2024-11-14T11:33:07-06:00 2023-12-31 352123203 KSM BUSINESS SERVICES INC PO BOX 40857 INDIANAPOLIS IN 46240 990 2023-01-01 350983617 COMMUNITY HEALTH NETWORK INC COMM 3176215345 7330 SHADELAND STATION 200 INDIANAPOLIS IN 46256 JASON FAHRLANDER EVP COO 3176215345 2024-11-13 1 0 CASSE TATE P01271193 3175802000 2024-11-12 2023 2024-10-15 13:58:12Z JASON FAHRLANDER 7330 SHADELAND STATION 200 INDIANAPOLIS IN 46256 2664988720 0 X WWW.ECOMMUNITY.COM X 1952 IN SEE SCHEDULE O 13 10 10077 295 9089278 552958 49921238 20891379 1828628417 2047660370 18075116 49792259 58863186 63110553 1955487957 2181454561 11654160 3495846 0 0 672077412 675827384 0 0 0 884466606 1330351578 1568198178 2009674808 387289779 171779753 2959581093 2936217179 2360642287 2527216999 598938806 409000180 X SEE SCHEDULE O 0 0 790740090 3495846 2098841314 COMMUNITY HEALTH NETWORK, INC. OPERATES THREE ACUTE CARE FULL SERVICE HOSPITALS IN INDIANAPOLIS, INDIANA WITH 754 STAFFED BEDS. IN 2023, THE HOSPITALS SERVED 39,490 INPATIENTS FOR A TOTAL OF 194,088 INPATIENT DAYS OF SERVICE. THE HOSPITALS ALSO PROVIDED 1,318,127 OUTPATIENT VISITS, WHICH INCLUDED 160,163 EMERGENCY VISITS AND 519,973 MENTAL HEALTH VISITS. THE HOSPITALS OFFER MANY PATIENT FOCUSED HEALTHCARE SERVICES THAT INCLUDE WOMEN AND CHILDREN SERVICES, PEDIATRICS, ONCOLOGY, MENTAL HEALTH SERVICES, NEUROSCIENCES, ORTHOPEDICS, JOINT REPLACEMENT, BREAST CARE SERVICES, SURGERY SERVICES, REHABILITATION SERVICES, HEALTH PROMOTION SERVICES, EMERGENCY SERVICES, AND TRAINING AND EDUCATION FOR HEALTH CARE PROFESSIONALS. 335226979 4607930 COMMUNITY HEALTH NETWORK, INC. PROVIDES SHARED SERVICES TO THE RELATED ORGANIZATIONS COLLECTIVELY REFERRED TO AS THE COMMUNITY HEALTH NETWORK. THESE SERVICES INCLUDE FINANCE AND ACCOUNTING, MATERIALS MANAGEMENT, PATIENT ACCOUNTING, TRANSCRIPTION SERVICES, MEDICAL RECORDS, LEGAL, HUMAN RESOURCES, INFORMATION TECHNOLOGY, AND BUSINESS DEVELOPMENT. 1125967069 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 X 324 0 1 10077 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 13 10 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 1 0 IN X BRIAN MCCONNELL 3173554212 8180 CLEARVISTA PARKWAY SUITE 200 INDIANAPOLIS IN 46256 BRYAN A MILLS DIRECTOR/PRESIDENT & CEO 45.00 15.00 X X 1538467 0 1414454 RAMARAO YELETI MD EVP CHIEF PHYSICIAN EXECUTIVE 58.00 2.00 X 1041300 0 658503 JASON FAHRLANDER EVP COO 44.00 11.00 X 849160 0 611851 KYLE FISHER EVP CFO 53.00 2.00 X 758754 0 531229 PATRICK MCGILL MD EVP CHIEF ANALYTICS OFFICER 52.00 3.00 X 742743 0 525981 KAREN ANN LLOYD EVP GEN COUNSEL/SECRETARY MAR-DEC 23 52.00 3.00 X X 752378 0 431361 JOHN KUNZER MD MMM EVP PHYSICIAN EXECUTIVE 2.00 48.00 X 0 682069 492315 KANWALDEEP SIDHU MD PSYCHIATRIST 50.00 0.00 X 906889 0 182829 ISHRAT BHAT PSYCHIATRIST 50.00 0.00 X 864909 0 176090 VIRGINIA DAVIDSON EVP CHIEF RISK & COMPLIANCE OFFICER 50.00 0.00 X 585325 0 398682 SYED HASAN MD PSYCHIATRIST 50.00 0.00 X 802805 0 170740 SHILPA GUGGALI PSYCHIATRIST 50.00 0.00 X 802419 0 169420 MICHELLE MAHAFFEY CHIEF HR OFFICER 54.00 1.00 X 534863 0 370787 ELIZABETH S THARP MBA BSN RN SVP HOSPITAL ACUTE CARE SERVICES/CNO 35.00 15.00 X 543274 0 299033 ROBIN LEDYARD MD SVP CHIEF MEDICAL OFFICER 38.00 12.00 X 551012 0 291176 KATHY KRUSIE SVP-CPN CHIEF ADMINISTRATIVE OFFICER 10.00 40.00 X 509011 0 285335 ANNETTE M MOORE MD DIRECTOR 2.00 53.00 X 0 643476 19800 JEAN PUTNAM DNP RN EVP CHIEF NURSING OFFICER 45.00 5.00 X 491795 0 165261 DIANE MCDANIEL CHIEF DEI OFFICER 54.00 1.00 X 301020 0 207857 JENNIFER HINDMAN VP HOSPITAL ADMINISTRATOR 37.50 12.50 X 256849 85616 139739 PAIGE DOOLEY MSN MBA RN NE-BC VP CNE & CHIEF ADMINISTRATOR - EAST 50.00 0.00 X 348732 0 118194 ANGIE DUNST MBA BSN VP CNE & CHIEF ADMINISTRATOR - NORTH 50.00 0.00 X 327680 0 123864 CHARLES PLATZ MD DIRECTOR 2.00 53.00 X 0 340863 85192 DAVID KILEY MD FORMER SVP INDY REGION PRES 40.00 10.00 X 282227 0 62911 GARY S ALETTO DIRECTOR 2.00 2.00 X 0 0 0 JASON E BECKER TREASURER 2.00 2.00 X X 0 0 0 RODNEY D COTTON DIRECTOR 2.00 2.00 X 0 0 0 BRUCE F KING DIRECTOR 2.00 2.00 X 0 0 0 MAGGIE A LEWIS DIRECTOR 2.00 2.00 X 0 0 0 MICHAEL PETERSON DIRECTOR THRU FEB 2023 2.00 1.00 X 0 0 0 RAFAEL A SANCHEZ DIRECTOR 2.00 2.00 X 0 0 0 YVONNEE H SHAHEEN SECRETARY THRU FEB 2023 2.00 1.00 X X 0 0 0 KRISTIN T SHERMAN CHAIR 2.00 2.00 X X 0 0 0 CHARLES SCOTT VORE DIRECTOR 2.00 2.00 X 0 0 0 MARINA WATERS DIRECTOR 2.00 4.00 X 0 0 0 BRIAN K WILLIAMS DIRECTOR 2.00 2.00 X 0 0 0 13791612 1752024 7932604 1142 1 1 0 EPIPHANY RX LLC 278 FRANKLIN RD 242 BRENTWOOD TN 37027 PHARMACY BENEFIT MANAGER 45913174 PRESIDIO NETWORKED SOLUTIONS GROUP LLC 1 PENN PLAZA 2501 NEW YORK NY 10119 IT SERVICE PROVIDER 25364225 QUEST (MACL) DIAGNOSTICS CLINICAL LABS 2560 N SHADELAND AVENUE INDPLS IN 46219 LAB SERVICES 19766801 AYA HEALTHCARE INC 5930 CORNERSTONE COURT WEST SUITE SAN DIEGO CA 92121 TEMPORARY STAFFING 16398426 TRIMEDX LLC 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 CLINICAL ENGINEERING 14744947 202 6830878 14060501 20891379 PATIENT SERVICES 622110 1848595631 1848595631 PRESCRIPTION REVENUE 622110 167013123 167013123 RENT 531120 30775819 30775819 HEALTHCARE INCENTIVE PAYMENTS 622110 1275797 1275797 2047660370 38342884 7245933 31096951 494855573 127961 483449538 84621 11406035 43340 11449375 11449375 EQUITY INVESTMENT INCOME 900003 35984682 35984682 CLINICAL RESEARCH 541710 6415167 6415167 CAFETERIA 722514 5478334 5478334 15232370 13389025 1843345 63110553 2181454561 2103449244 9089278 48024660 3495846 3495846 15876390 339961 15536429 530663032 309494931 221168101 23579844 11556607 12023237 60484301 35260230 25224071 45223817 25597109 19626708 15863518 21926 15841592 3768861 3768861 215677 215677 1727836 1727836 129186186 75714830 53471356 9717823 4830386 4887437 132935555 108299395 24636160 65974287 9197504 56776783 31351804 17771821 13579983 1508270 621044 887226 614698 162935 451763 33149742 21514430 11635312 64099381 35441471 28657910 17350189 165410 17184779 MEDICAL SUPPLIES 401172227 401172227 SETTLEMENT/FINES 347626302 347626302 HAF PROGRAM FEES 64835999 64835999 UNRELATED BUSIN INC TAX 97166 97166 9156057 473007 8683050 2009674808 1125967069 883707739 0 297324757 193396174 173016049 88244 247615851 252542344 430621 281536 31261622 34525931 32970622 37832140 1634024185 998320993 626569252 635703192 1135960283 1311067918 204772133 183282933 26322644 23578385 183337259 263918382 2959581093 2936217179 259531553 280924354 624514 327962 135987321 122366321 1964498899 2123598362 2360642287 2527216999 X 598938806 409000180 598938806 409000180 2959581093 2936217179 X 171779753 111378724 19359079 -492456182 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 1 57947 1 157730 0 0 215677 0 PART II-B, LINE 1: LINE 1F - A PORTION OF THE DUES COMMUNITY HEALTH NETWORK, INC. ("CHNW") PAID TO THE INDIANA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING. LINE 1G - COMMUNITY HEALTH NETWORK, INC. RETAINS A LOBBYIST TO DISCUSS AND WORK WITH LEGISLATORS ON THE IMPACT OF PROPOSED LEGISLATION AND TO PROACTIVELY SUPPORT LEGISLATION THAT FURTHERS THE MISSION AND GOALS OF THE NETWORK. IN ADDITION, ONE EMPLOYEE OF CHNW ASSISTS WITH LOBBYING ACTIVITIES. 22612926 22612926 940442170 432551020 507891150 30994288 20156127 10838161 628064902 535968504 92096398 11909899 9645342 2264557 635703192 CLOSELY-HELD EQUITY INTERESTS 183282933 C 183282933 THIRD PARTY RECEIVABLE 67676360 OTHER RECEIVABLES 26579323 OTHER ASSETS 3490380 RIGHT OF USE ASSETS 166172319 263918382 THIRD PARTY SETTLEMENTS 18284566 TAXABLE REVENUE BOND 847910315 OTHER LT LIABILITY 10620597 RIGHT OF USE LIABILITIES 169397313 DUE TO AFFILIATED ENTITIES 1077385571 2123598362 NORTH AMERICA 0 0 INVESTMENT IN PRIVATE EQUITY FUND ORGANIZED AS A CORPORATION IN CANADA 129142 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENT IN PRIVATE EQUITY FUND ORGANIZED AS A CORPORATION IN THE CAYMAN ISLANDS, PARENT COMPANY 292777 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PARENT COMPANY OF A CORPORATION ORGANIZED IN THE CAYMAN ISLANDS. 120000 0 0 0 0 0 0 541919 0 541919 1 0 1 0 1 0 1 1 X 1 X 1 X 1 1 1 0 1 1 17622 7487361 7487361 0.00370 158374 394290764 339171402 55119362 0.02750 175996 401778125 339171402 62606723 0.03120 23 123270 79881438 13319509 66561929 0.03310 3 28589873 6391846 22198027 0.01100 3 9777029 1516148 8260881 0.00410 1 2644726 890115 1754611 0.00090 4 691378 691378 0.00030 34 123270 121584444 22117618 99466826 0.04940 34 299266 523362569 361289020 162073549 0.08060 1 7500 7500 0.00000 1 552415 552415 0.00030 1 914 914 0.00000 1 1320464 142290 1178174 0.00060 1 5200716 55644 5145072 0.00250 5 7082009 197934 6884075 0.00340 1 13402835 11807897 234937490 254125320 -19187830 X 1 1 1 COMMUNITY IMAGING ASSOCIATES PROVIDE MEDICAL IMAGING SERVICES 0.50000 0.50000 2 EAST CAMPUS SURGERY CENTER PROVIDE OUTPATIENT SURGERY SERVICES 0.51000 0.42930 3 HAMILTON SURGERY CENTER PROVIDE OUTPATIENT SURGERY SERVICES 0.11000 0.49000 4 INDIANAPOLIS ENDOSCOPY CENTER PROVIDE MEDICAL SERVICES 0.18880 0.49000 5 NORTHPOINT PEDIATRICS PROVIDE PHYSICIANS SERVICES 0.51000 0.49000 6 SOUTH CAMPUS SURGERY CENTER PROVIDE OUTPATIENT SURGERY SERVICES 0.17500 0.48610 3 1 COMMUNITY HOSPITAL NORTH 7150 CLEARVISTA DRIVE INDIANAPOLIS IN 46256 WWW.ECOMMUNITY.COM 23-011437-1 X X X X A 2 INDIANA HEART HOSPITAL LLC 8075 N SHADELAND AVENUE SUITE 33 INDIANAPOLIS IN 46250 WWW.ECOMMUNITY.COM 23-005068-1 X X X X IS A LICENSED OFF-SITE OF COMM HOSPITAL EAST A 3 COMMUNITY HOSPITAL EAST 1500 NORTH RITTER AVENUE INDIANAPOLIS IN 46219 WWW.ECOMMUNITY.COM 23-005068-1 X X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: PART V, SECTION B, LINE 7A:HTTPS://WWW.ECOMMUNITY.COM/COMMUNITY-BENEFIT/ARCHIVED-REPORTSPART V, SECTION B, LINE 10A:HTTPS://WWW.ECOMMUNITY.COM/COMMUNITY-BENEFIT/ARCHIVED-REPORTS PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: COMMUNITY HOSPITAL NORTH, - FACILITY 2: INDIANA HEART HOSPITAL, LLC, - FACILITY 3: COMMUNITY HOSPITAL EAST GROUP A-FACILITY 1 -- COMMUNITY HOSPITAL NORTH PART V, SECTION B, LINE 5: IN 2021, COMMUNITY HEALTH NETWORK CONDUCTED A CHNA TO UNDERSTAND THE GREATEST HEALTH NEEDS IN THE COMMUNITIES SERVED. THE HOSPITALS TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROADER NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE CHNA ALSO INCLUDED ORGANIZATIONS OTHER THAN HOSPITALS. COMMUNITY HEALTH NEEDS WERE IDENTIFIED BY COLLECTING AND ANALYZING DATA FROM MULTIPLE SOURCES. STATISTICS FOR NUMEROUS COMMUNITY HEALTH STATUS, HEALTH CARE ACCESS, AND RELATED