SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
COMMUNITY PHYSICIANS OF
INDIANA INC
Employer identification number

20-5392766
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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 entity?
Yes No
(1)COMMUNITY HEALTH NETWORK INC
7330 SHADELAND STATION SUITE 200

INDIANAPOLIS,IN46256
35-0983617
HOSPITAL IN 501C3 3 NA
 
 
No
(2)COMMUNITY HEALTH NETWORK FOUNDATION
7330 SHADELAND STATION SUITE 100

INDIANAPOLIS,IN46256
51-0181688
SUPPORT IN 501C3 12B CHNW
 
Yes
 
(3)COMMUNITY HLTH SERVICES OF INDIANA
7330 SHADELAND STATION SUITE 200

INDIANAPOLIS,IN46256
45-4817436
HLTH CARE IN 501C3 3 CHNW
 
Yes
 
(4)COMMUNITY HOME HEALTH SERVICES INC
9894 EAST 121ST STREET

FISHERS,IN46037
35-0953467
HLTH CARE IN 501C3 10 CHNW
 
Yes
 
(5)COMM HOSP OF ANDERSON & MADISON CTY
1515 NORTH MADISON AVENUE

ANDERSON,IN46011
35-1069822
HOSPITAL IN 501C3 3 CHNW
 
Yes
 
(6)COMMUNITY HOSP ANDERSON FDN INC
1515 NORTH MADISON AVENUE

ANDERSON,IN46011
86-1053152
SUPPORT IN 501C3 12A CHA
 
Yes
 
(7)COMMUNITY HOSPITAL SOUTH INC
1402 E COUNTY LINE ROAD SOUTH

INDIANAPOLIS,IN46227
35-1088640
HOSPITAL IN 501C3 3 CHNW
 
Yes
 
(8)COMMUNITY HOWARD REGIONAL HEALTH
3500 S LAFOUNTAIN STREET

KOKOMO,IN46902
35-1865344
HOSPITAL IN 501C3 3 CHNW
 
Yes
 
(9)COMM HOWARD REGIONAL HEALTH FDN
PO BOX 9011

KOKOMO,IN46904
23-7309596
SUPPORT IN 501C3 7 NA
 
 
No
(10)COMMUNITY LTC INC
1030 S SCATTERFIELD ROAD

ANDERSON,IN460124235
35-1877441
HLTH CARE IN 501C3 10 CHA
 
Yes
 
(11)HEALTH INSTITUTE OF INDIANA INC
3660 GUION ROAD

INDIANAPOLIS,IN46222
35-2022402
FITNESS IN 501C3 10 CHNW
 
Yes
 
(12)INDIANAPOLIS OSTEOPATHIC HOSP INC
3630 GUION ROAD

INDIANAPOLIS,IN46222
35-1094734
HOSPITAL IN 501C3 3 CHNW
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Page 2
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



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

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




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



(k)
Percentage
ownership


Yes No Yes No
(1) CHNJMH VENTURES LLC

6626 E 75TH STREET SUITE 200
INDIANAPOLIS,IN46250
46-2356266
DIAG/REHAB IN N/A
        No     No  
(2) COMMUNITYACCESSCARE IN DIALYSIS

6626 E 75TH STREET SUITE 200
INDIANAPOLIS,IN46250
47-4634198
DIALYSIS IN N/A
        No     No  
(3) COMMUNITY ENDOSCOPY CENTER LLC

1601 N MADISON AVENUE SUITE 300
ANDERSON,IN46011
61-1464136
HLTH CARE IN N/A
        No     No  
(4) COMM HEALTH NETWORK REHAB HOSP LLC

680 S FOURTH STREET
LOUISVILLE,KY40202
45-3414249
REHAB IN N/A
        No     No  
(5) COMM HLTH NTWRK RHB HOSP SOUTH LLC

680 S FOURTH STREET
LOUISVILLE,KY40202
82-1385366
REHAB IN N/A
        No     No  
(6) EAST CAMPUS SURGERY CENTER LLC

6626 E 75TH STREET SUITE 200
INDIANAPOLIS,IN46250
35-2028517
SURGERY IN N/A
        No     No  
(7) HAMILTON SURGERY CENTER LLC

6626 E 75TH STREET SUITE 200
INDIANAPOLIS,IN46250
35-2061413
SURGERY IN N/A
        No     No  
(8) HOWARD COMMUNITY SURGERY CTR LLC

3500 S LAFOUNTAIN STREET
KOKOMO,IN46902
35-2118748
SURGERY IN N/A
        No     No  
(9) HOWARD REGIONAL SPECIALTY CARE LLC

680 SOUTH FOURTH STREET
LOUISVILLE,KY40202
37-1501021
REHAB IN N/A
        No     No  
(10) INDIANAPOLIS ENDOSCOPY CENTER LLP

