INDIANA UNIVERSITY HEALTH NORTH HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: INDIANA UNIVERSITY HEALTH NORTH HOSPITAL INC (EIN 35-1932442)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-10
IRS object ID: 202113149349304891
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-10T14:31:23-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	351932442	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Indiana University Health North Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	INDI	BusinessNameControlTxt
Phone	3179634842	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	950 N MERIDIAN STREET 300	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CARA L BREIDSTER	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2021-11-10	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CARA L	PersonFirstNm
Person Last	BREIDSTER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KENNETH D PUCKETT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	950 N MERIDIAN STREET 300	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$369,509,817	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SEE SCHEDULE O	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	Lead the transformation of healthcare through quality, innovation & education, and make Indiana one of the nation's healthiest states.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1446	TotalEmployeeCnt
Total Volunteers	122	TotalVolunteersCnt
Total Gross UBI	$16,440	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$87,079	PYContributionsGrantsAmt
CY Contributions Grants	$317,728	CYContributionsGrantsAmt
PY Program Service Revenue	$279,590,809	PYProgramServiceRevenueAmt
CY Program Service Revenue	$364,961,940	CYProgramServiceRevenueAmt
PY Investment Income	$10,608,057	PYInvestmentIncomeAmt
CY Investment Income	$2,413,207	CYInvestmentIncomeAmt
PY Other Revenue	$2,812,234	PYOtherRevenueAmt
CY Other Revenue	$1,443,881	CYOtherRevenueAmt
PY Total Revenue	$293,098,179	PYTotalRevenueAmt
CY Total Revenue	$369,136,756	CYTotalRevenueAmt
PY Grants And Similar Paid	$920	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$106,896	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$74,854,375	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$79,965,979	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$146,306,981	PYOtherExpensesAmt
CY Other Expenses	$176,808,214	CYOtherExpensesAmt
PY Total Expenses	$221,162,276	PYTotalExpensesAmt
CY Total Expenses	$256,881,089	CYTotalExpensesAmt
PY Revenues Less Expenses	$71,935,903	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$112,255,667	CYRevenuesLessExpensesAmt
Total Assets BOY	$612,988,321	TotalAssetsBOYAmt
Total Assets EOY	$524,444,485	TotalAssetsEOYAmt
Total Liabilities BOY	$233,518,606	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$32,719,103	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$379,469,715	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$491,725,382	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Lead the transformation of healthcare through quality, innovation & education, and make Indiana one of the nation's healthiest states.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$227,291,345	ExpenseAmt
Grant	$106,896	GrantAmt
Revenue	$348,939,552	RevenueAmt
Desc	IU Health North Hospital provides leading family-centered care to Carmel and Hamilton County residents. As a full-service hospital for adults and children with an attached medical office building, IU Health North Hospital brings together physician offices, inpatient beds and operating rooms in a state-of-the-art facility where compassionate caregivers provide superior patient treatment. All patient rooms are private to optimize comfort for each individual and their family, and our wealth of services for adults and children ranges from cardiovascular and orthopedic care to maternity and cancer care. In January 2020, the IU Health Joe & Shelly Schwarz Cancer Center, an 88,000 square foot, two-story facility, opened on the south side of the IU Health North campus. The $55-million investment brings together, all under one roof, cancer services including radiation oncology, hematology-oncology, pharmacy, laboratory and patient navigation to surround patients and their loved ones with the care and support they need. As part of our commitment to fostering the health of our communities, we are proud to also offer the peace of mind that comes with the service and support of Riley Hospital for Children at IU Health's nationally-recognized programs.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$0	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,975,056	RevenueAmt