INDICATORS WERE ANALYZED, INCLUDING DATA PROVIDED BY LOCAL, STATE, AND FEDERAL GOVERNMENT AGENCIES, LOCAL COMMUNITY SERVICE ORGANIZATIONS, AND COMMUNITY HEALTH NETWORK. COMPARISONS TO BENCHMARKS WERE MADE WHERE POSSIBLE. FINDINGS FROM RECENT ASSESSMENTS OF THE COMMUNITY'S HEALTH NEEDS CONDUCTED BY OTHER ORGANIZATIONS (E.G., LOCAL HEALTH DEPARTMENTS) WERE REVIEWED AS WELL.INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WAS CONSIDERED THROUGH KEY INFORMANT INTERVIEWS AND COMMUNITY MEETINGS. STAKEHOLDERS INCLUDED: INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; HOSPITAL STAFF AND PROVIDERS; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; REPRESENTATIVES OF FAITH-BASED ORGANIZATIONS; REPRESENTATIVES OF LOCAL UNIVERSITIES AND SCHOOLS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. VIRTUAL COMMUNITY INPUT SESSIONS WERE HELD BETWEEN MAY AND JULY OF 2021. INVITATIONS AND PRESENTATIONS FOR THESE VIRTUAL SESSIONS WERE ORGANIZED BY COUNTY TO ENSURE WE COULD HEAR FROM THOUGHT-LEADERS SERVING IN THE SPECIFIC COMMUNITY. FOR A COMPLETE LIST OF PARTICIPANTS, PLEASE SEE THE ATTACHED COMMUNITY BENEFIT REPORT. GROUP A-FACILITY 1 -- COMMUNITY HOSPITAL NORTH PART V, SECTION B, LINE 6A: THE CHNA FOR COMMUNITY HEALTH NETWORK WAS A COLLABORATIVE EFFORT WITH ALL FIVE HOSPITALS WITHIN COMMUNITY HEALTH NETWORK. IN ADDITION TO THE NETWORK HOSPITALS, COMMUNITY HEALTH NETWORK ALSO COLLABORATED WITH OTHER INDIANA HEALTH SYSTEMS TO COLLECT PRIMARY DATA THROUGH ONLINE COMMUNITY MEETINGS AND KEY STAKEHOLDER INTERVIEWS. THESE HEALTH SYSTEMS INCLUDE ASCENSION ST. VINCENT'S INDIANA, IU HEALTH, AND RIVERVIEW HEALTH. GROUP A-FACILITY 1 -- COMMUNITY HOSPITAL NORTH PART V, SECTION B, LINE 6B: COMMUNITY HEALTH NETWORK WORKED WITH VERITE HEALTHCARE CONSULTING, LLC (VERITE) TO COMPLETE THE CHNA. GROUP A-FACILITY 1 -- COMMUNITY HOSPITAL NORTH PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS WERE DETERMINED TO BE "SIGNIFICANT" IF THEY WERE IDENTIFIED AS PROBLEMATIC IN AT LEAST TWO OF THE FOLLOWING THREE DATA SOURCES: 1) THE MOST RECENTLY AVAILABLE SECONDARY DATA REGARDING THE COMMUNITY'S HEALTH, 2) RECENT ASSESSMENTS DEVELOPED BY THE STATE AND LOCAL ORGANIZATIONS, AND 3) INPUT FROM COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THE COMMUNITY MEETING, KEY INFORMANT INTERVIEW PROCESS, AND STAFF SURVEYS. THE IMPLEMENTATION STRATEGIES WERE DRAFTED FOR EACH REGION AND DESCRIBE HOW THE HOSPITALS PLAN TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED. THE HOSPITALS REVIEWED THE CHNA FINDINGS AND APPLIED THE FOLLOWING CRITERIA TO DETERMINE THE MOST APPROPRIATE NEEDS FOR THE REGIONS TO ADDRESS: 1) THE EXTENT TO WHICH THE HOSPITAL HAS RESOURCES AND COMPETENCIES TO ADDRESS THE NEED 2) THE IMPACT THAT THE HOSPITAL COULD HAVE ON THE NEED (I.E. THE NUMBER OF LIVES THE HOSPITAL CAN IMPACT)3) THE FREQUENCY WITH WHICH STAKEHOLDERS IDENTIFIED THE NEEDS AS A SIGNIFICANT PRIORITY4) THE EXTENT OF COMMUNITY SUPPORT FOR THE HOSPITAL TO ADDRESS THE ISSUE AND POTENTIAL FOR PARTNERSHIPS TO ADDRESS THE ISSUE.COMMUNITY HEALTH NETWORK WILL ADDRESS ALL OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2021 CHNA, THESE INCLUDE: MENTAL HEALTH/SUBSTANCE USE, CHRONIC DISEASE, SOCIAL DETERMINANTS OF HEALTH (SDOH), COVID-19 AND MATERNAL/INFANT HEALTH. COMMUNITY HEALTH NETWORK ("CHNW") IS ADDRESSING THE NEEDS IDENTIFIED IN THE FOLLOWING WAYS:MENTAL HEALTH/SUBSTANCE USECHNW OPIOID STEWARDSHIP PROGRAM: CHNW HAS DEDICATED RESOURCES TO THE PREVENTION OF OPIOID USE DISORDER AND OVERDOSE DEATHS. THE OPIOID STEWARDSHIP PROGRAM INCLUDES SAFE OPIOID PRESCRIBING TRAINING FOR PRIMARY CARE AND SPECIALTY CARE PRACTITIONERS. BY PARTNERING WITH BOSTON UNIVERSITY SCHOOL OF MEDICINE, A LONGSTANDING LEADER IN EDUCATIONAL EXCELLENCE, WE BROUGHT AWARD WINNING CURRICULUM TO CHNW TO EDUCATE OUR PRACTITIONERS HOW TO SAFELY AND EFFECTIVELY MANAGE PATIENTS ACUTE AND/OR CHRONIC PAIN INCLUDING SAFE OPIOID PRESCRIBING MEASURES WHEN OPIOIDS ARE MEDICALLY NECESSARY. NARCAN PROGRAM: CHNW IS DEDICATED TO THE PREVENTION OF OVERDOSE DEATHS THROUGH OUR NARCAN PROGRAM. NARCAN IS THE DRUG THAT CAN REVERSE THE EFFECTS OF OPIOIDS SUCH AS HEROIN, METHADONE AND OXYCODONE. OUR PROGRAM PROVIDES A NARCAN KIT TO PATIENTS AND THEIR FAMILIES WHO ARE AT RISK FOR AN OPIOID OVERDOSE WHEN THEY HAVE BEEN DISCHARGED FROM AN EMERGENCY DEPARTMENT OR THE BEHAVIORAL HEALTH PAVILION. THROUGH PARTNERSHIPS WITH COMMUNITY NONPROFIT ORGANIZATIONS SUCH AS OVERDOSE LIFELINE AND THE BEECH GROVE COMPREHENSIVE DRUG FREE COALITION WE PROVIDED OPIOID OVERDOSE AWARENESS TRAINING AND FREE NARCAN KITS TO THE COMMUNITIES WE SERVE. IN 2023, 630 NARCAN KITS WERE DISTRIBUTED.SCHOOL-BASED BEHAVIORAL CARE SERVICES: CHNW'S SCHOOL-BASED CARE SERVICES PROVIDES COORDINATED, MULTI-SERVICE 'ON THE SPOT' CARE DIRECTLY IN SCHOOLS TO STUDENTS IN NEED BY WAY OF AN EMBEDDED COORDINATED TEAM OF SCHOOL NURSES, SCHOOL BEHAVIORAL HEALTH PROFESSIONALS, SCHOOL SPORTS MEDICINE & ATHLETIC TRAINING PROFESSIONALS, AND VIRTUAL CARE PROVIDERS. THE PROGRAM ALSO AIMS TO HELP KEEP SCHOOL TEACHERS, STAFF, EMPLOYEES, AND ADMINISTRATORS HEALTHY AND AVAILABLE TO SUPPORT KIDS IN SCHOOLS BY WAY OF ONSITE HEALTH & WELLNESS CLINICS AND EAP SERVICES FOR SCHOOL EMPLOYEES AND THEIR DEPENDENTS. CHNW PROVIDES OVER 150 BEHAVIORAL STAFF EMPLOYEES TO 143 SCHOOLS THROUGHOUT CENTRAL INDIANA. THESE ON-SITE BEHAVIORAL HEALTH SPECIALISTS PROVIDE SERVICES SUCH AS, COUNSELING, LIFE-SKILLS TRAINING, CRISIS RESPONSE, TRAUMA AND DEPRESSION SCREENINGS, STAFF EDUCATION AND TRAINING, TESTING, FAMILY SERVICES AND MORE. CHNW SCHOOL-BASED BEHAVIORAL HEALTH CAREGIVERS HAD 140,231 ENCOUNTERS WITH STUDENTS, FAMILIES AND STAFF IN 2023.CHRONIC DISEASEDIABETES EDUCATION CLASSES: CHNW PROVIDES FREE VIRTUAL DIABETES EDUCATION AND SUPPORT COURSES FOR PATIENTS AND COMMUNITY MEMBERS. EACH COURSE CONSISTS OF TWO CLASSES. COURSES ARE HELD AT VARIOUS TIMES THROUGHOUT THE MONTH TO ENSURE ACCESS FOR ALL WHO ARE INTERESTED. IN 2023, 42 MULTI CLASS SESSIONS WERE PROVIDED.PRODUCE RX PROGRAM: CHNW OFFERED 8 EDUCATION SESSIONS IN 2023 OF THE PRODUCE PRESCRIPTION NUTRITION INCENTIVE PROGRAM WHERE HIGH-RISK PARTICIPANTS FROM CHNW'S REACH CLINIC (RESOURCES TO EVALUATE AND ADVANCE COMMUNITY HEALTH LOCATED AT 2920 N. ARLINGTON AVE, SUITE B, INDIANAPOLIS, IN 46218) WERE ENROLLED INTO FREE CHRONIC DISEASE FOCUSED NUTRITION EDUCATION CLASSES PROVIDED BY THE AMBULATORY DIETITIAN TEAM. EACH PARTICIPANT RECEIVED FINANCIAL INCENTIVES PROVIDED BY CHNW COMMUNITY BENEFIT THAT WERE REDEEMABLE FOR FRUITS AND VEGETABLES AT LOCAL RETAIL LOCATIONS FOR ATTENDING.FAITH HEALTH INITIATIVE PROGRAM: TRAINS AND SUPPORTS A NETWORK OF FAITH COMMUNITY NURSES (FCNS) WHO CAN CREATE SUSTAINABLE ENGAGED HEALTH MINISTRIES AND ACTIVITIES IN THEIR RESPECTIVE FAITH COMMUNITIES. THESE FCNS PROVIDE CHRONIC DISEASE MANAGEMENT SUPPORT, MENTAL HEALTH SUPPORT THROUGH HEALTH MINISTRIES WITHIN THEIR FAITH COMMUNITIES.SOCIAL DETERMINANTS OF HEALTH (SDOH)MEDICAL LEGAL PARTNERSHIP (MLP): THE PURPOSE OF A MLP IS TO IMPROVE HEALTH OUTCOMES FOR PATIENTS THROUGH THE PROVISION OF LEGAL SERVICES THAT IMPACT SOCIAL DETERMINANTS OF HEALTH. HOSPITALS OFTEN SEE PATIENTS WHO ARE SUFFERING FROM ACUTE AND CHRONIC MEDICAL CONDITIONS CAUSED OR AGGRAVATED BY CONDITIONS IN PATIENTS' HOMES, ISSUES IN THE PATIENTS' RELATIONSHIPS, OR PATIENTS' LACK OF INCOME AND OTHER RESOURCES. EMBEDDING AN MLP ATTORNEY IN THE HOSPITAL ALLOWS THE HOSPITAL AND THE MLP TO WORK TOGETHER AS A TEAM TO ADDRESS HABITABILITY ISSUES IN A PATIENT'S HOME AND PROVIDE PATIENTS WITH THE MEDICAL CARE AND LEGAL SERVICES THEY NEED TO BECOME HEALTHY AND STAY HEALTHY.WELLFUND: THE WELLFUND EXISTS TO HELP PATIENTS NAVIGATE HEALTHCARE COVERAGE OPTIONS, INCLUDING INITIAL ENROLLMENT AND ONGOING MAINTENANCE OF COVERAGE. PATIENTS HAVE DIRECT ACCESS TO WELLFUND PATIENT ADVOCATES DURING PRE-SERVICE, ADMISSION AND POST-DISCHARGE FOR QUESTIONS AND DETERMINING WHICH PLAN BEST MEETS THEIR NEEDS. IN 2023, WELLFUND PATIENT ADVOCATES ASSISTED 29,006 INDIVIDUALS WITH ENROLLMENT ASSISTANCE. THE ADVOCATES ARE AVAILABLE TO MEET WITH PATIENTS IN PERSON OR OVER THE PHONE TO HELP WITH ENROLLMENT.SDOH SCREENING: A NETWORK-WIDE SDOH SCREENING PROGRAM WAS ROLLED OUT IN Q1 OF 2021. UTILIZING THE EPIC SDOH SCREENING TOOL, PATIENTS ADMITTED TO CHNW HOSPITALS, OB PATIENTS AND PRIMARY CARE PATIENTS ARE PROVIDED A COMPREHENSIVE SDOH SCREENING TO IDENTIFY ANY NEEDS THAT COULD IMPACT THE OVERALL HEALTH AND WELL-BEING OF THE PATIENT. CAREGIVERS ARE TRAINED ON HOW TO PROVIDE REFERRAL RESOURCES TO ASSIST THE PATIENT IN ADDRESSING THEIR IDENTIFIED NEED. PATIENTS NEEDING ADDITIONAL FOLLOW-UP ARE REFERRED FOR ADDITIONAL ASSISTANCE BY A CASE MANAGER OR HEALTH ADVOCATE. IN 2023, 133,643 PATIENTS WERE SCREENED.MATERNAL/INFANT HEALTHNURSE-FAMILY PARTNERSHIP (NFP): GOODWILL OF CENTRAL & SOUTHERN INDIANA IMPLEMENTED THE NFP, A NURSE HOME-VISITING PROGRAM SERVING LOW-INCOME MOTHERS AND BABIES.MILK FOR HEALTHY BABIES - THE MILK BANK: THREE COMMUNITY HOSPITALS ARE HOME TO AN INDIANA MOTHERS' MILK BANK MILK DEPOT. BREAST MILK DONORS CAN DROP OFF THEIR MILK AT THESE LOCATIONS. WHEN A MOTHER'S OWN MILK IS NOT AVAILABLE, PASTEURIZED DONOR HUMAN MILK IS DISPERSED BY PRESCRIPTION OR HOSPITAL ORDER PRIMARILY TO PREMATURE INFANTS IN HOSPITAL NEONATAL INTENSIVE CARE UNITS. COMMUNITY HOSPITAL NORTH, COMMUNITY HOWARD REGIONAL HEALTH AND COMMUNITY HOSPITAL ANDERSON PARTICIPATE IN THE MILK BANK PROGRAM. BREAST MILK DONORS CAN DROP OFF THEIR MILK AT THESE LOCATIONS. BABE STORE: AN INCENTIVE PROGRAM TO HELP ENCOURAGE REGULAR PRENATAL CARE AND SUPPORT SERVICES. PARENTS RECEIVE COUPONS FOR ATTENDING SCHEDULED PRENATAL CARE VISITS AND SOCIAL SERVICE APPOINTMENTS. COUPONS CAN BE USED TO PURCHASE NEEDED BABY ITEMS SUCH AS DIAPERS AND BABY CARE ITEMS.FACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 16AECOMMUNITY.COM/FINANCIAL-ASSISTANCE-POLICYFACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 16BECOMMUNITY.COM/FINANCIAL-ASSISTANCE-POLICYFACILITY 1, COMMUNITY HOSPITAL NORTH - PART V, LINE 16CECOMMUNITY.COM/FINANCIAL-ASSISTANCE-POLICY GROUP A-FACILITY 2 -- INDIANA HEART HOSPITAL, LLC PART V, SECTION B, LINE 5: IN 2021, COMMUNITY HEALTH NETWORK CONDUCTED A CHNA TO UNDERSTAND THE GREATEST HEALTH NEEDS IN THE COMMUNITIES SERVED. THE HOSPITALS TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROADER NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE CHNA ALSO INCLUDED ORGANIZATIONS OTHER THAN HOSPITALS. COMMUNITY HEALTH NEEDS