COMMUNITY PHYSICIANS OF INDIANA INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY PHYSICIANS OF INDIANA INC (EIN 20-5392766)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-11
- IRS object ID
- 201123159349303042
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-11T14:35:17-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASKEY & DAILY PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4745 STATESMEN DRIVE SUITE C | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46250 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205392766 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY PHYSICIANS OF | BusinessNameLine1 |
| Business Name Line2 | INDIANA INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 3176217474 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7240 SHADELAND STATION SUITE 300 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46256 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERESA E CAMPBELL | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 3176217474 | Phone |
| Date Signed | 2011-11-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES A CASKEY CPA CFP | Name |
| Phone | 3175852647 | Phone |
| Date Prepared | 2011-11-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TIMOTHY HOBBS MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7240 SHADELAND STATION SUITE 300 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46256 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 83473859 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ECOMMUNITY.COM/CPI/ | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2006 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | COMMUNITY PHYSICIANS OF INDIANA, INC. IS A PHYSICIAN LED NONPROFIT CORPORATION, PART OF AN INTEGRATED HEALTH CARE NETWORK, WHICH SERVES AS THE LEADER IN PROVIDING COMPASSIONATE, QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO HELP PEOPLE ACHIEVE AND MAINTAIN OPTIMAL HEALTH IN THE COMMUNITY WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1107 | TotalNbrEmployees |
| Total Gross UBI | 52472 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 51472 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 71550873 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 82421946 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -11018 | InvestmentIncomePriorYear |
| Investment Income Current Year | -156628 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 63895 | OtherRevenuePriorYear |
| Other Revenue Current Year | 70845 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 71603750 | TotalRevenuePriorYear |
| Total Revenue Current Year | 82336163 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6050 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 70828980 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 81357609 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29604732 | OtherExpensePriorYear |
| Other Expenses Current Year | 34238458 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 100439762 | TotalExpensesPriorYear |
| Total Expenses Current Year | 115596067 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -28836012 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -33259904 | RevenuesLessExpensesCY |
| Total Assets BOY | 21577920 | TotalAssetsBOY |
| Total Assets EOY | 24798472 | TotalAssetsEOY |
| Total Liabilities BOY | 37438100 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 43206705 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -15860180 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -18408233 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | COMMUNITY PHYSICIANS OF INDIANA, INC. IS A PHYSICIAN LED NONPROFIT CORPORATION, PART OF AN INTEGRATED HEALTH CARE NETWORK, WHICH SERVES AS THE LEADER IN PROVIDING COMPASSIONATE, QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO HELP PEOPLE ACHIEVE AND MAINTAIN OPTIMAL HEALTH IN THE COMMUNITY WE SERVE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 104344327 | Expense |