Desc	As of December 31, 2020, Indiana University Health North Hospital, Inc. had received stimulus funds from the Provider Relief Fund under the provisions of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) and Paycheck Protection Program and Health Care Enhancement Act. Indiana University Health North Hospital recognized $11,975,056 as other program service revenue. Indiana University Health North Hospital, Inc. will continue to monitor compliance with the terms and conditions of the Provider Relief Fund.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,952,104	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,996,886	RevenueAmt
Desc	IU Health North Hospital provides services, which include coordinated activities and polices, to related tax-exempt organizations designed to meet the mission of the Indiana University Health System.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$684,237	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,050,446	RevenueAmt
Desc	IU Health North Hospital leases physician office and clinic space to tax-exempt related 501(c)(3) organizations.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$684,237	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$1,050,446	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$229,927,686	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	57	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1446	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CRAIG J JONES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3179634842	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	950 N MERIDIAN STREET SUITE 300	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHARLES E SCHALLIOL
DIRECTOR / REGIONAL VICE CHAIR (ISR)	2.0	2.0	Yes (X)	Yes (X)	$3,000	$3,000	$0
KENNETH D PUCKETT
DIRECTOR / REGIONAL PRESIDENT (ISR)	33.0	22.0	Yes (X)	Yes (X)	$0	$818,678	$142,031
MARSHA A STONE
DIRECTOR / REGIONAL CHAIR (ISR)	2.0	2.0	Yes (X)	Yes (X)	$0	$13,500	$0
CLAUDIA J SOMES MD
DIRECTOR	2.0	2.0	Yes (X)		$7,000	$6,000	$0
JAY L HESS MD
DIRECTOR	2.0	10.0	Yes (X)		$2,000	$40,500	$0
JOHN D GOLDENBERG MD
DIRECTOR	2.0	2.0	Yes (X)		$2,000	$2,000	$0
KEVIN L SMITH MD
DIRECTOR	2.0	52.0	Yes (X)		$0	$524,380	$18,549
MARK R BENSON DO
DIRECTOR	2.0	2.0	Yes (X)		$0	$7,250	$0
MATTHEW R COOK
DIRECTOR (PART YEAR)	2.0	53.0	Yes (X)		$0	$947,526	$42,900
MEGAN CRITTENDON MD
DIRECTOR	2.0	52.0	Yes (X)		$0	$367,113	$17,492
MICHELE M KAWIECKI
DIRECTOR	2.0	2.0	Yes (X)		$2,000	$3,000	$0
ROBERT E EVARD MD
DIRECTOR	2.0	14.0	Yes (X)		$0	$73,589	$0
ALLISON EMHARDT
SECRETARY (PART YEAR)	2.0	48.0		Yes (X)	$0	$109,597	$39,963
ATHANASIA S BANICH
PRESIDENT	55.0	0.0		Yes (X)	$0	$228,880	$35,175
CARA L BREIDSTER
REGIONAL CFO (ISR)	35.0	20.0		Yes (X)	$0	$367,659	$44,376
DEREK E EMPIE
SECRETARY (PART YEAR)	5.0	45.0		Yes (X)	$0	$329,087	$50,270
ARTHUR VASQUEZ
REGIONAL COO (ISR)	35.0	20.0			$0	$397,727	$50,567	Yes (X)
HARPREETINDER SINGH MD
REGIONAL CMO (ISR)	30.0	25.0			$0	$463,852	$40,484	Yes (X)
LISA A SPARKS RN
REGIONAL CNO (ISR)	35.0	20.0			$0	$291,471	$48,004	Yes (X)
PAUL M CALKINS MD
VP & CMO (PART YEAR)	25.0	25.0			$292,517	$318,097	$0	Yes (X)
TAMARAH D BROWNLEE
REGIONAL VP-HR (ISR)	35.0	20.0			$0	$209,222	$48,321	Yes (X)
JANICE M VADAS
DIRECTOR-ALLIED SERVICES	50.0	0			$199,441	$0	$16,091		Yes (X)
MICHAEL L HARLOWE
PRESIDENT - TIPTON	0.0	55.0			$9,979	$325,544	$35,217		Yes (X)
NANCY DAVISON
Regional Director-Imaging Services	50.0	0			$151,261	$0	$4,752		Yes (X)
Patricia Bowling
Director-Surgical Services	50.0	0			$163,162	$0	$42,392		Yes (X)
SUN RIEHM
Pharmacist	50.0	0			$159,842	$0	$21,888		Yes (X)
CHAD A DILLEY
FORMER HCE	0.0	50.0			$0	$199,043	$22,489			Yes (X)
DIANE L HESSON
FORMER HCE	35.0	20.0			$0	$199,565	$39,530			Yes (X)
KRISTY A SCHULHOF
FORMER OFFICER	0.0	0.0			$0	$347,648	$1,514			Yes (X)
MARK A MCLEAN
FORMER KEY EMPLOYEE	0.0	50.0			$0	$211,676	$34,977			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$992,202	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,805,603	TotReportableCompRltdOrgAmt
Total Other Compensation	$796,979	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	49	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MESSER CONSTRUCTION CO
2445 N MERIDIAN ST	INDIANAPOLIS	IN	46208	CONSTRUCTION	$5,266,251
TRIMEDX LLC
