TY 2011 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
CARDINAL HEALTH 2353 PROSPECT DRIVE AURORA,IL60504	PHARMACEUTICALS	34,460,003
OWENS AND MINOR 12199 COLLECTION CENTER DRIVE CHICAGO,IL60693	MEDICAL SUPPLY	20,724,239
MID AMERICA CLINICAL LABS 2560 NORTH SHADELAND AVENUE INDIANAPOLIS,IN46219	LAB SERVICES	12,245,386
ROLLINS CONSTRUCTION 3024 N RIDGEVIEW DRIVE INDIANAPOLIS,IN46226	CONSTRUCTION	11,512,771
COMMUNITY IMAGING ASSOCIATES 7205 SHADELAND STATION INDIANAPOLIS,IN46256	X-RAY IMAGING	8,580,285
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 301

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 United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,373,856	205,826	2,168,030
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	217,951,674	163,284,546	54,667,128
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,255,398	235,980	5,019,418
9	Other employee benefits .......	31,261,346	23,197,171	8,064,175
10	Payroll taxes ...........	14,276,276	10,729,908	3,546,368
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,513,142		2,513,142
c	Accounting ...........	754,534		754,534
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	486,200		486,200
g	Other ..........	137,003,456	58,949,450	78,054,006
12	Advertising and promotion ....	39,515	16,942	22,573
13	Office expenses .......	105,068,773	99,327,602	5,741,171
14	Information technology ......	5,480,816	2,345,598	3,135,218
15	Royalties ..
16	Occupancy ...........	17,448,551	12,947,524	4,501,027
17	Travel ............	721,285	449,458	271,827
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	186,115	57,796	128,319
20	Interest ...........	9,445,340		9,445,340
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	32,616,633	11,120,202	21,496,431
23	Insurance ..............	3,078,680	57,723	3,020,957
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	PROPERTY TAX	1,631,734	698,325	933,409
b	DUES & SUBSCRIPTIONS	618,956	238,891	380,065
c	RECRUITMENT	118,256	50,609	67,647
d	GRANT DISBURSEMENTS	112,426	48,114	64,312
e
f	All other expenses	219,764	94,047	125,717
25	Total functional expenses. Add lines 1 through 24f	588,662,726	384,055,712	204,607,014	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	60,033,743	1	82,171,501
2	Savings and temporary cash investments .......		2
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	79,330,664	4	89,844,080
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 .............	461,344	7	402,230
8	Inventories for sale or use ..............	7,720,914	8	8,001,495
9	Prepaid expenses and deferred charges ............	5,870,391	9	7,463,136
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	837,879,928
b	Less: accumulated depreciation. .....	10b	458,318,642	381,852,222	10c	379,561,286
11	Investments—publicly traded securities ..........	336,322,921	11	335,152,652
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..	166,595,042	13	340,237,782
14	Intangible assets .........	204,916	14	12,387,312
15	Other assets. See Part IV, line 11 ...........	132,547,503	15	228,453,109
16	Total assets. Add lines 1 through 15 (must equal line 34)...	1,170,939,660	16	1,483,674,583
	17	Accounts payable and accrued expenses .	158,412,594	17	146,059,884
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	419,603,642	20	405,863,554
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 ....	5,146,206	24	29,646,206
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	36,166,158	25	298,767,408
26	Total liabilities. Add lines 17 through 25.....	619,328,600	26	880,337,052
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	551,611,060	27	603,337,531
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here 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 .....	551,611,060	33	603,337,531
34	Total liabilities and net assets/fund balances .....	1,170,939,660	34	1,483,674,583

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

COMMUNITY HOSPITALS OF INDIANA INC

Employer identification number

35-0983617

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.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

COMMUNITY HOSPITALS OF INDIANA INC

Employer identification number

35-0983617

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... 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 on line H of its
Form 990-EZ or on Part I, 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) (2011)

Page 2

Name of organization COMMUNITY HOSPITALS OF INDIANA INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization COMMUNITY HOSPITALS OF INDIANA INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
COMMUNITY HOSPITALS OF INDIANA INC

Employer identification number

35-0983617

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose 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

(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

(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

(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) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

COMMUNITY HOSPITALS OF INDIANA INC

Employer identification number

35-0983617

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	4,916,784		4,916,784
b	Buildings ................	448,727,175	174,220,212	274,506,963
c	Leasehold improvements ............	19,617,388	7,137,834	12,479,554
d	Equipment ................	357,105,330	269,922,236	87,183,094
e	Other .................	7,513,251	7,038,360	474,891
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				379,561,286

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) CLOSELY-HELD EQUITY INTERESTS	340,237,782	C








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	340,237,782

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATED ENTITIES				180,516,620
(2) FUNDS HELD BY TRUSTEE				19,185,980
(3) THIRD PARTY RECEIVABLE				8,825,768
(4) OTHER RECEIVABLES				7,699,413
(5) DEFERRED FINANCING COSTS				6,647,140
(6) CHN ASSURANCE PREMIUM				3,111,119
(7) OTHER ASSETS				1,507,823
(8) OVERFUNDED PENSION/RTRMT				959,246

Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				228,453,109

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes
DUE TO AFFILIATES		163,048,050
UNDERFUNDED PENSION FAS 158		130,409,058
OTHER LT LIABILITY		4,598,012
THIRD PARTY SETTLEMENTS		712,288





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		298,767,408
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8
9	Total adjustments (net). Add lines 4 through 8 .........................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

COMMUNITY HOSPITALS OF INDIANA INC

Employer identification number

35-0983617

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..		29,531	15,481,960		15,481,960	2.630 %
b Medicaid (from Worksheet 3, column a) .....		53,873	83,789,720	62,815,169	20,974,551	3.560 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....		83,404	99,271,680	62,815,169	36,456,511	6.190 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	16	674	9,353,853	1,572,848	7,781,005	1.320 %
f Health professions education (from Worksheet 5) ..	7	887	9,315,203	2,040,279	7,274,924	1.240 %
g Subsidized health services (from Worksheet 6) ..	2	587	123		123
h Research (from Worksheet 7)	2		1,065,025		1,065,025	0.180 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	2		3,520		3,520
jTotal Other Benefits ...	29	2,148	19,737,724	3,613,127	16,124,597	2.740 %
kTotal. Add lines 7d and 7j. ..	29	85,552	119,009,404	66,428,296	52,581,108	8.930 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	1	6	1,698		1,698
2	Economic development
3	Community support	13	13,044	9,238		9,238
4	Environmental improvements
5	Leadership development and training for community members	1		84,794	28,895	55,899	0.010 %
6	Coalition building	6	1,097	12,904	1,000	11,904
7	Community health improvement advocacy	32	75,342	4,406,168	408,510	3,997,658	0.680 %
8	Workforce development	11	603	1,020,906	128,442	892,464	0.150 %
9	Other
10	Total	64	90,092	5,535,708	566,847	4,968,861	0.840 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

11,635,273

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

124,042,757

Enter Medicare allowable costs of care relating to payments on line 5.....

133,161,155

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-9,118,398

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1NORTHPOINT PEDIATRIC	PROVIDE PHYSICIANS SERVICES	49.000 %	51.000 %
2COMMUNITY IMAGING	PROVIDE MEDICAL IMAGING SERVICES	50.000 %	50.000 %
3IN SPECIALTY GROUP	PROVIDE SPECIALTY PHYSICIAN SERVICES	70.000 %	30.000 %
4EAST CAMPUS SURG CTR	PROVIDE OUTPATIENT SURGERY SERVICES	51.000 %	49.000 %
5MID AM CLINCIAL LABS	PROVIDE LABORATORY SERVICES	22.000 %
6NORTH CAMPUS SURG	PROVIDE OUTPATIENT SURGERY SERVICES	49.000 %
7MICHIGAN SURGERY INV	PROVIDE OUTPATIENT SURGERY SERVICES	40.000 %
8UNITED HOSPITAL SERV	PROVIDE LINEN SERVICES	13.000 %
9HAMILTON SURGERY CTR	PROVIDE OUTPATIENT SURGERY SERVICES	11.000 %	49.000 %
10INDPLS ENDOSCOPY CTR	PROVIDE MEDICAL SERVICES	19.000 %	49.000 %
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	COMMUNITY HOSPITAL NORTH 7150 CLEARVISTA DRIVE INDIANAPOLIS,IN46256	X	X	X	X
2	COMMUNITY HOSPITAL EAST 1500 NORTH RITTER AVENUE INDIANAPOLIS,IN46219	X	X	X	X

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

COMMUNITY HOSPITAL NORTH

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1	Yes
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20 11
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3	Yes
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4	Yes
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5	Yes
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7		No
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.0% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.0% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

