Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
COMMUNITY BUSINESS INNOVATIONS INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1500 N RITTER AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
INDIANAPOLIS, IN46219
D Employer identification number

35-2088279
E Telephone number

G Gross receipts $ 119,779,400
F Name and address of principal officer:
JILL PARRIS
1500 N RITTER AVENUE
INDIANAPOLIS,IN46219
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.ECOMMUNITY.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1999
M State of legal domicile: IN
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: COMMUNUNITY BUSINESS INNOVATIONS, INC.'S MISSION IS AS FOLLOWS: TO DELIGHT OUR CLIENT BUSINESSES BY DELIVERING HIGH QUALITY, COST EFFECTIVE, CUSTOMIZED ADMINISTRATIVE SERVICES; TO SUPPORT THE FULFILLMENT OF EACH CLIENT'S MISSION; AND TO SUPPORT THE FULFILLMENT OF THE COMMUNITY HEALTH NETWORK'S MISSION.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 18
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 0
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 1,118
6 Total number of volunteers (estimate if necessary) .... 6  
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 2,718,361
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b  
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 7,760 37,107
9 Program service revenue (Part VIII, line 2g) ......... 110,847,617 116,989,751
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 35,633 34,181
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,106,150 2,718,361
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 113,997,160 119,779,400
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4) ....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 71,340,632 70,082,034
16a Professional fundraising fees (Part IX, column (A), line 11e)....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 43,909,303 60,257,497
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 115,249,935 130,339,531
19 Revenue less expenses. Subtract line 18 from line 12...... -1,252,775 -10,560,131
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 6,268,594 0
21 Total liabilities (Part X, line 26)............ 11,153,299 0
22 Net assets or fund balances. Subtract line 21 from line 20 ..... -4,884,705 0
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: COMMUNUNITY BUSINESS INNOVATIONS, INC.'S MISSION IS AS FOLLOWS: TO DELIGHT OUR CLIENT BUSINESSES BY DELIVERING HIGH QUALITY, COST EFFECTIVE, CUSTOMIZED ADMINISTRATIVE SERVICES; TO SUPPORT THE FULFILLMENT OF EACH CLIENT'S MISSION; AND TO SUPPORT THE FULFILLMENT OF THE COMMUNITY HEALTH NETWORK'S MISSION.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 130,262,936 including grants of $   ) (Revenue $ 116,989,751 )
COMMUNITY BUSINESS INNOVATIONS, INC. PROVIDES SHARED SERVICES TO THE ORGANIZATIONS COLLECTIVELY REFERRED TO AS THE COMMUNITY HEALTH NETWORK. THESE SERVICES INCLUDE FINANCE AND ACCOUNTING, MATERIALS MANAGEMENT, PATIENT ACCOUNTING, TRANSCRIPTION SERVICES, MEDICAL RECORDS, LEGAL, HUMAN RESOURCES, INFORMATION TECHNOLOGY, AND BUSINESS DEVELOPMENT.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 130,262,936
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part V
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
Yes
 
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II....................... Click to see attachment
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
36
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,118
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
18
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
0
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
 
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IN
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
THOMAS P FISCHER
1500 N RITTER AVENUE
INDIANAPOLIS,IN46219
(317) 355-4887
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) BRYAN A MILLS
CHAIRMAN
 40.00 X   X       1,065,810 0 288,164
(2) DAVID DELANEY
DIRECTOR
 40.00 X           700,135 0 45,294
(3) JULIE PHEGLEY DELANEY
DIRECTOR
 40.00 X           689,890 0 44,573
(4) MICHAEL C BLANCHET
DIRECTOR
 5.00 X           0 477,664 63,132
(5) WILLIAM C VANNESS II MD
DIRECTOR
 5.00 X           0 450,710 71,528
(6) THOMAS P FISCHER
TREASURER
 40.00 X   X       419,332 0 51,322
(7) TIMOTHY HOBBS MD
DIRECTOR
 5.00 X           0 346,286 48,277
(8) CLIF KNIGHT MD
DIRECTOR
 5.00 X           0 334,768 58,487
(9) KYLE FISHER
DIRECTOR
 5.00 X           0 331,284 41,296
(10) JILL PARRIS
SECRETARY
 40.00 X   X       326,602 0 70,135
(11) KAREN ANN LLOYD
DIRECTOR
 40.00 X           318,646 0 39,592
(12) THOMAS A MALASTO
DIRECTOR
 5.00 X           0 317,616 46,313
(13) ANTHONY LENNEN
DIRECTOR
 5.00 X           0 303,951 43,107
(14) EDWARD KOSCHKA JR
DIRECTOR
 40.00 X           302,855 0 448,388
(15) JACK FRANK
DIRECTOR
 40.00 X           294,568 0 72,163
(16) ROBIN LEDYARD MD
DIRECTOR
 5.00 X           0 247,295 45,860
(17) JON FOHRER
DIRECTOR
 5.00 X           0 246,293 54,787
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) JANET M BINGLE MS RN
DIRECTOR
 5.00 X           0 218,081 56,568
(19) JESSIE WESTLUND RN
DIRECTOR
 5.00 X           0 192,962 47,267
(20) JEFFERY KIRKHAM
CHI CFO
 40.00         X   242,343 0 67,006
(21) KELLY GEORGE
NETWORK TREA
 40.00         X   229,421 0 53,007
(22) HARRY LAWS MD
CHIEF MED IN
 40.00         X   227,581 0 42,519
(23) CHARLES B MEADOWS
VP - REVENUE
 40.00         X   222,336 0 60,736
(24) HOLLY A MILLARD
NETWORK CAO
 40.00         X   219,789 0 36,489
(25) WILLIAM E CORLEY
FORMER CHAIR
 0.00           X 318,315 0 52,185