5451 LAKEVIEW PKWY S DR	INDIANAPOLIS	IN	46268	CLINICAL ENGINEERING	$2,432,651
BAUMGARTNER & COMPANY ASPHALT
12461 REYNOLDS DR	FISHERS	IN	46038	CONSTRUCTION	$1,099,792
SODEXO INC & AFFILIATES
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	FACILITIES	$924,650
ANESTHESIA CONSULTANTS OF INDPLS
PO BOX 6297	INDIANAPOLIS	IN	46206	MEDICAL	$809,883

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	29	CntrctRcvdGreaterThan100KCnt
Related Organizations	$317,728	RelatedOrganizationsAmt
Total Contributions	$317,728	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$348,939,552	$348,939,552
FEDERAL RECOVERY REVENUE	900099	$11,975,056	$11,975,056
SHARED SERVICES	541990	$2,996,886	$2,996,886
RENT FROM RELATED 501(C)(3) ORGS.	532000	$1,050,446	$1,050,446

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$364,961,940	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,215,622	TotalRevenueColumnAmt
Exclusion	$2,215,622	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$386,866	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$371,603	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$15,263	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,263	TotalRevenueColumnAmt
Exclusion	$15,263	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$199,043	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$1,458	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$197,585	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$197,585	TotalRevenueColumnAmt
Exclusion	$197,585	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA/FOOD SERVICE	721110	$1,278,767	$16,440	$1,262,327
TELEPHONE	517000	$14,608		$14,608
GIFT SHOP	453220	$9,846		$9,846

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$125,397	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$125,397	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,428,618	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$369,136,756	TotalRevenueColumnAmt
Related Or Exempt Func Income	$364,961,940	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$16,440	UnrelatedBusinessRevenueAmt
Exclusion	$3,840,648	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$106,896	TotalAmt
Program Services	$106,896	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$308,517	TotalAmt
Program Services	$279,485	ProgramServicesAmt
Management And General	$29,032	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$11,505	TotalAmt
Program Services	$10,422	ProgramServicesAmt
Management And General	$1,083	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$63,239,403	TotalAmt
Program Services	$57,288,507	ProgramServicesAmt
Management And General	$5,950,896	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,335,454	TotalAmt
Program Services	$2,115,685	ProgramServicesAmt
Management And General	$219,769	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,433,395	TotalAmt
Program Services	$8,545,702	ProgramServicesAmt
Management And General	$887,693	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,637,705	TotalAmt
Program Services	$4,201,292	ProgramServicesAmt
Management And General	$436,413	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$25,094	TotalAmt
Management And General	$25,094	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$23,389	TotalAmt
Management And General	$23,389	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$7,426	TotalAmt
Management And General	$7,426	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$52,673,244	TotalAmt
Program Services	$50,232,625	ProgramServicesAmt
Management And General	$2,440,619	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$131,709	TotalAmt
Program Services	$123,709	ProgramServicesAmt
Management And General	$8,000	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,190,755	TotalAmt
Program Services	$1,019,185	ProgramServicesAmt
Management And General	$171,570	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$445,749	TotalAmt
Program Services	$168,862	ProgramServicesAmt
Management And General	$276,887	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,178,540	TotalAmt
Program Services	$3,372,629	ProgramServicesAmt
Management And General	$5,805,911	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$26,979	TotalAmt
Program Services	$23,952	ProgramServicesAmt
Management And General	$3,027	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$9,107	TotalAmt
Program Services	$7,143	ProgramServicesAmt
Management And General	$1,964	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,799,954	TotalAmt