COMMUNITY HOSPITAL EAST

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1	Yes
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20 11
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3	Yes
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4	Yes
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5	Yes
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7		No
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.0% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.0% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?67
Name and address		Type of Facility (describe)
1	COMMUNITY REGIONAL CANCER CENTER 1400 N RITTER AVENUE 340 INDIANAPOLIS,IN46219	HEALTH CARE
2	COMMUNITY IMAGING CENTER NORTH 8181 CLEARVISTA PKWY INDIANAPOLIS,IN46256	HEALTH CARE
3	COMMUNITY BREAST CARE 8040 CLEARVISTA 290 INDIANAPOLIS,IN46256	HEALTH CARE
4	SLEEP WAKE DISORDERS 7250 CLEARVISTA DRIVE 350 INDIANAPOLIS,IN46256	HEALTH CARE
5	COMMUNITY IMAGING CTR NOBLESVILLE 9669 E 146TH STREET 140 NOBLESVILLE,IN46060	DIAGNOSTIC CENTER
6	CHE SLEEP WAKE DISORDERS 1400 N RITTER AVENUE 481 INDIANAPOLIS,IN46219	HEALTH CARE
7	REHAB & SPORTS MEDICINE 2040 N SHADELAND AVENUE INDIANAPOLIS,IN46219	REHABILITATION
8	MATERNAL FETAL MEDICINE 7120 E CLEARVISTA DRIVE 5900 INDIANAPOLIS,IN46256	HEALTH CARE
9	COMMUNITY NEUROSURGERY 1400 N RITTER AVENUE 231 INDIANAPOLIS,IN46219	HEALTH CARE
10	HRC OP THERAPY 8501 E 56TH STREET 140 INDIANAPOLIS,IN46216	HEALTH CARE
11	REHAB & SPORTS MEDICINE 6922 HILLSDALE COURT INDIANAPOLIS,IN46250	REHABILITATION
12	FAMILY PRACTICE CENTER 10122 E 10TH STREET 100 INDIANAPOLIS,IN46229	HEALTH CARE
13	GALLAHUE ADDICTIONS 2040 N SHADELAND AVENUE SUITE 200 INDIANAPOLIS,IN46219	HEALTH CARE
14	GMHC LAWRENCE OP 6950 HILLSDALE COURT INDIANAPOLIS,IN46250	HEALTH CARE
15	WARREN OP OFFICE 2040 N SHADELAND AVENUE SUITE 200 INDIANAPOLIS,IN46219	HEALTH CARE
16	MEDCHECK CASTLETON 8177 CLEARVISTA PKWY INDIANAPOLIS,IN46256	HEALTH CARE
17	REHAB & SPORTS MEDICINE 13121 OLIO ROAD 140 FISHERS,IN46037	REHABILITATION
18	GALLAHUE MENTAL HEALTH SERVICES 145 GREEN MEADOWS DRIVE GREENFIELD,IN46140	HEALTH CARE
19	GALLAHUE MENTAL HEALTH SERVICES 2040 N SHADELAND AVENUE SUITE 250 INDIANAPOLIS,IN46219	HEALTH CARE
20	COMMUNITY IMAGING CENTER 11911 N MERIDIAN STREET 175 CARMEL,IN46032	DIAGNOSTIC CENTER
21	GALLAHUE MENTAL HEALTH SERVICES 7 E HENDRICKS STREET SHELBYVILLE,IN46176	HEALTH CARE
22	GALLAHUE MENTAL HEALTH SERVICES 2201 HILLCREST DRIVE ANDERSON,IN46012	HEALTH CARE
23	COMMUNITY SPINE CENTER 7120 E CLEARVISTA DRIVE 1500 INDIANAPOLIS,IN46256	HEALTH CARE
24	COMMUNITY GENERAL SURGEONS 1400 N RITTER AVENUE 330 INDIANAPOLIS,IN46219	HEALTH CARE
25	SLEEP WAKE DISORDERS 11911 N MERIDIAN STREET 140 CARMEL,IN46032	HEALTH CARE
26	MEDCHECK CARMEL 1911 N MERIDIAN STREET 150 CARMEL,IN46032	HEALTH CARE
27	MEDCHECK GREENWOOD 1664 W SMITH VALLEY ROAD SUITE B GREENWOOD,IN46142	HEALTH CARE
28	MEDCHECK EAST 1703 N POST ROAD INDIANAPOLIS,IN46219	HEALTH CARE
29	ORTHOPEDIC SURGEONS OF CENTRAL IN 1400 N RITTER AVENUE 510 INDIANAPOLIS,IN46219	HEALTH CARE
30	COMM OCCUPATIONAL HEALTH CENTER 1709 N POST ROAD INDIANAPOLIS,IN46219	HEALTH CARE
31	DAY THERAPY 6950 HILLSDALE COURT INDIANAPOLIS,IN46250	HEALTH CARE
32	COMMUNITY BARIATRICS SURGEONS 7250 CLEARVISTA SUITE 355 INDIANAPOLIS,IN46256	HEALTH CARE
33	FORGE AHEAD CLUBHOUSE 1640 N RITTER AVENUE INDIANAPOLIS,IN46201	HEALTH CARE
34	OUTPATIENT WORK COMP REHAB 1911 N MERIDIAN STREET 170 CARMEL,IN46032	HEALTH CARE
35	WORK COMP REHAB 1713 N POST ROAD INDIANAPOLIS,IN46219	REHABILITATION
36	WORK COMP REHAB 6922 HILLSDALE COURT INDIANAPOLIS,IN46250	REHABILITATION
37	HRC NEUROPSYCH SERVICES 7250 CLEARVISTA DRIVE 327 INDIANAPOLIS,IN46256	HEALTH CARE
38	HRC NEUROPSYCHOLOGY 8501 E 56TH STREET 140 INDIANAPOLIS,IN46216	HEALTH CARE
39	MEDCHECK ANDERSON 1030 S SCATTERFIELD ROAD ANDERSON,IN46012	HEALTH CARE
40	OCCUPATIONAL HEALTH 8177 CLEARVISTA PKWY INDIANAPOLIS,IN46256	HEALTH CARE
41	SHELBYVILLE GROUP HOME 18 E MECHANIC STREET SHELBYVILLE,IN46176	HEALTH CARE
42	NORTH RIVER CROSS ORTHOPEDICS 18051 RIVER ROAD NOBLESVILLE,IN46062	HEALTH CARE
43	COMMUNITY SLEEP SPECIALISTS 7250 CLEARVISTA DRIVE 330 INDIANAPOLIS,IN46256	HEALTH CARE
44	GREENFIELD OCCUPATIONAL HEALTH 124 W MUSKEGAN DRIVE GREENFIELD,IN46140	HEALTH CARE
45	WOMEN'S & CHILDREN'S CARE CENTER 2040 N SHADELAND AVENUE SUITE 300 INDIANAPOLIS,IN46219	HEALTH CARE
46	OLIO ROAD IMAGING CENTER 13121 OLIO ROAD 110 FISHERS,IN46037	DIAGNOSTIC CENTER
47	REHAB & SPORTS MEDICINE 10122 E 10TH STREET 225 INDIANAPOLIS,IN46229	REHABILITATION
48	YOUTH DAY PROGRAM 6950 HILLSDALE COURT INDIANAPOLIS,IN46250	HEALTH CARE
49	COMM REPRODUCTIVE ENDOCRINOLOGY 7250 CLEARVISTA DRIVE SUITE 365 INDIANAPOLIS,IN46256	HEALTH CARE
50	ASSISTED FERTILITY 8040 CLEARVISTA PKWY 510 INDIANAPOLIS,IN46256	HEALTH CARE
51	OCCUPATIONAL HEALTH 1030 S SCATTERFIELD ROAD ANDERSON,IN46012	HEALTH CARE
52	REHAB & SPORTS MEDICINE 11911 N MERIDIAN STREET 170 CARMEL,IN46032	REHABILITATION
53	REHAB & SPORTS MEDICINE 740 W GREEN MEADOWS DRIVE 120 GREENFIELD,IN46140	REHABILITATION
54	COMMUNITY IMAGING CENTER 740 W GREEN MEADOWS DRIVE 120 GREENFIELD,IN46140	DIAGNOSTIC CENTER
55	EVENING THERAPY 6950 HILLSDALE COURT INDIANAPOLIS,IN46250	HEALTH CARE
56	COMMUNITY SLEEP SPECIALISTS 1400 N RITTER AVENUE SUITE 410 INDIANAPOLIS,IN46219	HEALTH CARE
57	MEDCHECK EXPRESS FISHERS 8300 E 96TH STREET FISHERS,IN46038	HEALTH CARE
58	MEDCHECK EXPRESS NOBLESVILLE 16865 CLOVER ROAD NOBLESVILLE,IN46060	HEALTH CARE
59	CHN BARIATRIC SERVICES 7250 CLEARVISTA DRIVE 355 INDIANAPOLIS,IN46256	HEALTH CARE
60	MEDCHECK EXPRESS INDIANAPOLIS 10617 E WASHINGTON STREET INDIANAPOLIS,IN46229	HEALTH CARE
61	LIFECHECK 7250 CLEARVISTA DRIVE 227 INDIANAPOLIS,IN46256	HEALTH CARE
62	BEHAVIORAL MEDICINE 6950 HILLSDALE COURT INDIANAPOLIS,IN46250	HEALTH CARE
63	GMHC OUTPATIENT ADDICTION TREATMENT 145 GREEN MEADOWS DRIVE GREENFIELD,IN46140	HEALTH CARE
64	MEDCHECK NOBLESVILLE 9669 E 146TH STREET 100 NOBLESVILLE,IN46060	HEALTH CARE
65	HOOK REHAB SILP HOME 9716 E 16TH STREET INDIANAPOLIS,IN46229	REHABILITATION
66	BREAST HEALTH NAVIGATORS 1550 E COUNTY LINE ROAD 325 INDIANAPOLIS,IN46227	HEALTH CARE
67	GMHC HANCOCK INTENSIVE ADDICTION TR 145 GREEN MEADOWS DRIVE GREENFIELD,IN46140	HEALTH CARE