| Revenue | 82421946 | Revenue |
| Description | COMMUNITY PHYSICIANS OF INDIANA, INC. (CPI) IS A PHYSICIAN GOVERNED GROUP THAT IS PART OF A PATIENT-CENTERED, INTEGRATED HEALTH CARE NETWORK WHICH WILL, THROUGH CONTINUOUS QUALITY IMPROVEMENT, CONSISTENTLY PROVIDE A BETTER EXPERIENCE FOR PATIENTS, EMPLOYEES, PHYSICIANS, AND PAYERS AND THUS BECOME THEIR NETWORK OF CHOICE. CPI INTENDS TO BE RECOGNIZED AS THE PREMIER PRIMARY CARE GROUP PRACTICE IN CENTRAL INDIANA, SETTING BENCHMARK STANDARDS IN PHYSICIAN LOYALTY, QUALITY, SERVICE, AND COST PERFORMANCE. IN 2010, CPI'S PATIENT VISITS WERE 627,110. | Description |
| Total Program Service Expense | 104344327 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 67 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1107 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TERESA E CAMPBELL | NamePerson |
| Telephone Number | 3176217107 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7240 SHADELAND STATION SUITE 300 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46256 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| BRYAN A MILLS | |||||||||
| DIRECTOR | 5.00 | X | 0 | 1065810 | 288164 | ||||
| ERNEST O ASAMOAH MD | |||||||||
| CHAIRMAN | 40.00 | X | 450971 | 0 | 39451 | X | |||
| TIMOTHY HOBBS MD | |||||||||
| DIRECTOR | 40.00 | X | 338594 | 7692 | 48277 | X | |||
| STEVEN GATEWOOD MD | |||||||||
| DIRECTOR | 40.00 | X | 336876 | 0 | 34210 | ||||
| JILL PARRIS | |||||||||
| DIRECTOR | 5.00 | X | 0 | 326602 | 70135 | ||||
| PAUL WILSON MD | |||||||||
| DIRECTOR | 40.00 | X | 296739 | 0 | 26138 | ||||
| DAVID A SHAPIRO MD | |||||||||
| TREASURER | 40.00 | X | 276096 | 0 | 32614 | X | |||
| KENNETH A SHAVER MD | |||||||||
| DIRECTOR | 40.00 | X | 255536 | 0 | 23470 | ||||
| THOMAS A FERRARA MD | |||||||||
| DIRECTOR | 40.00 | X | 168558 | 73346 | 44251 | ||||
| WENDY T BYERS MD | |||||||||
| DIRECTOR | 40.00 | X | 238308 | 0 | 37294 | ||||
| DAVID FELKINS MD | |||||||||
| DIRECTOR | 40.00 | X | 236745 | 0 | 35637 | ||||
| JOHN MILLER MD | |||||||||
| DIRECTOR | 40.00 | X | 204932 | 12357 | 30886 | ||||
| RONALD DUNCAN MD | |||||||||
| SECRETARY | 40.00 | X | 208615 | 0 | 36565 | X | |||
| WILFREDO SOUCHET MD | |||||||||
| VICE CHAIRMA | 40.00 | X | 204971 | 0 | 36625 | X | |||
| MICHAEL ALLEY | |||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||||
| MICHAEL COPPER ED D | |||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | ||||
| THOMAS VANDERGRIFT | |||||||||
| COO | 40.00 | 221779 | 0 | 48032 | X | ||||
| TERESA E CAMPBELL | |||||||||
| CFO | 40.00 | 0 | 182542 | 44003 | X | ||||
| PATRICK RANKIN | |||||||||
| CMO | 40.00 | 229094 | 0 | 33657 | X | ||||
| AMY HAYES MD | |||||||||
| PHYSICIAN | 40.00 | 593959 | 16 | 40399 | X | ||||
| CHARLES SALAZAR MD | |||||||||
| PHYSICIAN | 40.00 | 560521 | 0 | 24153 | X | ||||
| KEVIN HENDERZAHS MD | |||||||||
| PHYSICIAN | 40.00 | 553630 | 2956 | 37724 | X | ||||
| WA'EI BAKDASH MD | |||||||||
| PHYSICIAN | 40.00 | 537278 | 0 | 42497 | X | ||||
| WILLIAM LYNN MD | |||||||||
| PHYSICIAN | 40.00 | 529852 | 0 | 41622 | X | ||||
| WILLIAM E CORLEY | |||||||||
| FORMER DIREC | 0.00 | 0 | 318315 | 52185 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6443054 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1989636 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1147989 | TotalOtherCompensation |
| Number Individuals GT100 K | 178 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE | |||||
| PO BOX 406955 | ATLANTA | GA | 30384 | EMPLOYEE INSUR | 667964 |
| JHD GROUP | |||||
| 5055 KELLER SPRING ROAD SUITE 240 | ADDISON | TX | 75001 | CONSULTING | 588506 |
| DELTA DENTAL | |||||
| GROUP 5873-1012 PO BOX 79001 | DETROIT | MI | 48279 | EMPLOYEE INSUR | 551954 |
| BRADFORD SCOTT | |||||
| 9449 PRIORITY WAY W DRIVE SUITE 200 | INDIANAPOLIS | IN | 46240 | BILLING SERVICE | 310337 |
| MID AMERICA LAB | |||||
