401k Plan data: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN plan

COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 401k Plan overview

Plan Name	COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN
Plan identification number	333

COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily pay related Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021). Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

COMMUNITY HEALTH NETWORK, INC. has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY HEALTH NETWORK, INC.

Employer identification number (EIN): 350983617

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
333 2017-01-01 MIKE MOREMAN 2018-08-17
333 2016-01-01 MIKE MOREMAN
333 2015-01-01 MIKE MOREMAN
333 2014-01-01 MIKE MOREMAN
333 2013-01-01 MIKE MOREMAN
333 2012-01-01 PATRICIA EDWARDS
333 2009-01-01 PATRICIA EDWARDS
333 2009-01-01 PATRICIA EDWARDS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
333	2017-01-01	MIKE MOREMAN	2018-08-17
333	2016-01-01	MIKE MOREMAN
333	2015-01-01	MIKE MOREMAN
333	2014-01-01	MIKE MOREMAN
333	2013-01-01	MIKE MOREMAN
333	2012-01-01	PATRICIA EDWARDS
333	2009-01-01	PATRICIA EDWARDS
333	2009-01-01	PATRICIA EDWARDS

Plan Statistics for COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN

401k plan membership statisitcs for COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN

Measure Date Value
2016: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 9,477
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 9
Total of all active and inactive participants 2016-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 12
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 9,336
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3,567
Number of retired or separated participants receiving benefits 2015-01-01 2,566
Number of other retired or separated participants entitled to future benefits 2015-01-01 3,189
Total of all active and inactive participants 2015-01-01 9,322
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 155
Total participants 2015-01-01 9,477
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 10,773
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3,921
Number of retired or separated participants receiving benefits 2014-01-01 2,452
Number of other retired or separated participants entitled to future benefits 2014-01-01 2,832
Total of all active and inactive participants 2014-01-01 9,205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 126
Total participants 2014-01-01 9,331
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 7
2013: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 10,854
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3,899
Number of retired or separated participants receiving benefits 2013-01-01 2,265
Number of other retired or separated participants entitled to future benefits 2013-01-01 4,500
Total of all active and inactive participants 2013-01-01 10,664
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 109
Total participants 2013-01-01 10,773
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11,163
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 4,430
Number of retired or separated participants receiving benefits 2012-01-01 2,139
Number of other retired or separated participants entitled to future benefits 2012-01-01 4,146
Total of all active and inactive participants 2012-01-01 10,715
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 139
Total participants 2012-01-01 10,854
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 103
2009: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 11,638
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 6,237
Number of retired or separated participants receiving benefits 2009-01-01 1,789
Number of other retired or separated participants entitled to future benefits 2009-01-01 3,332
Total of all active and inactive participants 2009-01-01 11,358
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 78
Total participants 2009-01-01 11,436
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 337

Measure	Date	Value
2016: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	9,477
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	9
Total of all active and inactive participants	2016-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	12
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	9,336
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3,567
Number of retired or separated participants receiving benefits	2015-01-01	2,566
Number of other retired or separated participants entitled to future benefits	2015-01-01	3,189
Total of all active and inactive participants	2015-01-01	9,322
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	155
Total participants	2015-01-01	9,477
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	10,773
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3,921
Number of retired or separated participants receiving benefits	2014-01-01	2,452
Number of other retired or separated participants entitled to future benefits	2014-01-01	2,832
Total of all active and inactive participants	2014-01-01	9,205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	126
Total participants	2014-01-01	9,331
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	7
2013: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	10,854
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3,899
Number of retired or separated participants receiving benefits	2013-01-01	2,265
Number of other retired or separated participants entitled to future benefits	2013-01-01	4,500
Total of all active and inactive participants	2013-01-01	10,664
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	109
Total participants	2013-01-01	10,773
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11,163
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	4,430
Number of retired or separated participants receiving benefits	2012-01-01	2,139
Number of other retired or separated participants entitled to future benefits	2012-01-01	4,146
Total of all active and inactive participants	2012-01-01	10,715
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	139
Total participants	2012-01-01	10,854
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	103
2009: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	11,638
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6,237
Number of retired or separated participants receiving benefits	2009-01-01	1,789
Number of other retired or separated participants entitled to future benefits	2009-01-01	3,332
Total of all active and inactive participants	2009-01-01	11,358
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	78
Total participants	2009-01-01	11,436
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	337