1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,577,623 3,466,910 1,948,195
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet59
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
TECHNOLOGY INTEGRATION GROUP
PO BOX 85244
SAN DIEGO,CA92186 		INFO SYSTEMS 4,204,033
NEXTGEN HEALTHCARE INFO SYSTEMS
PO BOX 809390
CHICAGO,IL60693 		INFO SYSTEMS 2,766,643
MEYER AND WALLIS
731 N JACKSON STREET
MILWAUKEE,WI53202 		ADVERTISING 2,633,681
CIT TECHNOLOGY FINANCIAL SERV INC
23896 NETWORK PL
CHICAGO,IL60673 		SOFTWARE TECHN 2,113,449
CB RICHARD ELLIS
PO BOX 6103
HICKSVILLE,NY11802 		SPACE LEASES 1,577,036
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet39
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 37,107
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 37,107
Program Service Revenue Business Code
2a PROGRAM SERVICES 561,000 116,989,751 116,989,751    
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 116,989,751
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 34,181     34,181
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a INFORMATION TECHNOLOGY SRV 561,000 1,806,190   1,806,190  
b MISC. SERVICES 561,000 912,171   912,171  
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 2,718,361
12 Total revenue. See Instructions....MediumBullet 119,779,400 116,989,751 2,718,361 34,181
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21    
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 5,177,469 5,177,469    
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 50,291,367 50,291,367    
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 1,563,098 1,563,098    
9 Other employee benefits ....... 9,417,213 9,417,213    
10 Payroll taxes ........... 3,632,887 3,632,887    
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 288,128 288,128    
c Accounting ........... 594,098 594,098    
d Lobbying ........... 76,595   76,595  
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 27,867,905 27,867,905    
12 Advertising and promotion .... 4,113,033 4,113,033    
13 Office expenses ....... 14,200,169 14,200,169    
14 Information technology ...... 7,370,149 7,370,149    
15 Royalties ..        
16 Occupancy ........... 4,643,826 4,643,826    
17 Travel ............ 216,275 216,275    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 102,114 102,114    
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .....        
23 Insurance .............. 3,228 3,228    
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a RECRUITMENT EXPENSES 330,183 330,183    
b DUES & LICENSING 154,026 154,026    
c PROPERTY TAXES 120,097 120,097    
d HR EMPLOYEE ACTIVITIES 90,915 90,915    
e BOOKS & SUBSCRIPTIONS 42,224 42,224    
f All other expenses 44,532 44,532    
25 Total functional expenses. Add lines 1 through 24f 130,339,531 130,262,936 76,595 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments .......   2  
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net .........   4  
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............   9  
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a  
b Less: accumulated depreciation. ..... 10b     10c  
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 6,268,594 15  
16 Total assets. Add lines 1 through 15 (must equal line 34)... 6,268,594 16 0
Liabilities 17 Accounts payable and accrued expenses .   17  
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 11,153,299 25  
26 Total liabilities. Add lines 17 through 25..... 11,153,299 26 0
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... -4,884,705 27  
28 Temporarily restricted net assets .....   28  
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... -4,884,705 33 0
34 Total liabilities and net assets/fund balances ..... 6,268,594 34 0
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
119,779,400
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
130,339,531
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-10,560,131
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
-4,884,705
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
15,444,836
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
0
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
COMMUNITY BUSINESS INNOVATIONS INC
 
Employer identification number

35-2088279
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
No
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
(1) COMMUNITY HOSPITALS OF INDIANA INC
  		350983617 3 Yes     No   No 65,978,128
Total                 99,871,365

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
COMMUNITY BUSINESS INNOVATIONS INC
 
Employer identification number

35-2088279
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
COMMUNITY BUSINESS INNOVATIONS INC
  		Employer identification number

35-2088279
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
COMMUNITY BUSINESS INNOVATIONS INC
  		Employer identification number

35-2088279
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
COMMUNITY BUSINESS INNOVATIONS INC
  		Employer identification number

35-2088279
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
COMMUNITY BUSINESS INNOVATIONS INC
 
Employer identification number

35-2088279
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
76,595
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
76,595
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
No
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
No
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
No
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY BUSINESS INNOVATIONS INC
 
Employer identification number

35-2088279
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
Yes
 
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) BRYAN A MILLS (i)
(ii)		 751,056
  		295,514
  		19,240
  		264,294
  		23,870
  		1,353,974
  		295,514
 
(2) DAVID DELANEY (i)
(ii)		 265,788
  		 
  		434,347
  		45,294
  		 
  		745,429
  		 
 
(3) JULIE PHEGLEY DELANEY (i)
(ii)		 262,095
  		 
  		427,795
  		21,625
  		22,948
  		734,463
  		 
 
(4) MICHAEL C BLANCHET (i)
(ii)		  
474,970 		 
  		 
2,694 		 
55,894 		 
7,238 		 
540,796 		 
 
(5) WILLIAM C VANNESS II MD (i)
(ii)		  
317,676 		 
111,640 		 
21,394 		 
58,481 		 
13,047 		 
522,238 		 
20,263
(6) THOMAS P FISCHER (i)
(ii)		 416,947
  		 
