TY 2010 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation

Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0052

2010

For calendar year 2010, or tax year beginning 07-01-2010 , and ending 06-30-2011

Check all that apply:Initial returnInitial return of a former public charityFinal return

Amended returnAddress changeName change

Name of foundation
COMMUNITY HEALTH ASSOCIATION INC

Number and street (or P.O. box number if mail is not delivered to street address)1262 WINGS WAY SUITE 201 Room/suite

City or town, state, and ZIP code
LEHIGH ACRES, FL339366043

A Employer identification number

59-1088536

B Telephone number (see page 10 of the instructions)

(239) 368-7070

C If exemption application is pending, check here bullet

D 1. Foreign organizations, check here . bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trustOther taxable private foundation 2. Foreign organizations meeting the 85% test,
check here and attach computation bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$5,180,066J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

E If private foundation status was terminated
under section 507(b)(1)(A), check here bullet

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here bullet

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check
3	Interest on savings and temporary cash investments	4,722		4,722
4	Dividends and interest from securities......	90,597		90,597
5a	Gross rents..............	48,646		48,646
b	Net rental income or (loss) 48,646
6a	Net gain or (loss) from sale of assets not on line 10		115,536
b	Gross sales price for all assets on line 6a 739,848
7	Capital gain net income (from Part IV, line 2)...			115,536
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	259,501		259,501
13	Compensation of officers, directors, trustees, etc.	77,235		38,618	38,617
14	Other employee salaries and wages......	18,480		0	18,480
15	Pension plans, employee benefits.......	6,200		1,550	4,650
16a	Legal fees (attach schedule).........
b	Accounting fees (attach schedule).......		8,645	4,323	4,322
c	Other professional fees (attach schedule)....		24,680	24,680	0
17	Interest...............
18	Taxes (attach schedule) (see page 14 of the instructions)		10,676	1,762	5,286
19	Depreciation (attach schedule) and depletion...		48,289	0
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		54,681	7,188	47,493
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	248,886		78,121	118,848
25	Contributions, gifts, grants paid........	5,510			55,510
26	Total expenses and disbursements. Add lines 24 and 25	254,396		78,121	174,358
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	5,105
b	Net investment income (if negative, enter -0-)			181,380
c	Adjusted net income (if negative, enter -0-)...

For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.

Cat. No. 11289X Form 990-PF (2010)

Form 990-PF (2010)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing...............	380,176	286,782	286,782
	2	Savings and temporary cash investments..........	293,287	186,626	186,626
	3	Accounts receivable 5,791
		Less: allowance for doubtful accounts	5,424	5,791	5,791
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see page 15 of the
		instructions)....................
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use...............
	9	Prepaid expenses and deferred charges...........	16,400	14,707	14,707
	10a	Investments—U.S. and state government obligations (attach schedule)	349,347	349,563	349,563
	b	Investments—corporate stock (attach schedule)........	2,792,475	2,949,895	3,606,472
	c	Investments—corporate bonds (attach schedule)........
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans..............
	13	Investments—other (attach schedule)...........
	14	Land, buildings, and equipment: basis 1,628,726
		Less: accumulated depreciation (attach schedule) 898,601	721,222	730,125	730,125
	15	Other assets (describe )	1,572	0	0
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	4,559,903	4,523,489	5,180,066
	17	Accounts payable and accrued expenses..........	18,376	24,422
	18	Grants payable...................	150,000	100,000
	19	Deferred revenue..................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )	2,749	5,184
	23	Total liabilities (add lines 17 through 22)..........	171,125	129,606
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted....................	4,388,778	4,393,883
	25	Temporarily restricted................
	26	Permanently restricted................
		Foundations that do not follow SFAS 117, check here
		and complete lines 27 through 31.
	27	Capital stock, trust principal, or current funds.........
	28	Paid-in or capital surplus, or land, bldg., and equipment fund
	29	Retained earnings, accumulated income, endowment, or other funds
	30	Total net assets or fund balances (see page 17 of the
		instructions)....................	4,388,778	4,393,883
	31	Total liabilities and net assets/fund balances (see page 17 of
		the instructions)..................	4,559,903	4,523,489

Part III	Analysis of Changes in Net Assets or Fund Balances
1	Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
	with end-of-year figure reported on prior year’s return)...............	1	4,388,778
2	Enter amount from Part I, line 27a......................	2	5,105
3	Other increases not included in line 2 (itemize)	3	0
4	Add lines 1, 2, and 3..........................	4	4,393,883
5	Decreases not included in line 2 (itemize)	5	0
6	Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30..	6	4,393,883

Form 990-PF (2010)