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
RELATED ORGANIZATION INFORMATION	PART I LINE 6A	A COMMUNITY BENEFIT REPORT IS COMPLETED FOR THE COMMUNITY HEALTH NETWORK AS A WHOLE COMMUNITY HOSPITALS OF INDIANA INC IS INCLUDED WITHIN THE NETWORK COMMUNITY BENEFIT REPORT
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	A COST TO CHARGE RATIO WAS UTILIZED TO DETERMINE COSTS FOR LINES A THROUGH C IN THE TABLE THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2 LINES E THROUGH I OF THE TABLE ARE BASED ON ACTUAL INCURRED EXPENSES PART I LINE 7G SUBSIDIZED HEALTH SERVICES EXPLANATION SUBSIDIZED HEALTH CARE REPORTED DOES NOT INCLUDE COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	THE COST TO CHARGE RATIO UTILIZED FOR PURPOSES OF REPORTING BAD DEBT COSTS WAS DERIVED FROM WORKSHEET 2 AND IS BASED ON THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS COMMUNITY HOSPITALS OF INDIANA INC UTILIZES AN AUTOMATED SOFTWARE SOLUTION TO ASSIST IN DETERMINING PATIENTS ELIGIBLE FOR FREE CARE AS A RESULT OF THE IMPLEMENTATION OF THIS AUTOMATED SOLUTION THERE IS VERY LITTLE BAD DEBT RECORDED FOR PATIENTS WHO WOULD BE ELIGIBLE FOR FREE CARE UNDER THE NETWORK POLICY THE AUDITED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING TEXT WITHIN THE FOOTNOTES TO DESCRIBE BAD DEBT EXPENSE THE NETWORKS ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE THE NETWORK ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS PROVISION FOR BAD DEBTS AND PROVISION FOR CHARITY MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE THE NETWORK ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS PROVISION FOR BAD DEBTS AND CHARITY FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COINSURANCES FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS THE NETWORK RECORDS A PROVISION FOR BAD DEBTS AND CHARITY IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE WHICH INDICATES MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE THE DIFFERENCE BETWEEN THE STANDARD RATES OR THE DISCOUNTED RATES IF NEGOTIATED AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CHNW CHS VEI AND IHH ACCOUNTS THAT ARE SENT TO COLLECTION COMPANIES THE ACCOUNTS REMAIN AS ACCOUNTS RECEIVABLE ON THE BALANCE SHEET THESE ACCOUNTS ARE NOT WRITTEN OFF UNLESS RETURNED FROM THE COLLECTION COMPANY AS SUCH THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS SIGNIFICANT FOR THIS COMPONENT OF THE ACCOUNTS RECEIVABLE THE NETWORKS ALLOWANCE FOR DOUBTFUL ACCOUNTS INCREASED BY 956 IN FISCAL YEAR 2011 FROM FISCAL YEAR 2010 THIS INCREASE IS THE RESULT OF ACCOUNTS THAT WERE TRANSFERRED TO THE COLLECTION COMPANY DURING FISCAL YEAR 2011 FOR CHNW CHS VEI AND IHH ACCOUNTS TRANSFERRED TO COLLECTIONS DURING FISCAL YEAR 2011 REPRESENTED 1086 OF THE TOTAL GROSS ACCOUNTS RECEIVABLE IN FISCAL YEAR 2011 WESTVIEW WAS CONSOLIDATED ONTO THE NETWORK FINANCIAL STATEMENTS WHICH ATTRIBUTED TO 2985000 OF THE OVERALL INCREASE FROM FISCAL YEAR 2010 THE NETWORK HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEARS 2011 OR 2010 THE NETWORK RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE THE NETWORK RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED OR ON THE BASIS OF DISCOUNTED RATES IF IN ACCORDANCE WITH POLICY ON THE BASIS OF HISTORICAL EXPERIENCE A PORTION OF THE NETWORKS UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED THUS THE NETWORK RECORDS A PROVISION FOR BAD DEBTS AND CHARITY RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED ADJUSTMENTS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE AFTER THE NETWORK HAS ANALYZED HISTORICAL CASH COLLECTIONS AND CONSIDERED THE IMPACT OF ANY KNOWN MATERIAL EVENTS UNCOLLECTIBLE ACCOUNTS ARE WRITTENOFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AFTER EXHAUSTING COLLECTION EFFORTS ANY SUBSEQUENT RECOVERIES ARE RECORDED AGAINST THE PROVISION FOR BAD DEBTS THE NETWORK MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES THE NETWORK PROVIDES CHARITY CARE TO PATIENTS WHOSE INCOME LEVEL IS BELOW 200 OF THE FEDERAL POVERTY LEVEL EFFECTIVE JANUARY 1 2010 THE NETWORK EARLY ADOPTED ACCOUNTING STANDARDS UPDATE ASU NO 201023 HEALTH CARE ENTITIES TOPIC 954 MEASURING CHARITY CARE FOR DISCLOSURE AS A RESULT OF ASU NO 201023 THE NETWORK USES COST AS THE MEASUREMENT BASIS FOR CHARITY CARE DISCLOSURE PURPOSES WITH THE COST BEING IDENTIFIED AS THE DIRECT AND INDIRECT COSTS OF PROVIDING THE CHARITY CARE CHARITY CARE INCLUDES THE AMOUNT OF COSTS FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY AND WAS 26939000 AND 25693000 FOR THE YEARS ENDED DECEMBER 31 2011 AND 2010 RESPECTIVELY CHARITY CARE COST WAS DETERMINED ON THE APPLICATION OF THE ASSOCIATED COSTTO CHARGE RATIOS
MEDICARE EXPLANATION	PART III LINE 8	PER THE 990 INSTRUCTIONS THE MEDICARE COST REPORT WAS UTILIZED TO DETERMINE THE MEDICARE SHORTFALL HOWEVER THE MEDICARE COST REPORT IS NOT REFLECTIVE OF ALL COSTS ASSOCIATED WITH MEDICARE PROGRAMS SUCH AS PHYSICIAN SERVICES AND SERVICES BILLED VIA FREE STANDING CLINICS FURTHER THE MEDICARE COST REPORT EXCLUDES REVENUES AND COSTS OF MEDICARE PART C AND D THE MEDICARE SHORTFALL ATTRIBUTED TO THOSE AREAS NOT INCLUDED ON THE MEDICARE COST REPORT IS 15514536 AS SUCH THE TOTAL MEDICARE SHORTFALL FOR ALL MEDICARE PROGRAMS IS 24632934 MEDICARE SHORTFALLS SHOULD BE CONSIDERED AS COMMUNITY BENEFIT BECAUSE MEDICARE REPRESENTS 3021 OF THE OVERALL PAYER MIX FOR COMMUNITY HOSPITALS OF INDIANA INC
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	SEE ATTACHED FINANCIAL ASSISTANCE POLICY
ADDITIONAL INFORMATION	PART VI	PART VI ITEMS 2 THROUGH 5 ARE DISCUSSED WITHIN THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR A COPY OF THIS REPORT PLEASE CONTACT HOLLY MILLARD AT 317 3555860 PART VI ITEM 6 AFFILIATED HEALTH CARE SYSTEM COMMUNITY HOSPITALS OF INDIANA INC CHI IS PART OF AN AFFILIATED HEALTH CARE SYSTEM SEE THE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT FOR HOW CHI IS INVOLVED IN PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES PART VI ITEM 7 STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA
COMMUNITY HOSPITAL NORTH LINE NUMBER 1 PART V LINE 1J	PART V LINE 1J	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL NORTH LINE NUMBER 1 PART V LINE 3	PART V LINE 3	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL NORTH LINE NUMBER 1 PART V LINE 4	PART V LINE 4	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL NORTH LINE NUMBER 1 PART V LINE 5C	PART V LINE 5C	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL NORTH LINE NUMBER 1 PART V LINE 6I	PART V LINE 6I	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL NORTH LINE NUMBER 1 PART V LINE 7	PART V LINE 7	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL NORTH LINE NUMBER 1 PART V LINE 19D	PART V LINE 19D	THE UNINSURED DISCOUNT WAS DETERMINED UTILIZING THE NETWORKS TOP COMMERICIAL PAYORS PER THE NETWORKS AUDITED FINANCIAL STATEMENTS REGARDING UNINSURED DISCOUNTS COSTS FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE NETWORKS UNINSURED DISCOUNT POLICY APPROXIMATED 6956000 AND 5417000 FOR THE YEARS ENDED DECEMBER 31 2011 AND 2010 RESPECTIVELY UNINSURED DISCOUNTS REPRESENT A STANDARD DISCOUNT ON CHARGES AS IT RELATES TO PATIENTS WHO HAVE NO INSURANCE COVERAGE UNINSURED DISCOUNT COST WAS DETERMINED BASED ON THE APPLICATION OF THE ASSOCIATED COSTTOCHARGE RATIOS TO CHARGES
COMMUNITY HOSPITAL EAST LINE NUMBER 2 PART V LINE 1J	PART V LINE 1J	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL EAST LINE NUMBER 2 PART V LINE 3	PART V LINE 3	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL EAST LINE NUMBER 2 PART V LINE 4	PART V LINE 4	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL EAST LINE NUMBER 2 PART V LINE 5C	PART V LINE 5C	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL EAST LINE NUMBER 2 PART V LINE 6I	PART V LINE 6I	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL EAST LINE NUMBER 2 PART V LINE 7	PART V LINE 7	SEE ATTACHED IRS 990 SCHEDULE H SUPPLEMENTAL INFORMATION REPORT
COMMUNITY HOSPITAL EAST LINE NUMBER 2 PART V LINE 19D	PART V LINE 19D	THE UNINSURED DISCOUNT WAS DETERMINED UTILIZING THE NETWORKS TOP COMMERICIAL PAYORS PER THE NETWORKS AUDITED FINANCIAL STATEMENTS REGARDING UNINSURED DISCOUNTS COSTS FORGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE NETWORKS UNINSURED DISCOUNT POLICY APPROXIMATED 6956000 AND 5417000 FOR THE YEARS ENDED DECEMBER 31 2011 AND 2010 RESPECTIVELY UNINSURED DISCOUNTS REPRESENT A STANDARD DISCOUNT ON CHARGES AS IT RELATES TO PATIENTS WHO HAVE NO INSURANCE COVERAGE UNINSURED DISCOUNT COST WAS DETERMINED BASED ON THE APPLICATION OF THE ASSOCIATED COSTTOCHARGE RATIOS TO CHARGES

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

Open to Public Inspection

Name of the organization

COMMUNITY HOSPITALS OF INDIANA INC

Employer identification number

35-0983617

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

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? ....