Program Services	$7,610,453	ProgramServicesAmt
Management And General	$7,189,501	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,435,477	TotalAmt
Program Services	$315,395	ProgramServicesAmt
Management And General	$1,120,082	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
DRUGS AND MEDICAL SUPPLIES	$64,856,204	$64,856,204
BAD DEBT	$13,444,567	$13,444,567
HOSPITAL ASSESSMENT FEE	$12,520,382	$12,520,382
INSTITUTIONAL DUES/LICENSES	$149,178	$149,178

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,890,460	TotalAmt
Program Services	$3,535,413	ProgramServicesAmt
Management And General	$2,355,047	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$256,881,089	TotalAmt
Program Services	$229,927,686	ProgramServicesAmt
Management And General	$26,953,403	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$375,510,963	BOYAmt
EOY	$278,481,209	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$36,603,411	BOYAmt
EOY	$48,125,877	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$171,399	BOYAmt
EOY	$73,620	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,597,290	BOYAmt
EOY	$5,091,768	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,524,064	BOYAmt
EOY	$1,121,654	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$338,318,640	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$150,108,579	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$196,581,194	BOYAmt
EOY	$188,210,061	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$3,340,296	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$612,988,321	BOYAmt
EOY	$524,444,485	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$31,338,641	BOYAmt
EOY	$30,572,796	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$265,779	BOYAmt
EOY	$21,250	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$201,914,186	BOYAmt
EOY	$2,125,057	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$233,518,606	BOYAmt
EOY	$32,719,103	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$379,469,715	BOYAmt
EOY	$491,725,382	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$379,469,715	BOYAmt
EOY	$491,725,382	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$612,988,321	BOYAmt
EOY	$524,444,485	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$112,255,667	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$7,426	OtherActivitiesAmt
Total Lobbying Expenditures	$7,426	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	IU Health North Hospital paid institutional membership dues to the American Hospital Association ("AHA") and Indiana Hospital Association ("IHA") during 2020 in the amount of $26,034 and $18,873 respectively. Each membership organization notified IU Health North Hospital that a portion of the dues it paid were used for lobbying purposes. The AHA used 23.32%, or $6,071 of the 2020 membership dues paid by IU Health North Hospital, for lobbying expenditures. The IHA used 7.18%, or $1,355 of the 2020 membership dues paid by IU Health North Hospital, for lobbying expenditures.	ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$208,357,664	OtherCostOrOtherBasisAmt
Depreciation	$63,424,506	DepreciationAmt
Book Value	$144,933,158	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$554,623	OtherCostOrOtherBasisAmt
Depreciation	$533,291	DepreciationAmt
Book Value	$21,332	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$101,959,160	OtherCostOrOtherBasisAmt
Depreciation	$73,112,759	DepreciationAmt
Book Value	$28,846,401	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,447,193	OtherCostOrOtherBasisAmt
Depreciation	$13,038,023	DepreciationAmt
Book Value	$14,409,170	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$188,210,061	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO THIRD-PARTY PAYERS	$1,622,787
SELF-INSURANCE LIABILITIES	$310,960
OPERATING LEASE LIABILITIES	$191,310

Field	Value	IRS element (for citing)