Page 3

Part IV

Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e.g., real estate, 2-story brick warehouse; or common stock, 200 shs. MLC Co.)		(b) How acquired P—Purchase D—Donation	(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1 a	SUMITOMO MITSUI FINANCIAL GROUP	P	2008-06-17	2010-07-28
b	E ON AG SPON ADR SPON	P	2002-09-19	2010-08-05
c	NOMURA HOLDINGS INC	P	2003-11-14	2010-10-15
d	CISCO SYSTEMS	P	2008-03-18	2010-11-24
e	CISCO SYSTEMS INC	P	2007-08-27	2010-11-24
	CISCO SYSTEMS INC.	P	2008-06-05	2010-11-24
	GENERAL ELECTRIC	P	2008-03-18	2010-11-24
	GENERAL ELECTRIC	P	2002-01-30	2010-11-24
	NUCOR CORP	P	2006-01-27	2010-11-17
	TOTAL S.A. FRANCE SPON	P	2008-06-05	2010-11-17
	CORNING INC	P	2008-11-19	2010-11-17
	ENCANA CORP	P	2006-02-03	2010-11-17
	BAIDU INC ADS	P	2009-10-28	2010-11-02
	BAIDU INC STOCK SPLIT RATE 9.0	P	2010-05-12	2010-11-02
	SPDR S & P 500	P	2010-11-24	2011-01-14
	HEWLETT PACKARD	P	2007-11-20	2011-02-24
	HEWLETT PACKARD CO	P	2008-06-05	2011-02-24
	FORTUNE BRANDS INC	P	2009-04-06	2011-02-17
	ISHARES MSCI EMERGING MARKETS INDEX FUND	P	2008-06-05	2011-02-14
	ISHARES MSCI EMERGING MARKETS INDEX FUND	P	2006-01-18	2011-02-14
	PENNEY JC CO INC	P	2009-06-01	2011-02-04
	PANASONIC CORP (MATSUSHITA ELEC IND ADR NAME CHG)	P	2002-09-12	2011-02-07
	CARNIVAL CORP NEW	P	2009-02-10	2011-03-08
	TARGET CORP	P	2008-01-21	2011-03-18
	SONY CORP ADR NEW	P	2002-09-17	2011-04-12
	CHEVRON CORP	P	2008-11-19	2011-04-28
	CHEVRON CORP	P	2010-02-06	2011-04-28
	TRANSOCEAN INC	P	2005-03-10	2011-04-27
	CISCO SYSTEMS INC	P	2011-01-14	2011-04-27
	OCCIDENTAL PERTROLEUM	P	2004-05-20	2011-05-20
	ANSADARKO PETROLEUM	P	2002-09-03	2011-05-20
	ANSADARKO PETROLEUM (STK DIV)	P	2006-05-30	2011-05-20
	CATERPILLAR INC	P	2002-09-12	2011-05-17
	CATERPILLAR INC	P	2008-06-05	2011-05-17
	CATERPILLAR INC	P	2002-09-12	2011-05-17
	ADOBE SYSTEMS INC	P	2010-05-10	2011-06-20

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	8,911	25,716	-16,805
b	23,208	11,705	11,503
c	5,529	16,966	-11,437
d	17,983	23,171	-5,188
e	14,581	23,145	-8,564
	5,346	7,604	-2,258
	14,283	31,798	-17,515
	5,951	12,938	-6,987
	18,977	21,046	-2,069
	31,179	24,227	6,952
	33,048	16,390	16,658
	11,097	9,658	1,439
	5,851	2,133	3,718
	22,300	8,151	14,149
	62,468	58,200	4,268
	22,596	25,941	-3,345
	8,608	9,667	-1,059
	41,209	21,374	19,835
	10,248	11,154	-906
	78,565	53,352	25,213
	22,519	21,121	1,398
	17,738	15,616	2,122
	28,113	14,816	13,297
	23,683	17,890	5,793
	9,643	14,320	-4,677
	27,129	18,200	8,929
	11,394	8,932	2,462
	17,557	16,860	697
	32,616	40,291	-7,675
	25,974	5,937	20,037
	20,644	6,044	14,600
	9,352	2,748	6,604
	7,666	3,204	4,462
	10,222	534	9,688
	15,314	3,205	12,109
	18,346	20,258	-1,912

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69			(l) Gains (Col. (h) gain minus col. (k), but not less than -0-) or Losses (from col.(h))
(i) F.M.V. as of 12/31/69	(j) Adjusted basis as of 12/31/69	(k) Excess of col. (i) over col. (j), if any
a			-16,805
b			11,503
c			-11,437
d			-5,188
e			-8,564
			-2,258
			-17,515
			-6,987
			-2,069
			6,952
			16,658
			1,439
			3,718
			14,149
			4,268
			-3,345
			-1,059
			19,835
			-906
			25,213
			1,398
			2,122
			13,297
			5,793
			-4,677
			8,929
			2,462
			697
			-7,675
			20,037
			14,600
			6,604
			4,462
			9,688
			12,109
			-1,912

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	115,536
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions). If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . .		3

Part V

Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? Yes No

If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.