| PO BOX 643522 | PITTSBURGH | PA | 15264 | LABORATORY | 241279 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 82421946 | TotalRevenueColumn |
| Related Or Exempt Function Income | 82421946 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 82421946 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4501 | TotalRevenueColumn |
| Exclusion | $4,501 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 860645 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1021774 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -161129 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -161129 | TotalRevenueColumn |
| Exclusion | -$161,129 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 168394 | GrossSalesOfInventory |
| Cost Of Goods Sold | 115922 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 52472 | TotalRevenueColumn |
| Unrelated Business Revenue | 52472 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| SEMINAR | 541900 | 10675 | 10675 |
| PURCHASE DISCOUNT | 900099 | 7698 | 7698 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 18373 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 82336163 | TotalRevenueColumn |
| Related Or Exempt Function Income | 82440319 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 52472 | UnrelatedBusinessRevenue |
| Exclusion | -$156,628 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4165802 | Total |
| Program Services | 3415511 | ProgramServices |
| Management And General | 750291 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63865120 | Total |
| Program Services | 61561771 | ProgramServices |
| Management And General | 2303349 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3090615 | Total |
| Program Services | 2993772 | ProgramServices |
| Management And General | 96843 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6618901 | Total |
| Program Services | 6321805 | ProgramServices |
| Management And General | 297096 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3617171 | Total |
| Program Services | 3296210 | ProgramServices |
| Management And General | 320961 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 665 | Total |
| Management And General | 665 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8017824 | Total |
| Program Services | 2343372 | ProgramServices |
| Management And General | 5674452 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 439315 | Total |
| Program Services | 324130 | ProgramServices |
| Management And General | 115185 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10148364 | Total |
| Program Services | 9774092 | ProgramServices |
| Management And General | 374272 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 901488 | Total |
| Program Services | 297909 | ProgramServices |
| Management And General | 603579 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8042650 | Total |
| Program Services | 7781222 | ProgramServices |
| Management And General | 261428 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48435 | Total |
| Program Services | 26569 | ProgramServices |
| Management And General | 21866 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 366185 | Total |
| Program Services | 265505 | ProgramServices |
| Management And General | 100680 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1885105 | Total |
| Program Services | 1707766 | ProgramServices |
| Management And General | 177339 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1770289 | Total |
| Program Services | 1725150 | ProgramServices |
| Management And General | 45139 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 2158980 | 2158980 | |
| DUES, LICENSES, SUBSCRPTN | 316773 | 284043 | 32730 |
| MEALS & ENTERTAINMENT | 63523 | 45084 | 18439 |
| RECRUITMENT | 29672 | 578 | 29094 |
| INCOME TAXES | 28281 | 28281 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20909 | Total |
| Program Services | 20858 | ProgramServices |
| Management And General | 51 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115596067 | Total |