  		2,385
  		48,904
  		2,418
  		470,654
  		 
 
(7) TIMOTHY HOBBS MD (i)
(ii)		  
344,403 		 
  		 
1,883 		 
30,278 		 
17,999 		 
394,563 		 
 
(8) CLIF KNIGHT MD (i)
(ii)		  
332,833 		 
  		 
1,935 		 
34,625 		 
23,862 		 
393,255 		 
 
(9) KYLE FISHER (i)
(ii)		  
329,819 		 
  		 
1,465 		 
41,296 		 
  		 
372,580 		 
 
(10) JILL PARRIS (i)
(ii)		 324,751
  		 
  		1,851
  		55,610
  		14,525
  		396,737
  		 
 
(11) KAREN ANN LLOYD (i)
(ii)		 316,851
  		 
  		1,795
  		31,312
  		8,280
  		358,238
  		 
 
(12) THOMAS A MALASTO (i)
(ii)		  
315,820 		 
  		 
1,796 		 
22,899 		 
23,414 		 
363,929 		 
 
(13) ANTHONY LENNEN (i)
(ii)		  
302,184 		 
  		 
1,767 		 
14,700 		 
28,407 		 
347,058 		 
 
(14) EDWARD KOSCHKA JR (i)
(ii)		 224,831
  		 
  		78,024
  		432,884
  		15,504
  		751,243
  		 
 
(15) JACK FRANK (i)
(ii)		 292,857
  		 
  		1,711
  		50,090
  		22,073
  		366,731
  		 
 
(16) ROBIN LEDYARD MD (i)
(ii)		  
245,865 		 
  		 
1,430 		 
23,787 		 
22,073 		 
293,155 		 
 
(17) JON FOHRER (i)
(ii)		  
242,203 		 
  		 
4,090 		 
30,373 		 
24,414 		 
301,080 		 
 
(18) JANET M BINGLE MS RN (i)
(ii)		  
216,791 		 
  		 
1,290 		 
37,112 		 
19,456 		 
274,649 		 
 
(19) JESSIE WESTLUND RN (i)
(ii)		  
191,624 		 
  		 
1,338 		 
31,527 		 
15,740 		 
240,229 		 
 
(20) JEFFERY KIRKHAM (i)
(ii)		 240,940
  		 
  		1,403
  		45,191
  		21,815
  		309,349
  		 
 
(21) KELLY GEORGE (i)
(ii)		 228,103
  		 
  		1,318
  		30,767
  		22,240
  		282,428
  		 
 
(22) HARRY LAWS MD (i)
(ii)		 226,400
  		 
  		1,181
  		21,830
  		20,689
  		270,100
  		 
 
(23) CHARLES B MEADOWS (i)
(ii)		 221,046
  		 
  		1,290
  		35,230
  		25,506
  		283,072
  		 
 
(24) HOLLY A MILLARD (i)
(ii)		 218,499
  		 
  		1,290
  		14,639
  		21,850
  		256,278
  		 
 
(25) WILLIAM E CORLEY (i)
(ii)		  
  		 
  		318,315
  		52,185
  		 
  		370,500
  		248,754
 
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 BRYAN A. MILLS 0 0 295,514 DAVID DELANEY 390,000 0 0 JULIE PHEGLEY DELANEY 390,000 0 0 EDWARD KOSCHKA, JR. 69,230 0 0 WILLIAM E. CORLEY 0 248,754 0
OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PART I, LINE 4A - SEVERANCE PAYMENT COMMUNITY BUSINESS INNOVATIONS, INC. ("CBI") PROVIDED SEVERANCE PACKAGES EQUAL TO 18 MONTHS' COMPENSATION TO EDWARD KOSCHKA, DAVID DELANEY, AND JULIE PHEGLEY DELANEY FROM THE DATE OF THEIR RESPECTIVE TERMINATIONS OF EMPLOYMENT. FOR EACH INDIVIDUAL, THE AMOUNT OF HIS OR HER SEVERANCE IS INCLUDED IN OTHER COMPENSATION. MR. AND MRS. DELANEY ELECTED LUMP SUM PAYOUTS AS OF DECEMBER 31, 2010. MR. KOSCHKA'S SEVERANCE IS BEING PAID RATABLY OVER AN 18 MONTH PERIOD. THE PAYMENTS RECEIVED DURING 2010 WERE REPORTED AS REPORTABLE COMPENSATION ON THEIR FORM W-2S AND ON SCHEDULE J. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WILLIAM E. CORLEY AND BRYAN A. MILLS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. DURING 2010, MR. CORLEY RECEIVED A PAYMENT OF 248,754 FROM HIS PLAN. MR. MILLS RECEIVED AN AWARD OF 100,000 TOWARDS HIS PLAN, BUT DID NOT RECEIVE A PAYMENT FROM SUCH PLAN. 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.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY BUSINESS INNOVATIONS INC
 
Employer identification number

35-2088279
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) GLENN BINGLE MD FAMILY MEMBER 22,220 COMPENSATION   No
(2) INDIANA PROHEALTH NETWORK INC SHARE BD MBRS 14,134,029 MANAGEMENT SERVICES   No
(3) VISIONARY ENTERPRISES INC SHARE BD MEMBER 5,041,806 MANAGEMENT SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE N
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Liquidation, Termination, Dissolution or Significant Disposition of Assets
bullet Complete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32 or Form 990-EZ, line 36.
bullet Attach certified copies of any articles of dissolution, resolutions or plans.
bullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
COMMUNITY BUSINESS INNOVATIONS INC
 
Employer identification number
35-2088279
Part I
Liquidation, Termination or Dissolution. Complete if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line
36. Use Part III if additional space is needed.
1(a)Description of asset(s)
distributed or transaction
expenses paid		 (b)Date of
distribution		 (c)Fair market value of
asset(s) distributed or
amount of transaction
expenses		 (d)Method of
determining FMV for
asset(s) distributed or
transaction expenses		 (e)EIN of recipient (f)Name and address of recipient (g)IRC section
of recipient(s) (if
tax-exempt) or type
of entity
DUE FROM AFFILIATES 12-31-2010 12,884,022 BOOK VALUE 31-1038302 COMMUNITY HEALTH NETWORK INC
1500 NORTH RITTER AVENUE
INDIANAPOLIS,IN46219 		501(C)(3)
























Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2a
Yes
 
b
Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .
2b
Yes
 
c
Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . .
2c
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? . . . . .
2d
 