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. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

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.

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:

The organization? ...........................

Yes

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

Yes

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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(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 as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) MICHAEL C BLANCHET	(i) (ii)	489,882		10,187	343,806	7,020	850,895
(2) TONY LENNEN	(i) (ii)	327,130		1,795	108,763	24,415	462,103
(3) BARBARA SUMMERS	(i) (ii)	275,590		1,072	268,066	20,495	565,223
(4) JEFFERY KIRKHAM	(i) (ii)	269,875		1,449	252,298	22,465	546,087
(5) ROBIN LEDYARD MD	(i) (ii)	269,713		1,466	117,759	22,713	411,651
(6) JOHN T CUMMINGS MD	(i) (ii)	788,638	160,775	317,215	497,412	27,806	1,791,846	315,993
(7) DAVID C HALL MD	(i) (ii)	892,508	105,600	18,087	151,039	33,157	1,200,391	57,017
(8) ROBERT B SLOAN JR MD	(i) (ii)	894,645		65,297	31,813	21,351	1,013,106
(9) JILL W DONALDSON MD	(i) (ii)	651,815	45,995	33,169	223,602	21,548	976,129
(10) ROSEMARIE JONES MD	(i) (ii)	563,482	76,317	46,808	487,101		1,173,708
(11) STEVE HULTGREN	(i) (ii)	57,901 85,499		424 600	49,717 76,892	7,080 10,225	115,122 173,216

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 3	COMMUNITY HOSPITALS OF INDIANA, INC. ("CHI") CEO/EXECUTIVE DIRECTOR IS PAID BY COMMUNITY HEALTH NETWORK, INC. ("CHNW"), A RELATED 501(C)(3) ORGANIZATION. CHNW USES THE FOLLOWING IN DETERMINING THE CEO'S COMPENSATION: 1) COMPENSATION COMMITTEE, 2) INDEPENDENT COMPENSATION CONSULTANT, 3) COMPENSATION SURVEY OR STUDY, AND 4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
COMPENSATION CONTINGENT UPON REVENUES OF ORGANIZATION	SCHEDULE J, PAGE 1, PART I, LINE 5A	DR. JOHN CUMMINGS, DR. DAVID HALL, DR. JILL DONALDSON, AND DR. ROSEMARIE JONES ARE ELIGIBLE TO PARTICIPATE IN CHI'S INCENTIVE COMPENSATION PLAN. CHI DEVELOPED ITS COMPENSATION PLAN IN CONJUNCTION WITH AN INDEPENDENT COMPENSATION CONSULTANT. IN ADDITION, THE PLAN WAS APPROVED BY THE NETWORK EXECUTIVE COMPENSATION COMMITTEE, COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN ADOPTING ITS INCENTIVE BASED COMPENSATION PLAN, CHI (TOGETHER WITH ITS INDEPENDENT COMPENSATION CONSULTANT, ITS EXTERNAL LEGAL COUNSEL, AND THE NETWORK EXECUTIVE COMPENSATION COMMITTEE) CONSIDERED AND APPLIED THE PROVISIONS OF CODE SECTION 4958 AND THE CORRESPONDING TREASURY REGULATIONS TO ENSURE THAT ITS COMPENSATION DECISIONS REFLECT ARMS LENGTH, FAIR MARKET TERMS.
NON-FIXED PAYMENTS PROVIDED	SCHEDULE J, PAGE 1, PART I, LINE 7	COMMUNITY HOSPITALS OF INDIANA, INC., PARTICIPATES IN THE NETWORK'S SENIOR LEADERSHIP INCENTIVE PROGRAM. CERTAIN INDIVIDUALS OF THE LEADERSHIP TEAM PARTICIPATE IN THIS PROGRAM. THE PROGRAM WAS ADOPTED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND IS INTENDED TO INFLUENCE OUTSTANDING PERFORMANCE BY THE SENIOR LEADERS, AS MEASURED AGAINST BOTH ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE. THE PROGRAM IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE, WHICH IS COMPOSED ENTIRELY OF INDEPENDENT COMMUNITY MEMBERS. THE INCENTIVE COMPENSATION THAT IS AWARDED IS INCLUDED IN TOTAL COMPENSATION TO THE EXECUTIVE. THE TOTAL COMPENSATION (INCLUDING ANY PAYMENTS UNDER THE PROGRAM) IS SUBJECT TO THE REVIEW AND APPROVAL OF THE EXECUTIVE COMPENSATION COMMITTEE AND INDEPENDENT COMPENSATION CONSULTANT, IN CONSIDERATION OF CODE SECTION 4958 (AND THE CORRESPONDING TREASURY REGULATIONS) TO ENSURE THAT IT REFLECTS ARMS LENGTH, FAIR MARKET TERMS.

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
COMMUNITY HOSPITALS OF INDIANA INC

Employer identification number
35-0983617

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	IN HLTH FACILITY FINANCING AUTHORIT	35-1611409	45479QAU3	05-04-2005	157,491,981	NORTH HOSP EXPANSION		X		X		X
B	IN HLTH FACILITY FINANCING AUTHORIT	35-1611409	45479QAY5	05-04-2005	37,500,000	NORTH HOSP EXPANSION		X		X		X
C	INDIANA FINANCE AUTHORITY	35-1602316	45471AAM4	06-30-2009	100,000,000	SOUTH HOSP EXPANSION		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	11,335,000		3,500,000		2,060,000
2 Amount of bonds legally defeased . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . .	159,591,906		37,500,020		100,013,940
4 Gross proceeds in reserve funds . . . . . . . .	10,229,475
5 Capitalized interest from proceeds . . . . . . . . . .	11,119,328		1,838,231
6 Proceeds in refunding escrows . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . .	1,453,597		345,682		842,000
8 Credit enhancement from proceeds . . . . . . . . . .	3,768,763		216,893		499,875
9 Working capital expenditures from proceeds . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . .	133,020,743		35,099,214		98,672,065
11 Other spent proceeds . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . .	2007		2007		2010
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X		X		X
16 Has the final allocation of proceeds been made? . . . . . .	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .	X		X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .	X		X		X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0%		0%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	%		%		%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0%		0%		0%		%
7 Does the bond issue meet the private security or payment test? . . .	X		X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X
2 Is the bond issue a variable rate issue?		X	X		X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider . . . . . . . .
c Term of hedge . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was a hedge terminated? . . . . .
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .	X		X			X
b Name of provider . . . . . .	FSA CAPITAL		FSA CAPITAL
c Term of GIC . . . . . . .	2.3		2.3
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .	X		X
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .	X		X			X
6 Did the bond issue qualify for an exception to rebate? .		X		X	X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X	X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
DIFFERENCES IN ISSUE PRICE EXPLANATION	SCHEDULE K	IN HLTH FACILITY FINANCING AUTHORIT PART II LINE 3A ISSUE PRICE XXX-XX-XXXX INTEREST EARNED 2099925 IN HLTH FACILITY FINANCING AUTHORIT PART II LINE 3B ISSUE PRICE 37500000 INTEREST EARNED 20 INDIANA FINANCE AUTHORITY PART II LINE 3C ISSUE PRICE 100000000 INTEREST EARNED 13940

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

COMMUNITY HOSPITALS OF INDIANA INC

Employer identification number

35-0983617

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?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

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?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

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) 2011

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) THOMAS LEDYARD MD	FAMILY MEMBER	184,018	WAGES		No
(2) INDIANA PROHEALTH NETWORK INC	SHARE BD MEMBER	85,547,201	SERVICE REVENUE		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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