| Program Services | 104344327 | ProgramServices |
| Management And General | 11251740 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21760 | BOY |
| EOY | 22790 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7923977 | BOY |
| EOY | 1712020 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6298053 | BOY |
| EOY | 8217185 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1521260 | BOY |
| EOY | 1402588 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 24905266 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12005113 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5812870 | BOY |
| EOY | 12900153 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 350000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 193736 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21577920 | BOY |
| EOY | 24798472 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6345892 | BOY |
| EOY | 6034459 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31092208 | BOY |
| EOY | 37172246 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37438100 | BOY |
| EOY | 43206705 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -15860180 | BOY |
| EOY | -18408233 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -15860180 | BOY |
| EOY | -18408233 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21577920 | BOY |
| EOY | 24798472 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -33259904 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 30711851 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 160167 | CurrentTaxYearMinus2Years |
| Total | 160167 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 61658516 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 67593236 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71557434 | CurrentTaxYearMinus1Year |
| Current Tax Year | 82440319 | CurrentTaxYear |
| Total | 283249505 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 61658516 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 67753403 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71557434 | CurrentTaxYearMinus1Year |
| Current Tax Year | 82440319 | CurrentTaxYear |
| Total | 283409672 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 283409672 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 606460 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 114146 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8987 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4501 | CurrentTaxYear |
| Total | 734094 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 606460 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 114146 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8987 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4501 | CurrentTaxYear |
| Total | 734094 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 12446 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 56334 | CurrentTaxYearMinus1Year |
| Current Tax Year | 51472 | CurrentTaxYear |
| Total | 120252 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 5942 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6433 | CurrentTaxYearMinus2Years |
| Total | 12375 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 62270918 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 67886428 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71622755 | CurrentTaxYearMinus1Year |
| Current Tax Year | 82496292 | CurrentTaxYear |
| Total | 284276393 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11049775 | OtherCostOrOtherBasis |
| Depreciation | 4243353 | Depreciation |
| Book Value | 6806422 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13855491 | OtherCostOrOtherBasis |
| Depreciation | 7761760 | Depreciation |
| Book Value | 6093731 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12900153 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE FROM AFFILIATES | $36,715,639 |