Financial Data on COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN

Measure	Date	Value
2016 : COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$-39,505
Total unrealized appreciation/depreciation of assets	2016-12-31	$-39,505
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$514,101
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$378,709
Total income from all sources (including contributions)	2016-12-31	$92,366,225
Total loss/gain on sale of assets	2016-12-31	$29,546,503
Total of all expenses incurred	2016-12-31	$678,693,515
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$675,204,639
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$55,595,441
Value of total assets at end of year	2016-12-31	$672,725
Value of total assets at beginning of year	2016-12-31	$586,864,623
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$3,488,876
Total interest from all sources	2016-12-31	$8,408,637
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$621,672
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2016-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$621,672
Administrative expenses professional fees incurred	2016-12-31	$2,386,545
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$40
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$3,670,198
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$514,101
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$378,709
Administrative expenses (other) incurred	2016-12-31	$606,528
Total non interest bearing cash at end of year	2016-12-31	$3
Total non interest bearing cash at beginning of year	2016-12-31	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-586,327,290
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$158,624
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$586,485,914
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$495,803
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$118,764,199
Income. Interest from US Government securities	2016-12-31	$2,560,851
Income. Interest from corporate debt instruments	2016-12-31	$5,842,973
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$47,682
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$78,880,774
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$78,880,774
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$4,813
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$428,000,000
Asset value of US Government securities at end of year	2016-12-31	$0
Asset value of US Government securities at beginning of year	2016-12-31	$167,811,352
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$-1,766,523
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$55,595,441
Employer contributions (assets) at end of year	2016-12-31	$625,000
Employer contributions (assets) at beginning of year	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$247,204,639
Asset. Corporate debt instrument debt (other) at end of year	2016-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2016-12-31	$217,738,098
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Aggregate proceeds on sale of assets	2016-12-31	$1,221,314,906
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$1,191,768,403
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN	2016-12-31	351090346
2015 : COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$-17,582,874
Total unrealized appreciation/depreciation of assets	2015-12-31	$-17,582,874
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$378,709
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$262,662
Total income from all sources (including contributions)	2015-12-31	$-18,239,897
Total loss/gain on sale of assets	2015-12-31	$-202,357
Total of all expenses incurred	2015-12-31	$25,561,369
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$22,609,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$0
Value of total assets at end of year	2015-12-31	$586,864,623
Value of total assets at beginning of year	2015-12-31	$630,549,842
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$2,952,320
Total interest from all sources	2015-12-31	$12,627,549
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$5,200,764
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2015-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$5,200,764
Administrative expenses professional fees incurred	2015-12-31	$2,007,573
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$38,245,208
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$3,670,198
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$2,901,509
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$378,709
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$262,662
Administrative expenses (other) incurred	2015-12-31	$531,867
Total non interest bearing cash at end of year	2015-12-31	$2
Total non interest bearing cash at beginning of year	2015-12-31	$3
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-43,801,266
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$586,485,914
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$630,287,180
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$412,880
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$118,764,199
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$151,312,423
Income. Interest from US Government securities	2015-12-31	$4,384,262
Income. Interest from corporate debt instruments	2015-12-31	$8,228,701
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$78,880,774
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$1,771,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$1,771,150
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$14,586
Asset value of US Government securities at end of year	2015-12-31	$167,811,352
Asset value of US Government securities at beginning of year	2015-12-31	$122,173,490
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-18,282,979
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$154,328,674
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$22,609,049
Asset. Corporate debt instrument debt (other) at end of year	2015-12-31	$217,738,098
Asset. Corporate debt instrument debt (other) at beginning of year	2015-12-31	$159,817,385
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Aggregate proceeds on sale of assets	2015-12-31	$234,779,382
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$234,981,739
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN	2015-12-31	351090346
2014 : COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$29,936,347
Total unrealized appreciation/depreciation of assets	2014-12-31	$29,936,347
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$262,662
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$398,966
Total income from all sources (including contributions)	2014-12-31	$207,180,203
Total loss/gain on sale of assets	2014-12-31	$883,579
Total of all expenses incurred	2014-12-31	$50,573,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$45,819,804
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$160,454,994
Value of total assets at end of year	2014-12-31	$630,549,842
Value of total assets at beginning of year	2014-12-31	$474,079,641
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$4,753,894
Total interest from all sources	2014-12-31	$9,692,953
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$5,435,513
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$5,435,513
Administrative expenses professional fees incurred	2014-12-31	$1,674,574
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	Yes
Amount of non-exempt transactions with any party-in-interest	2014-12-31	$70,100
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$38,245,208
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$49,989,092
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$2,901,509
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$2,188,272
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$262,662
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$398,966
Administrative expenses (other) incurred	2014-12-31	$2,810,353
Total non interest bearing cash at end of year	2014-12-31	$3
Total non interest bearing cash at beginning of year	2014-12-31	$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$156,606,505
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$630,287,180
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$473,680,675
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$268,967
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$151,312,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$154,034,093
Income. Interest from US Government securities	2014-12-31	$3,762,171
Income. Interest from corporate debt instruments	2014-12-31	$5,929,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$1,771,150