Total Liability	$2,125,057	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	IU Health North Hospital is a subsidiary in Indiana University Health, Inc.'s ("IU Health") Consolidated Audited Financial Statements. The Internal Revenue Service (IRS) has determined that Indiana University Health and certain of its affiliated entities are tax-exempt organizations as defined in Section 501(c)(3) of the Internal Revenue Code (IRC). Indiana University Health and its tax-exempt affiliates are, however, subject to federal and state income taxes on unrelated business income under the provisions of IRC Section 511. Deferred income taxes that, as of December 31, 2020 and 2019, have no net carrying value reflect the net tax effect of temporary differences between the carrying amounts of assets and liabilities for financial reporting and the amounts used for income tax purposes. As of December 31, 2020, and 2019, the Indiana University Health System had gross deferred tax assets of $135,889,000 and $143,157,000, respectively, primarily relating to net operating loss carryovers. Management determined that a full valuation allowance at December 31, 2020 and 2019, was necessary to reduce the deferred tax assets to the amount that would more likely than not be realized. Based on the weight of the evidence, if it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance to reduce the deferred tax assets is recorded. The decrease in the valuation allowance for the current year was $7,264,000. At December 31, 2020, the Indiana University Health System has available net operating loss carryforwards of $546,376,000. Net operating losses generated from 2000 through 2017 will expire between 2021 and 2037. Net operating losses generated after 2017 do not expire.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	1780	PersonsServedCnt
Total Community Benefit Expns	$1,626,423	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,626,423	NetCommunityBenefitExpnsAmt
Total Expense	0.0067	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	6518	PersonsServedCnt
Total Community Benefit Expns	$34,060,465	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,206,981	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,853,484	NetCommunityBenefitExpnsAmt
Total Expense	0.0487	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	8298	PersonsServedCnt
Total Community Benefit Expns	$35,686,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,206,981	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,479,907	NetCommunityBenefitExpnsAmt
Total Expense	0.0554	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	4266	PersonsServedCnt
Total Community Benefit Expns	$516,635	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,955	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$506,680	NetCommunityBenefitExpnsAmt
Total Expense	0.0021	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	256	PersonsServedCnt
Total Community Benefit Expns	$461,033	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$461,033	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	94214	PersonsServedCnt
Total Community Benefit Expns	$87,577	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,377	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$61,200	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	98736	PersonsServedCnt
Total Community Benefit Expns	$1,065,245	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,332	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,028,913	NetCommunityBenefitExpnsAmt
Total Expense	0.0042	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	107034	PersonsServedCnt
Total Community Benefit Expns	$36,752,133	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,243,313	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,508,820	NetCommunityBenefitExpnsAmt
Total Expense	0.0596	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	4950	PersonsServedCnt
Total Community Benefit Expns	$54,591	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$54,591	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	4950	PersonsServedCnt
Total Community Benefit Expns	$54,591	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,591	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$3,039,817	BadDebtExpenseAmt
Reimbursed By Medicare	$41,454,845	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$58,612,397	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$17,157,552	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	IU HEALTH NORTH HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11700 N MERIDIAN ST	AddressLine1Txt
City	CARMEL	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46032	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://IUHEALTH.ORG/FIND-LOCATIONS/IU-HEALTH-NORTH-HOSPITAL	WebsiteAddressTxt