No
e
If the organization answered "Yes" to any of the questions in this line, provide the name of the person involved and explain in Part III. bullet
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50087Z
Schedule N (Form 990 or 990-EZ) 2010

Schedule N (Form 990 or 990-EZ) 2010
Page 2
Part I
Liquidation, Termination or Dissolution (continued)
Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B) should equal -0-.
Yes
No
3
Did the organization distribute its assets in accordance with its governing instrument(s)? If “No,” describe in Part III . . . . . . . . . . .
3
Yes
 
4a
Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? . . . . . .
4a
Yes
 
b
If “Yes,” did the organization provide such notice? . . . . . . . . . . . . . . . . . . . . . . . . . .
4b
 
 
5
Did the organization discharge or pay all liabilities in accordance with state laws? . . . . . . . . . . . . . . . . . . .
5
Yes
 
6a
Did the organization have any tax-exempt bonds outstanding during the year? . . . . . . . . . . . . . . . . . . . .
6a
 
No
b
Did the organization discharge or defease tax-exempt bond liabilities in accordance with the Internal Revenue Code and state laws? . . . . . . . .
6b
 
No
c
If “Yes,” describe in Part III how the organization defeased or otherwise settled these liabilities. If “No,” explain in Part III.

Part II
Sale, Exchange, Disposition or Other Transfer of More Than 25% of the Organization's Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 32, or Form 990-EZ, line 36. Use Part III if additional space is needed.
1(a)Description of asset(s)
distributed or transaction
expenses paid		 (b)Date of
distribution		 (c)Fair market value of
asset(s) distributed or
amount of transaction
expenses		 (d)Method of
determining FMV for
asset(s) distributed or
transaction expenses		 (e)EIN of recipient (f)Name and address of recipient (g)IRC section
of recipient(s) (if
tax-exempt) or type
of entity


















Yes
No
2
Did or will any officer, director, trustee, or key employee of the organization:
a
Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2a
Yes
 
b
Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .
2b
Yes
 
c
Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .
2c
 
No
d
Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets? . . . . . . .
2d
 
No
e
If the organization answered "Yes" to any of the questions in this line, provide the name of the person involved and explain in Part III.
Schedule N(Form 990 or 990-EZ) 2010

Schedule N (Form 990 or 990-EZ) 2010
Page 3
Part III
Supplemental Information. Complete to provide the information required by Parts I and II,
and any additional information.
Identifier Return Reference Explanation
DETAIL SCHEDULE N PAGE 1 PART I LINE 2E BRYAN A MILLS WAS SERVING AS A DIRECTOR FOR BOTH COMMUNITY BUSINESS INNOVATIONS AND COMMUNITY HEALTH NETWORK INC CHNW HE WILL CONTINUE IN THAT CAPACITY POST MERGER EFFECTIVE JANUARY 1 2011 ALL EMPLOYEES OF THE NETWORK EXCLUDING COMMUNITY HOSPITAL OF ANDERSON MADISON COUNTY BECAME EMPLOYEES OF CHNW AS THE NETWORK MOVED TO A COMMON EMPLOYER THOSE EMPLOYEES INCLUDE JANET M BINGLE MS RN MICHAEL C BLANCHET THOMAS P FISCHER KYLE FISHER JON FOHRER JACK FRANK TIMOTHY HOBBS MD J WILLIAM KINGSTON CLIF KNIGHT MD EDWARD KOSCHKA JR ROBIN LEDYARD MD ANTHONY LENNEN KAREN ANN LLOYD THOMAS A MALASTO BRYAN A MILLS JILL PARRIS JESSIE WESTLUND RN
Schedule N (Form 990 or 990-EZ) 2010


Additional Data


Software ID:  
Software Version:  


SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
COMMUNITY BUSINESS INNOVATIONS INC
 