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$38,322,994
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$38,322,994
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$836
Asset value of US Government securities at end of year	2014-12-31	$122,173,490
Asset value of US Government securities at beginning of year	2014-12-31	$93,928,293
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$776,817
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$160,454,994
Employer contributions (assets) at end of year	2014-12-31	$154,328,674
Employer contributions (assets) at beginning of year	2014-12-31	$26,364,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$45,819,804
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$159,817,385
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$109,251,977
Contract administrator fees	2014-12-31	$0
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$107,512,487
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$106,628,908
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN	2014-12-31	351090346
2013 : COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$-13,727,458
Total unrealized appreciation/depreciation of assets	2013-12-31	$-13,727,458
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$398,966
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$636,798
Total income from all sources (including contributions)	2013-12-31	$49,455,910
Total loss/gain on sale of assets	2013-12-31	$3,186,030
Total of all expenses incurred	2013-12-31	$22,321,369
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$18,887,697
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$29,559,672
Value of total assets at end of year	2013-12-31	$474,079,641
Value of total assets at beginning of year	2013-12-31	$447,182,932
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$3,433,672
Total interest from all sources	2013-12-31	$3,423,192
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$2,887,180
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$2,887,180
Administrative expenses professional fees incurred	2013-12-31	$1,915,584
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$49,989,092
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$18,977,337
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$2,188,272
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$1,657,890
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$398,966
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$636,798
Administrative expenses (other) incurred	2013-12-31	$1,145,922
Total non interest bearing cash at end of year	2013-12-31	$2
Total non interest bearing cash at beginning of year	2013-12-31	$6
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$27,134,541
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$473,680,675
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$446,546,134
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$372,166
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$154,034,093
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$242,675,527
Income. Interest from US Government securities	2013-12-31	$1,570,437
Income. Interest from corporate debt instruments	2013-12-31	$1,852,214
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$38,322,994
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$5,802,323
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$5,802,323
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$541
Asset value of US Government securities at end of year	2013-12-31	$93,928,293
Asset value of US Government securities at beginning of year	2013-12-31	$56,515,325
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$24,127,294
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$29,559,672
Employer contributions (assets) at end of year	2013-12-31	$26,364,918
Employer contributions (assets) at beginning of year	2013-12-31	$9,635,000
Income. Dividends from common stock	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$18,887,697
Asset. Corporate debt instrument debt (other) at end of year	2013-12-31	$109,251,977
Asset. Corporate debt instrument debt (other) at beginning of year	2013-12-31	$82,201,231
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$29,718,293
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Aggregate proceeds on sale of assets	2013-12-31	$132,981,878
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$129,795,848
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN	2013-12-31	351090346
2012 : COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-12-31	$9,939,017
Total unrealized appreciation/depreciation of assets	2012-12-31	$9,939,017
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$636,798
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$620,603
Total income from all sources (including contributions)	2012-12-31	$76,221,074
Total loss/gain on sale of assets	2012-12-31	$3,706,671
Total of all expenses incurred	2012-12-31	$20,757,188
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$17,097,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$23,609,749
Value of total assets at end of year	2012-12-31	$447,182,932
Value of total assets at beginning of year	2012-12-31	$391,702,851
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,659,994
Total interest from all sources	2012-12-31	$5,734,122
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$6,998,762
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$6,353,961
Administrative expenses professional fees incurred	2012-12-31	$2,045,197
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Assets. Other investments not covered elsewhere at end of year	2012-12-31	$18,977,337
Assets. Other investments not covered elsewhere at beginning of year	2012-12-31	$17,488,114
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-12-31	$1,657,890
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-12-31	$1,678,464
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$636,798
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$620,603
Administrative expenses (other) incurred	2012-12-31	$1,165,599
Total non interest bearing cash at end of year	2012-12-31	$6
Total non interest bearing cash at beginning of year	2012-12-31	$28,183
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$55,463,886
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$446,546,134
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$391,082,248
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Investment advisory and management fees	2012-12-31	$449,198
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$242,675,527
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$180,963,520
Income. Interest from US Government securities	2012-12-31	$1,803,896
Income. Interest from corporate debt instruments	2012-12-31	$3,930,226
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$5,802,323
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$6,420,104
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$6,420,104
Asset value of US Government securities at end of year	2012-12-31	$56,515,325
Asset value of US Government securities at beginning of year	2012-12-31	$56,670,461
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$26,232,753
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$23,609,749
Employer contributions (assets) at end of year	2012-12-31	$9,635,000
Employer contributions (assets) at beginning of year	2012-12-31	$10,600,000
Income. Dividends from common stock	2012-12-31	$644,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$17,097,194
Asset. Corporate debt instrument debt (other) at end of year	2012-12-31	$82,201,231
Asset. Corporate debt instrument debt (other) at beginning of year	2012-12-31	$79,186,144
Assets. Corporate common stocks other than exployer securities at end of year	2012-12-31	$29,718,293
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-12-31	$38,667,861
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Aggregate proceeds on sale of assets	2012-12-31	$122,506,327
Aggregate carrying amount (costs) on sale of assets	2012-12-31	$118,799,656
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	KATZ, SAPPER & MILLER, LLP
Accountancy firm EIN	2012-12-31	351090346
2009 : COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN

2016: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Mulitple employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Mulitple employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2009: COMMUNITY HOSPITALS OF INDIANA RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	COMMUNITY HEALTH NETWORK, INC.
Employer identification number (EIN):	350983617
NAIC Classification:	622000
NAIC Description:	Hospitals