WERE IDENTIFIED BY COLLECTING AND ANALYZING DATA FROM MULTIPLE SOURCES. STATISTICS FOR NUMEROUS COMMUNITY HEALTH STATUS, HEALTH CARE ACCESS, AND RELATED INDICATORS WERE ANALYZED, INCLUDING DATA PROVIDED BY LOCAL, STATE, AND FEDERAL GOVERNMENT AGENCIES, LOCAL COMMUNITY SERVICE ORGANIZATIONS, AND COMMUNITY HEALTH NETWORK. COMPARISONS TO BENCHMARKS WERE MADE WHERE POSSIBLE. FINDINGS FROM RECENT ASSESSMENTS OF THE COMMUNITY'S HEALTH NEEDS CONDUCTED BY OTHER ORGANIZATIONS (E.G., LOCAL HEALTH DEPARTMENTS) WERE REVIEWED AS WELL.INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WAS CONSIDERED THROUGH KEY INFORMANT INTERVIEWS AND COMMUNITY MEETINGS. STAKEHOLDERS INCLUDED: INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; HOSPITAL STAFF AND PROVIDERS; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; REPRESENTATIVES OF FAITH-BASED ORGANIZATIONS; REPRESENTATIVES OF LOCAL UNIVERSITIES AND SCHOOLS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. VIRTUAL COMMUNITY INPUT SESSIONS WERE HELD BETWEEN MAY AND JULY OF 2021. INVITATIONS AND PRESENTATIONS FOR THESE VIRTUAL SESSIONS WERE ORGANIZED BY COUNTY TO ENSURE WE COULD HEAR FROM THOUGHT-LEADERS SERVING IN THE SPECIFIC COMMUNITY. FOR A COMPLETE LIST OF PARTICIPANTS, PLEASE SEE THE ATTACHED COMMUNITY BENEFIT REPORT. GROUP A-FACILITY 2 -- INDIANA HEART HOSPITAL, LLC PART V, SECTION B, LINE 6A: THE CHNA FOR COMMUNITY HEALTH NETWORK WAS A COLLABORATIVE EFFORT WITH ALL FIVE HOSPITALS WITHIN COMMUNITY HEALTH NETWORK. IN ADDITION TO THE NETWORK HOSPITALS, COMMUNITY HEALTH NETWORK ALSO COLLABORATED WITH OTHER INDIANA HEALTH SYSTEMS TO COLLECT PRIMARY DATA THROUGH ONLINE COMMUNITY MEETINGS AND KEY STAKEHOLDER INTERVIEWS. THESE HEALTH SYSTEMS INCLUDE ASCENSION ST. VINCENT'S INDIANA, IU HEALTH, AND RIVERVIEW HEALTH. GROUP A-FACILITY 2 -- INDIANA HEART HOSPITAL, LLC PART V, SECTION B, LINE 6B: COMMUNITY HEALTH NETWORK WORKED WITH VERITE HEALTHCARE CONSULTING, LLC (VERITE) TO COMPLETE THE CHNA. GROUP A-FACILITY 2 -- INDIANA HEART HOSPITAL, LLC PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS WERE DETERMINED TO BE "SIGNIFICANT" IF THEY WERE IDENTIFIED AS PROBLEMATIC IN AT LEAST TWO OF THE FOLLOWING THREE DATA SOURCES: 1) THE MOST RECENTLY AVAILABLE SECONDARY DATA REGARDING THE COMMUNITY'S HEALTH, 2) RECENT ASSESSMENTS DEVELOPED BY THE STATE AND LOCAL ORGANIZATIONS, AND 3) INPUT FROM COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THE COMMUNITY MEETING, KEY INFORMANT INTERVIEW PROCESS, AND STAFF SURVEYS. THE IMPLEMENTATION STRATEGIES WERE DRAFTED FOR EACH REGION AND DESCRIBE HOW THE HOSPITALS PLAN TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED. THE HOSPITALS REVIEWED THE CHNA FINDINGS AND APPLIED THE FOLLOWING CRITERIA TO DETERMINE THE MOST APPROPRIATE NEEDS FOR THE REGIONS TO ADDRESS: 1) THE EXTENT TO WHICH THE HOSPITAL HAS RESOURCES AND COMPETENCIES TO ADDRESS THE NEED 2) THE IMPACT THAT THE HOSPITAL COULD HAVE ON THE NEED (I.E. THE NUMBER OF LIVES THE HOSPITAL CAN IMPACT)3) THE FREQUENCY WITH WHICH STAKEHOLDERS IDENTIFIED THE NEEDS AS A SIGNIFICANT PRIORITY4) THE EXTENT OF COMMUNITY SUPPORT FOR THE HOSPITAL TO ADDRESS THE ISSUE AND POTENTIAL FOR PARTNERSHIPS TO ADDRESS THE ISSUE.COMMUNITY HEALTH NETWORK WILL ADDRESS ALL OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2021 CHNA, THESE INCLUDE: MENTAL HEALTH/SUBSTANCE USE, CHRONIC DISEASE, SOCIAL DETERMINANTS OF HEALTH (SDOH), COVID-19 AND MATERNAL/INFANT HEALTH. COMMUNITY HEALTH NETWORK ("CHNW") IS ADDRESSING THE NEEDS IDENTIFIED IN THE FOLLOWING WAYS:MENTAL HEALTH/SUBSTANCE USECHNW OPIOID STEWARDSHIP PROGRAM: CHNW HAS DEDICATED RESOURCES TO THE PREVENTION OF OPIOID USE DISORDER AND OVERDOSE DEATHS. THE OPIOID STEWARDSHIP PROGRAM INCLUDES SAFE OPIOID PRESCRIBING TRAINING FOR PRIMARY CARE AND SPECIALTY CARE PRACTITIONERS. BY PARTNERING WITH BOSTON UNIVERSITY SCHOOL OF MEDICINE, A LONGSTANDING LEADER IN EDUCATIONAL EXCELLENCE, WE BROUGHT AWARD WINNING CURRICULUM TO CHNW TO EDUCATE OUR PRACTITIONERS HOW TO SAFELY AND EFFECTIVELY MANAGE PATIENTS ACUTE AND/OR CHRONIC PAIN INCLUDING SAFE OPIOID PRESCRIBING MEASURES WHEN OPIOIDS ARE MEDICALLY NECESSARY. NARCAN PROGRAM: CHNW IS DEDICATED TO THE PREVENTION OF OVERDOSE DEATHS THROUGH OUR NARCAN PROGRAM. NARCAN IS THE DRUG THAT CAN REVERSE THE EFFECTS OF OPIOIDS SUCH AS HEROIN, METHADONE AND OXYCODONE. OUR PROGRAM PROVIDES A NARCAN KIT TO PATIENTS AND THEIR FAMILIES WHO ARE AT RISK FOR AN OPIOID OVERDOSE WHEN THEY HAVE BEEN DISCHARGED FROM AN EMERGENCY DEPARTMENT OR THE BEHAVIORAL HEALTH PAVILION. THROUGH PARTNERSHIPS WITH COMMUNITY NONPROFIT ORGANIZATIONS SUCH AS OVERDOSE LIFELINE AND THE BEECH GROVE COMPREHENSIVE DRUG FREE COALITION WE PROVIDED OPIOID OVERDOSE AWARENESS TRAINING AND FREE NARCAN KITS TO THE COMMUNITIES WE SERVE. IN 2023, 630 NARCAN KITS WERE DISTRIBUTED.SCHOOL-BASED BEHAVIORAL CARE SERVICES: CHNW'S SCHOOL-BASED CARE SERVICES PROVIDES COORDINATED, MULTI-SERVICE 'ON THE SPOT' CARE DIRECTLY IN SCHOOLS TO STUDENTS IN NEED BY WAY OF AN EMBEDDED COORDINATED TEAM OF SCHOOL NURSES, SCHOOL BEHAVIORAL HEALTH PROFESSIONALS, SCHOOL SPORTS MEDICINE & ATHLETIC TRAINING PROFESSIONALS, AND VIRTUAL CARE PROVIDERS. THE PROGRAM ALSO AIMS TO HELP KEEP SCHOOL TEACHERS, STAFF, EMPLOYEES, AND ADMINISTRATORS HEALTHY AND AVAILABLE TO SUPPORT KIDS IN SCHOOLS BY WAY OF ONSITE HEALTH & WELLNESS CLINICS AND EAP SERVICES FOR SCHOOL EMPLOYEES AND THEIR DEPENDENTS. CHNW PROVIDES OVER 150 BEHAVIORAL STAFF EMPLOYEES TO 143 SCHOOLS THROUGHOUT CENTRAL INDIANA. THESE ON-SITE BEHAVIORAL HEALTH SPECIALISTS PROVIDE SERVICES SUCH AS, COUNSELING, LIFE-SKILLS TRAINING, CRISIS RESPONSE, TRAUMA AND DEPRESSION SCREENINGS, STAFF EDUCATION AND TRAINING, TESTING, FAMILY SERVICES AND MORE. CHNW SCHOOL-BASED BEHAVIORAL HEALTH CAREGIVERS HAD 140,231 ENCOUNTERS WITH STUDENTS, FAMILIES AND STAFF IN 2023.CHRONIC DISEASEDIABETES EDUCATION CLASSES: CHNW PROVIDES FREE VIRTUAL DIABETES EDUCATION AND SUPPORT COURSES FOR PATIENTS AND COMMUNITY MEMBERS. EACH COURSE CONSISTS OF TWO CLASSES. COURSES ARE HELD AT VARIOUS TIMES THROUGHOUT THE MONTH TO ENSURE ACCESS FOR ALL WHO ARE INTERESTED. IN 2023, 42 MULTI CLASS SESSIONS WERE PROVIDED.PRODUCE RX PROGRAM: CHNW OFFERED 8 EDUCATION SESSIONS IN 2023 OF THE PRODUCE PRESCRIPTION NUTRITION INCENTIVE PROGRAM WHERE HIGH-RISK PARTICIPANTS FROM CHNW'S REACH CLINIC (RESOURCES TO EVALUATE AND ADVANCE COMMUNITY HEALTH LOCATED AT 2920 N. ARLINGTON AVE, SUITE B, INDIANAPOLIS, IN 46218) WERE ENROLLED INTO FREE CHRONIC DISEASE FOCUSED NUTRITION EDUCATION CLASSES PROVIDED BY THE AMBULATORY DIETITIAN TEAM. EACH PARTICIPANT RECEIVED FINANCIAL INCENTIVES PROVIDED BY CHNW COMMUNITY BENEFIT THAT WERE REDEEMABLE FOR FRUITS AND VEGETABLES AT LOCAL RETAIL LOCATIONS FOR ATTENDING.FAITH HEALTH INITIATIVE PROGRAM: TRAINS AND SUPPORTS A NETWORK OF FAITH COMMUNITY NURSES (FCNS) WHO CAN CREATE SUSTAINABLE ENGAGED HEALTH MINISTRIES AND ACTIVITIES IN THEIR RESPECTIVE FAITH COMMUNITIES. THESE FCNS PROVIDE CHRONIC DISEASE MANAGEMENT SUPPORT, MENTAL HEALTH SUPPORT THROUGH HEALTH MINISTRIES WITHIN THEIR FAITH COMMUNITIES.SOCIAL DETERMINANTS OF HEALTH (SDOH)MEDICAL LEGAL PARTNERSHIP (MLP): THE PURPOSE OF A MLP IS TO IMPROVE HEALTH OUTCOMES FOR PATIENTS THROUGH THE PROVISION OF LEGAL SERVICES THAT IMPACT SOCIAL DETERMINANTS OF HEALTH. HOSPITALS OFTEN SEE PATIENTS WHO ARE SUFFERING FROM ACUTE AND CHRONIC MEDICAL CONDITIONS CAUSED OR AGGRAVATED BY CONDITIONS IN PATIENTS' HOMES, ISSUES IN THE PATIENTS' RELATIONSHIPS, OR PATIENTS' LACK OF INCOME AND OTHER RESOURCES. EMBEDDING AN MLP ATTORNEY IN THE HOSPITAL ALLOWS THE HOSPITAL AND THE MLP TO WORK TOGETHER AS A TEAM TO ADDRESS HABITABILITY ISSUES IN A PATIENT'S HOME AND PROVIDE PATIENTS WITH THE MEDICAL CARE AND LEGAL SERVICES THEY NEED TO BECOME HEALTHY AND STAY HEALTHY.WELLFUND: THE WELLFUND EXISTS TO HELP PATIENTS NAVIGATE HEALTHCARE COVERAGE OPTIONS, INCLUDING INITIAL ENROLLMENT AND ONGOING MAINTENANCE OF COVERAGE. PATIENTS HAVE DIRECT ACCESS TO WELLFUND PATIENT ADVOCATES DURING PRE-SERVICE, ADMISSION AND POST-DISCHARGE FOR QUESTIONS AND DETERMINING WHICH PLAN BEST MEETS THEIR NEEDS. IN 2023, WELLFUND PATIENT ADVOCATES ASSISTED 29,006 INDIVIDUALS WITH ENROLLMENT ASSISTANCE. THE ADVOCATES ARE AVAILABLE TO MEET WITH PATIENTS IN PERSON OR OVER THE PHONE TO HELP WITH ENROLLMENT.SDOH SCREENING: A NETWORK-WIDE SDOH SCREENING PROGRAM WAS ROLLED OUT IN Q1 OF 2021. UTILIZING THE EPIC SDOH SCREENING TOOL, PATIENTS ADMITTED TO CHNW HOSPITALS, OB PATIENTS AND PRIMARY CARE PATIENTS ARE PROVIDED A COMPREHENSIVE SDOH SCREENING TO IDENTIFY ANY NEEDS THAT COULD IMPACT THE OVERALL HEALTH AND WELL-BEING OF THE PATIENT. CAREGIVERS ARE TRAINED ON HOW TO PROVIDE REFERRAL RESOURCES TO ASSIST THE PATIENT IN ADDRESSING THEIR IDENTIFIED NEED. PATIENTS NEEDING ADDITIONAL FOLLOW-UP ARE REFERRED FOR ADDITIONAL ASSISTANCE BY A CASE MANAGER OR HEALTH ADVOCATE. IN 2023, 133,643 PATIENTS WERE SCREENED.MATERNAL/INFANT HEALTHNURSE-FAMILY PARTNERSHIP (NFP): GOODWILL OF CENTRAL & SOUTHERN INDIANA IMPLEMENTED THE NFP, A NURSE HOME-VISITING PROGRAM SERVING LOW-INCOME MOTHERS AND BABIES.MILK FOR HEALTHY BABIES - THE MILK BANK: THREE COMMUNITY HOSPITALS ARE HOME TO AN INDIANA MOTHERS' MILK BANK MILK DEPOT. BREAST MILK DONORS CAN DROP OFF THEIR MILK AT THESE LOCATIONS. WHEN A MOTHER'S OWN MILK IS NOT AVAILABLE, PASTEURIZED DONOR HUMAN MILK IS DISPERSED BY PRESCRIPTION OR HOSPITAL ORDER PRIMARILY TO PREMATURE INFANTS IN HOSPITAL NEONATAL INTENSIVE CARE UNITS. COMMUNITY HOSPITAL NORTH, COMMUNITY HOWARD REGIONAL HEALTH AND COMMUNITY HOSPITAL ANDERSON PARTICIPATE IN THE MILK BANK PROGRAM. BREAST MILK DONORS CAN DROP OFF THEIR MILK AT THESE LOCATIONS. BABE STORE: AN INCENTIVE PROGRAM TO HELP ENCOURAGE REGULAR PRENATAL CARE AND SUPPORT SERVICES. PARENTS RECEIVE COUPONS FOR ATTENDING SCHEDULED PRENATAL CARE VISITS AND SOCIAL SERVICE APPOINTMENTS. COUPONS CAN BE USED TO PURCHASE NEEDED BABY ITEMS SUCH AS DIAPERS AND BABY CARE ITEMS.FACILITY 2, INDIANA HEART HOSPITAL LLC - PART V, LINE 16AECOMMUNITY.COM/FINANCIAL-ASSISTANCE-POLICYFACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 16BECOMMUNITY.COM/FINANCIAL-ASSISTANCE-POLICYFACILITY 2, INDIANA HEART HOSPITAL, LLC - PART V, LINE 16CECOMMUNITY.COM/FINANCIAL-ASSISTANCE-POLICY GROUP A-FACILITY 3 -- COMMUNITY HOSPITAL EAST PART V, SECTION B, LINE 5: IN 2021, COMMUNITY HEALTH NETWORK CONDUCTED A CHNA TO UNDERSTAND THE GREATEST HEALTH NEEDS IN THE COMMUNITIES SERVED. THE HOSPITALS TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROADER NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. THE CHNA ALSO INCLUDED ORGANIZATIONS OTHER THAN HOSPITALS. COMMUNITY HEALTH NEEDS WERE IDENTIFIED BY COLLECTING AND ANALYZING DATA FROM MULTIPLE SOURCES. STATISTICS FOR NUMEROUS COMMUNITY HEALTH STATUS, HEALTH CARE ACCESS, AND RELATED INDICATORS WERE ANALYZED, INCLUDING DATA PROVIDED BY LOCAL, STATE, AND FEDERAL GOVERNMENT AGENCIES, LOCAL COMMUNITY SERVICE ORGANIZATIONS, AND COMMUNITY HEALTH NETWORK. COMPARISONS TO BENCHMARKS WERE MADE WHERE POSSIBLE. FINDINGS FROM RECENT ASSESSMENTS OF THE COMMUNITY'S HEALTH NEEDS CONDUCTED BY OTHER ORGANIZATIONS (E.G., LOCAL HEALTH DEPARTMENTS) WERE REVIEWED AS WELL.INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WAS CONSIDERED THROUGH KEY INFORMANT INTERVIEWS AND COMMUNITY MEETINGS. STAKEHOLDERS INCLUDED: INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; HOSPITAL STAFF AND PROVIDERS; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; REPRESENTATIVES OF FAITH-BASED ORGANIZATIONS; REPRESENTATIVES OF LOCAL UNIVERSITIES AND SCHOOLS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. VIRTUAL COMMUNITY INPUT SESSIONS WERE HELD BETWEEN MAY AND JULY OF 2021. INVITATIONS AND PRESENTATIONS FOR THESE VIRTUAL SESSIONS WERE ORGANIZED BY COUNTY TO ENSURE WE COULD HEAR FROM THOUGHT-LEADERS SERVING IN THE SPECIFIC COMMUNITY. FOR A COMPLETE LIST OF PARTICIPANTS, PLEASE SEE THE ATTACHED COMMUNITY BENEFIT REPORT. GROUP A-FACILITY 3 -- COMMUNITY HOSPITAL EAST PART V, SECTION B, LINE 6A: THE CHNA FOR COMMUNITY HEALTH NETWORK WAS A COLLABORATIVE EFFORT WITH ALL FIVE HOSPITALS WITHIN COMMUNITY HEALTH NETWORK. IN ADDITION TO THE NETWORK HOSPITALS, COMMUNITY HEALTH NETWORK ALSO COLLABORATED WITH OTHER INDIANA HEALTH SYSTEMS TO COLLECT PRIMARY DATA THROUGH ONLINE COMMUNITY MEETINGS AND KEY STAKEHOLDER INTERVIEWS. THESE HEALTH SYSTEMS INCLUDE ASCENSION ST. VINCENT'S INDIANA, IU HEALTH, AND RIVERVIEW HEALTH. GROUP A-FACILITY 3 -- COMMUNITY HOSPITAL EAST PART V, SECTION B, LINE 6B: COMMUNITY HEALTH NETWORK WORKED WITH VERITE HEALTHCARE CONSULTING, LLC (VERITE) TO COMPLETE THE CHNA. GROUP A-FACILITY 3 -- COMMUNITY HOSPITAL EAST PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS WERE DETERMINED TO BE "SIGNIFICANT" IF THEY WERE IDENTIFIED AS PROBLEMATIC IN AT LEAST TWO OF THE FOLLOWING THREE DATA SOURCES: 1) THE MOST RECENTLY AVAILABLE SECONDARY DATA REGARDING THE COMMUNITY'S HEALTH, 2) RECENT ASSESSMENTS DEVELOPED BY THE STATE AND LOCAL ORGANIZATIONS, AND 3) INPUT FROM COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN THE COMMUNITY MEETING, KEY INFORMANT INTERVIEW PROCESS, AND STAFF SURVEYS. THE IMPLEMENTATION STRATEGIES WERE DRAFTED FOR EACH REGION AND DESCRIBE HOW THE HOSPITALS PLAN TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED. THE HOSPITALS REVIEWED THE CHNA FINDINGS AND APPLIED THE FOLLOWING CRITERIA TO DETERMINE THE MOST APPROPRIATE NEEDS FOR THE REGIONS TO ADDRESS: 1) THE EXTENT TO WHICH THE HOSPITAL HAS RESOURCES AND COMPETENCIES TO ADDRESS THE NEED 2) THE IMPACT THAT THE HOSPITAL COULD HAVE ON THE NEED (I.E. THE NUMBER OF LIVES THE HOSPITAL CAN IMPACT)3) THE FREQUENCY WITH WHICH STAKEHOLDERS IDENTIFIED THE NEEDS AS A SIGNIFICANT PRIORITY4) THE EXTENT OF COMMUNITY SUPPORT FOR THE HOSPITAL TO ADDRESS THE ISSUE AND POTENTIAL FOR PARTNERSHIPS TO ADDRESS THE ISSUE.COMMUNITY HEALTH NETWORK WILL ADDRESS ALL OF THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2021 CHNA, THESE INCLUDE: MENTAL HEALTH/SUBSTANCE USE, CHRONIC DISEASE, SOCIAL DETERMINANTS OF HEALTH (SDOH), COVID-19 AND MATERNAL/INFANT HEALTH. COMMUNITY HEALTH NETWORK ("CHNW") IS ADDRESSING THE NEEDS IDENTIFIED IN THE FOLLOWING WAYS:MENTAL HEALTH/SUBSTANCE USECHNW OPIOID STEWARDSHIP PROGRAM: CHNW HAS DEDICATED RESOURCES TO THE PREVENTION OF OPIOID USE DISORDER AND OVERDOSE DEATHS. THE OPIOID STEWARDSHIP PROGRAM INCLUDES SAFE OPIOID PRESCRIBING TRAINING FOR PRIMARY CARE AND SPECIALTY CARE PRACTITIONERS. BY PARTNERING WITH BOSTON UNIVERSITY SCHOOL OF MEDICINE, A LONGSTANDING LEADER IN EDUCATIONAL EXCELLENCE, WE BROUGHT AWARD WINNING CURRICULUM TO CHNW TO EDUCATE OUR PRACTITIONERS HOW TO SAFELY AND EFFECTIVELY MANAGE PATIENTS ACUTE AND/OR CHRONIC PAIN INCLUDING SAFE OPIOID PRESCRIBING MEASURES WHEN OPIOIDS ARE MEDICALLY NECESSARY. NARCAN PROGRAM: CHNW IS DEDICATED TO THE PREVENTION OF OVERDOSE DEATHS THROUGH OUR NARCAN PROGRAM. NARCAN IS THE DRUG THAT CAN REVERSE THE EFFECTS OF OPIOIDS SUCH AS HEROIN, METHADONE AND OXYCODONE. OUR PROGRAM PROVIDES A NARCAN KIT TO PATIENTS AND THEIR FAMILIES WHO ARE AT RISK FOR AN OPIOID OVERDOSE WHEN THEY HAVE BEEN DISCHARGED FROM AN EMERGENCY DEPARTMENT OR THE BEHAVIORAL HEALTH PAVILION. THROUGH PARTNERSHIPS WITH COMMUNITY NONPROFIT ORGANIZATIONS SUCH AS OVERDOSE LIFELINE AND THE BEECH GROVE COMPREHENSIVE DRUG FREE COALITION WE PROVIDED OPIOID OVERDOSE AWARENESS TRAINING AND FREE NARCAN KITS TO THE COMMUNITIES WE SERVE. IN 2023, 630 NARCAN KITS WERE DISTRIBUTED.SCHOOL-BASED BEHAVIORAL CARE SERVICES: CHNW'S SCHOOL-BASED CARE SERVICES PROVIDES COORDINATED, MULTI-SERVICE 'ON THE SPOT' CARE DIRECTLY IN SCHOOLS TO STUDENTS IN NEED BY WAY OF AN EMBEDDED COORDINATED TEAM OF SCHOOL NURSES, SCHOOL BEHAVIORAL HEALTH PROFESSIONALS, SCHOOL SPORTS MEDICINE & ATHLETIC TRAINING PROFESSIONALS, AND VIRTUAL CARE PROVIDERS. THE PROGRAM ALSO AIMS TO HELP KEEP SCHOOL TEACHERS, STAFF, EMPLOYEES, AND ADMINISTRATORS HEALTHY AND AVAILABLE TO SUPPORT KIDS IN SCHOOLS BY WAY OF ONSITE HEALTH & WELLNESS CLINICS AND EAP SERVICES FOR SCHOOL EMPLOYEES AND THEIR DEPENDENTS. CHNW PROVIDES OVER 150 BEHAVIORAL STAFF EMPLOYEES TO 143 SCHOOLS THROUGHOUT CENTRAL INDIANA. THESE ON-SITE BEHAVIORAL HEALTH SPECIALISTS PROVIDE SERVICES SUCH AS, COUNSELING, LIFE-SKILLS TRAINING, CRISIS RESPONSE, TRAUMA AND DEPRESSION SCREENINGS, STAFF EDUCATION AND TRAINING, TESTING, FAMILY SERVICES AND MORE. CHNW SCHOOL-BASED BEHAVIORAL HEALTH CAREGIVERS HAD 140,231 ENCOUNTERS WITH STUDENTS, FAMILIES AND STAFF IN 2023.CHRONIC DISEASEDIABETES EDUCATION CLASSES: CHNW PROVIDES FREE VIRTUAL DIABETES EDUCATION AND SUPPORT COURSES FOR PATIENTS AND COMMUNITY MEMBERS. EACH COURSE CONSISTS OF TWO CLASSES. COURSES ARE HELD AT VARIOUS TIMES THROUGHOUT THE MONTH TO ENSURE ACCESS FOR ALL WHO ARE INTERESTED. IN 2023, 42 MULTI CLASS SESSIONS WERE PROVIDED.PRODUCE RX PROGRAM: CHNW OFFERED 8 EDUCATION SESSIONS IN 2023 OF THE PRODUCE PRESCRIPTION NUTRITION INCENTIVE PROGRAM WHERE HIGH-RISK PARTICIPANTS FROM CHNW'S REACH CLINIC (RESOURCES TO EVALUATE AND ADVANCE COMMUNITY HEALTH LOCATED AT 2920 N. ARLINGTON AVE, SUITE B, INDIANAPOLIS, IN 46218) WERE ENROLLED INTO FREE CHRONIC DISEASE FOCUSED NUTRITION EDUCATION CLASSES PROVIDED BY THE AMBULATORY DIETITIAN TEAM. EACH PARTICIPANT RECEIVED FINANCIAL INCENTIVES PROVIDED BY CHNW COMMUNITY BENEFIT THAT WERE REDEEMABLE FOR FRUITS AND VEGETABLES AT LOCAL RETAIL LOCATIONS FOR ATTENDING.FAITH HEALTH INITIATIVE PROGRAM: TRAINS AND SUPPORTS A NETWORK OF FAITH COMMUNITY NURSES (FCNS) WHO CAN CREATE SUSTAINABLE ENGAGED HEALTH MINISTRIES AND ACTIVITIES IN THEIR RESPECTIVE FAITH COMMUNITIES. THESE FCNS PROVIDE CHRONIC DISEASE MANAGEMENT SUPPORT, MENTAL HEALTH SUPPORT THROUGH HEALTH MINISTRIES WITHIN THEIR FAITH COMMUNITIES.SOCIAL DETERMINANTS OF HEALTH (SDOH)MEDICAL LEGAL PARTNERSHIP (MLP): THE PURPOSE OF A MLP IS TO IMPROVE HEALTH OUTCOMES FOR PATIENTS THROUGH THE PROVISION OF LEGAL SERVICES THAT IMPACT SOCIAL DETERMINANTS OF HEALTH. HOSPITALS OFTEN SEE PATIENTS WHO ARE SUFFERING FROM ACUTE AND CHRONIC MEDICAL CONDITIONS CAUSED OR AGGRAVATED BY CONDITIONS IN PATIENTS' HOMES, ISSUES IN THE PATIENTS' RELATIONSHIPS, OR PATIENTS' LACK OF INCOME AND OTHER RESOURCES. EMBEDDING AN MLP ATTORNEY IN THE HOSPITAL ALLOWS THE HOSPITAL AND THE MLP TO WORK TOGETHER AS A TEAM TO ADDRESS HABITABILITY ISSUES IN A PATIENT'S HOME AND PROVIDE PATIENTS WITH THE MEDICAL CARE AND LEGAL SERVICES THEY NEED TO BECOME HEALTHY AND STAY HEALTHY.WELLFUND: THE WELLFUND EXISTS TO HELP PATIENTS NAVIGATE HEALTHCARE COVERAGE OPTIONS, INCLUDING INITIAL ENROLLMENT AND ONGOING MAINTENANCE OF COVERAGE. PATIENTS HAVE DIRECT ACCESS TO WELLFUND PATIENT ADVOCATES DURING PRE-SERVICE, ADMISSION AND POST-DISCHARGE FOR QUESTIONS AND DETERMINING WHICH PLAN BEST MEETS THEIR NEEDS. IN 2023, WELLFUND PATIENT ADVOCATES ASSISTED 29,006 INDIVIDUALS WITH ENROLLMENT ASSISTANCE. THE ADVOCATES ARE AVAILABLE TO MEET WITH PATIENTS IN PERSON OR OVER THE PHONE TO HELP WITH ENROLLMENT.SDOH SCREENING: A NETWORK-WIDE SDOH SCREENING PROGRAM WAS ROLLED OUT IN Q1 OF 2021. UTILIZING THE EPIC SDOH SCREENING TOOL, PATIENTS ADMITTED TO CHNW HOSPITALS, OB PATIENTS AND PRIMARY CARE PATIENTS ARE PROVIDED A COMPREHENSIVE SDOH SCREENING TO IDENTIFY ANY NEEDS THAT COULD IMPACT THE OVERALL HEALTH AND WELL-BEING OF THE PATIENT. CAREGIVERS ARE TRAINED ON HOW TO PROVIDE REFERRAL RESOURCES TO ASSIST THE PATIENT IN ADDRESSING THEIR IDENTIFIED NEED. PATIENTS NEEDING ADDITIONAL FOLLOW-UP ARE REFERRED FOR ADDITIONAL ASSISTANCE BY A CASE MANAGER OR HEALTH ADVOCATE. IN 2023, 133,643 PATIENTS WERE SCREENED.MATERNAL/INFANT HEALTHNURSE-FAMILY PARTNERSHIP (NFP): GOODWILL OF CENTRAL & SOUTHERN INDIANA IMPLEMENTED THE NFP, A NURSE HOME-VISITING PROGRAM SERVING LOW-INCOME MOTHERS AND BABIES.MILK FOR HEALTHY BABIES - THE MILK BANK: THREE COMMUNITY HOSPITALS ARE HOME TO AN INDIANA MOTHERS' MILK BANK MILK DEPOT. BREAST MILK DONORS CAN DROP OFF THEIR MILK AT THESE LOCATIONS. WHEN A MOTHER'S OWN MILK IS NOT AVAILABLE, PASTEURIZED DONOR HUMAN MILK IS DISPERSED BY PRESCRIPTION OR HOSPITAL ORDER PRIMARILY TO PREMATURE INFANTS IN HOSPITAL NEONATAL INTENSIVE CARE UNITS. COMMUNITY HOSPITAL NORTH, COMMUNITY HOWARD REGIONAL HEALTH AND COMMUNITY HOSPITAL ANDERSON PARTICIPATE IN THE MILK BANK PROGRAM. BREAST MILK DONORS CAN DROP OFF THEIR MILK AT THESE LOCATIONS. BABE STORE: AN INCENTIVE PROGRAM TO HELP ENCOURAGE REGULAR PRENATAL CARE AND SUPPORT SERVICES. PARENTS RECEIVE COUPONS FOR ATTENDING SCHEDULED PRENATAL CARE VISITS AND SOCIAL SERVICE APPOINTMENTS. COUPONS CAN BE USED TO PURCHASE NEEDED BABY ITEMS SUCH AS DIAPERS AND BABY CARE ITEMS.FACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 16AECOMMUNITY.COM/FINANCIAL-ASSISTANCE-POLICYFACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 16BECOMMUNITY.COM/FINANCIAL-ASSISTANCE-POLICYFACILITY 3, COMMUNITY HOSPITAL EAST - PART V, LINE 16CECOMMUNITY.COM/FINANCIAL-ASSISTANCE-POLICY 5 1 - FAMILY PRACTICE CENTER 10122 E 10TH STREET 100 INDIANAPOLIS IN 