Employer identification number

35-2088279
Identifier Return Reference Explanation
ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION COMMUNUNITY BUSINESS INNOVATIONS, INC.'S MISSION IS AS FOLLOWS: TO DELIGHT OUR CLIENT BUSINESSES BY DELIVERING HIGH QUALITY, COST EFFECTIVE, CUSTOMIZED ADMINISTRATIVE SERVICES; TO SUPPORT THE FULFILLMENT OF EACH CLIENT'S MISSION; AND TO SUPPORT THE FULFILLMENT OF THE COMMUNITY HEALTH NETWORK'S MISSION.
ADDITIONAL INFORMATION FORM 990 FORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS COMMUNITY BUSINESS INNOVATIONS, INC. ("CBI") IS AN AFFILIATE OF COMMUNITY HEALTH NETWORK ("THE NETWORK"), AN INTEGRATED HEALTH DELIVERY SYSTEM. CBI, TOGETHER WITH THE OTHER TAX-EXEMPT AFFILIATES OF THE NETWORK, IS CONTROLLED BY A TAX-EXEMPT PARENT ORGANIZATION, COMMUNITY HEALTH NETWORK, INC. ("CHNW"). CHNW EXERCISES CONTROL OVER CBI THROUGH A SERIES OF GOVERNANCE RIGHTS: A) CHNW IS THE SOLE MEMBER OF CBI; B) AS THE SOLE MEMBER, CHNW HAS THE AUTHORITY TO APPROVE EVERY DIRECTOR THAT IS ELECTED TO CBI'S BOARD OF DIRECTORS; C) CBI HAS DELEGATED EXCLUSIVE AUTHORITY TO CHNW, ACTING THROUGH CHNW'S BOARD OF DIRECTORS, IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING; CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIANCE; EXECUTIVE COMPENSATION; AND DISPUTE RESOLUTION; D) CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATE- MENT OF CBI'S ARTICLES OF INCORPORATION; AND E) CHNW MUST APPROVE ANY SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF CBI. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW HAS DELEGATED AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION, INCLUDING CBI'S EXECUTIVES, TO A NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. THEREFORE, WHILE CBI DOES NOT HAVE A COMMUNITY BOARD, CHNW DOES HAVE A COMMUNITY BOARD WITH THE MAJORITY OF ITS MEMBERS COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. FURTHERMORE, CBI HAS REMOVED ANY RISK OF INAPPROPRIATE RELATED PARTY TRANSACTIONS BY DELEGATING (THROUGH CHNW) ITS EXECUTIVE COMPENSATION DECISIONS TO A NETWORK EXECUTIVE COMPENSATION COMMITTEE AND ITS CONFLICT OF INTEREST DECISIONS TO A NETWORK AUDIT COMMITTEE, WITH EACH COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS.
ANY SIGNIFICANT CHANGES IN CONDUCT FOR PROGRAM SERVICES FORM 990, PAGE 2, PART III, LINE 3 EFFECTIVE DECEMBER 31, 2010 AT 11:59 P.M., CBI WAS MERGED INTO CHNW. THIS IS THE FINAL 990 TAX RETURN TO BE COMPLETED BY CBI.
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 CBI'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 C. BLANCHET - COMMUNITY HOSPITALS OF INDIANA, INC. - COMMUNITY HOSPITAL SOUTH, INC. - COMMUNITY HOME HEALTH SERVICES, INC. - INDIANA PROHEALTH NETWORK, INC. JULIE PHEGLEY DELANEY - INDIANA PROHEALTH NETWORK, INC. THOMAS P. FISCHER - INDIANA PROHEALTH NETWORK, INC. KYLE FISHER - VISIONARY ENTERPRISES, INC. TIMOTHY HOBBS, M.D. - COMMUNITY PHYSICIANS OF INDIANA, INC. THOMAS A. MALASTO - THE INDIANA HEART HOSPITAL, LLC BRYAN A. MILLS - COMMUNITY HEALTH NETWORK, INC. - COMMUNITY HEALTH NETWORK FOUNDATION, INC. - COMMUNITY HOME HEALTH SERVICES, INC. - COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. - COMMUNITY PHYSICIANS OF INDIANA, INC. - INDIANA PROHEALTH NETWORK, INC. - THE INDIANA HEART HOSPITAL, LLC - VISIONARY ENTERPRISES, INC. JILL PARRIS - COMMUNITY PHYSICIANS OF INDIANA, INC. WILLIAM C. VANNESS II, M.D. - COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY, INC. JESSIE WESTLUND, R.N. - COMMUNITY HOME HEALTH SERVICES, INC.
RELATED PARTY INFORMATION AMONG OFFICERS FORM 990, PAGE 6, PART VI, LINE 2 GLENN BINGLE JANET BINGLE HUSBAND & WIFE DAVID DELANEY JULIE PHEGLEY DELANEY HUSBAND & WIFE
MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 CBI HAS DELEGATED EXCLUSIVE AUTHORITY TO CHNW, ACTING THROUGH CHNW'S BOARD OF DIRECTORS, IN THE FOLLOWING SUBSTANTIVE AREAS: STRATEGIC PLANNING, CAPITAL ACCESS, BUDGETING AND ALLOCATION; AUDIT AND COMPLIANCE; EXECUTIVE COMPENSATION; AND DISPUTE RESOLUTION. IN ADDITION, CHNW MUST APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF CBI'S ARTICLES OF INCORPORATION. FINALLY, CHNW MUST APPROVE ANY SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF CBI.
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, CBI HAS DELEGATED AUTHORITY FOR AUDIT, COMPLIANCE, AND EXECUTIVE COMPENSATION TO CHNW. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CBI'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CBI'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CBI'S FORM 990. IN ADDITION, CBI'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CBI AND CHNW UTILIZED THIS PROCESS TO ENSURE THAT CBI'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CBI'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, CBI HAS DELEGATED AUTHORITY FOR AUDIT AND COMPLIANCE TO CHNW. CHNW HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO EVERY TAX-EXEMPT ORGANIZATION WITHIN THE NETWORK, INCLUDING CBI. 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 CBI. 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 CBI, 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 CBI.
COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A AS DISCUSSED IN PART I, LINE 4, CBI HAS DELEGATED AUTHORITY FOR EXECUTIVE COMPENSATION TO CHNW. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO EVERY TAX-EXEMPT ORGANIZATION WITHIN THE NETWORK, INCLUDING CBI. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CBI'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 CBI'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 A SUBSIDIARY OF CHNW, CBI 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) CBI 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. CBI 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 JANET M. BINGLE, M.S., R.N. - 40 MICHAEL C. BLANCHET - 40 KYLE FISHER - 40 JON FOHRER - 40 TIMOTHY HOBBS, M.D. - 40 CLIF KNIGHT, M.D. - 40 ROBIN LEDYARD, M.D. - 40 ANTHONY LENNEN - 40 THOMAS A. MALASTO - 40 WILLIAM C. VANNESS II, M.D. - 40 JESSIE WESTLUND, R.N. - 40
OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 EFFECTIVE DECEMBER 31, 2010, CBI WAS MERGED INTO CHNW. THE ASSETS, LIABILITIES, AND FUND BALANCE FOR CBI WERE TRANSFERRED TO CHNW.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
COMMUNITY BUSINESS INNOVATIONS INC
 
Employer identification number

35-2088279
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) COMMUNITY HEALTH NETWORK INC