State License	20-004171-1	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	IU HEALTH NORTH HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://iuhealth.org/in-the-community/community-benefit	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://iuhealth.org/in-the-community	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://iuhealth.org/pay-a-bill/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://iuhealth.org/pay-a-bill/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://iuhealth.org/pay-a-bill/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	IU Health North Hospital's 2018 Community Health Needs Assessment (CHNA) Report includes a prioritized description of significant health needs in the community. The CHNA report identified the following seven needs as priorities for IU Health North: - Access to Health Care Services - Drug and Substance Abuse - Food Insecurity - Health Care and Social Services for Seniors - Mental Health - Obesity and Diabetes - Social Determinants of Health
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - IU HEALTH NORTH HOSPITAL. IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IU HEALTH NORTH HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES IT SERVES. PRIMARY DATA WERE GATHERED IN THREE DIFFERENT METHODOLOGIES FOR THIS ASSESSMENT: COMMUNITY MEETINGS, KEY STAKEHOLDER INTERVIEWS, AND A COMMUNITY SURVEY. FOR PURPOSES OF THIS CHNA, IU HEALTH NORTH HOSPITAL'S COMMUNITY IS DEFINED AS HAMILTON AND MARION COUNTIES, INDIANA. THESE TWO COUNTIES ACCOUNTED FOR 68 PERCENT OF THE HOSPITAL'S INPATIENT CASES IN 2016. COMMUNITY MEETINGS - HAMILTON COUNTY ON APRIL 17, 2018, A MEETING OF COMMUNITY REPRESENTATIVES WAS HELD AT THE HAMILTON COUNTY 4H FAIRGROUNDS IN NOBLESVILLE, THE COUNTY SEAT OF HAMILTON COUNTY. THE MEETING WAS ATTENDED BY 38 COMMUNITY MEMBERS INVITED BY IU HEALTH BECAUSE THEY REPRESENT IMPORTANT COMMUNITY ORGANIZATIONS AND SECTORS SUCH AS: LOCAL HEALTH DEPARTMENTS, POLICE/FIRE DEPARTMENTS, NON-PROFIT ORGANIZATIONS, LOCAL BUSINESS, HEALTH CARE PROVIDERS, MAYORS/LOCAL POLICYMAKERS, FAITH-BASED ORGANIZATIONS, PARKS AND RECREATION DEPARTMENTS, AND SCHOOLS. THROUGH THIS MEETING, IU HEALTH SOUGHT A BREADTH OF PERSPECTIVES ON THE COMMUNITY'S HEALTH NEEDS. THE SPECIFIC ORGANIZATIONS REPRESENTED AT THE MEETING ARE LISTED BELOW. - ASPIRE INDIANA - CENTRAL INDIANA COUNCIL ON AGING (CICOA) - CHAUCIE'S PLACE - COMMUNITY HEALTH NETWORK - NORTH - DEPARTMENT OF CHILD SERVICES - FISHERS CITY COUNCIL - FISHERS FIRE & EMERGENCY SERVICES - GOOD SAMARITAN NETWORK - HAND, INC. - HOPE FAMILY CARE CENTER - HAMILTON COUNTY COUNCIL ON ALCOHOL AND OTHER DRUGS - HAMILTON COUNTY HEALTH DEPARTMENT - HAMILTON COUNTY HARVEST FOOD BANK - HAMILTON COUNTY YOUTH ASSISTANCE PROGRAM - HAMILTON HEIGHTS SCHOOL CORPORATION - HAMILTON SOUTHEASTERN SCHOOLS - IU HEALTH - IU HEALTH INDY SUBURBAN REGION/IU HEALTH NORTH HOSPITAL AND IU HEALTH SAXONY HOSPITAL - NOBLESVILLE CHAMBER OF COMMERCE - NOBLESVILLE TOWN COUNCIL - NOBLESVILLE SCHOOLS - PARTNERSHIP FOR A HEALTHY HAMILTON COUNTY - PREVAIL, INC. - PRIMELIFE ENRICHMENT, INC. - RIVERVIEW HEALTH - RIVERVIEW HEALTH PHYSICIANS - SHEPHERD'S CENTER OF HAMILTON COUNTY - ST. FRANCIS - ST. VINCENT CARMEL/FISHERS - STONES 3 RESOURCES - TRINITY FREE CLINIC - WESTFIELD WASHINGTON SCHOOL THE MEETING BEGAN WITH A PRESENTATION THAT DISCUSSED THE GOALS AND STATUS OF THE CHNA PROCESS AND THE PURPOSE OF THE COMMUNITY MEETING. THEN, SECONDARY DATA WERE PRESENTED. DUE TO THE SIZE OF THE GROUP, PARTICIPANTS WERE THEN SPLIT INTO THREE GROUPS. THE SAME LIST WAS PROVIDED TO EACH GROUP OF POTENTIAL UNMET HEALTH NEEDS FOR THE INDIVIDUALS TO DISCUSS AND VOTE ON TO INDICATE WHAT THEY CONSIDERED TO BE THE MOST SIGNIFICANT HEALTH NEEDS FOR HAMILTON COUNTY. THOSE HEALTH NEEDS WERE: - TRANSPORTATION - HOUSING - EMPLOYMENT - JOB TRAINING - FOOD INSECURITY - NUTRITIONAL EDUCATION - SOCIAL SUPPORT - ACCESS TO HEALTH SERVICES - COST OF MEDICATION - INSURANCE COVERAGE/ENROLLMENT - VIOLENCE/CRIME - CHRONIC DISEASE MANAGEMENT DURING THE MEETING, A RANGE OF OTHER TOPICS WAS DISCUSSED, INCLUDING: - INDIVIDUALS WITH A MENTAL HEALTH DIAGNOSIS - INDIVIDUALS WITH A HISTORY OF SUBSTANCE ABUSE/MISUSE - INDIVIDUALS WITH CHRONIC CONDITIONS - CHILDREN AND SENIORS AS PRIORITY POPULATIONS - NUTRITIONAL EDUCATION - EMPLOYMENT - LIMITED SUPPLY OF HEALTH CARE PROFESSIONALS AFTER DISCUSSING THE NEEDS IDENTIFIED, EACH PARTICIPANT WAS ASKED THROUGH A VOTING PROCESS TO IDENTIFY THE TWO THEY CONSIDER TO BE MOST SIGNIFICANT. FROM THIS PROCESS, THE GROUPS IDENTIFIED THE FOLLOWING NEEDS AS MOST SIGNIFICANT FOR HAMILTON COUNTY: - TRANSPORTATION - HOUSING - ACCESS TO HEALTH SERVICES - CHRONIC DISEASE MANAGEMENT - COST OF MEDICATION - INSURANCE COVERAGE/ENROLLMENT - SOCIAL SUPPORT