOKOMO IN 46902 PHYSICIAN'S OFFICE COMMUNITY HOWARD INTERNAL MED & PED 806 S BERKLEY ROAD KOKOMO IN 46901 PHYSICIAN'S OFFICE GATEWOOD INTERNAL MEDICINE 3611 S REED ROAD SUITE 212 KOKOMO IN 46902 PHYSICIAN'S OFFICE NORTH CENTRAL INDIANA INTERNISTS 3504 S LAFOUNTAIN STREET KOKOMO IN 46902 PHYSICIAN'S OFFICE NORTH CENTRAL INDIANA PEDIATRIC CTR GRISSOM AEROPLEX 1200 KITTY HAWK PERU IN 46970 PHYSICIAN'S OFFICE PART I, LINE 6A - RELATED ORGANIZATION INFORMATION A COMMUNITY BENEFIT REPORT IS COMPLETED FOR THE COMMUNITY HEALTH NETWORK INCLUDING COMMUNITY HOWARD REGIONAL HEALTH, 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 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 NETWORK'S 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 OF 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 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 2,790,370. AS SUCH, THE TOTAL MEDICARE SHORTFALL FOR ALL MEDICARE PROGRAMS IS 12,599,427. MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE MEDICARE REPRESENTS 53.25% OF THE OVERALL PAYER MIX FOR COMMUNITY HOWARD REGIONAL HEALTH, 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 HOWARD REGIONAL HEALTH, INC. ("CHRH") IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. SEE THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW CHRH IS INVOLVED IN PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES. PART VI, ITEM 7 - STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA true HOWARD COUNTY 4-H FAIR PO BOX 275 610 EAST PAYTON ST GREENTOWN IN 46936 356263604 501C4 25000 GENERAL SUPPORT INDIANA UNIVERSITY FOUNDATION 2300 S WASHINGTON KOKOMO IN 46902 356018940 501C3 10500 GENERAL SUPPORT MENTAL HEALTH AMERICA OF HOWARD CTY 507 N WEBSTER KOKOMO IN 46901 350965636 501C3 19500 GENERAL SUPPORT UNITED WAY OF HOWARD COUNTY 210 W WALNUT STREET KOKOMO IN 46901 350877579 501C3 10250 GENERAL SUPPORT YMCA 200 N UNION STREET KOKOMO IN 46901 350893511 501C3 10500 GENERAL SUPPORT 4 1 SCHEDULE I, PAGE 1, PART I, LINE 2 PRIOR TO THE DISBURSEMENT OF ANY GRANT PROCEEDS, CHRH ENSURES THAT THE PURPOSE OF THE GRANT IS CONSISTENT WITH CHRH'S CHARITABLE PURPOSES. THE TERMS OF ALL GRANTS REQUIRE THAT THE RECIPIENT EXPEND THE FUNDS SOLELY FOR CHARITABLE PURPOSES. FOR THE FUNDS DONATED TO HELP SUPPORT MENTAL HEALTH AMERICA, THE FINANCIAL STATEMENTS ARE REVIEWED BY THE CHIEF ADMINISTRATIVE & CLINICAL OFFICER, BEHAVIORAL HEALTH DIVISION OF CHRH. true true false false false false false true false BRYAN A MILLS DIRECTOR 899084 46200 20112 286605 24785 1276786 46200 TIMOTHY HOBBS MD DIRECTOR 531002 32079 18864 175757 18661 776363 32079 JAMES ALENDER CEO THRU JUNE 152789 11683 197369 173146 17352 552339 11683 JEFFREY KIRKHAM CFO CLINICAL ENTREPR 293123 12999 1627 329903 24579 662231 12999 RON LEWIS INTER. CEO THRU DEC. 236299 14021 1238 70067 24011 345636 THEODORE BROWN COO/CFO THRU DEC. 104749 6430 130567 114681 25251 381678 JOHN SCHILTZ MD PSYCHIATRIST 240465 80243 25423 15600 27016 388747 ERIKA CORNETT MD PSYCHIATRIST 303397 25989 15600 10557 355543 ARUN AGRAWAL MD PHYSICIAN 231724 9367 241091 MEDOLI GREENE VP PATIENT CARE SVCS 172217 4718 1419 73790 15880 268024 PAUL DELUISE VP CLIN SUPP SVCS 160432 4346 890 34973 8186 208827 SCHEDULE J, PAGE 1, PART I, LINE 4 JAMES ALENDER 195,367 0 0 THEODORE BROWN 129,763 0 0 SCHEDULE J, PART III PART I, LINE 3 - RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION COMMUNITY HOWARD REGIONAL HEALTH, INC. ("CHRH") 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. DURING 2014, MR. MILLS DID NOT RECEIVE A PAYMENT FROM SUCH PLAN. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED CHRH 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 45479RAB3 2012-07-01 45420000 SEE PART VI false false false A 1975000 45420000 45420000 true false true true A false true true true true true true false true A false false true false true false false false true SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION INDIANA FINANCE AUTHORITY CURRENT REFUNDING OF THE INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 2005A AND 2005B (HOWARD REGIONAL HEALTH SYSTEM PROJECT) ISSUED ON AUGUST 31, 2005. SCHEDULE K - ADDITIONAL INFORMATION INDIANA FINANCE AUTHORITY PART III, LINE 7 - THE BOND IS NOT A PRIVATE ACTIVITY BOND BECAUSE IT DOES NOT MEET THE PRIVATE BUSINESS USE TEST. PART IV, LINE 2C COLUMN A - DATE REBATE COMPUTATION PERFORMED THE BONDS MET THE 6 MONTH SPENDING EXCEPTION AS OF THE ISSUE DATE OF 07/01/12. KOKOMO SURGICAL GROUP LLC BD MBR - PARTNR 335000 MEDICAL SERVICES false X 1 35382 false false false FORM 990 - ORGANIZATION'S MISSION OUR MISSION IS TO PROVIDE EXCEPTIONAL QUALITY, PATIENT-CENTERED CARE. IN KEEPING WITH OUR MISSION, WE EMBRACE THE FOLLOWING VALUES: COMPASSION AND UNDERSTANDING; CUSTOMER SERVICE; DEDICATION AND COMMITMENT TO PROVIDE THE HIGHEST QUALITY SERVICES AND TO MEET THE NEEDS OF OUR COMMUNITY; RESPECT FOR OUR PATIENTS, VISITORS, PHYSICIANS, AND STAFF; SAFETY; A SAFE AND POSITIVE WORKING ENVIRONMENT; AND TRUTH AND INTEGRITY IN ALL ENCOUNTERS AND SERVICES OFFERED. FORM 990, PART VI FORM 990, PART VI, LINE 2 - RELATED PARTY INFORMATION AMONG OFFICERS THE FOLLOWING DIRECTORS SERVED AS DIRECTORS OR OFFICERS OF COMMUNITY HEALTH NETWORK, INC. ("CHNW") AND ALSO RECEIVED COMPENSATION FROM CHNW: TIMOTHY HOBBS, M.D. BRYAN A. MILLS JEFFREY KIRKHAM RON LEWIS THE FOLLOWING DIRECTORS SERVED AS DIRECTORS OF COMMUNITY PHYSICIANS OF INDIANA INC. ("CPI"): TIMOTHY HOBBS, M.D. BRYAN A. MILLS THE FOLLOWING DIRECTORS/OFFICERS SERVED AS DIRECTORS OF COMMUNITY HOSPITAL SOUTH ("CHS"): JEFFREY KIRKHAM BRYAN A. MILLS FORM 990, PAGE 6, PART VI, LINE 3 CHRH HAS DELEGATED EXCLUSIVE AUTHORITY TO COMMUNITY HEALTH NETWORK ("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 CHRH'S ARTICLES OF INCORPORATION. FINALLY, CHNW MUST APPROVE ANY MATERIAL SALE OR DISPOSITION OF THE ASSETS OF CHRH. FORM 990, PAGE 6, PART VI, LINE 6 COMMUNITY HEALTH NETWORK, INC. ("CHNW") IS THE SOLE MEMBER OF CHRH. CHNW IS AN EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3). FORM 990, PAGE 6, PART VI, LINE 7A COMMUNITY HEALTH NETWORK, INC. ("CHNW") AS THE SOLE MEMBER OF CHRH APPOINTS A MAJORITY OF THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 7B THE FOLLOWING GOVERNANCE ITEMS REQUIRE THE WRITTEN APPROVAL OF CHNW: A) AMENDMENT OF ORGANIZATIONAL DOCUMENTS; B) THE INCURRENCE OF ANY UNBUDGETED INDEBTEDNESS OR LOANS ABOVE 750,000; C) THE FORMATION OF LEGAL ENTITIES, THE SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CHRH, OR THE DIVESTURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION OR REORGANIZATION OF CHRH; D) THE ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION OF PROPERTY WHEN SUCH TRANSACTION IS ABOVE 1,000,OOO, DURING ANY FISCAL YEAR; E) DISPOSITION OF ASSETS ON DISSOLUTION; F) APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS, PLANS, OR FORECASTS APPROVED BY THE BOARD; G) THE SELECTION OF THE INDEPENDENT AUDITING FIRM EITHER DIRECTLY OR THROUGH CHNW'S AUDIT AND COMPLIANCE COMMITTEE; H) THE DETERMINATION OF PHYSICIAN AND CEO COMPENSATION EITHER DIRECTLY OR THROUGH CHNW'S COMPENSATION COMMITTEE; I) ALL UNBUDGETED CAPITAL IMPROVEMENTS, ADDITIONS AND STRUCTURAL CHANGES TO THE PROPERTY GREATER THAN THE BUDGETED AMOUNT BY 500,000 PER FISCAL YEAR IN THE AGGREGATE; J) STRATEGIC PLANS, INCLUDING THE REGIONAL PLAN; AND K) THE HIRING AND FIRING OF THE CEO SUBJECT TO THE PRIOR OPPORTUNITY FOR THE BOARD TO REVIEW AND COMMENT. FORM 990, PAGE 6, PART VI, LINE 11B CHNW HAS ASSUMED RESPONSIBILITY FOR CHRH'S AUDIT, COMPLIANCE, AND EXECUTIVE COMPENSATION MATTERS. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHRH'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHRH'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CHRH'S FORM 990. IN ADDITION, CHRH'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHRH AND CHNW UTILIZED THIS PROCESS TO ENSURE THAT CHRH'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHRH'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE. FORM 990, PAGE 6, PART VI, LINE 12C CHRH HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO ITS DIRECTORS, OFFICERS, MANAGERS, MATERIAL MANAGEMENT ASSOCIATES AND KEY EMPLOYEES. THE CONFLICT POLICY REQUIRES THESE INDIVIDUALS TO SUBMIT AN ANNUAL WRITTEN CERTIFICATION OF COMPLIANCE UNDER WHICH THESE INDIVIDUALS MUST DISCLOSE (I) FINANCIAL OR OTHER INTERESTS THE INDIVIDUAL OR ANY FAMILY MEMBER HAS WITH ANY ENTITY ENGAGED IN THE DELIVERY OF HEALTH CARE SERVICES, BIOTECHNOLOGY COMPANIES, SOFTWARE COMPANIES PROVIDING EDUCATIONAL OR CONSULTING SERVICES OR ANY OTHER COMPANY OR ORGANIZATION THAT DOES OR CONTEMPLATES DOING BUSINESS WITH CHRH, AND (II) COMPENSATION OR GIFTS RECEIVED BY THE INDIVIDUAL OR ANY FAMILY MEMBER THAT MIGHT INFLUENCE THE INDIVIDUAL'S ACTIONS. THE DISCLOSURES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, PRESIDENT/CEO AND BOARD OF DIRECTORS, AS APPROPRIATE. THE INTENT OF THE POLICY IS TO AVOID THE PARTICIPATION OF ANY INTERESTED PERSON IN THE CONSIDERATION OF A MATTER OR DECISION WHICH POSES A CONFLICT OF INTEREST FOR THAT INTERESTED PERSON. FORM 990, PAGE 6, PART VI, LINE 15A AS A MEMBER OF THE NETWORK, CHRH IS SUBJECT TO THE EXECUTIVE COMPENSATION PRACTICES AND PROCEDURES OF CHNW, THE NETWORK PARENT. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO CHRH. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHRH'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 HAS DELEGATED AUTHORITY REGARDING CHRH'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) CHRH'S CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. C) CHRH 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. CHRH 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 PURCHASED SERVICES 7,052,986 6,609,148 0 FORM 990, PART XI, LINE 9 CLOSE OUT AFFILIATE INVESTMENT 3,990,045 CLOSE OUT AFFILATE DUE FROM 2,696,374 TOTAL 1,293,671 ANDREW MANDERY MD PLASTIC SURG LLC 1948 W BOULEVARD KOKOMO IN 46902 272583026 SURGERY IN 592820 -2318620 CHRH COMM HOWARD PHYSICIAN NETWORK LLC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 462962374 BILLING IN -1215008 CHRH COMMUNITY HEALTH NETWORK INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 350983617 HOSPITAL IN 501C3 3 NA false COMMUNITY HEALTH NETWORK FOUNDATION 7240 SHADELAND STATION SUITE 125 INDIANAPOLIS IN 46256 510181688 SUPPORT IN 501C3 11B CHNW true COMMUNITY HLTH SERVICES OF INDIANA 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 454817436 HLTH CARE IN 501C3 3 CHNW true COMMUNITY HOME HEALTH SERVICES INC 9894 EAST 121ST STREET FISHERS IN 46037 350953467 HLTH CARE IN 501C3 9 CHNW true COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 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