1500 NORTH RITTER AVENUE

INDIANAPOLIS,IN46219
31-1038302 		PARENT IN 501C3 11B NA
 
 
No
(2) COMMUNITY HEALTH NETWORK FDN INC

1500 NORTH RITTER AVENUE

INDIANAPOLIS,IN46219
51-0181688 		SUPPORT IN 501C3 11B CHNW
 
Yes
 
(3) COMMUNITY HOME HEALTH SERVICES INC

9894 EAST 121ST STREET

FISHERS,IN46037
35-0953467 		HLTH CARE IN 501C3 9 CHNW
 
Yes
 
(4) COMMUNITY HOSPITALS OF INDIANA INC

1500 NORTH RITTER AVENUE

INDIANAPOLIS,IN46219
35-0983617 		HOSPITAL IN 501C3 3 CHNW
 
Yes
 
(5) COMMUNITY HOSPITAL SOUTH INC

1402 E COUNTY LINE ROAD SOUTH

INDIANAPOLIS,IN46227
35-1088640 		HOSPITAL IN 501C3 3 CHI
 
Yes
 
(6) COMMUNITY PHYSICIANS OF IN INC

7240 SHADELAND STATION SUITE 300

INDIANAPOLIS,IN46256
20-5392766 		PHY SRV IN 501C3 9 CHI
 
Yes
 
(7) THE INDIANA HEART HOSPITAL LLC

8075 NORTH SHADELAND AVENUE

INDIANAPOLIS,IN46250
35-2123783 		HOSPITAL IN 501C3 3 CHI
 
Yes
 
(8) COMM HOSP OF ANDERSON & MADISON CTY

1515 NORTH MADISON AVENUE

ANDERSON,IN46011
35-1069822 		HOSPITAL IN 501C3 3 CHI
 
Yes
 
(9) COMMUNITY HOSP ANDERSON FDN INC

1515 NORTH MADISON AVENUE

ANDERSON,IN46011
86-1053152 		SUPPORT IN 501C3 7 CHA
 
Yes
 
(10) COMMUNITY LTC INC

1031 MONTICELLO DRIVE

ANDERSON,IN46011
35-1877441 		HLTH CARE IN 501C3 9 CHA
 
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) EAST CAMPUS SURGERY CENTER LLC

7330 SHADLEAND STATION SUITE 200
INDIANAPOLIS,IN46256
35-2028517 		SURGERY IN N/A
         No     No  
(2) IMAGING EQUIPMENT LEASING CO LLC

7330 SHADELAND STATION SUITE 200
INDIANAPOLIS,IN46256
20-1293154 		LEASING IN N/A
         No     No  
(3) INDIANA SPECIALTY GROUP LLC

7240 SHADELAND STATION SUITE 300
INDIANAPOLIS,IN46256
35-1976258 		HLTH CARE IN N/A
         No     No  
(4) MICHIGAN SURGERY INVESTMENT LLC

7330 SHADELAND STATION SUITE 200
INDIANAPOLIS,IN46256
32-0147008 		SURG CTRS IN N/A
         No     No  
(5) NORTH CAMPUS OFFICE ASSOCIATES LP

7330 SHADELAND STATION SUITE 200
INDIANAPOLIS,IN46256
35-1808625 		RNTL PROP IN N/A
         No     No  
(6) NORTH CAMPUS SURGERY CENTER LLC

7330 SHADELAND STATION SUITE 200
INDIANAPOLIS,IN46256
35-2147088 		SURGERY IN N/A
         No     No  
(7) SURGICARE LLC

2907 MCINTIRE DRIVE
BLOOMINGTON,IN47403
35-1975122 		SURGERY IN N/A
         No     No  
(8) EAST CAMPUS SURGERY CENTER LLC

7330 SHADLEAND STATION SUITE 200
INDIANAPOLIS,IN46256
35-2028517 		SURGERY IN N/A
         No     No  
(9) IMAGING EQUIPMENT LEASING CO LLC

7330 SHADELAND STATION SUITE 200
INDIANAPOLIS,IN46256
20-1293154 		LEASING IN N/A
         No     No  
(10) INDIANA SPECIALTY GROUP LLC

7240 SHADELAND STATION SUITE 300
INDIANAPOLIS,IN46256
35-1976258 		HLTH CARE IN N/A
         No     No  
(11) MICHIGAN SURGERY INVESTMENT LLC

7330 SHADELAND STATION SUITE 200
INDIANAPOLIS,IN46256
32-0147008 		SURG CTRS IN N/A
         No     No  
(12) NORTH CAMPUS OFFICE ASSOCIATES LP

7330 SHADELAND STATION SUITE 200
INDIANAPOLIS,IN46256
35-1808625 		RNTL PROP IN N/A
         No     No  
(13) NORTH CAMPUS SURGERY CENTER LLC

7330 SHADELAND STATION SUITE 200
INDIANAPOLIS,IN46256
35-2147088 		SURGERY IN N/A
         No     No  
(14) SURGICARE LLC

2907 MCINTIRE DRIVE
BLOOMINGTON,IN47403
35-1975122 		SURGERY IN N/A
         No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) CHN ASSURANCE COMPANY LTD
PO BOX 1051GT
GRAND CAYMAN    
CJ
98-0418913 		INSURANCE CJ N/A
        
(2) INDIANA PROHEALTH NETWORK INC
8180 CLEARVISTA PARKWAY SUITE 230
INDIANAPOLIS,IN46256
35-1614719 		INSURANCE IN N/A
        
(3) VISIONARY ENTERPRISES INC
7330 SHADELAND STATION SUITE 200
INDIANAPOLIS,IN46256
35-1538433 		MGMT SRVCS IN N/A
        
(4) VEI MICHIGAN INC
940 N MAIN STREET
ANN HARBOR,MI48104
30-0097377 		MGMT SRVCS MI N/A
        
(5) CHN ASSURANCE COMPANY LTD
PO BOX 1051GT
GRAND CAYMAN    
CJ
98-0418913 		INSURANCE CJ N/A
        
(6) INDIANA PROHEALTH NETWORK INC
8180 CLEARVISTA PARKWAY SUITE 230
INDIANAPOLIS,IN46256
35-1614719 		INSURANCE IN N/A
        
(7) VISIONARY ENTERPRISES INC
7330 SHADELAND STATION SUITE 200
INDIANAPOLIS,IN46256
35-1538433 		MGMT SRVCS IN N/A
        
(8) VEI MICHIGAN INC
940 N MAIN STREET
ANN HARBOR,MI48104
30-0097377 		MGMT SRVCS MI N/A
        
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) COMMUNITY HEALTH NETWORK FOUNDATION