1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a) Base period years Calendar year (or tax year beginning in)	(b) Adjusted qualifying distributions	(c) Net value of noncharitable-use assets	(d) Distribution ratio (col. (b) divided by col. (c))
2009	205,187	4,049,804	0.050666
2008	225,065	3,671,006	0.061309
2007	170,190	5,046,883	0.033722
2006	1,617,967	4,767,587	0.339368
2005	154,495	4,439,878	0.034797

2	Total of line 1, column (d) ......................	2	0.519862
3	Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by the number of years the foundation has been in existence if less than 5 years. . .	3	0.103972
4	Enter the net value of noncharitable-use assets for 2010 from Part X, line 5.....	4	4,225,975
5	Multiply line 4 by line 3.......................	5	439,383
6	Enter 1% of net investment income (1% of Part I, line 27b)...........	6	1,814
7	Add lines 5 and 6.........................	7	441,197
8	Enter qualifying distributions from Part XII, line 4..............	8	180,460
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions on page 18.

Form 990-PF (2010)

Page 4

Part VI

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check hereand enter “N/A” on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	3,628
	hereand enter 1% of Part I, line 27b...................
c	All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2	0
3	Add lines 1 and 2............................	3	3,628
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-).	4	0
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	3,628
6	Credits/Payments:

a	2010 estimated tax payments and 2009 overpayment credited to 2010	6a	2,120
b	Exempt foreign organizations—tax withheld at source.......	6b
c	Tax paid with application for extension of time to file (Form 8868)	6c	1,508
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	3,628
8	Enter any penalty for underpayment of estimated tax. Check hereif Form 2220 is attached.		8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9	0
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2011 estimated tax	Refunded	11

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of

the instructions for definition)?.............................

If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

Did the foundation file Form 1120-POL for this year?.....................

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ 0(2) On foundation managers. bullet

$ 0

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

$ 0

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If “Yes,” attach a detailed description of the activities.

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If “Yes,” has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If “Yes,” attach the statement required by General Instruction T.

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument?................

Yes

Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.

Yes

Enter the states to which the foundation reports or with which it is registered (see page 19 of the

instructions) bullet

If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .

Yes

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on

page 27)? If “Yes,” complete Part XIV...........................

Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......

Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

N/A

The books are in care of bullet

H A VANHOOSE EXECUTIVE DIRECTOR Telephone no. bullet

(239) 368-7070

Located at bullet

1262 WINGS WAY SUITE 201LEHIGH ACRESFL ZIP+4 bullet

33936

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —Check here......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ...... bullet

At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over

a bank, securities, or other financial account in a foreign country? .................

See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet

Form 990-PF (2010)

Page 5

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.

Yes

During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?.........................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)?.................YesNo

(6) Agree to pay money or property to a government official? (Exception. Check “No”

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days.).........YesNo

If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...

Organizations relying on a current notice regarding disaster assistance check here......... bullet

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2010?.............

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or 4942(j)(5)):

At the end of tax year 2010, did the foundation have any undistributed income (lines 6d

and 6e, Part XIII) for tax year(s) beginning before 2010?...............YesNo

If “Yes,” list the years bullet

20, 20, 20, 20

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)

to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business

enterprise at any time during the year?.....................YesNo

If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2010.)....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?

During the year did the foundation pay or incur any amount to:

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?...............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?........YesNo

If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in

Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?

Organizations relying on a current notice regarding disaster assistance check here......... bullet

If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant?............YesNo

If “Yes,” attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay

premiums on a personal benefit contract?....................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....

If “Yes” to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

Form 990-PF (2010)

Page 6

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
LARRY TURBEVILLE	SECRETARY 2.00	0	0	0
642 PARKDALE BLVD LEHIGH ACRES,FL33974	SECRETARY 2.00	0	0	0
JON R OLLIFF DDS	TREASURER 2.00	0	0	0
210 LAKE AVENUE N LEHIGH ACRES,FL33936	TREASURER 2.00	0	0	0
DARWIN RICHARDS	CHAIRMAN 20.00	18,480	0	0
214 LINCOLN AVE SE LEHIGH ACRES,FL33936	CHAIRMAN 20.00	18,480	0	0
JAMES M JACOB	DIRECTOR 2.00	0	0	0
116 ORTONA ST LEHIGH ACRES,FL33936	DIRECTOR 2.00	0	0	0
ORVILLE KURTZ	1ST VICE CHAIRMAN 2.00	0	0	0
306 MCARTHUR AVE LEHIGH ACRES,FL33936	1ST VICE CHAIRMAN 2.00	0	0	0
HUGH VANHOOSE	EXECUTIVE DIRECTOR 32.00	77,235	0	0
19002 CYPRESS VIEW DRIVE FORT MYERS,FL33967	EXECUTIVE DIRECTOR 32.00	77,235	0	0

2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions). If none, enter “NONE.”
(a) Name and address of each employee paid more than $50,000	(b) Title, and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
NONE









Total number of other employees paid over $50,000...................				0

3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

Total number of others receiving over $50,000 for professional services............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.		Expenses
1	COMMUNITY HEALTH CARE CENTER THAT PROVIDES BELOW MARKET RATE OR NOMINAL RENT TO FOUR 501(C)(3) ORGANIZATIONS	118,849
2


3


4

Form 990-PF (2010)

Page 7

Part IX-B

Summary of Program-Related Investments (see page 23 of the instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.		Amount
1


2


All other program-related investments. See page 24 of the instructions.
3

Total. Add lines 1 through 3........................... bullet

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see page 24 of the instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

3,671,439

Average of monthly cash balances.......................