Open to Public
Inspection

Name of the organization

COMMUNITY HOSPITALS OF INDIANA INC

Employer identification number

35-0983617

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	COMMUNITY HOSPITALS OF INDIANA, INC. ("CHI") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHI OPERATES TWO GENERAL ACUTE CARE HOSPITALS AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
ADDITIONAL INFORMATION	FORM 990	FORM 990, PART I, LINE 4 - INDEPENDENT VOTING MEMBERS CHI IS AN AFFILIATE OF COMMUNITY HEALTH NETWORK ("THE NETWORK"), AN INTEGRATED HEALTH DELIVERY SYSTEM. CHI, 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 CHI THROUGH A SERIES OF GOVERNANCE RIGHTS: A) CHNW IS THE SOLE MEMBER OF CHI; B) CHNW HAS THE AUTHORITY TO APPROVE THREE-FOURTHS OF THE DIRECTORS THAT ARE ELECTED TO CHI'S BOARD OF DIRECTORS; C) CHI 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 RESTATEMENT OF CHI'S ARTICLES OF INCORPORATION; AND E) CHNW MUST APPROVE ANY CLOSURE OF A HOSPITAL THAT IS OWNED BY CHI OR THE SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF CHI'S ASSETS. WITH REGARD TO EXECUTIVE COMPENSATION, CHNW HAS DELEGATED AUTHORITY TO REVIEW AND APPROVE EXECUTIVE COMPENSATION, INCLUDING CHI'S EXECUTIVES, TO A NETWORK EXECUTIVE COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS. IN SUM, CHI 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. CHI'S PHYSICIANS CONSTITUTE A SECOND CLASS OF MEMBERS. AS A CLASS, THE PHYSICIANS HAVE THE FOLLOWING RIGHTS: A) TO ELECT ONE-FOURTH OF THE BOARD OF DIRECTORS OF CHI, B) TO APPROVE ANY MODIFICATION, REPEAL, AMENDMENT, OR RESTATEMENT OF CHI'S ARTICLES OF INCORPORATION, AND C) TO APPROVE ANY CLOSURE OF A HOSPITAL THAT IS OWNED BY CHI OR THE SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF CHI'S ASSETS. FORM 990, PART I, LINE 5 - NUMBER OF EMPLOYEES CHI EMPLOYEES ARE LEASED FROM COMMUNITY HEALTH NETWORK, INC.
ADDITIONAL INFORMATION	FORM 990, PART V	FORM 990, PART V, LINE 3B - FILING FORM 990-T FORM 990-T IS BEING FILED TO SUPPPORT THE NET OPERATING LOSS DEDUCTION.
FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES	FORM 990, PART V, LINE 4B	CAYMAN ISLANDS
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 CHI'S DIRECTORS, OFFICERS, AND KEY EMPLOYEES SERVE IN AN EXECUTIVE ROLE FOR OTHER TAX-EXEMPT AND TAXABLE AFFILIATES THROUGHOUT THE NETWORK. ALL CHI'S DIRECTORS AND/OR OFFICERS ALSO SERVE AS DIRECTORS AND/OR OFFICERS OF COMMUNITY HOSPITAL SOUTH, INC. IN ADDITION, THE FOLLOWING DIRECTORS AND/OR OFFICERS SERVE AS DIRECTORS AND/OR OFFICERS OF THE FOLLOWING ORGANIZATIONS: MICHAEL C. BLANCHET - COMMUNITY HEALTH NETWORK, INC. - COMMUNITY HOME HEALTH SERVICES, INC. - INDIANA PROHEALTH NETWORK, INC. STEVEN R. PLUMP - COMMUNITY HEALTH NETWORK, INC. KRISTIN T. SHERMAN - COMMUNITY HEALTH NETWORK, INC.
MANAGEMENT DELEGATED	FORM 990, PAGE 6, PART VI, LINE 3	CHI 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.
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, CHI HAS DELEGATED AUTHORITY FOR AUDIT, COMPLIANCE, AND EXECUTIVE COMPENSATION TO CHNW. CHNW'S BOARD OF DIRECTORS HAS DELEGATED AUTHORITY FOR THE REVIEW OF CHI'S FORM 990 TO TWO COMMITTEES COMPOSED OF INDEPENDENT OUTSIDE DIRECTORS: A) THE NETWORK EXECUTIVE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION ASPECTS OF CHI'S FORM 990, AND B) THE NETWORK FINANCE COMMITTEE REVIEWED THE REMAINDER OF THE CHI'S FORM 990. IN ADDITION, CHI'S OUTSIDE ACCOUNTING FIRM AND LAW FIRM REVIEWED THE FORM 990 PRIOR TO FILING. CHI AND CHNW UTILIZED THIS PROCESS TO ENSURE THAT CHI'S FORM 990 RECEIVED SUBSTANTIVE REVIEW BY DIRECTORS AND PROFESSIONALS WITH SPECIFIC KNOWLEDGE OF CHI'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, CHI 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 CHI. 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 CHI. 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 CHI, 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 CHI.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	AS DISCUSSED IN PART I, LINE 4, CHI HAS DELEGATED AUTHORITY FOR EXECUTIVE COMPENSATION TO CHNW. CHNW HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO CHI. THE PURPOSE OF THE POLICY IS TO ENSURE THAT CHI'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 CHI'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 2011, 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 LEGAL SERVICES; THE NETWORK CHIEF INFORMATION OFFICER; AND THE VICE PRESIDENT OF BUSINESS DEVELOPMENT AND MARKETING. FOR ALL POSITIONS REPRESENTING MANAGER AND ABOVE, THE CHIEF EXECUTIVE OFFICERS, CHIEF FINANCIAL OFFICERS, AND HUMAN RESOURCES REPRESENTATIVES FOR ALL NETWORK ENTITIES FOLLOWED A PROCESS WHEREBY SALARIES 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, CHI HAS ADOPTED THE NETWORK CONFLICT OF INTEREST POLICY. WHILE THIS POLICY IS NOT AVAILABLE TO THE PUBLIC, THE NETWORK'S DEFINITION OF CONFLICT OF INTEREST AND HOW TO REPORT SUCH AN INCIDENT IS DESCRIBED IN THE NETWORK RESPONSIBILITY AND COMPLIANCE PROGRAM ("NRCP") MANUAL WHICH IS POSTED ON THE NETWORK'S WEBSITE, ECOMMUNITY.COM. THIS MANUAL IS AVAILABLE FOR THE PUBLIC TO REVIEW. C) CHI 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. CHI 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 MICHAEL C. BLANCHET - 20 STEVE HULTGREN - 23.85 JEFFERY KIRKHAM - 10 TONY LENNEN - 50
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	UNDERFUNDED PENSION LIABILITY (102,506,524) INVESTMENT MARKET VALUE ( 41,226,210) EQUITY INVESTMENT NON-CONTROLLING INTEREST ( 248,414) EQUITY CONTRIBUTION ( 18,100,000) TRANSFER OF FUND BALANCE FROM MERGER OF COMMUNITY HEALTH NETWORK, INC. ("CHNW") 93,937,735 TOTAL ( 68,143,413) EFFECTIVE DECEMBER 31, 2011, CHNW WAS MERGED INTO CHI.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

COMMUNITY HOSPITALS OF INDIANA INC

Employer identification number

35-0983617

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
(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	Yes	No
(1) COMMUNITY HEALTH NETWORK INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 31-1038302	PARENT	IN	501C3	11B	NA		No
(2) COMMUNITY HEALTH NETWORK FOUNDATION 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) COMM HOSP OF ANDERSON & MADISON CTY 1515 NORTH MADISON AVENUE ANDERSON,IN46011 35-1069822	HOSPITAL	IN	501C3	3	CHI	Yes
(5) COMMUNITY HOSP ANDERSON FDN INC 1515 NORTH MADISON AVENUE ANDERSON,IN46011 86-1053152	SUPPORT	IN	501C3	7	CHA	Yes
(6) COMMUNITY LTC INC 1031 MONTICELLO DRIVE ANDERSON,IN46011 35-1877441	HLTH CARE	IN	501C3	9	CHA	Yes
(7) COMMUNITY HOSPITAL SOUTH INC 1402 E COUNTY LINE ROAD SOUTH INDIANAPOLIS,IN46227 35-1088640	HOSPITAL	IN	501C3	3	CHI	Yes
(8) COMMUNITY PHYSICIANS OF IN INC 7240 SHADELAND STATION SUITE 300 INDIANAPOLIS,IN46256 20-5392766	PHY SRV	IN	501C3	9	CHI	Yes
(9) INDIANA HEART HOSPITAL LLC 8075 NORTH SHADELAND AVENUE INDIANAPOLIS,IN46250 35-2123783	HOSPITAL	IN	501C3	3	CHI	Yes
(10) INDIANAPOLIS OSTEOPATHIC HOSPITAL 3630 GUION ROAD INDIANAPOLIS,IN46222 35-1094734	HOSPITAL	IN	501C3	3	CHNW	Yes
(11) WESTVIEW HOSPITAL FOUNDATION INC 3630 GUION ROAD INDIANAPOLIS,IN46222 31-1036451	SUPPORT	IN	501C3	11B	IOH	Yes
(12) HEALTH INSTITUTE OF INDIANA INC 3660 GUION ROAD INDIANAPOLIS,IN46222 35-2022402	FITNESS	IN	501C3	9	IOH	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) EAST CAMPUS SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 35-2028517	SURGERY	IN	NA	RELATED	6,135,388	7,926,970		No			No	51.000 %
(2) INDIANA SPECIALTY GROUP LLC 7240 SHADELAND STATION SUITE 300 INDIANAPOLIS,IN46256 35-1976258	HLTH CARE	IN	NA	RELATED	3,961	3,197,205		No			No	70.000 %
(3) MICHIGAN SURGERY INVESTMENT LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 32-0147008	SURG CTRS	IN	N/A					No			No
(4) NORTH CAMPUS OFFICE ASSOCIATES LP 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 35-1808625	RNTL PROP	IN	N/A					No			No
(5) NORTH CAMPUS SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 35-2147088	SURGERY	IN	N/A					No			No
(6) SURGICARE LLC 2907 MCINTIRE DRIVE BLOOMINGTON,IN47403 35-1975122	SURGERY	IN	N/A					No			No
(7) EAST CAMPUS SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 35-2028517	SURGERY	IN	NA	RELATED	6,135,388	7,926,970		No			No	51.000 %
(8) INDIANA SPECIALTY GROUP LLC 7240 SHADELAND STATION SUITE 300 INDIANAPOLIS,IN46256 35-1976258	HLTH CARE	IN	NA	RELATED	3,961	3,197,205		No			No	70.000 %
(9) MICHIGAN SURGERY INVESTMENT LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 32-0147008	SURG CTRS	IN	N/A					No			No
(10) NORTH CAMPUS OFFICE ASSOCIATES LP 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 35-1808625	RNTL PROP	IN	N/A					No			No
(11) NORTH CAMPUS SURGERY CENTER LLC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 35-2147088	SURGERY	IN	N/A					No			No
(12) 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	NA	C CORP		13,387,873	100.000 %
(2) INDIANA PROHEALTH NETWORK INC 8180 CLEARVISTA PARKWAY SUITE 230 INDIANAPOLIS,IN46256 35-1614719	INSURANCE	IN	NA	C CORP	34,266,540	14,229,891	100.000 %
(3) VISIONARY ENTERPRISES INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 35-1538433	MGMT SRVS	IN	N/A
(4) VEI MICHIGAN INC 940 N MAIN STREET ANN HARBOR,MI48104 30-0097377	MGMT SRVS	IN	N/A
(5) VEI-PRO HEALTH INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 45-4037444	INSURANCE	IN	N/A
(6) WESTVIEW DELIVERY SYSTEM INC 3630 GUION ROAD INDIANAPOLIS,IN46222 35-1910292	MGMT SRVS	IN	N/A
(7) CHN ASSURANCE COMPANY LTD PO BOX 1051GT GRAND CAYMAN CJ 98-0418913	INSURANCE	CJ	NA	C CORP		13,387,873	100.000 %
(8) INDIANA PROHEALTH NETWORK INC 8180 CLEARVISTA PARKWAY SUITE 230 INDIANAPOLIS,IN46256 35-1614719	INSURANCE	IN	NA	C CORP	34,266,540	14,229,891	100.000 %
(9) VISIONARY ENTERPRISES INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 35-1538433	MGMT SRVS	IN	N/A
(10) VEI MICHIGAN INC 940 N MAIN STREET ANN HARBOR,MI48104 30-0097377	MGMT SRVS	IN	N/A
(11) VEI-PRO HEALTH INC 7330 SHADELAND STATION SUITE 200 INDIANAPOLIS,IN46256 45-4037444	INSURANCE	IN	N/A
(12) WESTVIEW DELIVERY SYSTEM INC 3630 GUION ROAD INDIANAPOLIS,IN46222 35-1910292	MGMT SRVS	IN	N/A