| DEFERRED LEASE INCENTIVE | $456,607 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 37172246 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | true | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | true | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (23 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRYAN A MILLS | |||||||||||||
| 751056 | 295514 | 19240 | 264294 | 23870 | 1353974 | ||||||||
| ERNEST O ASAMOAH MD | |||||||||||||
| 441050 | 9921 | 17211 | 22240 | 490422 | |||||||||
| TIMOTHY HOBBS MD | |||||||||||||
| 7692 | 8982 | 16674 | 336711 | 1883 | 21296 | 17999 | 377889 | ||||||
| STEVEN GATEWOOD MD | |||||||||||||
| 307630 | 29246 | 14700 | 19510 | 371086 | |||||||||
| JILL PARRIS | |||||||||||||
| 324751 | 1851 | 55610 | 14525 | 396737 | |||||||||
| PAUL WILSON MD | |||||||||||||
| 239518 | 57221 | 18562 | 7576 | 322877 | |||||||||
| DAVID A SHAPIRO MD | |||||||||||||
| 250636 | 25460 | 10986 | 21628 | 308710 | |||||||||
| KENNETH A SHAVER MD | |||||||||||||
| 182951 | 72585 | 8437 | 15033 | 279006 | |||||||||
| THOMAS A FERRARA MD | |||||||||||||
| 73346 | 73346 | 155324 | 13234 | 28432 | 15819 | 212809 | |||||||
| WENDY T BYERS MD | |||||||||||||
| 215290 | 23018 | 20750 | 16544 | 275602 | |||||||||
| DAVID FELKINS MD | |||||||||||||
| 229111 | 7634 | 20133 | 15504 | 272382 | |||||||||
| JOHN MILLER MD | |||||||||||||
| 12357 | 137 | 12494 | 172748 | 2704 | 8509 | 22240 | 235681 | 29480 | |||||
| RONALD DUNCAN MD | |||||||||||||
| 186335 | 22280 | 15509 | 21056 | 245180 | |||||||||
| WILFREDO SOUCHET MD | |||||||||||||
| 130025 | 74946 | 16985 | 19640 | 241596 | |||||||||
| THOMAS VANDERGRIFT | |||||||||||||
| 220636 | 1143 | 24007 | 24025 | 269811 | |||||||||
| TERESA E CAMPBELL | |||||||||||||
| 181466 | 1076 | 23271 | 20732 | 226545 | |||||||||
| PATRICK RANKIN | |||||||||||||
| 227938 | 1156 | 11287 | 22370 | 262751 | 100 | ||||||||
| AMY HAYES MD | |||||||||||||
| 16 | 16 | 568890 | 25069 | 15388 | 25011 | 634358 | |||||||
| CHARLES SALAZAR MD | |||||||||||||
| 551790 | 8731 | 24153 | 584674 | ||||||||||
| KEVIN HENDERZAHS MD | |||||||||||||
| 2956 | 2956 | 543923 | 9707 | 14776 | 22948 | 591354 | |||||||
| WA'EI BAKDASH MD | |||||||||||||
| 509442 | 27836 | 18422 | 24075 | 579775 | |||||||||
| WILLIAM LYNN MD | |||||||||||||
| 500891 | 28961 | 19382 | 22240 | 571474 | |||||||||
| WILLIAM E CORLEY | |||||||||||||
| 318315 | 52185 | 370500 | 248754 | ||||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | BRYAN A. MILLS 0 0 295,514 WILLIAM E. CORLEY 0 248,754 0 |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WILLIAM E. CORLEY AND BRYAN A. MILLS PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THROUGH THEIR EMPLOYER, COMMUNITY BUSINESS INNOVATIONS, INC. ("CBI"). DURING 2010, MR. CORLEY RECEIVED A PAYMENT OF 248,754 FROM THE PLAN. MR. MILLS RECEIVED AN AWARD OF 100,000 TOWARDS THE PLAN, BUT DID NOT RECEIVE A PAYMENT FROM THE PLAN IN 2010. PART I, LINE 4C - PERFORMANCE-BASED COMPENSATION ARRANGEMENT BRYAN A. MILLS PARTICIPATED IN TWO PERFORMANCE BASED PLANS DURING 2010, ONE WITH CBI AND ONE WITH VISIONARY ENTERPRISES, INC. MR. MILLS RECEIVED A PAYOUT OF 295,514 FROM ONE PLAN. HE RECEIVED AN AWARD OF 139,794 FROM THE OTHER PLAN, BUT DID NOT RECEIVE A PAYMENT FROM THAT PLAN IN 2010. PART I, LINE 5A - COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION DR. ERNEST ASAMOAH, DR. WENDY BYERS, DR. RONALD DUNCAN, DR. DAVID FELKINS, DR. THOMAS FERRARA, DR. STEVEN GATEWOOD, DR. JOHN MILLER, DR. DAVID SHAPIRO, DR. KENNETH SHAVER, DR. WILFREDO SOUCHET, DR. PAUL WILSON, DR. AMY HAYES, DR. CHARLES SALAZAR, DR. KEVIN HENDERZAHS, DR. WA'EI BAKDASH, AND DR. WILLIAM LYNN ARE ELIGIBLE TO PARTICIPATE IN COMMUNITY PHYSICIANS OF INDIANA, INC.'S ("CPI") INCENTIVE COMPENSATION PLAN. CPI 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, CPI (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. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| INDIANA PROHEALTH NETWORK INC | |||
| SHARE BD MEMBER | 16412991 | HEALTH & PHARM PLANS | false |