591,450

Fair market value of all other assets (see page 24 of the instructions)............

27,441

Total (add lines 1a, b, and c).........................

4,290,330

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) ..............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d..........................

4,290,330

Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25

of the instructions) ............................

64,355

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

4,225,975

Minimum investment return. Enter 5% of line 5...................

211,299

Part XI

Distributable Amount (see page 25 of the instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet

and do not complete this part.)

Minimum investment return from Part X, line 6....................

211,299

Tax on investment income for 2010 from Part VI, line 5......

3,628

Income tax for 2010. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

3,628

Distributable amount before adjustments. Subtract line 2c from line 1............

207,671

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4.............................

207,671

Deduction from distributable amount (see page 25 of the instructions)...........

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,

line 1.................................

207,671

Part XII

Qualifying Distributions (see page 25 of the instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

174,358

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes................................

6,102

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

180,460

Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............

Adjusted qualifying distributions. Subtract line 5 from line 4...............

180,460

Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.

Form 990-PF (2010)

Page 8

Part XIII

Undistributed Income (see page 26 of the instructions)

		(a) Corpus	(b) Years prior to 2009	(c) 2009	(d) 2010
1 Distributable amount for 2010 from Part XI, line 7					207,671
2 Undistributed income, if any, as of the end of 2010:
a Enter amount for 2009 only.......				0
b Total for prior years:20, 20, 20			0
3 Excess distributions carryover, if any, to 2010:
a From 2005.......
b From 2006.......	1,171,175
c From 2007.......
d From 2008.......	43,405
e From 2009.......	205,187
fTotal of lines 3a through e.........		1,419,767
4Qualifying distributions for 2010 from Part
XII, line 4: $ 180,460
a Applied to 2009, but not more than line 2a				0
b Applied to undistributed income of prior years (Election required—see page 26 of the instructions)			0
c Treated as distributions out of corpus (Election required—see page 26 of the instructions)...		180,460
d Applied to 2010 distributable amount.....					0
e Remaining amount distributed out of corpus		0
5 Excess distributions carryover applied to 2010.		207,671			207,671
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		1,392,556
b Prior years’ undistributed income. Subtract line 4b from line 2b ...........			0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......			0
d Subtract line 6c from line 6b. Taxable amount—see page 27 of the instructions ...			0
e Undistributed income for 2009. Subtract line 4a from line 2a. Taxable amount—see page 27 of the instructions ...........				0
f Undistributed income for 2010. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2011 ..........					0
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (see page 27 of the instructions) ...........		0
8Excess distributions carryover from 2005 not applied on line 5 or line 7 (see page 27 of the instructions) .............		0
9Excess distributions carryover to 2011. Subtract lines 7 and 8 from line 6a ......		1,392,556
10 Analysis of line 9:
a Excess from 2006....	963,504
b Excess from 2007....
c Excess from 2008....	43,405
d Excess from 2009....	205,187
e Excess from 2010....	180,460

Form 990-PF (2010)

Page 9

Part XIV

Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)

1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2010, enter the date of the ruling....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2010	(b) 2009	(c) 2008	(d) 2007	(e) Total

b 85% of line 2a .........
c Qualifying distributions from Part XII, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ....
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets” alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment” alternative test— enter 2⁄3 of minimum investment return shown in Part X, line 6 for each year listed...
c “Support” alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XV

Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see page 27 of the instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see page 28 of the instructions) to individuals or organizations
under other conditions, complete items 2a, b, c, and d.

aThe name, address, and telephone number of the person to whom applications should be addressed:

H A VANHOOSE EXECUTIVE DIRECTOR
1262 WINGS WAY SUITE 201
LEHIGH ACRES,FL33936
(239) 368-7070

bThe form in which applications should be submitted and information and materials they should include:

SIMPLE LETTER REQUEST.

cAny submission deadlines:

-NONE-

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

-NONE-

Form 990-PF (2010)

Page 10

Part XV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
HOPE HOSPICE OF SOUTHWEST FLORIDA 9470 HEALTH PARK DR FORT MYERS,FL33908	NONE	501(C)(3)	EXEMPT PURPOSE	50,000
LEHIGH COMMUNITY SERVICES INC 201 PLAZA DR SUITE 3 LEHIGH ACRES,FL33936	NONE	501(C)(3)	EXEMPT PURPOSE	10
UNITED WAY OF LEE COUNTY 7275 CONCOURSE DR FORT MYERS,FL33908	NONE	501(C)(3)	EXEMPT PURPOSE	5,500
Total ................................. 3a				55,510

bApproved for future payment
HOPE HOSPICE OF SOUTHWEST FLORIDA 9470 HEALTHPARK DR FORT MYERS,FL33908	NONE	501(C)(3)	EXEMPT PURPOSE	100,000
Total .................................. 3b				100,000

Form 990-PF (2010)

Page 11

Part XVI-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See page 28 of the instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments....
3Interest on savings and temporary cash investments			14	4,722
4 Dividends and interest from securities....			14	90,597
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....			16	48,646
6Net rental income or (loss) from personal property
7 Other investment income.....
8Gain or (loss) from sales of assets other than inventory			18	115,536
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory..
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..		0		259,501	0

13Total. Add line 12, columns (b), (d), and (e)...................