Schedule R (Form 990) 2011

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

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 . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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	C	743,241	BOOK VALUE
(2) COMMUNITY HEALTH NETWORK FOUNDATION	G	182,000	BOOK VALUE
(3) COMMUNITY HEALTH NETWORK FOUNDATION	R	1,474,915	BOOK VALUE
(4) COMMUNITY HEALTH NETWORK FOUNDATION	J	39,234	BOOK VALUE
(5) COMMUNITY HOME HEALTH SERVICES INC	O	261,620	BOOK VALUE
(6) COMMUNITY HOME HEALTH SERVICES INC	P	694,551	BOOK VALUE
(7) COMMUNITY HOME HEALTH SERVICES INC	Q	96,781	BOOK VALUE
(8) COMMUNITY HOME HEALTH SERVICES INC	R	130,000	BOOK VALUE
(9) COMM HOSP OF ANDERSON & MADISON CTY	P	1,636,650	BOOK VALUE
(10) COMM HOSP OF ANDERSON & MADISON CTY	Q	210,682	BOOK VALUE
(11) COMMUNITY HOSPITAL SOUTH INC	R	66,016,487	BOOK VALUE
(12) COMMUNITY PHYSICIANS OF IN INC	B	30,564,245	BOOK VALUE
(13) COMMUNITY PHYSICIANS OF IN INC	R	23,216,298	BOOK VALUE
(14) CHN ASSURANCE COMPANY LTD	O	1,336,435	BOOK VALUE
(15) CHN ASSURANCE COMPANY LTD	Q	1,593,040	BOOK VALUE
(16) EAST CAMPUS SURGERY CENTER LLC	Q	189,360	BOOK VALUE
(17) INDIANA HEART HOSPITAL LLC	A	3,971,634	BOOK VALUE
(18) INDIANA HEART HOSPITAL LLC	O	1,210,748	BOOK VALUE
(19) INDIANA HEART HOSPITAL LLC	P	3,228,168	BOOK VALUE
(20) INDIANA HEART HOSPITAL LLC	R	106,267,331	BOOK VALUE
(21) INDIANA PROHEALTH NETWORK INC	O	26,852,919	BOOK VALUE
(22) INDIANA PROHEALTH NETWORK INC	P	49,777,094	BOOK VALUE
(23) INDIANA PROHEALTH NETWORK INC	R	8,917,188	BOOK VALUE
(24) MICHIGAN SURGERY INVESTMENT LLC	A	261,538	BOOK VALUE
(25) NORTH CAMPUS SURGERY CENTER LLC	Q	338,959	BOOK VALUE
(26) NORTH CAMPUS SURGERY CENTER LLC	R	479,122	BOOK VALUE
(27) VISIONARY ENTERPRISES INC	A	1,094,287	BOOK VALUE
(28) VISIONARY ENTERPRISES INC	J	3,829,958	BOOK VALUE
(29) VISIONARY ENTERPRISES INC	O	12,545,439	BOOK VALUE
(30) VISIONARY ENTERPRISES INC	P	2,132,371	BOOK VALUE
(31) VISIONARY ENTERPRISES INC	Q	481,589	BOOK VALUE
(32) VISIONARY ENTERPRISES INC	R	1,117,125	BOOK VALUE
(33) INDIANAPOLIS OSTEOPATHIC HOSPITAL	P	65,216	BOOK VALUE
(34) COMMUNITY HEALTH NETWORK FOUNDATION	C	743,241	BOOK VALUE
(35) COMMUNITY HEALTH NETWORK FOUNDATION	G	182,000	BOOK VALUE
(36) COMMUNITY HEALTH NETWORK FOUNDATION	R	1,474,915	BOOK VALUE
(37) COMMUNITY HEALTH NETWORK FOUNDATION	J	39,234	BOOK VALUE
(38) COMMUNITY HOME HEALTH SERVICES INC	O	261,620	BOOK VALUE
(39) COMMUNITY HOME HEALTH SERVICES INC	P	694,551	BOOK VALUE
(40) COMMUNITY HOME HEALTH SERVICES INC	Q	96,781	BOOK VALUE
(41) COMMUNITY HOME HEALTH SERVICES INC	R	130,000	BOOK VALUE
(42) COMM HOSP OF ANDERSON & MADISON CTY	P	1,636,650	BOOK VALUE
(43) COMM HOSP OF ANDERSON & MADISON CTY	Q	210,682	BOOK VALUE
(44) COMMUNITY HOSPITAL SOUTH INC	R	66,016,487	BOOK VALUE
(45) COMMUNITY PHYSICIANS OF IN INC	B	30,564,245	BOOK VALUE
(46) COMMUNITY PHYSICIANS OF IN INC	R	23,216,298	BOOK VALUE
(47) CHN ASSURANCE COMPANY LTD	O	1,336,435	BOOK VALUE
(48) CHN ASSURANCE COMPANY LTD	Q	1,593,040	BOOK VALUE
(49) EAST CAMPUS SURGERY CENTER LLC	Q	189,360	BOOK VALUE
(50) INDIANA HEART HOSPITAL LLC	A	3,971,634	BOOK VALUE
(51) INDIANA HEART HOSPITAL LLC	O	1,210,748	BOOK VALUE
(52) INDIANA HEART HOSPITAL LLC	P	3,228,168	BOOK VALUE
(53) INDIANA HEART HOSPITAL LLC	R	106,267,331	BOOK VALUE
(54) INDIANA PROHEALTH NETWORK INC	O	26,852,919	BOOK VALUE
(55) INDIANA PROHEALTH NETWORK INC	P	49,777,094	BOOK VALUE
(56) INDIANA PROHEALTH NETWORK INC	R	8,917,188	BOOK VALUE
(57) MICHIGAN SURGERY INVESTMENT LLC	A	261,538	BOOK VALUE
(58) NORTH CAMPUS SURGERY CENTER LLC	Q	338,959	BOOK VALUE
(59) NORTH CAMPUS SURGERY CENTER LLC	R	479,122	BOOK VALUE
(60) VISIONARY ENTERPRISES INC	A	1,094,287	BOOK VALUE
(61) VISIONARY ENTERPRISES INC	J	3,829,958	BOOK VALUE
(62) VISIONARY ENTERPRISES INC	O	12,545,439	BOOK VALUE
(63) VISIONARY ENTERPRISES INC	P	2,132,371	BOOK VALUE
(64) VISIONARY ENTERPRISES INC	Q	481,589	BOOK VALUE
(65) VISIONARY ENTERPRISES INC	R	1,117,125	BOOK VALUE
(66) INDIANAPOLIS OSTEOPATHIC HOSPITAL	P	65,216	BOOK VALUE
(67) COMMUNITY HEALTH NETWORK FOUNDATION	C	743,241	BOOK VALUE
(68) COMMUNITY HEALTH NETWORK FOUNDATION	G	182,000	BOOK VALUE
(69) COMMUNITY HEALTH NETWORK FOUNDATION	R	1,474,915	BOOK VALUE
(70) COMMUNITY HEALTH NETWORK FOUNDATION	J	39,234	BOOK VALUE
(71) COMMUNITY HOME HEALTH SERVICES INC	O	261,620	BOOK VALUE
(72) COMMUNITY HOME HEALTH SERVICES INC	P	694,551	BOOK VALUE
(73) COMMUNITY HOME HEALTH SERVICES INC	Q	96,781	BOOK VALUE
(74) COMMUNITY HOME HEALTH SERVICES INC	R	130,000	BOOK VALUE
(75) COMM HOSP OF ANDERSON & MADISON CTY	P	1,636,650	BOOK VALUE
(76) COMM HOSP OF ANDERSON & MADISON CTY	Q	210,682	BOOK VALUE
(77) COMMUNITY HOSPITAL SOUTH INC	R	66,016,487	BOOK VALUE
(78) COMMUNITY PHYSICIANS OF IN INC	B	30,564,245	BOOK VALUE
(79) COMMUNITY PHYSICIANS OF IN INC	R	23,216,298	BOOK VALUE
(80) CHN ASSURANCE COMPANY LTD	O	1,336,435	BOOK VALUE
(81) CHN ASSURANCE COMPANY LTD	Q	1,593,040	BOOK VALUE
(82) EAST CAMPUS SURGERY CENTER LLC	Q	189,360	BOOK VALUE
(83) INDIANA HEART HOSPITAL LLC	A	3,971,634	BOOK VALUE
(84) INDIANA HEART HOSPITAL LLC	O	1,210,748	BOOK VALUE
(85) INDIANA HEART HOSPITAL LLC	P	3,228,168	BOOK VALUE
(86) INDIANA HEART HOSPITAL LLC	R	106,267,331	BOOK VALUE
(87) INDIANA PROHEALTH NETWORK INC	O	26,852,919	BOOK VALUE
(88) INDIANA PROHEALTH NETWORK INC	P	49,777,094	BOOK VALUE
(89) INDIANA PROHEALTH NETWORK INC	R	8,917,188	BOOK VALUE
(90) MICHIGAN SURGERY INVESTMENT LLC	A	261,538	BOOK VALUE
(91) NORTH CAMPUS SURGERY CENTER LLC	Q	338,959	BOOK VALUE
(92) NORTH CAMPUS SURGERY CENTER LLC	R	479,122	BOOK VALUE
(93) VISIONARY ENTERPRISES INC	A	1,094,287	BOOK VALUE
(94) VISIONARY ENTERPRISES INC	J	3,829,958	BOOK VALUE
(95) VISIONARY ENTERPRISES INC	O	12,545,439	BOOK VALUE
(96) VISIONARY ENTERPRISES INC	P	2,132,371	BOOK VALUE
(97) VISIONARY ENTERPRISES INC	Q	481,589	BOOK VALUE
(98) VISIONARY ENTERPRISES INC	R	1,117,125	BOOK VALUE