| VISIONARY ENTERPRISES INC | |||
| SHARE BD MEMBER | 2224486 | RENT/WORK ORDERS | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | COMMUNITY PHYSICIANS OF INDIANA, INC. IS A PHYSICIAN LED NONPROFIT CORPORATION, PART OF AN INTEGRATED HEALTH CARE NETWORK, WHICH SERVES AS THE LEADER IN PROVIDING COMPASSIONATE, QUALITY, COST-EFFECTIVE HEALTH CARE SERVICES TO HELP PEOPLE ACHIEVE AND MAINTAIN OPTIMAL HEALTH IN THE COMMUNITY WE SERVE. |
| ADDITIONAL INFORMATION | FORM 990 | FORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS COMMUNITY PHYISICIANS OF INDIANA, INC. ("CPI") IS AN AFFILIATE OF COMMUNITY HEALTH NETWORK ("THE NETWORK"), AN INTEGRATED HEALTH DELIVERY SYSTEM. CPI, IS CONTROLLED BY ITS PARENT, COMMUNITY HOSPITALS OF INDIANA, INC. ("CHI"), A TAX-EXEMPT HOSPITAL. CHI HAS THE FOLLOWING POWERS OVER CPI: A) CHI IS THE SOLE MEMBER OF CPI, B) CHI APPOINTS ALL OF THE MEMBERS OF CPI'S BOARD OF DIRECTORS, C) CHI HAS THE AUTHORITY TO REMOVE ANY MEMBER OF CPI'S BOARD OF DIRECTORS, D) CHI MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF CPI'S ARTICLES OF INCORPORATION, AND E) CHI MUST APPROVE ANY SALE OF SUBSTANTIALLY ALL OF CPI'S ASSETS. CHI IS LIKEWISE CONTROLLED BY ITS PARENT, COMMUNITY HEALTH NETWORK, INC. ("CHNW"). CHI HAS EXERCISED ITS CONTROL OVER CPI TO ENSURE THAT CHNW HAS EXCLUSIVE AUTHORITY OVER THE FOLLOWING AFFAIRS OF CPI; STRATEGIC PLANNING; CAPITAL ACCESS, BUDGETING, AND ALLOCATION; AUDIT AND COMPLIANCE; EXECUTIVE COMPENSATION; AND DISPUTE RESOLUTION. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW REVIEWS AND APPROVES EXECUTIVE COMPENSATION, INCLUDING CPI'S EXECUTIVES, THROUGH THE DELIBERATIONS OF A NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. LIKEWISE, CHNW REVIEWS AND MANAGES CPI'S CONFLICT OF INTEREST TRANSACTIONS THROUGH THE DELIBERATIONS OF A NETWORK AUDIT COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN SUM, CPI IS CONTROLLED BY CHI AND, ULTIMATELY, CHNW. CPI HAS DELEGATED SUBTANTIAL AUTHORITY REGARDING ITS GOVERANCE AND MANAGEMENT TO CHI AND CHNW. BOTH CHI AND CHNW HAVE COMMUNITY BOARDS WITH THE MAJORITY OF THEIR MEMBERS COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. |
| ADDITIONAL INFORMATION | 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 MANY OF CPI'S DIRECTORS, OFFICERS, AND KEY EMPLOYEES SERVE IN AN EXECUTIVE ROLE FOR OTHER TAX-EXEMPT AND TAXABLE AFFILIATES THROUGHOUT THE NETWORK. SPECIFICALLY, THE FOLLOWING DIRECTORS SERVE AS DIRECTORS AND/OR OFFICERS OF THE FOLLOWING ORGANIZATIONS: MICHAEL ALLEY - THE INDIANA HEART HOSPITAL, LLC DR. THOMAS A. FERRARA - COMMUNITY HEALTH NETWORK FOUNDATION, INC. DR. TIMOTHY HOBBS - COMMUNITY BUSINESS INNOVATIONS, INC. BRYAN A. MILLS - COMMUNITY BUSINESS INNOVATIONS, INC. - COMMUNITY HEALTH NETWORK, INC. - COMMUNITY HEALTH NETWORK FOUNDATION, INC. - COMMUNITY HOME HEALTH SERVICES, INC. - COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. - INDIANA PROHEALTH NETWORK, INC. - THE INDIANA HEART HOSPITAL, LLC - VISIONARY ENTERPRISES, INC. JILL PARRIS - COMMUNITY BUSINESS INNVOATIONS, INC. DR. DAVID A. SHAPIRO - COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. DR. KENNETH A. SHAVER - COMMUNITY HEALTH NETWORK, INC. |
| MANAGEMENT DELEGATED | FORM 990, PAGE 6, PART VI, LINE 3 | CPI DELEGATED AUTHORITY IN ITS ARTICLES OF INCORPORATION TO CHI IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING, CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIANCE; EXECUTIVE COMPENSATION; AND DISPUTE RESOLUTION. CHI THEN DELEGATED THESE AUTHORITIES TO ITS PARENT, CHNW, TO ENSURE THAT CPI'S ACTIVITIES WERE INTEGRATED INTO THE BROADER CHARITABLE EFFORTS OF THE NETWORK. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | SEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | SEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | SEE FORM 990, PART I, LINE 4 REFERENCE ON SCHEDULE O ABOVE |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY FOR CPI'S AUDIT, COMPLIANCE, AND EXECUTIVE COMPENSATION MATTERS. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CPI'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CPI'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CPI'S FORM 990. IN ADDITION, CPI'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CPI AND CHNW UTILIZED THIS PROCESS TO ENSURE THAT CPI'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CPI'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY FOR CPI'S AUDIT AND COMPLIANCE MATTERS. CHNW HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO EVERY TAX-EXEMPT ORGANIZATION WITHIN THE NETWORK, INCLUDING CPI. 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 CPI. 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 CPI, 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 CPI. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | AS DISCUSSED IN PART I, LINE 4, CHNW HAS ASSUMED RESPONSIBILITY FOR CPI'S EXECUTIVE COMPENSATION MATTERS. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO EVERY TAX-EXEMPT ORGANIZATION WITHIN THE NETWORK, INCLUDING CPI. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CPI'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 CPI'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 2010, THE NETWORK EXECUTIVE COMPENSATION COMMITTEE FOLLOWED THIS PROCESS FOR ALL CHIEF EXECUTIVE OFFICERS FOR ALL NETWORK ENTITIES; THE NETWORK CHIEF FINANCIAL OFFICER; THE NETWORK VICE PRESIDENT OF HUMAN RESOURCES; THE NETWORK VICE PRESIDENT OF MEDICAL AND ACADEMIC AFFAIRS; THE NETWORK VICE PRESIDENT OF CLINICAL STANDARDS, EDUCATION, AND RESEARCH; THE NETWORK VICE PRESIDENT OF LEGAL SERVICES; THE NETWORK CHIEF INFORMATION OFFICER; THE VICE PRESIDENT OF BUSINESS DEVELOPMENT AND MARKETING; THE EXECUTIVE DIRECTOR OF PROHEALTH; AND THE CHIEF FINANCIAL OFFICER OF INDIANA PROHEALTH NETWORK, INC. DURING 2010, THE CHIEF EXECUTIVE OFFICERS, CHIEF FINANCIAL OFFICERS, AND HUMAN RESOURCES REPRESENTATIVES FOR ALL NETWORK ENTITIES FOLLOWED A PROCESS WHEREBY SALARIES FOR ALL POSITIONS REPRESENTING MANAGER AND ABOVE WERE COMPARED AGAINST COMPARATIVE SALARY MARKET DATA. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | SEE LINE 15A ABOVE |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | 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, CPI HAS ADOPTED THE NETWORK CONFLICT OF INTEREST POLICY. WHILE THIS POLICY IS NOT AVAILABLE TO THE PUBLIC, THE NETWORK'S DEFINITION OF A 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) CPI 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. CPI DOES FILE THE 990 TAX RETURN ON AN ANNUAL BASIS WHICH IS AVAILABLE UPON REQUEST AND/OR AVAILABLE ON A DELAYED BASIS ON GUIDESTAR.COM. |
| ADDITIONAL INFORMATION | FORM 990, PART VII | FORM 990, PART VII - AVERAGE HOURS WORKED FOR RELATED ORGANIZATION TERESA E. CAMPBELL - 5 WILLIAM E. CORLEY - 0 THOMAS A. FERRARA, M.D. - 17 AMY HAYES, M.D. - 2 KEVIN HENDERZAHS, M.D. - 2 TIMOTHY HOBBS, M.D. - 5 JOHN MILLER, M.D. - 8 BRYAN A. MILLS - 40 JILL PARRIS - 40 |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | ADDITIONAL PAID IN CAPITAL FROM COMMUNITY HOSPITALS OF INDIANA, INC. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY BUSINESS INNOVATIONS INC | ||||||||||
| 1500 NORTH RITTER AVENUE | INDIANAPOLIS | IN | 46219 | 352088279 | SUPPORT | IN | 501C3 | 11B | CHNW | true |
| COMMUNITY HEALTH NETWORK INC | ||||||||||
| 1500 NORTH RITTER AVENUE | INDIANAPOLIS | IN | 46219 | 311038302 | PARENT | IN | 501C3 | 11B | NA | false |
| COMMUNITY HEALTH NETWORK FOUNDATION | ||||||||||
| 1500 NORTH RITTER AVENUE | INDIANAPOLIS | IN | 46219 | 510181688 | SUPPORT | IN | 501C3 | 11B | 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 | CHI | true |
| COMMUNITY HOSP ANDERSON FDN INC | ||||||||||
| 1515 NORTH MADISON AVENUE | ANDERSON | IN | 46011 | 861053152 | SUPPORT | IN | 501C3 | 7 | CHA | true |
| COMMUNITY LTC INC | ||||||||||
| 1031 MONTICELLO DRIVE | ANDERSON | IN | 46011 | 351877441 | HLTH CARE | IN | 501C3 | 9 | CHA | true |
| COMMUNITY HOSPITALS OF INDIANA INC | ||||||||||