 P 676,224 ACTUAL AMOUNT PER BOOKS
(2) COMMUNITY HEALTH NETWORK FOUNDATION

 Q 78,734 ACTUAL AMOUNT PER BOOKS
(3) COMMUNITY HOME HEALTH SERVICES INC

 P 1,534,110 ACTUAL AMOUNT PER BOOKS
(4) COMMUNITY HOME HEALTH SERVICES INC

 Q 1,540,291 ACTUAL AMOUNT PER BOOKS
(5) COMMUNITY HOSPITALS OF INDIANA INC

 J 9,850,263 ACTUAL AMOUNT PER BOOKS
(6) COMMUNITY HOSPITALS OF INDIANA INC

 P 65,978,128 ACTUAL AMOUNT PER BOOKS
(7) COMMUNITY HOSPITALS OF INDIANA INC

 R 16,573,377 ACTUAL AMOUNT PER BOOKS
(8) COMMUNITY HOSPITAL SOUTH INC

 J 2,333,459 ACTUAL AMOUNT PER BOOKS
(9) COMMUNITY HOSPITAL SOUTH INC

 P 16,017,952 ACTUAL AMOUNT PER BOOKS
(10) COMMUNITY HOSPITAL SOUTH INC

 R 407,461 ACTUAL AMOUNT PER BOOKS
(11) COMMUNITY PHYSICIANS OF IN INC

 P 5,104,192 ACTUAL AMOUNT PER BOOKS
(12) COMMUNITY PHYSICIANS OF IN INC

 Q 5,405,681 ACTUAL AMOUNT PER BOOKS
(13) THE INDIANA HEART HOSPITAL

 P 12,257,803 ACTUAL AMOUNT PER BOOKS
(14) THE INDIANA HEART HOSPITAL

 R 330,544 ACTUAL AMOUNT PER BOOKS
(15) COMM HOSP OF ANDERSON & MADISON CTY

 P 1,783,285 ACTUAL AMOUNT PER BOOKS
(16) EAST CAMPUS SURGERY CENTER LLC

 P 442,498 ACTUAL AMOUNT PER BOOKS
(17) INDIANA PROHEALTH NETWORK INC

 O 5,502,286 ACTUAL AMOUNT PER BOOKS
(18) INDIANA PROHEALTH NETWORK INC

 P 8,358,290 ACTUAL AMOUNT PER BOOKS
(19) INDIANA PROHEALTH NETWORK INC

 R 273,453 ACTUAL AMOUNT PER BOOKS
(20) NORTH CAMPUS SURGERY CENTER LLC

 P 139,963 ACTUAL AMOUNT PER BOOKS
(21) VISIONARY ENTERPRISES INC

 P 5,041,806 ACTUAL AMOUNT PER BOOKS
(22) COMMUNITY HEALTH NETWORK FOUNDATION

 P 676,224 ACTUAL AMOUNT PER BOOKS
(23) COMMUNITY HEALTH NETWORK FOUNDATION

 Q 78,734 ACTUAL AMOUNT PER BOOKS
(24) COMMUNITY HOME HEALTH SERVICES INC

 P 1,534,110 ACTUAL AMOUNT PER BOOKS
(25) COMMUNITY HOME HEALTH SERVICES INC

 Q 1,540,291 ACTUAL AMOUNT PER BOOKS
(26) COMMUNITY HOSPITALS OF INDIANA INC

 J 9,850,263 ACTUAL AMOUNT PER BOOKS
(27) COMMUNITY HOSPITALS OF INDIANA INC

 P 65,978,128 ACTUAL AMOUNT PER BOOKS
(28) COMMUNITY HOSPITALS OF INDIANA INC

 R 16,573,377 ACTUAL AMOUNT PER BOOKS
(29) COMMUNITY HOSPITAL SOUTH INC

 J 2,333,459 ACTUAL AMOUNT PER BOOKS
(30) COMMUNITY HOSPITAL SOUTH INC

 P 16,017,952 ACTUAL AMOUNT PER BOOKS
(31) COMMUNITY HOSPITAL SOUTH INC

 R 407,461 ACTUAL AMOUNT PER BOOKS
(32) COMMUNITY PHYSICIANS OF IN INC

 P 5,104,192 ACTUAL AMOUNT PER BOOKS
(33) COMMUNITY PHYSICIANS OF IN INC

 Q 5,405,681 ACTUAL AMOUNT PER BOOKS
(34) THE INDIANA HEART HOSPITAL

 P 12,257,803 ACTUAL AMOUNT PER BOOKS
(35) THE INDIANA HEART HOSPITAL

 R 330,544 ACTUAL AMOUNT PER BOOKS
(36) COMM HOSP OF ANDERSON & MADISON CTY

 P 1,783,285 ACTUAL AMOUNT PER BOOKS
(37) EAST CAMPUS SURGERY CENTER LLC

 P 442,498 ACTUAL AMOUNT PER BOOKS
(38) INDIANA PROHEALTH NETWORK INC

 O 5,502,286 ACTUAL AMOUNT PER BOOKS
(39) INDIANA PROHEALTH NETWORK INC

 P 8,358,290 ACTUAL AMOUNT PER BOOKS
(40) INDIANA PROHEALTH NETWORK INC

 R 273,453 ACTUAL AMOUNT PER BOOKS
(41) NORTH CAMPUS SURGERY CENTER LLC

 P 139,963 ACTUAL AMOUNT PER BOOKS
(42) VISIONARY ENTERPRISES INC

 P 5,041,806 ACTUAL AMOUNT PER BOOKS
(43) COMMUNITY HEALTH NETWORK FOUNDATION

 P 676,224 ACTUAL AMOUNT PER BOOKS