(99) INDIANAPOLIS OSTEOPATHIC HOSPITAL	P	65,216	BOOK VALUE
(100) COMMUNITY HEALTH NETWORK FOUNDATION	C	743,241	BOOK VALUE
(101) COMMUNITY HEALTH NETWORK FOUNDATION	G	182,000	BOOK VALUE
(102) COMMUNITY HEALTH NETWORK FOUNDATION	R	1,474,915	BOOK VALUE
(103) COMMUNITY HEALTH NETWORK FOUNDATION	J	39,234	BOOK VALUE
(104) COMMUNITY HOME HEALTH SERVICES INC	O	261,620	BOOK VALUE
(105) COMMUNITY HOME HEALTH SERVICES INC	P	694,551	BOOK VALUE
(106) COMMUNITY HOME HEALTH SERVICES INC	Q	96,781	BOOK VALUE
(107) COMMUNITY HOME HEALTH SERVICES INC	R	130,000	BOOK VALUE
(108) COMM HOSP OF ANDERSON & MADISON CTY	P	1,636,650	BOOK VALUE
(109) COMM HOSP OF ANDERSON & MADISON CTY	Q	210,682	BOOK VALUE
(110) COMMUNITY HOSPITAL SOUTH INC	R	66,016,487	BOOK VALUE
(111) COMMUNITY PHYSICIANS OF IN INC	B	30,564,245	BOOK VALUE
(112) COMMUNITY PHYSICIANS OF IN INC	R	23,216,298	BOOK VALUE
(113) CHN ASSURANCE COMPANY LTD	O	1,336,435	BOOK VALUE
(114) CHN ASSURANCE COMPANY LTD	Q	1,593,040	BOOK VALUE
(115) EAST CAMPUS SURGERY CENTER LLC	Q	189,360	BOOK VALUE
(116) INDIANA HEART HOSPITAL LLC	A	3,971,634	BOOK VALUE
(117) INDIANA HEART HOSPITAL LLC	O	1,210,748	BOOK VALUE
(118) INDIANA HEART HOSPITAL LLC	P	3,228,168	BOOK VALUE
(119) INDIANA HEART HOSPITAL LLC	R	106,267,331	BOOK VALUE
(120) INDIANA PROHEALTH NETWORK INC	O	26,852,919	BOOK VALUE
(121) INDIANA PROHEALTH NETWORK INC	P	49,777,094	BOOK VALUE
(122) INDIANA PROHEALTH NETWORK INC	R	8,917,188	BOOK VALUE
(123) MICHIGAN SURGERY INVESTMENT LLC	A	261,538	BOOK VALUE
(124) NORTH CAMPUS SURGERY CENTER LLC	Q	338,959	BOOK VALUE
(125) NORTH CAMPUS SURGERY CENTER LLC	R	479,122	BOOK VALUE
(126) VISIONARY ENTERPRISES INC	A	1,094,287	BOOK VALUE
(127) VISIONARY ENTERPRISES INC	J	3,829,958	BOOK VALUE
(128) VISIONARY ENTERPRISES INC	O	12,545,439	BOOK VALUE
(129) VISIONARY ENTERPRISES INC	P	2,132,371	BOOK VALUE
(130) VISIONARY ENTERPRISES INC	Q	481,589	BOOK VALUE
(131) VISIONARY ENTERPRISES INC	R	1,117,125	BOOK VALUE
(132) INDIANAPOLIS OSTEOPATHIC HOSPITAL	P	65,216	BOOK VALUE
(133) COMMUNITY HEALTH NETWORK FOUNDATION	C	743,241	BOOK VALUE
(134) COMMUNITY HEALTH NETWORK FOUNDATION	G	182,000	BOOK VALUE
(135) COMMUNITY HEALTH NETWORK FOUNDATION	R	1,474,915	BOOK VALUE
(136) COMMUNITY HEALTH NETWORK FOUNDATION	J	39,234	BOOK VALUE
(137) COMMUNITY HOME HEALTH SERVICES INC	O	261,620	BOOK VALUE
(138) COMMUNITY HOME HEALTH SERVICES INC	P	694,551	BOOK VALUE
(139) COMMUNITY HOME HEALTH SERVICES INC	Q	96,781	BOOK VALUE
(140) COMMUNITY HOME HEALTH SERVICES INC	R	130,000	BOOK VALUE
(141) COMM HOSP OF ANDERSON & MADISON CTY	P	1,636,650	BOOK VALUE
(142) COMM HOSP OF ANDERSON & MADISON CTY	Q	210,682	BOOK VALUE
(143) COMMUNITY HOSPITAL SOUTH INC	R	66,016,487	BOOK VALUE
(144) COMMUNITY PHYSICIANS OF IN INC	B	30,564,245	BOOK VALUE
(145) COMMUNITY PHYSICIANS OF IN INC	R	23,216,298	BOOK VALUE
(146) CHN ASSURANCE COMPANY LTD	O	1,336,435	BOOK VALUE
(147) CHN ASSURANCE COMPANY LTD	Q	1,593,040	BOOK VALUE
(148) EAST CAMPUS SURGERY CENTER LLC	Q	189,360	BOOK VALUE
(149) INDIANA HEART HOSPITAL LLC	A	3,971,634	BOOK VALUE
(150) INDIANA HEART HOSPITAL LLC	O	1,210,748	BOOK VALUE
(151) INDIANA HEART HOSPITAL LLC	P	3,228,168	BOOK VALUE
(152) INDIANA HEART HOSPITAL LLC	R	106,267,331	BOOK VALUE
(153) INDIANA PROHEALTH NETWORK INC	O	26,852,919	BOOK VALUE
(154) INDIANA PROHEALTH NETWORK INC	P	49,777,094	BOOK VALUE
(155) INDIANA PROHEALTH NETWORK INC	R	8,917,188	BOOK VALUE
(156) MICHIGAN SURGERY INVESTMENT LLC	A	261,538	BOOK VALUE
(157) NORTH CAMPUS SURGERY CENTER LLC	Q	338,959	BOOK VALUE
(158) NORTH CAMPUS SURGERY CENTER LLC	R	479,122	BOOK VALUE
(159) VISIONARY ENTERPRISES INC	A	1,094,287	BOOK VALUE
(160) VISIONARY ENTERPRISES INC	J	3,829,958	BOOK VALUE
(161) VISIONARY ENTERPRISES INC	O	12,545,439	BOOK VALUE
(162) VISIONARY ENTERPRISES INC	P	2,132,371	BOOK VALUE
(163) VISIONARY ENTERPRISES INC	Q	481,589	BOOK VALUE
(164) VISIONARY ENTERPRISES INC	R	1,117,125	BOOK VALUE
(165) INDIANAPOLIS OSTEOPATHIC HOSPITAL	P	65,216	BOOK VALUE
(166) COMMUNITY HEALTH NETWORK FOUNDATION	C	743,241	BOOK VALUE
(167) COMMUNITY HEALTH NETWORK FOUNDATION	G	182,000	BOOK VALUE
(168) COMMUNITY HEALTH NETWORK FOUNDATION	R	1,474,915	BOOK VALUE
(169) COMMUNITY HEALTH NETWORK FOUNDATION	J	39,234	BOOK VALUE
(170) COMMUNITY HOME HEALTH SERVICES INC	O	261,620	BOOK VALUE
(171) COMMUNITY HOME HEALTH SERVICES INC	P	694,551	BOOK VALUE
(172) COMMUNITY HOME HEALTH SERVICES INC	Q	96,781	BOOK VALUE
(173) COMMUNITY HOME HEALTH SERVICES INC	R	130,000	BOOK VALUE
(174) COMM HOSP OF ANDERSON & MADISON CTY	P	1,636,650	BOOK VALUE
(175) COMM HOSP OF ANDERSON & MADISON CTY	Q	210,682	BOOK VALUE
(176) COMMUNITY HOSPITAL SOUTH INC	R	66,016,487	BOOK VALUE
(177) COMMUNITY PHYSICIANS OF IN INC	B	30,564,245	BOOK VALUE
(178) COMMUNITY PHYSICIANS OF IN INC	R	23,216,298	BOOK VALUE
(179) CHN ASSURANCE COMPANY LTD	O	1,336,435	BOOK VALUE
(180) CHN ASSURANCE COMPANY LTD	Q	1,593,040	BOOK VALUE
(181) EAST CAMPUS SURGERY CENTER LLC	Q	189,360	BOOK VALUE
(182) INDIANA HEART HOSPITAL LLC	A	3,971,634	BOOK VALUE
(183) INDIANA HEART HOSPITAL LLC	O	1,210,748	BOOK VALUE
(184) INDIANA HEART HOSPITAL LLC	P	3,228,168	BOOK VALUE
(185) INDIANA HEART HOSPITAL LLC	R	106,267,331	BOOK VALUE
(186) INDIANA PROHEALTH NETWORK INC	O	26,852,919	BOOK VALUE
(187) INDIANA PROHEALTH NETWORK INC	P	49,777,094	BOOK VALUE
(188) INDIANA PROHEALTH NETWORK INC	R	8,917,188	BOOK VALUE
(189) MICHIGAN SURGERY INVESTMENT LLC	A	261,538	BOOK VALUE
(190) NORTH CAMPUS SURGERY CENTER LLC	Q	338,959	BOOK VALUE
(191) NORTH CAMPUS SURGERY CENTER LLC	R	479,122	BOOK VALUE
(192) VISIONARY ENTERPRISES INC	A	1,094,287	BOOK VALUE
(193) VISIONARY ENTERPRISES INC	J	3,829,958	BOOK VALUE
(194) VISIONARY ENTERPRISES INC	O	12,545,439	BOOK VALUE
(195) VISIONARY ENTERPRISES INC	P	2,132,371	BOOK VALUE
(196) VISIONARY ENTERPRISES INC	Q	481,589	BOOK VALUE
(197) VISIONARY ENTERPRISES INC	R	1,117,125	BOOK VALUE
(198) INDIANAPOLIS OSTEOPATHIC HOSPITAL	P	65,216	BOOK VALUE