46229 HEALTH CARE 2 - SHELBYVILLE GROUP HOME 18 E MECHANIC STREET SHELBYVILLE IN 46176 HEALTH CARE 3 - LIFECHECK 7250 CLEARVISTA DRIVE 227 INDIANAPOLIS IN 46256 HEALTH CARE 4 - BEHAVIORAL HEALTH 6905 E 96TH STREET 300B INDIANAPOLIS IN 46250 HEALTH CARE 5 - BHS CLUBHOUSE 1405 N RITTER AVENUE INDIANAPOLIS IN 46219 HEALTH CARE PART I, LINE 3C: OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARECHNW ALSO CONSIDERS THE PATIENT'S MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND RESIDENCY WHEN CONSIDERING THE PATIENT FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: RELATED ORGANIZATION INFORMATIONA COMMUNITY BENEFIT REPORT IS COMPLETED FOR THE COMMUNITY HEALTH NETWORK INCLUDING COMMUNITY HEALTH NETWORK, INC. AND OTHER TAX-EXEMPT AFFILIATES OF THE NETWORK. PART I, LINE 7: COSTING METHODOLOGY EXPLANATIONA 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 ACTIVITIESSEE THE ATTACHED IRS SCHEDULE H SUPPLEMENTAL INFORMATION REPORT PART III, LINE 2: BAD DEBT EXPENSE METHODOLOGYTHE 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.ADDITIONALLY, COMMUNITY HEALTH NETWORK ADOPTED A NEW STANDARD RELATED TO REVENUE RECOGNITION AND CODIFIED IN THE FASB ACCOUNTING STANDARDS CODIFICATION ("ASC") AS TOPIC 606 ("ASC 606") IN FISCAL YEAR 2018. BECAUSE OF THE ADOPTION OF THIS STANDARD FROM AN ACCOUNTING PRESENTATION STANDPOINT, THE NETWORK NO LONGER EXPLICITLY REPORTS BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS. HOWEVER, THE NETWORK STILL DOES INCUR A SIGNIFICANT AMOUNT OF ADJUSTMENTS TO PATIENT'S ACCOUNTS FOR THOSE WHO DO NOT PAY THEIR PATIENT BALANCE WHICH RESULTS IN A SIGNIFICANT AND MATERIAL COST TO THE NETWORK. AS SUCH THE NETWORK WILL CONTINUE TO REPORT IN LINE 2 THE AMOUNT OF ADJUSTMENTS RELATED TO ADJUSTMENTS PREVIOUSLY IDENTIFIED AS BAD DEBT. PART III, LINE 3: BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE:THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED UTILIZING THE HISTORICAL LEVEL OF PATIENTS THAT WERE DETERMINED AS ELIGIBLE FOR FINANCIAL ASSISTANCE BASED ON A PRESUMPTIVE ELIGIBILITY PROCESS AND APPLYING THIS RATIO TO THE REPORTED BAD DEBT EXPENSE ON THE FINANCIAL STATEMENTS. THE PORTION OF THE BAD DEBT THAT IS ASSOCIATED WITH PATIENTS WHO MEET THE CHARITY CARE GUIDELINES, BUT WHO DID NOT APPLY FOR FINANCIAL ASSISTANCE IS CONSIDERED COMMUNITY BENEFIT SERVICES.PART III, LINE 4:THE AUDITED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING WITHIN THE FOOTNOTES: PATIENT ACCOUNTS RECEIVABLE AT DECEMBER 31, 2023 AND 2022, ARE REPORTED AT THE AMOUNTS THAT REFLECTS THE CONSIDERATION WHICH THE NETWORK EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDIDNG PATIENT CARE, AS FURTHER DESCRIBED IN NOTE 2. THE COLLECTION OF OUTSTANDING RECEIVABLES FOR MEDICARE, MEDICAID, MANAGED CARE AND COMMERCIAL INSURANCE PAYERS, AND PATIENTS IS THE NETWORK'S PRIMARY SOURCE OF CASH AND IS CRITICAL TO THE NETWORK'S OPERATING PERFORMANCE. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS AND PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE CARRIER HAS PAID THE AMOUNTS COVERED BY THE APPLICABLE AGREEMENT, BUT PATIENT RESPONSIBILITY AMOUNTS (DEDUCTIBLES AND COINSURANCE) REMAIN OUTSTANDING. THE NETWORK GRANTS CREDIT WITHOUT COLLATERAL TO ITS PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY PAYER AGREEMENTS. THE CONCENTRATION OF NET RECEIVABLES BY PAYER CLASS FOR BOTH PATIENTS AND THIRD-PARTY PAYERS AT DECEMBER 31, 2023 AND 2022 IS AS FOLLOWS. NET RECEIVABLE FOR PATIENTS INCLUDES UNINSURED BALANCES WHICH ARE THE RESPONSIBILITY OF THE PATIENT ASSOCIATED WITH THIRD-PARTY PAYERS LISTED BELOW: 2023 2022MEDICARE 24% 22%MEDICAID 11% 11%MANAGED CARE AND COMMERCIAL INSURANCE 54% 57%PATIENTS 11% 10% 100% 100%CHARITY CARETHE 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 EQUAL TO OR BELOW 200% OF THE FEDERAL POVERTY LINE. 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 $12,628(000) AND $8,058(000) FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, RESPECTIVELY. CHARITY CARE COST WAS ESTIMATED ON THE APPLICATION OF THE ASSOCIATED COST-TO-CHARGE RATIOS. PART III, LINE 4: PATIENT SERVICE REVENUETHE NETWORK'S REVENUES GENERALLY RELATE TO CONTRACTS WITH PATIENTS IN WHICH THE NETWORK'S PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO THE PATIENTS. PATIENT SERVICE REVENUE IS REPORTED AT THE AMOUNT THAT REFLECTS THE CONSIDERATION TO WHICH THE NETWORK EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS AND THIRD-PARTY PAYERS (INCLUDING GOVERNMENT PROGRAMS AND MANAGED CARE AND COMMERCIAL INSURANCE COMPANIES) AND INCLUDE VARIABLE CONSIDERATION FOR RETROACTIVE REVENUE ADJUSTMENTS DUE TO SETTLEMENT OF AUDITS, REVIEWS, AND INVESTIGATIONS. GENERALLY, THE NETWORK BILLS THE PATIENTS AND THIRD-PARTY PAYERS SEVERAL DAYS AFTER THE SERVICES ARE PERFORMED OR THE PATIENT IS DISCHARGED FROM THE FACILITY. REVENUE IS RECOGNIZED AS PERFORMANCE OBLIGATIONS ARE SATISFIED. THE NETWORK DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYERS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE NETWORK'S POLICY, AND IMPLICIT PRICE CONCESSIONS.PERFORMANCE OBLIGATIONS ARE DETERMINED BASED ON THE NATURE OF THE SERVICES PROVIDED BY THE NETWORK. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED OVER TIME IS RECOGNIZED BASED ON ACTUAL CHARGES INCURRED IN RELATION TO TOTAL EXPECTED OR ACTUAL CHARGES. THE NETWORK BELIEVES THAT THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. GENERALLY, PERFORMANCE OBLIGATIONS SATISFIED OVER TIME RELATE TO PATIENTS IN OUR HOSPITALS RECEIVING INPATIENT ACUTE CARE SERVICES. THE NETWORK MEASURES THE PERFORMANCE OBLIGATION FROM ADMISSION INTO THE HOSPITAL TO THE POINT WHEN IT IS NO LONGER REQUIRED TO PROVIDE SERVICES TO THAT PATIENT, WHICH IS GENERALLY AT THE TIME OF DISCHARGE. REVENUE FOR PERFORMANCE OBLIGATIONS SATISFIED AT A POINT IN TIME, WHICH INCLUDES OUTPATIENT SERVICES, IS GENERALLY RECOGNIZED WHEN SERVICES ARE PROVIDED TO OUR PATIENTS AND THE NETWORK DOES NOT BELIEVE IT IS REQUIRED TO PROVIDE ADDITIONAL SERVICES TO THE PATIENT.BECAUSE ALL OF ITS PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, THE NETWORK HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION PROVIDED IN FASB ASC 606-10-50-14A AND, THEREFORE, IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY UNSATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY UNSATISFIED PERFORMANCE OBLIGATIONS REFERRED TO PREVIOUSLY ARE PRIMARILY RELATED TO INPATIENT ACUTE CARE SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN THE PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD.THE NETWORK DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. MANAGEMENT CONTINUALLY REVIEWS THE CONTRACTUAL ESTIMATION PROCESS TO CONSIDER AND INCORPORATE UPDATES TO LAWS AND REGULATIONS AND THE FREQUENT CHANGES IN MANAGED CARE CONTRACTUAL TERMS RESULTING FROM CONTRACT RENEGOTIATIONS AND RENEWALS. ESTIMATES OF CONTRACTUAL ADJUSTMENTS UNDER MANAGED CARE AND COMMERCIAL INSURANCE PLANS ARE BASED UPON THE PAYMENT TERMS SPECIFIED IN THE RELATED CONTRACTUAL AGREEMENTS. THE PAYMENT ARRANGEMENTS WITH THIRD-PARTY PAYERS PROVIDE FOR PAYMENTS TO THE NETWORK AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYERS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE NETWORK ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. AT DECEMBER 31, 2023 AND 2022, ESTIMATED IMPLICIT PRICE CONCESSIONS OF $668,478(000) AND $767,782(000), RESPECTIVELY, WERE RECORDED TO ADJUST REVENUES TO THE ESTIMATED AMOUNTS THE NETWORK EXPECTS TO COLLECT.ESTIMATED IMPLICIT PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, WHICH INCLUDES UNINSURED PATIENTS AND UNINSURED COPAYMENT AND DEDUCTIBLE AMOUNTS FOR PATIENTS WHO HAVE HEALTH CARE COVERAGE, REGARDLESS OF THE AGING OF THOSE ACCOUNTS. THE ESTIMATES FOR IMPLICIT PRICE CONCESSIONS ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL WRITE-OFFS AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL, STATE AND PRIVATE EMPLOYER HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITE-OFFS AND COLLECTIONS AS A PRIMARY SOURCE OF INFORMATION IN ESTIMATING THE COLLECTABILITY OF OUR ACCOUNTS RECEIVABLE. THE NETWORK PERFORMS A HINDSIGHT ANALYSIS QUARTERLY, UTILIZING HISTORICAL ACCOUNTS RECEIVABLE COLLECTION AND WRITE-OFF DATA. THE NETWORK BELIEVES ITS QUARTERLY UPDATES TO THE ESTIMATED IMPLICIT PRICE CONCESSION AMOUNTS AT EACH OF ITS HOSPITAL FACILITIES PROVIDE REASONABLE VALUATION ESTIMATES OF THE NETWORK'S REVENUES AND ACCOUNTS RECEIVABLE.BEGINNING JUNE 2012, THE STATE OF INDIANA OFFERED VOLUNTARY PARTICIPATION IN THE STATE OF INDIANA'S 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 CMS AND IS FUNDED WITH A COMBINATION OF STATE AND FEDERAL RESOURCES, INCLUDING FEES OR TAXES LEVIED ON THE PROVIDERS.REIMBURSEMENT UNDER THE PROGRAM IS REFLECTED WITHIN PATIENT SERVICE REVENUE AND THE FEES PAID FOR PARTICIPATION IN THE HAF PROGRAM ARE RECORDED IN SUPPLIES AND OTHER EXPENSES WITHIN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE FEES AND REIMBURSEMENTS ARE SETTLED MONTHLY. REVENUE RECOGNIZED RELATED TO THE HAF PROGRAM WAS $403,287(000) AND $348,441(000) FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, RESPECTIVELY. EXPENSE FOR FEES RELATED TO THE HAF PROGRAM WAS $108,347(000) AND $108,199(000) FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, RESPECTIVELY. THE HAF PROGRAM RUNS ON AN ANNUAL CYCLE FROM JULY 1 TO JUNE 30 AND IS EFFECTIVE UNTIL JUNE 30, 2024. THE CONSOLIDATED BALANCE SHEETS AT DECEMBER 31, 2023 AND 2022 INCLUDED HAF ACTIVITY OF $20,460(000) AND ($11,127)(000), RESPECTIVELY, IN ESTIMATED THIRD-PARTY PAYER SETTLEMENTS RECEIVABLE (PAYABLE) RELATED TO THE HAF PROGRAM. PART III, LINE 8: MEDICARE EXPLANATIONPER 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 PARTS C AND D. THE MEDICARE SHORTFALL ATTRIBUTED TO THOSE AREAS NOT INCLUDED ON THE MEDICARE COST REPORT IS $160,175,581. AS SUCH, THE TOTAL MEDICARE SHORTFALL FOR ALL MEDICARE PROGRAMS IS $179,363,412. MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE MEDICARE REPRESENTS 48.21% OF THE OVERALL PAYER MIX FOR THIS ORGANIZATION. PART III, LINE 9B: COLLECTION PRACTICES EXPLANATIONNOTWITHSTANDING ANY OTHER PROVISION OF ANY OTHER POLICY AT COMMUNITY REGARDING BILLING AND COLLECTION MATTERS, COMMUNITY WILL NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS BEFORE IT MAKES REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL WHO HAS AN UNPAID BILL FROM COMMUNITY IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THE ACTIONS COMMUNITY MAY TAKE IN THE EVENT OF NONPAYMENT AND THE PROCESS AND TIME FRAMES FOR TAKING THESE ACTIONS ARE MORE FULLY DESCRIBED IN COMMUNITY'S BILLING AND COLLECTIONS POLICY. PART VI, LINE 2 - NEEDS ASSESSMENT IN ADDITION TO THE TRIENNIAL CHNA, COMMUNITY HEALTH NETWORK CONTINUALLY ASSESSES THE NEEDS OF OUR PATIENTS AND THE COMMUNITY SERVED. COMMUNITY HEALTH NETWORK WORKS COLLABORATIVELY WITH OUR PEER HEALTH SYSTEM TO DISCUSS TRENDS AND WAYS IN WHICH THE HEALTH SYSTEMS CAN WORK TOGETHER TO ADDRESS THE NEEDS OF THE COMMUNITY. COMMUNITY HEALTH NETWORK ASSESSES THE SDOH NEEDS OF OUR PATIENTS BY EVALUATING DATA FROM THE COMMUNITY CONNECTIONS PLATFORM, A FREE SEARCH ENGINE THAT ALLOWS COMMUNITY MEMBERS TO ANONYMOUSLY SEARCH FOR SOCIAL CARE RESOURCES. INTERNALLY, CHNW HAS ACCESS TO A ROBUST DATA ANALYTICS TEAM AND TOOLS WHICH DEVELOP DASHBOARDS TO HELP TRACK AND MONITOR THE HEALTH NEEDS OF THOSE SERVED. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE COMMUNITY WILL UNDERTAKE THE FOLLOWING EFFORTS TO WIDELY PUBLICIZE ITS FINANCIAL ASSISTANCE POLICY:1. WRITTEN NOTIFICATION - A PLAIN LANGUAGE SUMMARY WILL BE POSTED IN EACH PATIENT REGISTRATION AND WAITING AREA AND AVAILABLE ONLINE AT ECOMMUNITY.COM. IN THE CASE OF SERVICES RENDERED IN THE HOME, THE FINANCIAL ASSISTANCE SUMMARY WILL BE PROVIDED TO THE RESPONSIBLE PARTY DURING THE FIRST IN-HOME VISIT. ALL PUBLICATIONS AND INFORMATIONAL MATERIALS RELATED TO THE FINANCIAL ASSISTANCE PROGRAM WILL BE TRANSLATED INTO LANGUAGES APPROPRIATE TO THE POPULATION IN THE SERVICE AREA.2. ORAL NOTIFICATION - ALL POINTS OF ACCESS WILL MAKE EVERY EFFORT TO INFORM EACH RESPONSIBLE PARTY ABOUT THE EXISTENCE OF COMMUNITY'S FINANCIAL ASSISTANCE PROGRAM IN THE APPROPRIATE LANGUAGE DURING ANY PRE-ADMISSION, REGISTRATION, ADMISSION, OR DISCHARGE PROCESS. ADDITIONALLY, THE POST-SERVICE COLLECTION PROCESS WILL INTEGRATE NOTIFICATION OF THE AVAILABILITY OF ASSISTANCE INTO THE STANDARD PROCESS WHEN COLLECTION EFFORTS FAIL.3. STATEMENT NOTIFICATION - STATEMENTS WILL PROVIDE INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM.4. ABOUT YOUR BILL: FREQUENTLY ASKED QUESTIONS - COPIES OF THESE DOCUMENTS WILL BE AVAILABLE IN PATIENT REGISTRATION AREAS, THROUGH THE BUSINESS OFFICES AND PATIENT FINANCIAL COUNSELORS.5. COMMUNITY WILL MAKE REASONABLE EFFORTS TO INFORM AND NOTIFY RESIDENTS OF THE COMMUNITY SERVED ABOUT THE FINANCIAL ASSISTANCE POLICY IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. MODES OF DELIVERY OF THIS INFORMATION MAY INCLUDE NEWSLETTERS, BROCHURES AND/OR THE PROVISION OF ONLINE ACCESS. PART VI, LINE 4 - COMMUNITY INFORMATION THE POPULATION SERVED BY COMMUNITY HEALTH NETWORK IS EXPECTED TO REMAIN STABLE WITH JUST OVER 8.8% GROWTH PROJECTED FROM 2019 TO 2025 WITH THE 2019 POPULATION AT 667,624. THE RACIAL AND ETHNIC MAKE-UP OF THE COMMUNITY IS, 62.8% WHITE, 22.7% BLACK, 7.2% HISPANIC AND 7.3% OTHER. THE FASTEST GROWING AGE GROUP IS THOSE AGED 65+. 14.9% OF THE POPULATION LIVES IN POVERTY. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH A MAJORITY OF COMMUNITY HEALTH NETWORK'S (COMMUNITY) BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO RESIDE IN COMMUNITY'S PRIMARY SERVICES AREAS. COMMUNITY EXTENDS MEDICAL PRIVILEGES TO ALL PHYSICIANS WHO MEET THE CREDENTIALING QUALIFICATIONS NECESSARY FOR APPOINTMENT TO ITS MEDICAL STAFF. COMMUNITY DOES NOT DENY APPOINTMENT BASED ON GENDER, RACE, CREED, OR NATIONAL ORIGIN. COMMUNITY, IN COLLABORATION WITH MARIAN UNIVERSITY OSTEOPATHIC SCHOOL OF MEDICINE, TRAINS THE NEXT GENERATION OF PHYSICIANS IN A LEARNING ENVIRONMENT. COMMUNITY APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: COMMUNITY HEALTH NETWORK, INC. ("CHNW") IS PART OF AN AFFILIATED HEALTH CARE SYSTEM. SEE THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW CHNW IS INVOLVED IN PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT - INDIANA 1 COMMUNITY HEALTH NETWORK FOUNDATION 7330 SHADELAND STATION SUITE 150 INDIANAPOLIS IN 46256 510181688 501C3 2477825 5008 COST EVENT TICKETS FOR FOUNDATION FUNDRAISER AUCTION GENERAL SUPPORT IHA HOSPITAL ASSISTANCE FOUNDATION INC 500 N MERIDIAN ST STE 250 INDIANAPOLIS IN 46204 455573749 501C3 134307 0 GENERAL SUPPORT CANCER SUPPORT COMMUNITY INDIANA 5150 WEST 71ST STREET INDIANAPOLIS IN 46268 351902427 501C3 45000 0 GENERAL SUPPORT CENTER OF WELLNESS FOR URBAN WOMEN 2424 DOCTOR MARTIN LUTHER KING JR STREET INDIANAPOLIS IN 46208 204788681 501C3 45000 0 GENERAL SUPPORT LITTLE RED DOOR CANCER AGENCY INC 1801 N MERIDIAN STREET INDIANAPOLIS IN 46202 350914096 501C3 45000 0 GENERAL SUPPORT LUTHERAN CHILD AND FAMILY SERVICES OF INKY INC 1525 N RITTER AVENUE INDIANAPOLIS IN 46219 350868123 501C3 45000 0 GENERAL SUPPORT MINORITY HEALTH COALITION OF MADISON COUNTY 2428 MADISON AVENUE ANDERSON IN 46016 351920663 501C3 45000 0 GENERAL SUPPORT PACE INC 2855 N KEYSTONE AVE SUITE 170 INDIANAPOLIS IN 46218 351062235 501C3 45000 0 GENERAL SUPPORT SOUTHEAST COMMUNITY SERVICES 901 SHELBY STREET INDIANAPOLIS IN 46203 351318068 501C3 45000 0 GENERAL SUPPORT THE GILEAD HOUSE 406 E SYCAMORE STREET KOKOMO IN 46901 352018411 501C3 45000 0 GENERAL SUPPORT THE IMMIGRANT WELCOME CENTER INC 40 E ST CLAIR STREET INDIANAPOLIS IN 46204 203222424 501C3 45000 0 GENERAL SUPPORT THE ROSS FOUNDATION CORPORATION 8901 E 42ND STREET INDIANAPOLIS IN 46226 811269156 501C3 45000 0 GENERAL SUPPORT TURNING POINT SOC 1234 N COURTLAND AVE KOKOMO IN 46901 831955026 501C3 45000 0 GENERAL SUPPORT YMCA OF GREATER INDIANAPOLIS 6610 N SHADELAND AVE INDIANAPOLIS IN 46220 350868211 501C3 45000 0 GENERAL SUPPORT OPERATION LOVE MINISTRIES INC PO BOX 917 ANDERSON IN 46015 311114443 501C3 40000 0 GENERAL SUPPORT GLEANERS FOOD BANK OF INDIANA 3737 WALDEMERE AVE INDIANAPOLIS IN 46241 351483868 501C3 28500 0 GENERAL SUPPORT SAMARITAN CAREGIVERS INC 2705 S BERKLEY ROAD SUITE 3C KOKOMO IN 46902 351999781 501C3 16553 0 GENERAL SUPPORT ALTERNATIVES INCORPORATED OF MADISON COUNTY PO BOX 1302 ANDERSON IN 46015 310986769 501C3 16250 0 GENERAL SUPPORT BUTLER UNIVERSITY 510 W 49TH STREET INDIANAPOLIS IN 46208 350867977 501C3 10000 0 GENERAL SUPPORT COVERING KIDS AND FAMILIES OF INDIANA 1100 W 42ND ST STE 317 INDIANAPOLIS IN 46208 611520892 501C3 10000 0 GENERAL SUPPORT 20 0 PART 1, LINE 2 - PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS PRIOR TO THE DISBURSEMENT OF ANY GRANT PROCEEDS, CHNW ENSURES THAT THE PURPOSE OF THE GRANT IS CONSISTENT WITH CHNW'S CHARITABLE PURPOSES. THE TERMS OF ALL GRANTS REQUIRE THAT THE RECIPIENT EXPEND THE FUNDS SOLELY FOR CHARITABLE PURPOSES. X X X X 1 1 0 0 0 0 0 1 0 BRYAN A MILLS DIRECTOR/PRESIDENT & CEO 1384024 0 129939 0 24504 0 1386616 0 27838 0 2952921 0 129939 0 RAMARAO YELETI MD EVP CHIEF PHYSICIAN EXECUTIVE 810128 0 76555 0 154617 0 621870 0 36633 0 1699803 0 76555 0 JASON FAHRLANDER EVP COO 746581 0 72075 0 30504 0 574771 0 37080 0 1461011 0 72075 0 KYLE FISHER EVP CFO 686562 0 64188 0 8004 0 508756 0 22473 0 1289983 0 64188 0 PATRICK MCGILL MD EVP CHIEF ANALYTICS OFFICER 639752 0 58807 0 44184 0 490678 0 35303 0 1268724 0 58807 0 KAREN ANN LLOYD EVP GEN COUNSEL/SECRETARY MAR-DEC 23 532621 0 51632 0 168125 0 410966 0 20395 0 1183739 0 51632 0 JOHN KUNZER MD MMM EVP PHYSICIAN EXECUTIVE 0 596683 0 54882 0 30504 0 459948 0 32367 0 1174384 0 54882 KANWALDEEP SIDHU MD PSYCHIATRIST 813230 0 0 0 93659 0 147474 0 35355 0 1089718 0 0 0 ISHRAT BHAT PSYCHIATRIST 817395 0 0 0 47514 0 141735 0 34355 0 1040999 0 0 0 VIRGINIA DAVIDSON EVP CHIEF RISK & COMPLIANCE OFFICER 504711 0 50110 0 30504 0 387456 0 11226 0 984007 0 50110 0 SYED HASAN MD PSYCHIATRIST 776068 0 0 0 26737 0 133781 0 36959 0 973545 0 0 0 SHILPA GUGGALI PSYCHIATRIST 780555 0 0 0 21864 0 131911 0 37509 0 971839 0 0 0 MICHELLE MAHAFFEY CHIEF HR OFFICER 486186 0 29923 0 18754 0 360350 0 10437 0 905650 0 29923 0 ELIZABETH S THARP MBA BSN RN SVP HOSPITAL ACUTE CARE SERVICES/CNO 519670 0 0 0 23604 0 278131 0 20902 0 842307 0 0 0 ROBIN LEDYARD MD SVP CHIEF MEDICAL OFFICER 526508 0 0 0 24504 0 280720 0 10456 0 842188 0 0 0 KATHY KRUSIE SVP-CPN CHIEF ADMINISTRATIVE OFFICER 484507 0 0 0 24504 0 264257 0 21078 0 794346 0 0 0 ANNETTE M MOORE MD DIRECTOR 0 569579 0 0 0 73897 0 19800 0 0 0 663276 0 0 JEAN PUTNAM DNP RN EVP CHIEF NURSING OFFICER 198646 0 36432 0 256717 0 154724 0 10537 0 657056 0 36432 0 DIANE MCDANIEL CHIEF DEI OFFICER 162968 0 0 0 138052 0 200333 0 7524 0 508877 0 0 0 JENNIFER HINDMAN VP HOSPITAL ADMINISTRATOR 255128 85043 0 0 1721 573 79202 26400 25603 8534 361654 120550 0 0 PAIGE DOOLEY MSN MBA RN NE-BC VP CNE & CHIEF ADMINISTRATOR - EAST 324805 0 0 0 23927 0 118194 0 0 0 466926 0 0 0 ANGIE DUNST MBA BSN VP CNE & CHIEF ADMINISTRATOR - NORTH 326647 0 0 0 1033 0 114100 0 9764 0 451544 0 0 0 CHARLES PLATZ MD DIRECTOR 0 295479 0 0 0 45384 0 65522 0 19670 0 426055 0 0 DAVID KILEY MD FORMER SVP INDY REGION PRES 264494 0 0 0 17733 0 28452 0 34459 0 345138 0 0 0 PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS KAREN ANN LLOYD SEVERANCE: 0 NONQUALIFIED: $137,921 EQUITY-BASED: 0 DIANE MCDANIEL SEVERANCE: $115,385 NONQUALIFIED: 0 EQUITY-BASED: 0 JEAN PUTNAM SEVERANCE: $220,385 NONQUALIFIED:$21,660 EQUITY-BASED: 0 PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS COMMUNITY HEALTH NETWORK, INC. SECTION 457(F) PLAN COMMUNITY HEALTH NETWORK, INC. ("COMMUNITY") ADOPTED THIS COMMUNITY HEALTH NETWORK, INC. SECTION 457(F) PLAN ("PLAN") AS OF JANUARY 1, 2016 TO PROVIDE A SUPPLEMENTAL INCOME FOR RETIREMENT UPON VESTING IN THE BENEFIT AS DESCRIBED IN THE PLAN DOCUMENT. THE PLAN IS INTENDED TO BE EXEMPT FROM THE REQUIREMENTS OF CODE SECTION 409A AS A SHORT-TERM DEFERRAL PROGRAM DESCRIBED UNDER TREAS. REG. 1.409A-1 (B)(4). THE PLAN IS DESIGNED UNDER CODE SECTION 457(F) AS A "TOP-HAT PLAN" (I.E. AN UNFUNDED DEFERRED COMPENSATION PLAN MAINTAINED FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES) PURSUANT TO SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). ELIGIBILITY: INDIVIDUALS DESIGNATED BY THE BOARD OF DIRECTORS OF COMMUNITY HEALTH NETWORK, INC. CONTRIBUTIONS: ANNUALLY FROM 2021 TO 2025 COMMUNITY WILL CREDIT A CONTRIBUTION TO A PARTICIPANT'S ACCOUNT IN AN AMOUNT EQUAL TO TEN PERCENT OF THEIR BASE COMPENSATION AS DEFINED IN THE PARTICIPANT'S EMPLOYMENT AGREEMENT WITH COMMUNITY. VESTING: SINGLE VESTING METHOD ELECTED BY THE EMPLOYER, IN ITS DISCRETION, FOR EACH PARTICIPANT, WHICH APPLIES TO ALL EMPLOYER CONTRIBUTION CREDITS. UNLESS VESTED OR FORFEITED EARLIER, THE ENTIRE ACCOUNT SHALL VEST ON JANUARY 1, 2026. IN ADDITION, A PARTICIPANT'S ENTIRE ACCOUNT SHALL VEST ON THE