13259,501

(See worksheet in line 13 instructions on page 28 to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See page 28 of the instructions.)

Form 990-PF (2010)

Page 12

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

Did the organization directly or indirectly engage in any of the following with any other organization described in section

Yes

501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash....................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements............................

1b(4)

(5) Loans or loan guarantees..............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........YesNo

If “Yes,” complete the following schedule.

(a) Name of organization	(b) Type of organization	(c) Description of relationship

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 taxpayer or fiduciary) is based on all information of which preparer has any knowledge.

	Signature of officer or trustee	Date	Title

Preparer's Signature	Date	Check if self- employed	PTIN
Firm's name Firm's address		Firm's EIN
		Phone no.

Form 990-PF (2010)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2010 AccountingFeesSchedule

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
ACCOUNTING FEES	8,645	4,323		4,322

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2010 DepreciationSchedule

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

Description of Property	Date Acquired	Cost or Other Basis	Prior Years' Depreciation	Computation Method	Rate / Life (# of years)	Current Year's Depreciation Expense
OFFICE FURNITURE	1987-12-11	820	820	SL	7.000000000000	0
COUCH/COFFEE TABLE	1988-02-08	569	569	SL	7.000000000000	0
TELEPHONE EQUIPMENT	1990-05-08	4,236	4,236	SL	7.000000000000	0
COOLERS	1991-06-03	696	696	SL	7.000000000000	0
DOOR HARDWARE	1991-11-14	722	428	SL	31.500000000000	23
WATER METER & BOX	1993-05-19	976	529	SL	31.500000000000	31
COMPLETE CENTER	1989-06-30	301	301	SL	7.000000000000	0
FILE CABINET	1989-09-25	217	217	SL	7.000000000000	0
FILE CABINETS (2)	1989-11-13	200	200	SL	7.000000000000	0
FIRE SAFE	1991-06-30	829	829	SL	7.000000000000	0
PARTITIONS	1992-09-01	10,221	10,221	SL	7.000000000000	0
VERTICLES	1992-09-01	956	956	SL	7.000000000000	0
CONFERENCE TABLES	1992-09-01	2,090	2,090	SL	7.000000000000	0
SHED (1/2)	1994-02-18	324	324	SL	7.000000000000	0
OFFICE FURNITURE- 15 CHAIRS	1997-05-07	3,121	3,121	SL	7.000000000000	0
OFFICE FURNITURE- ACUSTI PANELS	1997-06-30	652	652	SL	7.000000000000	0
FAX MACHINE	1997-09-01	424	424	SL	5.000000000000	0
COMPAQ 5240	1999-02-02	1,272	1,272	SL	5.000000000000	0
KITCHEN EQUIPMENT	1990-05-08	39,110	39,110	SL	7.000000000000	0
LAUNDRY EUQIPMENT	1990-05-08	6,890	6,890	SL	7.000000000000	0
BUILDING BETH STACEY	1990-05-08	679,227	435,091	SL	31.500000000000	21,563
BUILDING- MASONRY	1990-07-09	800	508	SL	31.500000000000	25
WELL	1993-06-14	1,144	620	SL	31.500000000000	36
DRIVEWAY	1997-10-24	2,375	955	SL	31.500000000000	75
CONCRETE	1999-06-01	1,450	510	SL	31.500000000000	46
LAND ACCT 175	1990-09-05	159,155		NC	0 %	0
BUILDING	1992-09-01	489,110	276,936	SL	31.500000000000	15,527