Schedule R (Form 990) 2011

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)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

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

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: COMMUNITY HOSPITALS OF INDIANA, INC. ("CHI") IS A 501(C)(3) CORPORATION SERVING THE HEALTH RELATED NEEDS OF THE CITIZENS OF THE INDIANAPOLIS METROPOLITAN AREA AND CENTRAL INDIANA. CHI OPERATES TWO GENERAL ACUTE CARE HOSPITALS AND PROVIDES INPATIENT, OUTPATIENT, EMERGENCY AND AMBULATORY HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	2
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	4,781
6	Total number of volunteers (estimate if necessary) ....	6	630
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	-283,575
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-283,575

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,614,198	5,178,632
9	Program service revenue (Part VIII, line 2g) .........	588,793,998	609,290,975
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	12,549,777	31,710,930
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	53,055,557	62,352,073
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	658,013,530	708,532,610
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)	245,806,820	271,118,550
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	342,553,334	317,544,176
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	588,360,154	588,662,726
19	Revenue less expenses. Subtract line 18 from line 12.......	69,653,376	119,869,884
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,170,939,660	1,483,674,583
21	Total liabilities (Part X, line 26).............	619,328,600	880,337,052
22	Net assets or fund balances. Subtract line 21 from line 20.....	551,611,060	603,337,531

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 384,055,712 including grants of $ ) (Revenue $ 609,290,975 )
	COMMUNITY HOSPITALS OF INDIANA, INC. OPERATES TWO ACUTE CARE FULL SERVICE HOSPITALS IN INDIANAPOLIS, INDIANA WITH 1,029 LICENSED BEDS. IN 2011, COMMUNITY HOSPITALS SERVED 32,307 INPATIENTS FOR A TOTAL OF 149,793 INPATIENT DAYS OF SERVICE. THE TWO HOSPITALS ALSO PROVIDED 938,906 OUTPATIENT VISITS, WHICH INCLUDED 110,927 EMERGENCY VISITS AND 481,624 MENTAL HEALTH VISITS. COMMUNITY HOSPITALS OFFERS MANY PATIENT FOCUSED HEALTHCARE SERVICES THAT INCLUDE WOMEN AND CHILDREN SERVICES, PEDIATRICS, ONCOLOGY, MENTAL HEALTH SERVICES, NEUROSCIENCES, ORTHOPEDICS, JOINT REPLACEMENT, BREAST CARE SERVICES, SURGERY SERVICES, REHABILITATION SERVICES, HEALTH PROMOTION SERVICES, EMERGENCY SERVICES, AND TRAINING AND EDUCATION FOR HEALTH CARE PROFESSIONALS.

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 expenses$ 384,055,712

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)				(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
(A) Name and Title
(1) MICHAEL C BLANCHET DIRECTOR/CHI	40.00	X	X			500,069	0	350,826
(2) STEVEN R PLUMP CHAIRMAN	5.00	X	X			0	0	0
(3) KRISTIN T SHERMAN TREASURER/SE	5.00	X	X			0	0	0
(4) TONY LENNEN PRESIDENT -	5.00		X			0	328,925	133,178
(5) BARBARA SUMMERS PRESIDENT -	55.00		X			276,662	0	288,561
(6) JEFFERY KIRKHAM CFO - CHI	55.00		X			271,324	0	274,763
(7) ROBIN LEDYARD MD PRESIDENT -	55.00		X			271,179	0	140,472
(8) JOHN T CUMMINGS MD PHYSICIAN	50.00			X		1,266,628	0	525,218
(9) DAVID C HALL MD PHYSICIAN	50.00			X		1,016,195	0	184,196
(10) ROBERT B SLOAN JR MD PHYSICIAN	50.00			X		959,942	0	53,164
(11) JILL W DONALDSON MD PHYSICIAN	50.00			X		730,979	0	245,150
(12) ROSEMARIE JONES MD PHYSICIAN	50.00			X		686,607	0	487,101
(13) STEVE HULTGREN FORMER INTER	16.15				X	58,325	86,099	143,914

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,037,910	415,024	2,826,543

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		743,241
e	Government grants (contributions)1e		4,435,391

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.......			5,178,632
			Business Code
2a	PATIENT SERVICES		900,099	609,290,975	609,290,975
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			609,290,975
3	Investment income (including dividends, interest
	and other similar amounts).....			21,702,645			21,702,645
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross rents	5,438,874
b	Less: rental expenses
c	Rental income or (loss)	5,438,874
d	Net rental income or (loss).......			5,438,874			5,438,874
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	148,450,625	540,387
b	Less: cost or other basis and sales expenses	138,982,727
c	Gain or (loss)	9,467,898	540,387
d	Net gain or (loss)..........			10,008,285			10,008,285
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..
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...
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..
Miscellaneous Revenue			Business Code
11a	EQUITY INVESTMENT INCOME		900,003	21,685,385	21,685,385
b	LEASED EQUIPMENT		532,420	8,330,534	8,330,534
c	EHR/EPIC INCENTIVE PAYMENTS		900,099	5,832,207	5,832,207
d	All other revenue ....			21,065,073	21,348,648	-283,575
e	Total. Add lines 11a–11d ......			56,913,199
12	Total revenue. See Instructions....			708,532,610	666,487,749	-283,575	37,149,804


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			60,033,743	1	82,171,501
2	Savings and temporary cash investments .......				2
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			79,330,664	4	89,844,080
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 .............			461,344	7	402,230
8	Inventories for sale or use ..............			7,720,914	8	8,001,495
9	Prepaid expenses and deferred charges ............			5,870,391	9	7,463,136
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	837,879,928
b	Less: accumulated depreciation. .....	10b	458,318,642	381,852,222	10c	379,561,286
11	Investments—publicly traded securities ..........			336,322,921	11	335,152,652
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..			166,595,042	13	340,237,782
14	Intangible assets .........			204,916	14	12,387,312
15	Other assets. See Part IV, line 11 ...........			132,547,503	15	228,453,109
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,170,939,660	16	1,483,674,583
17	Accounts payable and accrued expenses .			158,412,594	17	146,059,884
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			419,603,642	20	405,863,554
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 ....			5,146,206	24	29,646,206
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			36,166,158	25	298,767,408
26	Total liabilities. Add lines 17 through 25.....			619,328,600	26	880,337,052
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			551,611,060	27	603,337,531
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here 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 .....			551,611,060	33	603,337,531
34	Total liabilities and net assets/fund balances .....			1,170,939,660	34	1,483,674,583