PARTICIPANT'S DEATH, AN INVOLUNTARY TERMINATION OF THE PARTICIPANT'S EMPLOYMENT WITHOUT CAUSE (AS REASONABLY DETERMINED BY THE EMPLOYER), THE PARTICIPANT'S DISABILITY (AS DEFINED BY THE SOCIAL SECURITY ADMINISTRATION), OR THE PARTICIPANT'S VOLUNTARY TERMINATION FOR GOOD REASON. FORFEITURE: IF ACCOUNT IS NOT VESTED AS DESCRIBED ABOVE, THE ACCOUNT WILL BE COMPLETELY FORFEITED. AMOUNTS FORFEITED DURING A PLAN YEAR REMAIN A GENERAL ASSET OF COMMUNITY. COMMUNITY HEALTH NETWORK, INC. RESTORATION PLAN COMMUNITY HEALTH NETWORK, INC. ("COMMUNITY") ADOPTED THIS COMMUNITY HEALTH NETWORK RESTORATION PLAN ("PLAN") AS OF DECEMBER 1, 2017 TO PROVIDE A SUPPLEMENTAL INCOME FOR RETIREMENT UPON VESTING IN THE BENEFITS AS DESCRIBED IN THE PLAN DOCUMENT. THE PLAN IS DESIGNED UNDER CODE SECTION 457(F) AS A "TOP-HAT PLAN" (I.E. AN UNFUNDED DEFERRED COMPENSATION PLAN MAINTAINED FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES PURSUANT TO SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). ELIGIBILITY: INDIVIDUALS WHO HAVE THE TITLE OF PRESIDENT, SENIOR VICE PRESIDENT OR EXECUTIVE VICE PRESIDENT AND WHOSE PLAN COMPENSATION FOR THE APPLICABLE PLAN YEAR EXCEEDS THE ANNUAL COMPENSATION LIMIT UNDER CODE SECTION 401(A) (17), AS ADJUSTED FROM TIME TO TIME. CONTRIBUTIONS: 1. MATCHING CONTRIBUTIONS: IF A PARTICIPANT RECEIVES THE MAXIMUM PERMISSIBLE MATCHING CONTRIBUTION UNDER THE COMMUNITY HEALTH NETWORK 401(K) RETIREMENT PLAN, THEY WILL RECEIVE A MATCHING CONTRIBUTION IN THE PLAN THAT IS EQUAL TO THEIR COMPENSATION THAT IS GREATER THAN THE 401(K) PLAN LIMIT MULTIPLIED BY THE MAXIMUM PERMITTED MATCHING CONTRIBUTION PERCENTAGE IN THE 401(K) PLAN FOR THAT YEAR. 2. NON-ELECTIVE CONTRIBUTIONS: IF A PARTICIPANT RECEIVES A NON-ELECTIVE CONTRIBUTION IN THE 401(K) PLAN, THEY WILL RECEIVE A NON-ELECTIVE CONTRIBUTION IN THE PLAN THAT IS EQUAL TO THEIR COMPENSATION THAT IS GREATER THAN THE 401(K) PLAN LIMIT MULTIPLIED BY THE NON-ELECTIVE CONTRIBUTION PERCENTAGE IN THE 401(K) PLAN FOR THAT YEAR. NOTE THAT NO NON-ELECTIVE CONTRIBUTIONS ARE CURRENTLY BEING MADE TO THE 401(K) PLAN. CONTRIBUTIONS WILL BE CREDITED TO A PARTICIPANT'S ACCOUNT AS SOON AS ADMINISTRATIVELY FEASIBLE FOLLOWING THE END OF THE PLAN YEAR TO WHICH THE CONTRIBUTIONS RELATE. VESTING: A PARTICIPANT WILL BE 100% VESTED IN HIS ACCOUNT UPON THE EARLIEST TO OCCUR OF THE FOLLOWING: 1. ATTAINMENT OF AGE 65 PRIOR TO SEPARATION FROM SERVICE 2. DISABILITY 3. INVOLUNTARY SEPARATION FROM SERVICE FOR A REASON OTHER THAN FOR CAUSE 4. SEPARATION FROM SERVICE FOR GOOD REASON 5. A NONCOMPETITIVE PARTICIPANT'S COMPLIANCE WITH ALL TERMS OF A NONCOMPETING AGREEMENT, OR 6. DEATH FORFEITURES: IF ACCOUNT IS NOT VESTED AS DESCRIBED ABOVE, THE ACCOUNT WILL BE COMPLETELY FORFEITED. AMOUNTS FORFEITED DURING A PLAN YEAR REMAIN A GENERAL ASSET OF COMMUNITY. PART I, LINE 7 - NON-FIXED PAYMENTS PROVIDED SENIOR LEADERSHIP INCENTIVE PROGRAM COMMUNITY HEALTH NETWORK, INC., PARTICIPATES IN THE NETWORK'S SENIOR LEADERSHIP INCENTIVE PROGRAM. CERTAIN INDIVIDUALS OF THE LEADERSHIP TEAM PARTICIPATE IN THIS PROGRAM. THE PROGRAM WAS ADOPTED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND IS INTENDED TO INFLUENCE OUTSTANDING PERFORMANCE BY THE SENIOR LEADERS, AS MEASURED AGAINST ORGANIZATIONAL 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 ARM'S LENGTH, FAIR MARKET TERMS. A INDIANA FINANCE AUTHORITY 351602316 000000000 2021-08-30 57175000 SEE PART VI 0 0 0 B INDIANA FINANCE AUTHORITY 351602316 000000000 2022-12-01 72825000 SEE PART VI 0 0 0 A 4875000 57175000 65605000 1 0 1 1 B 2590000 72825000 72825000 1 0 1 1 A 0 1 1 1 1 1 0.03080 0.00000 0.03080 0 0 1 B 0 1 1 1 1 1 0.00690 0.00000 0.00690 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 SCHEDULE K- PURPOSE OF ISSUE DESCRIPTION INDIANA FINANCE AUTHORITY PART I, LINE A, COLUMN (F) - 2012B BONDS: REISSUANCE OF 2012B BONDS ISSUED 11/27/2012, WHICH WERE REISSUED ON 4/5/18 AND ON 8/30/21, THE PROCEEDS OF WHICH WERE USED TO CURRENTLY REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 2005B (COMMUNITY HEALTH NETWORK PROJECT) ISSUED ON MAY 4, 2005 AND THE INDIANA FINANCING AUTHORITY ADJUSTABLE RATE HOSPITAL REVENUE BONDS, SERIES 2009B (COMMUNITY HEALTH NETWORK PROJECT) ISSUED ON JUNE 30, 2009. THE 2012B BONDS WERE ORIGINALLY ISSUED ON NOVEMBER 27, 2012 AND WERE PREVIOUSLY REISSUED ON APRIL 5, 2018. INDIANA FINANCE AUTHORITY PART I, LINE B, COLUMN (F) - 2022A BONDS: CURRENTLY REFUND $72,825,000 OF OUTSTANDING INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2016A (COMMUNITY HEALTH NETWORK PROJECT) ISSUED ON SEPTEMBER 22, 2016. PART III, LINE 7, COLUMN A, B - PRIVATE BUSINESS USE BECAUSE CHNW MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE TO ENSURE THAT THE PRIVATE BUSINESS USE LIMIT IS NOT EXCEEDED, CHNW DOES NOT CALCULATE THE AMOUNT OF PRIVATE PAYMENTS. MARK PETERSON DIRECTOR'S SON 124490 WAGES 0 TOM LEDYARD MD KEY EMPLOYEE SPOUSE 257547 WAGES 0 FORM 990 - ORGANIZATION'S MISSON COMMUNITY HEALTH NETWORK, INC. ("CHNW") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHNW OPERATES THREE GENERAL ACUTE CARE HOSPITALS AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHNW'S MISSION IS TO: A) PROMOTE THE HEALTH AND WELL-BEING OF THE RESIDENTS IN CENTRAL INDIANA, AND ESTABLISH, MAINTAIN AND OPERATE HOSPITALS AND HEALTH CARE FACILITIES FOR THE WELL-BEING, CARE AND TREATMENT OF SICK, INJURED OR DISABLED PERSONS WITHOUT REGARD TO CREED, COLOR OR NATIONALITY; B) SERVE AS THE PARENT OF THE NETWORK, AN INTEGRATED DELIVERY SYSTEM, AND EXERCISE COMMON SUPERVISION AND CONTROL OVER THE NETWORK BY INTEGRATING, COORDINATING, AND MANAGING THE DELIVERY OF CAPITAL, RESOURCES, AND SERVICES THROUGHOUT THE NETWORK. IN FURTHERANCE OF ITS ROLE AS THE PARENT, THE CORPORATION IS RESPONSIBLE FOR CARRYING OUT A NUMBER OF SIGNIFICANT MANAGEMENT, GOVERNANCE, AND OPERATIONAL FUNCTIONS ON BEHALF OF THE ENTIRE NETWORK, THE SUPPORTED ORGANIZATIONS, AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES. FORM 990 - ADDITIONAL INFORMATION FORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS THE BOARD OF DIRECTORS FOR CHNW IS ALSO THE BOARD OF DIRECTORS FOR COMMUNITY HOSPITAL SOUTH, INC. AND EFFECTIVE FEBRUARY 27, 2023, ALSO THE BOARD OF DIRECTORS FOR COMMUNITY PHYSICIANS OF INDIANA, INC. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW REVIEWS AND APPROVES EXECUTIVE COMPENSATION THROUGH THE DELIBERATIONS OF THE NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. LIKEWISE, CHNW REVIEWS AND MANAGES CONFLICT OF INTEREST TRANSACTIONS THROUGH THE DELIBERATIONS OF A NETWORK AUDIT COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. FORM 990, PART I, LINE 5 - NUMBER OF EMPLOYEES CHNW IS THE EMPLOYER FOR VARIOUS RELATED ENTITIES. THE TOTAL EMPLOYEES REPORTED ON FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS FILED FOR 2023 WAS 20,125. PART III, LINE 1 DESCRIPTION OF ORGANIZATION'S MISSION COMMUNITY HEALTH NETWORK, INC. ("CHNW") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHNW OPERATES THREE GENERAL ACUTE CARE HOSPITALS AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CHNW'S MISSION IS TO: A) PROMOTE THE HEALTH AND WELL-BEING OF THE RESIDENTS IN CENTRAL INDIANA, AND ESTABLISH, MAINTAIN AND OPERATE HOSPITALS AND HEALTH CARE FACILITIES FOR THE WELL-BEING, CARE AND TREATMENT OF SICK, INJURED OR DISABLED PERSONS WITHOUT REGARD TO CREED, COLOR OR NATIONALITY; B) SERVE AS THE PARENT OF THE NETWORK, AN INTEGRATED DELIVERY SYSTEM, AND EXERCISE COMMON SUPERVISION AND CONTROL OVER THE NETWORK BY INTEGRATING, COORDINATING, AND MANAGING THE DELIVERY OF CAPITAL, RESOURCES, AND SERVICES THROUGHOUT THE NETWORK. IN FURTHERANCE OF ITS ROLE AS THE PARENT, THE CORPORATION IS RESPONSIBLE FOR CARRYING OUT A NUMBER OF SIGNIFICANT MANAGEMENT, GOVERNANCE, AND OPERATIONAL FUNCTIONS ON BEHALF OF THE ENTIRE NETWORK, THE SUPPORTED ORGANIZATIONS, AND THEIR RESPECTIVE SUBSIDIARIES AND AFFILIATES. FORM 990, PART V - ADDITIONAL INFORMATION FORM 990, PART V, LINE 1A - NUMBER REPORTED IN BOX 3 OF FORM 1096 CHNW FILES 1099S FOR VARIOUS RELATED ENTITIES. THE TOTAL NUMBER REPORTED ON FORM 1096, TRANSMITTAL OF U.S. INFORMATION RETURNS FILED IN 2023 FOR CHNW WAS 324. FORM 990, PART V, LINE 4B - FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES CAYMAN ISLANDS FORM 990, PART IV, LINE 22 - GRANTS OR OTHER ASSISTANCE COMMUNITY HEALTH NETWORK, INC. ("CHNW") DOES PROVIDE ASSISTANCE TO INDIVIDUALS PURSUANT TO ITS CHARITABLE CARE POLICY, BUT SUCH ASSISTANCE DOES NOT SHOW UP AS AN EXPENDITURE ON THE INCOME AND EXPENSE STATEMENT, THEREFORE THIS QUESTION IS ANSWERED NO. FORM 990, PART VI, SECTION A, LINE 2 RELATED PARTY INFORMATION AMONG OFFICERS THE FOLLOWING DIRECTORS/OFFICERS SERVED AS A DIRECTOR OR OFFICER OF COMMUNITY PHYSICIANS OF INDIANA, INC. ("CPI"), A RELATED TAX-EXEMPT ENTITY: JOHN KUNZER, M.D. BRYAN A. MILLS ANNETTE MOORE, M.D. RAMARAO YELETI, M.D. (THROUGH 02/26/23) JOHN KUNZER, M.D., ANNETTE MOORE, M.D., AND CHARLES PLATZ, M.D. ARE ALSO EMPLOYED BY CPI. THE FOLLOWING DIRECTORS/OFFICERS SERVED AS DIRECTORS OF VISIONARY ENTERPRISES, INC. ("VEI"), A TAXABLE AFFILIATE OF CHNW: JASON FAHRLANDER JOHN KUNZER, M.D. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 CHNW HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHNW'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHNW'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE FORM 990. IN ADDITION, CHNW'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHNW UTILIZED THIS PROCESS TO ENSURE THAT ITS FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHNW'S ACTIVITIES AND EXTENSIVE FINANCIAL, ACCOUNTING, AND TAX EXPERTISE. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS OF INTEREST POLICY CHNW HAS DELEGATED AUTHORITY FOR AUDIT AND COMPLIANCE TO THE AUDIT COMMITTEE, WHICH IS COMPOSED OF INDEPENDENT DIRECTORS. THE CONFLICT OF INTEREST POLICY REQUIRES DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THE ANNUAL DISCLOSURE REQUIRES DIRECTORS, OFFICERS, AND KEY EMPLOYEES TO DISCLOSE, IN WRITING, ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL (TOGETHER WITH FAMILY MEMBERS) HAS IN ANY BUSINESS ENTITY THAT TRANSACTS BUSINESS WITH CHNW. IN ADDITION, DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST THAT ARISES MID-YEAR IN RELATION TO A PROPOSED TRANSACTION. THE CONFLICT OF INTEREST POLICY REQUIRES THAT ANY INDIVIDUAL WITH A CONFLICT BE RECUSED FROM THE DECISION MAKING PROCESS, THAT INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS DETERMINE THAT THE PROPOSED TRANSACTION IS IN THE BEST INTEREST OF CHNW, AND THE TRANSACTION MUST BE APPROVED BY A VOTE OF INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS WITHOUT THE PARTICIPATION OF ANY INTERESTED INDIVIDUAL. THE ANNUAL CONFLICT DISCLOSURE STATEMENTS ARE SUBMITTED TO, AND REVIEWED BY, CHNW'S AUDIT COMMITTEE, COMPOSED OF INDEPENDENT DIRECTORS. IN ADDITION, THE EXECUTIVE STAFF AND GENERAL COUNSEL OF THE NETWORK ARE RESPONSIBLE FOR MONITORING ANY POSSIBLE CONFLICT TRANSACTIONS THAT ARISE AND MANAGING THEM TO ENSURE THAT ALL TRANSACTIONS REPRESENT ARMS LENGTH, FAIR MARKET VALUE TERMS FOR THE BENEFIT OF CHNW. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHNW'S COMPENSATION ARRANGEMENTS WITH RELATED PARTIES ARE EVALUATED AND ENTERED AT ARMS LENGTH AND THAT ANY COMPENSATION THAT IS PAID TO A RELATED PARTY IS REASONABLE AND REFLECTS FAIR MARKET VALUE. THIS POLICY ENCOURAGES THE APPLICATION OF THE REBUTTABLE PRESUMPTION STANDARD OF CODE SECTION 4958 AND THE RELATED TREASURY REGULATIONS BY: A) EXCLUDING ANY INTERESTED PARTY FROM THE DECISION MAKING PROCESS, B) REQUIRING DISINTERESTED BOARD OR COMMITTEE MEMBERS TO OBTAIN AND RELY UPON COMPARABILITY DATA WHEN SETTING THE PROPOSED COMPENSATION TERMS, C) REQUIRING APPROVAL OF THE TRANSACTION IN ADVANCE BY DISINTERESTED DIRECTORS OR COMMITTEE MEMBERS, AND D) REQUIRING CONTEMPORANEOUS DOCUMENTATION (I.E. MINUTES) REFLECTING THE DECISION AND THE PROCESS BY WHICH IT WAS MADE. CHNW ALSO DELEGATED AUTHORITY REGARDING CHNW'S EXECUTIVE COMPENSATION TO A)THE NETWORK EXECUTIVE COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS, WHICH IS RESPONSIBLE FOR APPLYING THE TERMS AND PROCESS OF THE EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY AS OUTLINED ABOVE, AND B) THE NETWORK CHIEF HUMAN RESOURCES OFFICER WHO IS RESPONSIBLE FOR OBTAINING COMPARATIVE SALARY MARKET DATA FOR THE CHIEF EXECUTIVE OFFICER, OFFICERS, AND KEY EMPLOYEES, ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE REASONABLE COMPENSATION ANALYSIS AND/OR CONFIRM THE REASONABLENESS OF COMPENSATION, AND PROVIDING STAFF SUPPORT TO THE NETWORK EXECUTIVE COMPENSATION COMMITTEE. DURING 2023, THE NETWORK EXECUTIVE COMPENSATION COMMITTEE FOLLOWED THIS PROCESS FOR ALL SENIOR EXECUTIVE LEADERS. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS SEE LINE 15A ABOVE. FORM 990, PART VI, LINE 16B - JOINT VENTURE PROCEDURE JOINT VENTURE OPERATING AGREEMENTS INVOLVING CHNW INCLUDE PROVISIONS TO PROTECT CHNW'S TAX-EXEMPT STATUS AND ENSURE THE JOINT VENTURE IS STRUCTURED TO FURTHER THE ORGANIZATION'S TAX-EXEMPT PURPOSES. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. CHNW CONTINUALLY ENSURES THAT ITS TAX-EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL JOINT VENTURES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION A) THE ARTICLES OF INCORPORATION AND BUSINESS ENTITY REPORT ARE ON FILE WITH THE INDIANA SECRETARY OF STATE AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE INDIANA SECRETARY OF STATE OR FREE OF CHARGE ON THE SECRETARY OF STATE'S WEBSITE. B) CHNW HAS ADOPTED THE NETWORK CONFLICT OF INTEREST POLICY. WHILE THIS POLICY IS NOT AVAILABLE TO THE PUBLIC, THE NETWORK'S DEFINITION OF CONFLICT OF INTEREST AND HOW TO REPORT SUCH AN INCIDENT IS DESCRIBED IN THE NETWORK RESPONSIBILITY AND COMPLIANCE PROGRAM ("NRCP") MANUAL WHICH IS POSTED ON THE NETWORK'S WEBSITE, ECOMMUNITY.COM. THIS MANUAL IS AVAILABLE FOR THE PUBLIC TO REVIEW. C) CHNW DOES NOT HAVE INDIVIDUALLY AUDITED FINANCIAL STATEMENTS. ITS FINANCIAL RESULTS ARE INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CHNW AND AFFILIATES. AS SUCH, THERE ARE NO INDIVIDUAL FINANCIAL STATEMENTS TO POST. CHNW DOES FILE THE 990 TAX RETURN ON AN ANNUAL BASIS WHICH IS AVAILABLE UPON REQUEST AND/OR AVAILABLE ON A DELAYED BASIS ON GUIDESTAR.ORG. D) COMMUNITY HEALTH NETWORK, INC. AND AFFILIATES PROVIDE ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: INCREASE IN ISC EAST EQUITY INVESTMENT 820,258. OVERFUNDED REPLACEMENT PENSION PLAN ADJUSTMENT -326,280. EAST SURGERY CENTER DISTRIBUTIONS -9,595,552. CHANGE IN ELIMINATIONS 9,595,552. RECLASSIFICATION OF INTERCOMPANY BALANCES -492,950,160. COMMUNITY LAUNCHPAD LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 822682038 INNOVATION IN -2275453 5738316 COMMUNITY HEALTH NETWORK INC INDIANA PROHEALTH NETWORK LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 823980148 MANAGED CARE IN 15812 1300516 COMMUNITY HEALTH NETWORK INC COMMUNITY HEALTH NETWORK FOUNDATION 7330 SHADELAND STATION SUITE 150 INDIANAPOLIS IN 46256 510181688 SUPPORT IN 501(C)(3) LINE 12B, II COMMUNITY HEALTH NETWORK INC 1 COMMUNITY HOME HEALTH SERVICES INC 9894 EAST 121ST STREET FISHERS IN 46037 350953467 HEALTH CARE IN 501(C)(3) LINE 10 COMMUNITY HEALTH NETWORK INC 1 COMM HOSP OF ANDERSON & MADISON COUNTY 1515 NORTH MADISON AVENUE ANDERSON IN 46011 351069822 HOSPITAL IN 501(C)(3) LINE 3 COMMUNITY HEALTH NETWORK INC 1 COMMUNITY HOSP ANDERSON FOUNDATION INC 1515 NORTH MADISON AVENUE ANDERSON IN 46011 861053152 SUPPORT IN 501(C)(3) LINE 12A, I COMM HOSP OF ANDERSON & MADISON COUNTY 1 COMMUNITY HOSPITAL SOUTH INC 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS IN 46227 351088640 HOSPITAL IN 501(C)(3) LINE 3 COMMUNITY HEALTH NETWORK INC 1 COMMUNITY HOWARD REGIONAL HEALTH INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 351865344 HOSPITAL IN 501(C)(3) LINE 3 COMMUNITY HEALTH NETWORK INC 1 COMM HOWARD REGIONAL HEALTH FDN PO BOX 9011 KOKOMO IN 46904 237309596 SUPPORT IN 501(C)(3) LINE 7 N/A 0 COMMUNITY PHYSICIANS OF INDIANA INC 7240 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 205392766 PHYSICIAN SERVICES IN 501(C)(3) LINE 10 COMMUNITY HEALTH NETWORK INC 1 FAIRBANKS HOSPITAL INC 8102 CLEARVISTA PARKWAY INDIANAPOLIS IN 46256 350811197 HOSPITAL IN 501(C)(3) LINE 3 COMMUNITY HEALTH NETWORK INC 1 INDIANA HEALTH INFO EXCHANGE INC 846 N SENATE AVENUE INDIANAPOLIS IN 46202 364550324 INFO IN 501(C)(3) LINE 12A, I N/A 0 CHNJMH VENTURES LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 462356266 DIAG/REHAB IN CHNW RELATED 488199 1833621 0 0 0.51000 COMMUNITY ENDOSCOPY CENTER LLC 1601 N MADISON AVENUE SUITE 300 ANDERSON IN 46011 611464136 SURGERY IN N/A 0 0 COMMUNITY HEALTH AT HOME LLC 1700 EDISON DRIVE MILFORD OH 451502729 833536760 HOME CARE IN CHNW RELATED 285945 -165505 0 0 0.50000 COMMUNITY HEALTH NETWORK REHAB HOSP LLC 680 S FOURTH STREET LOUISVILLE KY 40202 453414249 REHAB IN CHNW RELATED 7722778 5777038 0 1 0.51000 COMMUNITY HEALTH NTWRK REHAB HOSP SOUTH LLC 680 S FOURTH STREET LOUISVILLE KY 40202 821385366 REHAB IN CHNW RELATED 3559289 3504274 0 1 0.51000 COMMUNITY HEALTH NTWRK REHAB HOSP WEST LLC 330 SEVEN SPRINGS WAY BRENTWOOD TN 37027 845110509 REHAB IN CHNW RELATED -2536763 589542 0 1 0.51000 COMMUNITY IMAGING ASSOCIATES LLC 7340 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 352008380 HEALTH CARE IN N/A RELATED 5036306 1763865 0 0 0.50000 EAST CAMPUS SURGERY CENTER LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 352028517 SURGERY IN CHNW RELATED 5003289 5807124 0 0 0.51000 HAMILTON SURGERY CENTER LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 352061413 SURGERY IN N/A RELATED 853404 727811 0 0 0.11000 HEALTHBOX CHICAGO II LLC 33 WEST MONROE STREET SUITE 1700 CHICAGO IL 60603 463871950 INVESTMENT IL N/A 0 0 HOWARD COMMUNITY SURGERY CTR LLC 3500 S LAFOUNTAIN STREET KOKOMO IN 46904 352118748 SURGERY IN N/A 0 0 INDIANAPOLIS ENDOSCOPY CENTER LLC 8315 E 56TH STREET INDIANAPOLIS IN 46216 352010874 SURGERY IN N/A RELATED 4344693 8840575 0 0 0.18880 NORTH CAMPUS OFFICE ASSOCIATES LP 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 351808625 RENTAL PROP IN N/A 0 0 NORTH CAMPUS SURGERY CENTER LLC 6626 E 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 352147088 SURGERY IN VEI RELATED 6035065 8476337 0 0 0.49000 NORTHPOINT PEDIATRICS LLC 8101 CLEARVISTA PARKWAY SUITE 185 INDIANAPOLIS IN 46256 351960566 HEALTH CARE IN CHNW RELATED -106919 168227 0 0 0.51000 PILLARS HOUSING LP 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652671 HOUSING IN N/A 0 0 PRIMARIA HEALTH LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS IN 46256 474728937 MANAGEMENT SERVICES IN N/A RELATED 436359 7443653 0 1 0.50000 SCP INDIANAPOLIS LLC 7430 SHADELAND AVENUE SUITE 100 INDIANAPOLIS IN 46250 460639908 SURGERY IN N/A 0 0 SOUTH CAMPUS SURGERY CENTER LLC 1550 EAST COUNTY LINE ROAD INDIANAPOLIS IN 46227 352038072 SURGERY IN N/A RELATED 2836506 9073860 0 0 0.17500 CHN ASSURANCE COMPANY LTD PO BOX 1051GT GRAND CAYMAN CJ 980418913 SELF INSURANCE CJ CHNW C 25083506 1.00000 1 PILLARS COMMUNITY HOUSING INC 3500 S LAFOUNTAIN STREET KOKOMO IN 46902 161652666 HOUSING IN N/A C 1 VISIONARY ENTERPRISES INC 6626 EAST 75TH STREET SUITE 200 INDIANAPOLIS IN 46250 351538433 MANAGEMENT SERVICES IN CHNW C 71204858 143877211 1.00000 1 WESTVIEW DELIVERY SYSTEM INC 3630 GUION ROAD INDIANAPOLIS IN 46222 351910292 MANAGEMENT SERVICES IN N/A C 1 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 CHN ASSURANCE COMPANY LTD P 3738488 BOOK VALUE CHNJMH VENTURES LLC S 365027 BOOK VALUE COMMUNITY HEALTH NETWORK FOUNDATION B 2482833 BOOK VALUE COMMUNITY HEALTH NETWORK FOUNDATION S 2413483 BOOK VALUE COMMUNITY HEALTH NETWORK FOUNDATION C 6815007 BOOK VALUE COMM HEALTH NETWORK REHAB HOSP SOUTH LLC S 3194138 BOOK VALUE COMM HEALTH NETWORK REHAB HOSP LLC S 7430243 BOOK VALUE COMMUNITY HOME HEALTH SERVICES INC K 91271 BOOK VALUE COMMUNITY HOME HEALTH SERVICES INC R 202799 BOOK VALUE COMM HOSP OF ANDERSON & MADISON CTY K 294224 BOOK VALUE COMM HOSP OF ANDERSON & MADISON CTY A 725702 BOOK VALUE COMM HOSP OF ANDERSON & MADISON CTY S 63477446 BOOK VALUE COMMUNITY HOSPITAL SOUTH INC A 452262 BOOK VALUE COMMUNITY HOSPITAL SOUTH INC S 53197562 BOOK VALUE COMMUNITY HOWARD REGIONAL HLTH INC S 30105283 BOOK VALUE COMMUNITY PHYSICIANS OF INDIANA INC A 16842076 BOOK VALUE COMMUNITY PHYSICIANS OF INDIANA INC J 23072680 BOOK VALUE COMMUNITY PHYSICIANS OF INDIANA INC S 491076012 BOOK VALUE EAST CAMPUS SURGERY CENTER LLC S 5115467 BOOK VALUE HAMILTON SURGERY CENTER LLC S 853912 BOOK VALUE INDIANAPOLIS ENDOSCOPY CENTER LLP S 3959184 BOOK VALUE NORTH CAMPUS SURGERY CENTER LLC S 5669874 BOOK VALUE NORTH CAMPUS OFFICE ASSOCIATES LP S 355128 BOOK VALUE SOUTH CAMPUS SURGERY CENTER LLC S 2744218 BOOK VALUE VISIONARY ENTERPRISES INC A 14592757 BOOK VALUE VISIONARY ENTERPRISES INC K 1802977 BOOK VALUE VISIONARY ENTERPRISES INC Q 3657117 BOOK VALUE VISIONARY ENTERPRISES INC R 9831637 BOOK VALUE FAIRBANKS HOSPITAL INC R 2401445 BOOK VALUE