(44) COMMUNITY HEALTH NETWORK FOUNDATION

 Q 78,734 ACTUAL AMOUNT PER BOOKS
(45) COMMUNITY HOME HEALTH SERVICES INC

 P 1,534,110 ACTUAL AMOUNT PER BOOKS
(46) COMMUNITY HOME HEALTH SERVICES INC

 Q 1,540,291 ACTUAL AMOUNT PER BOOKS
(47) COMMUNITY HOSPITALS OF INDIANA INC

 J 9,850,263 ACTUAL AMOUNT PER BOOKS
(48) COMMUNITY HOSPITALS OF INDIANA INC

 P 65,978,128 ACTUAL AMOUNT PER BOOKS
(49) COMMUNITY HOSPITALS OF INDIANA INC

 R 16,573,377 ACTUAL AMOUNT PER BOOKS
(50) COMMUNITY HOSPITAL SOUTH INC

 J 2,333,459 ACTUAL AMOUNT PER BOOKS
(51) COMMUNITY HOSPITAL SOUTH INC

 P 16,017,952 ACTUAL AMOUNT PER BOOKS
(52) COMMUNITY HOSPITAL SOUTH INC

 R 407,461 ACTUAL AMOUNT PER BOOKS
(53) COMMUNITY PHYSICIANS OF IN INC

 P 5,104,192 ACTUAL AMOUNT PER BOOKS
(54) COMMUNITY PHYSICIANS OF IN INC

 Q 5,405,681 ACTUAL AMOUNT PER BOOKS
(55) THE INDIANA HEART HOSPITAL

 P 12,257,803 ACTUAL AMOUNT PER BOOKS
(56) THE INDIANA HEART HOSPITAL

 R 330,544 ACTUAL AMOUNT PER BOOKS
(57) COMM HOSP OF ANDERSON & MADISON CTY

 P 1,783,285 ACTUAL AMOUNT PER BOOKS
(58) EAST CAMPUS SURGERY CENTER LLC

 P 442,498 ACTUAL AMOUNT PER BOOKS
(59) INDIANA PROHEALTH NETWORK INC

 O 5,502,286 ACTUAL AMOUNT PER BOOKS
(60) INDIANA PROHEALTH NETWORK INC

 P 8,358,290 ACTUAL AMOUNT PER BOOKS
(61) INDIANA PROHEALTH NETWORK INC

 R 273,453 ACTUAL AMOUNT PER BOOKS
(62) NORTH CAMPUS SURGERY CENTER LLC

 P 139,963 ACTUAL AMOUNT PER BOOKS
(63) VISIONARY ENTERPRISES INC

 P 5,041,806 ACTUAL AMOUNT PER BOOKS
(64) COMMUNITY HEALTH NETWORK FOUNDATION

 P 676,224 ACTUAL AMOUNT PER BOOKS
(65) COMMUNITY HEALTH NETWORK FOUNDATION

 Q 78,734 ACTUAL AMOUNT PER BOOKS
(66) COMMUNITY HOME HEALTH SERVICES INC

 P 1,534,110 ACTUAL AMOUNT PER BOOKS
(67) COMMUNITY HOME HEALTH SERVICES INC

 Q 1,540,291 ACTUAL AMOUNT PER BOOKS
(68) COMMUNITY HOSPITALS OF INDIANA INC

 J 9,850,263 ACTUAL AMOUNT PER BOOKS
(69) COMMUNITY HOSPITALS OF INDIANA INC

 P 65,978,128 ACTUAL AMOUNT PER BOOKS
(70) COMMUNITY HOSPITALS OF INDIANA INC

 R 16,573,377 ACTUAL AMOUNT PER BOOKS
(71) COMMUNITY HOSPITAL SOUTH INC

 J 2,333,459 ACTUAL AMOUNT PER BOOKS
(72) COMMUNITY HOSPITAL SOUTH INC

 P 16,017,952 ACTUAL AMOUNT PER BOOKS
(73) COMMUNITY HOSPITAL SOUTH INC

 R 407,461 ACTUAL AMOUNT PER BOOKS
(74) COMMUNITY PHYSICIANS OF IN INC

 P 5,104,192 ACTUAL AMOUNT PER BOOKS
(75) COMMUNITY PHYSICIANS OF IN INC

 Q 5,405,681 ACTUAL AMOUNT PER BOOKS
(76) THE INDIANA HEART HOSPITAL

 P 12,257,803 ACTUAL AMOUNT PER BOOKS
(77) THE INDIANA HEART HOSPITAL

 R 330,544 ACTUAL AMOUNT PER BOOKS
(78) COMM HOSP OF ANDERSON & MADISON CTY

 P 1,783,285 ACTUAL AMOUNT PER BOOKS
(79) EAST CAMPUS SURGERY CENTER LLC

 P 442,498 ACTUAL AMOUNT PER BOOKS
(80) INDIANA PROHEALTH NETWORK INC

 O 5,502,286 ACTUAL AMOUNT PER BOOKS
(81) INDIANA PROHEALTH NETWORK INC

 P 8,358,290 ACTUAL AMOUNT PER BOOKS
(82) INDIANA PROHEALTH NETWORK INC

 R 273,453 ACTUAL AMOUNT PER BOOKS
(83) NORTH CAMPUS SURGERY CENTER LLC

 P 139,963 ACTUAL AMOUNT PER BOOKS
(84) VISIONARY ENTERPRISES INC

 P 5,041,806 ACTUAL AMOUNT PER BOOKS
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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