WELL	1993-06-14	1,195	648	SL	31.500000000000	38
PATIO SENIOR FRIENDSHIP	1996-06-30	739	357	SL	31.500000000000	23
PATIO SENIOR FRIENDSHIP	1996-08-31	18,697	8,353	SL	31.000000000000	603
TRENCH IN CURB	1997-07-22	3,173	1,301	SL	31.500000000000	101
CONCRETE D L HUDSON	1999-08-31	2,980	831	SL	39.000000000000	76
AIR CONDITIONER	2000-09-01	2,200	2,200	SL	7.000000000000	0
JANOTROL (6)	2001-04-12	8,990	8,990	SL	7.000000000000	0
LIGHT FIXTURES	2001-02-23	1,870	554	SL	31.500000000000	59
CANON COPIER	2001-10-15	742	742	200SL	5.000000000000	0
AIRCONDITIONER	2002-05-08	2,591	2,591	200SL	7.000000000000	0
AIR CONDITIONER	2002-05-08	2,023	2,023	200SL	7.000000000000	0
AIR CONDITIONER	2002-08-21	1,723	1,723	SL	7.000000000000	0
AIR CONDITIONER	2002-10-10	1,522	1,522	SL	7.000000000000	0
AIR CONDITIONER	2002-08-21	2,077	2,077	SL	7.000000000000	0
AIR CONDITIONER	2003-04-23	2,077	2,076	SL	7.000000000000	0
WATER METER	2003-02-21	3,765	877	SL	31.500000000000	120
AIR COMPRESSOR	2003-07-25	530	518	200SL	7.000000000000	12
FIRE EXTINGUISHERS	2004-07-09	518	438	SL	7.000000000000	74
FIRE MONITORING BOARD	2004-07-27	2,957	2,499	SL	7.000000000000	422
PANEL REPLACEMENT	2004-08-31	214	179	SL	7.000000000000	31
PUMP CONTROL BOX	2004-11-12	2,294	1,857	SL	7.000000000000	328
CONDENSOR	2005-05-02	2,419	1,786	SL	7.000000000000	346
FIRE ALARM PANEL	2005-05-13	377	278	SL	7.000000000000	54
LCS AIR HANDLER	2005-05-16	2,020	1,467	SL	7.000000000000	289
FREEZER COMPRESSOR	2005-02-23	1,225	933	SL	7.000000000000	175
SURGE PROTECTOR	2005-05-19	589	428	SL	7.000000000000	84
HOT WATER HEATER	2005-11-01	655	437	SL	7.000000000000	94
AIR CONDITIONER	2006-06-02	2,869	1,674	SL	7.000000000000	410
TELEPHONE SYSTEM	2006-07-11	2,193	1,755	SL	5.000000000000	438
APPLE I MAC (2)	2007-05-01	3,016	1,910	SL	5.000000000000	603
400 WATT FIXTURE ON POLE	2007-01-19	750	82	SL	31.500000000000	24
AIR CONDITIONING COMPRESSOR	2008-09-23	2,704	676	SL	7.000000000000	386
COMPUTER- OFFICE DEPOT	2009-02-18	534	143	SL	5.000000000000	107
NEW GUTTERS	2008-08-07	1,220	78	SL	30.000000000000	41
LANDSCAPING	2008-09-03	3,651	446	SL	15.000000000000	243
ROOF 11 BETH STACY	2008-04-25	39,200	2,220	SL	39.000000000000	1,005
BULLSEYE SPRINKLERS	2008-05-28	1,500	446	SL	7.000000000000	214
SIDEWALK	2008-06-25	1,500	76	SL	39.000000000000	38
AIR CONDITIONER	2007-07-31	1,875	781	SL	7.000000000000	268
ROOF-9 BETH STACEY	2007-10-25	24,100	1,648	SL	39.000000000000	618
LANDSCAPING	2008-05-21	2,390	275	150DB	15.000000000000	92
CHAS SCREEN- SCREEN ROOM	2008-06-10	2,102	625	SL	7.000000000000	300
CENTRAL AIRE CONDITIONING, INC	2010-05-04	3,881	92	SL	7.000000000000	554
LEAF BLOWER	2010-11-18	317		SL	7.000000000000	26
PARKING LOT OVERLAY	2010-09-27	23,920		SL	15.000000000000	1,196
PARKING LOT SIGNAGE	2010-11-02	710		SL	7.000000000000	68
A/C UNIT CAGES	2011-06-09	1,234		SL	7.000000000000	15
A/C UNIT CAGES-CHA	2011-06-30	279		SL	7.000000000000	0
AIR CONDITIONER	2010-07-15	4,855		SL	39.000000000000	124
PARKING LOT OVERLAY	2010-09-27	23,920		SL	15.000000000000	1,196
PARKING LOT SIGNAGE	2010-11-02	710		SL	7.000000000000	68
A/C UNIT CAGES	2011-06-30	1,247		SL	7.000000000000	0