| 1500 NORTH RITTER AVENUE | INDIANAPOLIS | IN | 46219 | 350983617 | HOSPITAL | IN | 501C3 | 3 | CHNW | false |
| COMMUNITY HOSPITAL SOUTH INC | ||||||||||
| 1402 E COUNTY LINE ROAD SOUTH | INDIANAPOLIS | IN | 46227 | 351088640 | HOSPITAL | IN | 501C3 | 3 | CHI | true |
| THE INDIANA HEART HOSPITAL | ||||||||||
| 8075 NORTH SHADELAND AVENUE | INDIANAPOLIS | IN | 46250 | 352123783 | HOSPITAL | IN | 501C3 | 3 | CHI | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|
| EAST CAMPUS SURGERY CENTER LLC | |||||||||
| 7330 SHADELAND STATION SUITE 200 | INDIANAPOLIS | IN | 46256 | 352028517 | SURGERY | IN | N/A | false | false |
| IMAGING EQUIPMENT LEASING CO LLC | |||||||||
| 7330 SHADELAND STATION SUITE 200 | INDIANAPOLIS | IN | 46256 | 201293154 | LEASING | 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 |
| 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 |
| SURGICARE LLC | |||||||||
| 2907 MCINTIRE DRIVE | BLOOMINGTON | IN | 47403 | 351975122 | SURGERY | 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 |
| IMAGING EQUIPMENT LEASING CO LLC | |||||||||
| 7330 SHADELAND STATION SUITE 200 | INDIANAPOLIS | IN | 46256 | 201293154 | LEASING | 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 |
| 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 |
| SURGICARE LLC | |||||||||
| 2907 MCINTIRE DRIVE | BLOOMINGTON | IN | 47403 | 351975122 | SURGERY | IN | N/A | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Direct Controlling Entity NADirectControllingEntityNA | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CHN ASSURANCE COMPANY LTD | |||||||||||
| PO BOX 1051 GT | GRAND CAYMAN | CJ | 980418913 | INSURANCE | CJ | N/A | |||||
| INDIANA PROHEALTH NETWORK INC | |||||||||||
| 351614719 | INSURANCE | N/A | 8180 CLEARVISTA PARKWAY SUITE 230 | INDIANAPOLIS | IN | 46256 | IN | ||||
| VISIONARY ENTERPRISES INC | |||||||||||
| 351538433 | MGMT SRVS | N/A | 7330 SHADELAND STATION SUITE 200 | INDIANAPOLIS | IN | 46256 | IN | ||||
| VEI MICHIGAN INC | |||||||||||
| 300097377 | MGMT SRVS | N/A | 940 N MAIN STREET | ANN HARBOR | MI | 48104 | MI | ||||
| CHN ASSURANCE COMPANY LTD | |||||||||||
| PO BOX 1051 GT | GRAND CAYMAN | CJ | 980418913 | INSURANCE | CJ | N/A | |||||
| INDIANA PROHEALTH NETWORK INC | |||||||||||
| 351614719 | INSURANCE | N/A | 8180 CLEARVISTA PARKWAY SUITE 230 | INDIANAPOLIS | IN | 46256 | IN | ||||
| VISIONARY ENTERPRISES INC | |||||||||||
| 351538433 | MGMT SRVS | N/A | 7330 SHADELAND STATION SUITE 200 | INDIANAPOLIS | IN | 46256 | IN | ||||
| VEI MICHIGAN INC | |||||||||||
| 300097377 | MGMT SRVS | N/A | 940 N MAIN STREET | ANN HARBOR | MI | 48104 | MI | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COMMUNITY BUSINESS INNOVATIONS INC | ||
| O | 5104192 | ACTUAL AMOUNT PER BOOKS |
| COMMUNITY BUSINESS INNOVATIONS INC | ||
| R | 5405681 | ACTUAL AMOUNT PER BOOKS |
| COMM HOSP OF ANDERSON & MADISON CTY | ||
| J | 651311 | ACTUAL AMOUNT PER BOOKS |
| COMMUNITY HOSPITAL SOUTH INC | ||
| Q | 260730 | ACTUAL AMOUNT PER BOOKS |
| THE INDIANA HEART HOSPITAL LLC | ||
| R | 393687 | ACTUAL AMOUNT PER BOOKS |
| INDIANA PROHEALTH NETWORK INC | ||
| O | 8201739 | ACTUAL AMOUNT PER BOOKS |
| INDIANA PROHEALTH NETWORK INC | ||
| P | 8211252 | ACTUAL AMOUNT PER BOOKS |
| VISIONARY ENTERPRISES INC | ||
| J | 2224486 | ACTUAL AMOUNT PER BOOKS |
| COMMUNITY BUSINESS INNOVATIONS INC | ||
| O | 5104192 | ACTUAL AMOUNT PER BOOKS |
| COMMUNITY BUSINESS INNOVATIONS INC | ||
| R | 5405681 | ACTUAL AMOUNT PER BOOKS |
| COMM HOSP OF ANDERSON & MADISON CTY | ||
| J | 651311 | ACTUAL AMOUNT PER BOOKS |
| COMMUNITY HOSPITAL SOUTH INC | ||
| Q | 260730 | ACTUAL AMOUNT PER BOOKS |
| THE INDIANA HEART HOSPITAL LLC | ||
| R | 393687 | ACTUAL AMOUNT PER BOOKS |
| INDIANA PROHEALTH NETWORK INC | ||
| O | 8201739 | ACTUAL AMOUNT PER BOOKS |
| INDIANA PROHEALTH NETWORK INC | ||
| P | 8211252 | ACTUAL AMOUNT PER BOOKS |
| VISIONARY ENTERPRISES INC | ||
| J | 2224486 | ACTUAL AMOUNT PER BOOKS |