INTERVIEWS - HAMILTON COUNTY AN INTERVIEW ALSO WAS CONDUCTED WITH A REPRESENTATIVE OF THE HAMILTON COUNTY HEALTH DEPARTMENT. THE INTERVIEW WAS CONDUCTED TO ASSURE THAT APPROPRIATE AND ADDITIONAL INPUT WAS RECEIVED FROM A GOVERNMENTAL PUBLIC HEALTH OFFICIAL. THE INDIVIDUAL THAT WAS INTERVIEWED PARTICIPATED IN THE COMMUNITY MEETING. ACCORDINGLY, THE RESULTS OF THE COMMUNITY MEETING WERE DISCUSSED AND INSIGHTS WERE SOUGHT REGARDING SIGNIFICANT COMMUNITY HEALTH NEEDS, WHY SUCH NEEDS ARE PRESENT, AND HOW THEY CAN BE ADDRESSED. THE INTERVIEW WAS GUIDED BY A STRUCTURED PROTOCOL THAT FOCUSED ON OPINIONS REGARDING SIGNIFICANT COMMUNITY HEALTH NEEDS, DESCRIBING WHY SUCH NEEDS ARE PRESENT, AND SEEKING IDEAS FOR HOW TO ADDRESS THEM. ACCORDING TO THE INTERVIEWEE, MANY IN INDIANA INCORRECTLY BELIEVE THAT SINCE HAMILTON COUNTY IS AFFLUENT, THERE IS LITTLE NEED TO FOCUS ON IMPROVING COMMUNITY HEALTH. THE COUNTY DOES HAVE NEEDS AND HAS POCKETS OF VULNERABLE POPULATIONS THAT NEED CONTINUED ATTENTION. THE COUNTY ALSO NEEDS MORE PUBLIC HEALTH FUNDING TO PROVIDE ADEQUATE PROGRAMS AND SERVICES. THE INTERVIEWEE CONFIRMED THAT THE THREE TOP NEEDS IDENTIFIED BY COMMUNITY MEETING PARTICIPANTS WERE SIGNIFICANT, ADDING THAT ALL THREE HAVE BEEN CHRONIC ISSUES IN THE COUNTY. THESE THREE NEEDS WERE: - TRANSPORTATION - ACCESS TO HEALTH SERVICES - HOUSING MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES ARE PARTICULARLY DIFFICULT TO ACCESS IN THE COUNTY. ONLY ONE REAL TREATMENT CENTER AND NO INPATIENT FACILITIES EXIST, REQUIRING RESIDENTS TO TRAVEL LONG DISTANCES TO SERVICES OUTSIDE OF THE COUNTY. PRIMARY CARE ALSO IS DIFFICULT TO ACCESS FOR PATIENTS WITH CERTAIN TYPES OF INSURANCE COVERAGE. MANY PROVIDERS ARE NOT ACCEPTING NEW PATIENTS WITH MEDICARE OR MEDICAID. THIS ISSUE BECAME MORE PROBLEMATIC A FEW YEARS AGO AFTER A COMMUNITY CLINIC CLOSED. REGARDING POPULATIONS AT RISK, INDIVIDUALS WITH A MENTAL HEALTH DIAGNOSIS, THE UNINSURED OR UNDERINSURED, CHILDREN, AND SENIORS ARE MOST AT RISK. SENIORS FACE ISSUES INCLUDING A LACK OF TRANSPORTATION, DIFFICULTIES ACCESSING MENTAL HEALTH SERVICES, AND ISOLATION. A LACK OF SPECIALIZED PROVIDERS FOR PAIN MANAGEMENT, PHYSICAL THERAPY, AND RELATED PAIN MANAGEMENT SERVICES IS CONTRIBUTING TO AN OVER-PRESCRIBING OF OPIATES. THE NEED FOR HEALTH EDUCATION IN THE COMMUNITY IS SIGNIFICANT. HEALTH DEPARTMENT AND OTHER COMMUNITY RESOURCES ARE LIMITED. EDUCATION IS NEEDED PARTICULARLY REGARDING RISKS ASSOCIATED WITH SUBSTANCE ABUSE AND SEXUALLY-TRANSMITTED DISEASES. MANY UNINSURED ARE USING EMERGENCY ROOMS FOR PRIMARY CARE SINCE THEY DO NOT KNOW WHERE ELSE TO GO. A SERVICE THAT COULD CONNECT THESE RESIDENTS TO PROVIDERS ACCEPTING LOW INCOME AND MEDICAID PATIENTS IS NEEDED. MEDICATION ASSISTANCE FOR SENIORS ALSO IS AN ISSUE. MANY SENIORS ARE CONFUSED BY THE ARRAY OF MEDICATIONS THEY HAVE BEEN PRESCRIBED, LEADING TO A LACK OF MEDICATION ADHERENCE AND COMPLIANCE. COMMUNITY MEETINGS - MARION COUNTY BETWEEN MAY 7 AND 9, 2018, THREE MEETINGS OF COMMUNITY REPRESENTATIVES WERE HELD IN INDIANAPOLIS, THE COUNTY SEAT OF MARION COUNTY. IN TOTAL, THE MEETINGS WERE ATTENDED BY 42 COMMUNITY MEMBERS INVITED BY IU HEALTH IN PARTNERSHIP WITH COMMUNITY HEALTH NETWORK BECAUSE THEY REPRESENT IMPORTANT COMMUNITY ORGANIZATIONS AND SECTORS SUCH AS: LOCAL HEALTH DEPARTMENTS, POLICE/FIRE DEPARTMENTS, NON-PROFIT ORGANIZATIONS, LOCAL BUSINESS, HEALTH CARE PROVIDERS, MAYORS/LOCAL POLICYMAKERS, FAITH-BASED ORGANIZATIONS, PARKS AND RECREATION DEPARTMENTS, AND SCHOOLS. THROUGH THESE MEETINGS, IU HEALTH SOUGHT A BREADTH OF PERSPECTIVES ON THE COMMUNITY'S HEALTH NEEDS. THE SPECIFIC ORGANIZATIONS REPRESENTED AT THE MEETINGS ARE LISTED BELOW. - ADULT AND CHILD HEALTH - ALL SENIOR CITIZENS CONNECT - CENTRAL INDIANA COUNCIL ON AGING (CICOA) - CITY OF INDIANAPOLIS - COBURN PLACE - COMMUNITY HEALTH NETWORK - GENNESARET FREE CLINICS - GLEANERS FOOD BANK - HEALTH BY DESIGN - IU HEALTH METHODIST HOSPITAL - IU HEALTH UNIVERSITY HOSPITAL - INDIANA YOUTH INSTITUTE - INDIANAPOLIS FIRE DEPARTMENT - INDIANAPOLIS METROPOLITAN POLICE DEPARTMENT - INDY HUNGER NETWORK - INDIANAPOLIS PARKS AND RECREATION - IRVINGTON DEVELOPMENT ORGANIZATION - JUMP IN FOR HEALTHY KIDS - LAWRENCE COMMUNITY GARDENS - MARION COUNTY PUBLIC HEALTH DEPARTMENT - NEW BEGINNINGS CHURCH - PARAMOUNT SCHOOLS OF EXCELLENCE - PROGRESS HOUSE - PURDUE EXTENSION - THE POLIS CENTER - UNIVERSITY OF INDIANAPOLIS THE MEETING BEGAN WITH A PRESENTATION THAT DISCUSSED THE GOALS AND STATUS OF THE CHNA PROCESS AND THE PURPOSE OF THE COMMUNITY MEETINGS. THEN, SECONDARY DATA WERE PRESENTED, ALONG WITH A SUMMARY OF THE MOST UNFAVORABLE COMMUNITY HEALTH INDICATORS. FOR MARION COUNTY, THOSE INDICATORS WERE (IN ALPHABETICAL ORDER): - AIR POLLUTION - COMMUNICABLE DISEASES AND STDS - CRIME - MENTAL HEALTH AND SUPPLY OF MENTAL HEALTH PROVIDERS - OBESITY AND LACK OF PHYSICAL ACTIVITY - POVERTY AND HIGH 'COMMUNITY NEED INDEX' - SMOKING AND TOBACCO USE