- TIN:

TY 2010 DistributionFromCorpusElection

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

Election:

THE ORGANIZATION ELECTS TO TREAT THE CURRENT YEAR DISTRIBUTIONS AS BEING MADE OUT OF CORPUS.

- TIN:

TY 2010 InvestmentsCorpStockSchedule

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

Name of Stock	End of Year Book Value	End of Year Fair Market Value
ABB LTD SPON ADR	15,416	33,735
ABB LTD SPON ADR	13,839	11,029
ABBOTT LABS	34,969	39,202
ADOBE SYSTEMS INC	0	0
ALLERGAN INC	29,913	29,970
AMAZON.COM INC	36,227	39,876
AMERICA MOVIL S.A.B.DE	23,381	21,552
ANADARKO PETROLEUM CORP	3,297	11,514
ANADARKO PETROLEUM CORP	17,179	17,271
ANGLO AMERN PLC SPON ADR	16,386	20,899
APPLIED MATERIALS INC	16,760	22,117
APPLIED MATERIALS INC	21,849	20,816
AXA ADR	28,009	18,224
BAIDU INC ADS	11,075	39,236
BANCO SANTANDER CENTL	27,628	25,613
BANCO SANTANDER CENTL	14,387	27,095
BANK OF NOVA SCOTIA	29,832	40,314
BASF AG SPON ADR	14,192	73,545
BHP BILLITON LTD SPON	19,687	47,315
BNP PARIBASSA ADR	35,159	28,601
BOEING COMPANY	28,416	31,051
CARNIVAL CORP NEW	0	0
CATERPILLAR INC	4,273	21,292
CATERPILLAR INC	8,220	10,646
CENOVUS ENERGY INC	9,096	15,064
CHEUNG KONG HOLDINGS LTD	17,834	18,375
CHEVRON CORP	0	0
CISCO SYSTEMS INC	0	0
CNOOC LTD SPON ADR	30,708	33,738
CORNING INC	0	0
CREDIT SUISSE GROUP	28,290	30,241
DEERE AND CO	22,200	39,164
DOVER CORP	18,173	42,375
E ON AG SPON ADR SPON	0	0
EMC CORP MASS	35,524	51,656
EMERSON ELECTRIC	19,540	22,781
ENCANA CORP	0	0
EXXON MOBIL CORP	47,954	45,980
FORTUNE BRANDS INC	0	0
FREEPORT-MCMORAN COPPER & GOLD INC CL B	31,906	54,699
GENERAL ELECTRIC	49,992	48,093
GLAXO SMITHKLINE PLC ADR	39,487	41,828
GOOGLE INC CL A	29,073	27,851
HALLIBURTON CO	22,226	24,480
HEWLETT PACKARD	0	0
HITACHI LTD ADR NEW JAPAN	19,568	22,633
HONDA MOTOR CO ADR JAPAN	21,084	34,749
HONEYWELL INTL INC	18,626	28,305
INTEL CORP	27,157	29,362
INTL BUSINESS MACH	28,923	29,164
ISHARES MSCI EMERGING MARKETS INDEX FUND	0	0
JOHNSON AND JOHNSON	58,171	57,872
MEDTRONIC INC	28,985	26,393
MICROSOFT	39,216	35,100
MITSUBISHI TOKYO	17,055	11,109
MOSAIC CO	19,555	19,642
NATL-OILWELLVARCO INC	34,042	43,016
NESTLE SA SPONSORED	36,530	45,974
NETAPP INC	18,590	21,112
NOMURA HOLDINGS INC	0	0
NUCOR CORP	0	0
OCCIDENTAL PETROLEUM	8,906	40,576
ORACLE CORP	38,792	60,061
PANASONIC CORP (MATSUSHITA ELEC IND ADR NAME CHG) 1,350	0	0
PENNEY JC CO INC	0	0
PFIZER INC	34,514	36,050
PNC FINANCIAL SERVICES	32,277	29,507
PPG INDUSTRIES INC	23,625	49,935
PROCTER AND GAMBLE	11,151	15,893
QUALCOMM INC	22,939	24,704
RIO TINTO PLC SPON ADR	30,452	34,714
ROCHE HLDG LTD SPONS ADR	53,393	50,352
SANOFI SPON ADR	40,826	46,196
SCHLUMBERGER LTD NETHERLANDS ANTILLES	32,693	58,320
SIEMENS A G SPON ADR	45,626	66,702
SONY CORP ADR NEW	0	0
SUMITOMO MITSUI FINANCIAL GROUP	0	0
TARGET CORP	0	0
TIFFANY AND CO NEW	21,368	54,964
TIME WARNER CABLE INC	4,224	11,082
TIME WARNER INC NEW	11,953	20,585
TOTAL S.A. FRANCE SPON	0	0
TRANSOCEAN LTD	0	0
UNILEVER NV N Y SHS NEW NETHERLANDS SPONS	45,786	45,990
UNION PACIFIC CORP	21,303	41,760
UNTD TECHNOLOGIES CRP	19,103	44,255
VALE SA-SP PREF (PREV: COMPANHIA VALE DO RIO)	21,602	28,755
WALMART	23,756	22,585
WELLS FARGO & CO NEW	25,224	25,675
VANGUARD 500 INDEX	1,160,783	1,266,142

- TIN:

TY 2010 InvestmentsGovtObligationsSch

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

US Government Securities - End of Year Book Value:

349,563

US Government Securities - End of Year Fair Market Value:

349,563

State & Local Government Securities - End of Year Book Value:

State & Local Government Securities - End of Year Fair Market Value:

- TIN:

TY 2010 LandEtcSchedule2

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

Category / Item	Cost / Other Basis	Accumulated Depreciation	Book Value
OFFICE FURNITURE	820	820
COUCH/COFFEE TABLE	569	569
TELEPHONE EQUIPMENT	4,236	4,236
COOLERS	696	696
DOOR HARDWARE	722	451	271
WATER METER & BOX	976	560	416
COMPLETE CENTER	301	301
FILE CABINET	217	217
FILE CABINETS (2)	200	200
FIRE SAFE	829	829
PARTITIONS	10,221	10,221
VERTICLES	956	956
CONFERENCE TABLES	2,090	2,090
SHED (1/2)	324	324
OFFICE FURNITURE- 15 CHAIRS	3,121	3,121
OFFICE FURNITURE- ACUSTI PANELS	652	652
FAX MACHINE	424	424
COMPAQ 5240	1,272	1,272
KITCHEN EQUIPMENT	39,110	39,110
LAUNDRY EUQIPMENT	6,890	6,890
BUILDING BETH STACEY	679,227	456,654	222,573
BUILDING- MASONRY	800	533	267
WELL	1,144	656	488
DRIVEWAY	2,375	1,030	1,345
CONCRETE	1,450	556	894
LAND ACCT 175	159,155	0	159,155
BUILDING	489,110	292,463	196,647
WELL	1,195	686	509
PATIO SENIOR FRIENDSHIP	739	380	359
PATIO SENIOR FRIENDSHIP	18,697	8,956	9,741
TRENCH IN CURB	3,173	1,402	1,771
CONCRETE D L HUDSON	2,980	907	2,073
AIR CONDITIONER	2,200	2,200
JANOTROL (6)	8,990	8,990
LIGHT FIXTURES	1,870	613	1,257
CANON COPIER	742	742
AIRCONDITIONER	2,591	2,591
AIR CONDITIONER	2,023	2,023
AIR CONDITIONER	1,723	1,723
AIR CONDITIONER	1,522	1,522
AIR CONDITIONER	2,077	2,077
AIR CONDITIONER	2,077	2,076	1
WATER METER	3,765	997	2,768
AIR COMPRESSOR	530	530
FIRE EXTINGUISHERS	518	512	6
FIRE MONITORING BOARD	2,957	2,921	36
PANEL REPLACEMENT	214	210	4
PUMP CONTROL BOX	2,294	2,185	109
CONDENSOR	2,419	2,132	287
FIRE ALARM PANEL	377	332	45
LCS AIR HANDLER	2,020	1,756	264
FREEZER COMPRESSOR	1,225	1,108	117
SURGE PROTECTOR	589	512	77
HOT WATER HEATER	655	531	124
AIR CONDITIONER	2,869	2,084	785
TELEPHONE SYSTEM	2,193	2,193
APPLE I MAC (2)	3,016	2,513	503
400 WATT FIXTURE ON POLE	750	106	644
AIR CONDITIONING COMPRESSOR	2,704	1,062	1,642
COMPUTER- OFFICE DEPOT	534	250	284
NEW GUTTERS	1,220	119	1,101
LANDSCAPING	3,651	689	2,962
ROOF 11 BETH STACY	39,200	3,225	35,975
BULLSEYE SPRINKLERS	1,500	660	840
SIDEWALK	1,500	114	1,386
AIR CONDITIONER	1,875	1,049	826
ROOF-9 BETH STACEY	24,100	2,266	21,834
LANDSCAPING	2,390	1,562	828
CHAS SCREEN- SCREEN ROOM	2,102	925	1,177
CENTRAL AIRE CONDITIONING, INC	3,881	646	3,235
LEAF BLOWER	317	26	291
PARKING LOT OVERLAY	23,920	1,196	22,724
PARKING LOT SIGNAGE	710	68	642
A/C UNIT CAGES	1,234	15	1,219
A/C UNIT CAGES-CHA	279	0	279
AIR CONDITIONER	4,855	124	4,731
PARKING LOT OVERLAY	23,920	1,196	22,724
PARKING LOT SIGNAGE	710	68	642
A/C UNIT CAGES	1,247	0	1,247

- TIN:

TY 2010 OtherAssetsSchedule

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
PREPAID FED EXCISE TAX	1,572	0	0

- TIN:

TY 2010 OtherExpensesSchedule

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

Description	Revenue and Expenses per Books	Net Investment Income	Disbursements for Charitable Purposes
POSTAGE & SHIPPING	209	0	209
INVESTMENT EXPENSES	3,810	3,810	0
EQUIPMENT RENTAL	402	60	342
MEALS AND FOOD	198	50	148
DUES AND SUBSCRIPTIONS	311	0	311
OFFICE SUPPLIES	1,110	167	943
UTILITIES	7,262	489	6,773
REPAIRS	3,472	313	3,159
MAINTENANCE	20,558	2,133	18,425
OTHER	581	145	436
AWARDS & RECOGNITION	103	0	103
INSURANCE	16,580	0	16,580
ANNUAL MEETING	85	21	64

- TIN:

TY 2010 OtherLiabilitiesSchedule

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

Description	Beginning of Year - Book Value	End of Year - Book Value
WITHHELD INCOME TAXES	1,194	1,792
ACCRUED PROPERTY TAXES	1,555	514
ACCRUED PAYROLL TAXES	0	1,370
ACCRUED EXCISE TAXES	0	1,508

- TIN:

TY 2010 OtherProfessionalFeesSchedule

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT MANAGEMENT FEES	24,680	24,680		0

- TIN:

TY 2010 TaxesSchedule

Name:

COMMUNITY HEALTH ASSOCIATION INC

EIN: 59-1088536

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
PAYROLL TAXES	7,048	1,762		5,286
EXCISE TAX	3,628	0		0