8315 E 56TH STREET
INDIANAPOLIS,IN46216
35-2010874
HLTH CARE IN N/A
        No     No  
(11) MICHIGAN SURGERY INVESTMENT LLC

6626 E 75TH STREET SUITE 200
INDIANAPOLIS,IN46250
32-0147008
SURG CTRS IN N/A
        No     No  
(12) NORTH CAMPUS OFFICE ASSOCIATES LP

6626 E 75TH STREET SUITE 200
INDIANAPOLIS,IN46250
35-1808625
RNTL PROP IN N/A
        No     No  
(13) NORTH CAMPUS SURGERY CENTER LLC

6626 E 75TH STREET SUITE 200
INDIANAPOLIS,IN46250
35-2147088
SURGERY IN N/A
        No     No  
(14) NORTHPOINT PEDIATRICS LLC

8101 CLEARVISTA PARKWAY SUITE 185
INDIANAPOLIS,IN46256
35-1960566
HLTH CARE IN N/A
        No     No  
(15) NORTHWEST SURGERY CENTER LLC

6626 E 75TH STREET SUITE 200
INDIANAPOLIS,IN46250
20-8754071
SURGERY IN N/A
        No     No  
(16) PILLARS HOUSING LP

3500 S LAFOUNTAIN STREET
KOKOMO,IN46902
16-1652671
HOUSING IN N/A
        No     No  
(17) PRIMARIA HEALTH LLC

9365 COUNSELORS ROW SUITE 210
INDIANAPOLIS,IN46240
47-4728937
CONSULTING IN N/A
        No     No  
(18) SCP INDIANAPOLIS LLC

7430 SHADELAND AVENUE SUITE 100
INDIANAPOLIS,IN46250
46-0639908
HLTH CARE IN N/A
        No     No  
(19) SOUTH CAMPUS SURGERY CENTER LLC

1550 EAST COUNTY LINE ROAD
INDIANAPOLIS,IN46227
35-2038072
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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CHN ASSURANCE COMPANY LTD

PO BOX 1051 GT
GRAND CAYMAN,GRAND CAYMAN  
CJ
98-0418913
SELF INSUR CJ N/A
        Yes  
(2) PILLARS COMMUNITY HOUSING INC

3500 S LAFOUNTAIN STREET
KOKOMO,IN46902
16-1652666
HOUSING IN N/A
        Yes  
(3) VISIONARY ENTERPRISES INC

6626 EAST 75TH STREET SUITE 200
INDIANAPOLIS,IN46250
35-1538433
MGMT SRVS IN N/A
        Yes  
(4) VEI MICHIGAN INC

940 N MAIN STREET
ANN HARBOR,MI48104
30-0097377
MGMT SRVS MI N/A
        Yes  
(5) WESTVIEW DELIVERY SYSTEM INC

3630 GUION ROAD
INDIANAPOLIS,IN46222
35-1910292
MGMT SRVS IN N/A
C CORP 638,965 103,861 100.000 % Yes  




Schedule R (Form 990) 2018
Page 3
Schedule R (Form 990) 2018
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) COMMUNITY HEALTH NETWORK FOUNDATION

C 1,150,534 BOOK VALUE
(2) COMMUNITY HEALTH NETWORK FOUNDATION

R 949,514 BOOK VALUE
(3) COMM HOSP OF ANDERSON & MADISON CTY

K 1,413,323 BOOK VALUE
(4) COMM HOSP OF ANDERSON & MADISON CTY

Q 3,724,930 BOOK VALUE
(5) COMM HOSP OF ANDERSON & MADISON CTY

S 227,366 BOOK VALUE
(6) COMMUNITY HOSPITAL SOUTH INC

K 721,464 BOOK VALUE
(7) COMMUNITY HOSPITAL SOUTH INC

S 722,531 BOOK VALUE
(8) COMMUNITY HOWARD REGIONAL HEALTH

K 1,135,526 BOOK VALUE
(9) COMMUNITY HOWARD REGIONAL HEALTH

S 1,209,751 BOOK VALUE
(10) HEALTH INSTITUTE OF INDIANA INC

K 167,380 BOOK VALUE
(11) HEALTH INSTITUTE OF INDIANA INC

S 411,864 BOOK VALUE
(12) NORTH CAMPUS OFFICE ASSOCIATES LP

S 703,865 BOOK VALUE
(13) PRIMARIA HEALTH LLC

S 58,567 BOOK VALUE
(14) VISIONARY ENTERPRISES INC

K 3,884,897 BOOK VALUE
(15) VISIONARY ENTERPRISES INC

S 3,990,055 BOOK VALUE
(16) WESTVIEW DELIVERY SYSTEM

S 280,187 BOOK VALUE
Schedule R (Form 990) 2018
Page 4
Schedule R (Form 990) 2018
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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 V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Page 5
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2018

Additional Data


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