Schedule H, Part V, Section B, Line 5 Facility , 2	Facility , 2 - IU HEALTH NORTH HOSPITAL ( CONT.). MEETING PARTICIPANTS THEN WERE ASKED TO DISCUSS WHETHER THE IDENTIFIED, UNFAVORABLE INDICATORS ACCURATELY IDENTIFIED THE MOST SIGNIFICANT COMMUNITY HEALTH ISSUES AND WERE ENCOURAGED TO ADD ISSUES THAT THEY BELIEVED WERE SIGNIFICANT. SEVERAL ISSUES WERE ADDED BY EACH GROUP, SUCH AS: - HIGH SCHOOL GRADUATION RATES - BUILT ENVIRONMENT - ACCESS TO PRIMARY CARE - HOMELESSNESS - ACCESS TO HEALTHY FOOD/FOOD INSECURITY - NEEDS OF THE GROWING SENIOR COMMUNITY - SUBSTANCE ABUSE - DENTAL CARE - DISPARITIES IN ACCESS TO BASIC, AFFORDABLE NEEDS - EDUCATION - EDUCATION ON COMMUNICABLE DISEASES - NUTRITION AND COOKING EDUCATION - TEEN PREGNANCY DURING THE MEETINGS, A RANGE OF OTHER TOPICS WAS DISCUSSED, INCLUDING: - ABILITY TO ADDRESS TOPICS SUCH AS CRIME, POVERTY, AND AIR POLLUTION - AGING POPULATION - TEEN PREGNANCY - WATER - PARKS - FUNDING - WALKABILITY - SOCIAL DETERMINANTS OF HEALTH - DISPARITIES - COLLABORATION WITH COMMUNITY ORGANIZATIONS - GOVERNMENT AFFAIRS DEPARTMENT - INDIVIDUALS WITH DISABILITIES AND THEIR HEALTH NEEDS - EFFECTS ON CHILDREN OF OPIOID ABUSE AFTER DISCUSSING THE NEEDS IDENTIFIED THROUGH SECONDARY DATA AND ADDING OTHERS TO THE LIST, PARTICIPANTS IN EACH MEETING WERE ASKED THROUGH A VOTING PROCESS TO IDENTIFY "THREE TO FIVE" THEY CONSIDER TO BE MOST SIGNIFICANT. FOOD INSECURITY, SUBSTANCE ABUSE, MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND OBESITY WERE FREQUENTLY IDENTIFIED THROUGH THE COMMUNITY MEETING PROCESS FOR MARION COUNTY. INTERVIEWS - MARION COUNTY AN INTERVIEW ALSO WAS CONDUCTED WITH TWO REPRESENTATIVES OF THE MARION COUNTY PUBLIC HEALTH DEPARTMENT. THE INTERVIEWS WERE CONDUCTED TO ASSURE THAT APPROPRIATE AND ADDITIONAL INPUT WAS RECEIVED FROM GOVERNMENTAL PUBLIC HEALTH OFFICIALS. THE RESULTS OF THE COMMUNITY MEETINGS WERE DISCUSSED AND INSIGHTS WERE SOUGHT REGARDING SIGNIFICANT COMMUNITY HEALTH NEEDS, REASON(S) SUCH NEEDS ARE PRESENT, AND HOW THEY CAN BE ADDRESSED. THE INTERVIEWS WERE GUIDED BY A STRUCTURED PROTOCOL THAT FOCUSED ON OPINIONS REGARDING SIGNIFICANT COMMUNITY HEALTH NEEDS, DESCRIBING WHY SUCH NEEDS ARE PRESENT, AND SEEKING IDEAS FOR HOW TO ADDRESS THEM. THE INTERVIEWEES CONFIRMED THAT THE NEEDS IDENTIFIED BY THE COMMUNITY MEETING PARTICIPANTS WERE SIGNIFICANT. THESE NEEDS WERE: - ACCESS TO HEALTHY FOOD (FOOD INSECURITY) AND ITS RELATION TO OBESITY - POVERTY - MENTAL HEALTH - DISPARITIES IN ACCESS TO BASIC NEEDS (HOUSING, TRANSPORTATION, ETC.) - SUBSTANCE ABUSE POVERTY HAS INCREASED SIGNIFICANTLY SINCE 2005, FROM ONE OUT OF EVERY FIVE HOUSEHOLDS TO ONE OUT OF EVERY THREE WITH CHILDREN IN POVERTY. THIS INCREASED POVERTY LEVEL HAS CREATED A LARGE ISSUE WITH FOOD INSECURITY. WHILE UNEMPLOYMENT RATES ARE LOW, WAGES ARE AN ISSUE FOR MANY IN THE COMMUNITY. THE MINIMUM WAGE IS NOT A LIVING WAGE AND MANY PEOPLE WHO HAVE LOW PAYING JOBS STILL STRUGGLE WITH FOOD INSECURITY AND OTHER ISSUES. MENTAL HEALTH STATUS AND ACCESS TO MENTAL HEALTH CARE IS A SIGNIFICANT ISSUE, WITH A PARTICULAR FOCUS ON THE LACK OF PROVIDERS, AND ISSUES SURROUNDING SUICIDE AMONG CHILDREN. SINCE MANY PROVIDERS RECEIVE LITTLE IN REIMBURSEMENT FROM INSURANCE FOR MENTAL HEALTH TREATMENT, FINDING PROVIDERS AND HOSPITALS WITH A FOCUS ON MENTAL HEALTH IS DIFFICULT. THERE IS A NEED FOR NAVIGATORS THAT COULD HELP RESIDENTS FIND NEEDED SERVICES AND SIGN UP FOR STATE INSURANCE PLANS. SUBSTANCE ABUSE IS A SIGNIFICANT ISSUE, AS EVIDENCED BY DRUG OVERDOSE DEATHS. ADDITIONALLY, WHILE THERE WERE 500 AMBULANCE TRIPS FOR DRUG OVERDOSES IN 2013, THIS NUMBER IS OVER 2,000 IN RECENT YEARS. COMMUNICABLE DISEASE LINKED TO SUBSTANCE ABUSE IS ALSO AN ISSUE, AS RATES OF HEPATITIS C AND HIV HAVE INCREASED IN PART DUE TO INTRAVENOUS DRUG USE. DESPITE GREAT PROGRESS AND POLICY AROUND THE ISSUE, SMOKING IS STILL AN ISSUE THAT MANY ARE NO LONGER PAYING ATTENTION TO BECAUSE OF A MISBELIEF THAT THE ISSUE IS SOLVED. THE RECENT RISE OF E-CIGARETTES ALSO MAY CONTRIBUTE TO INCREASED SMOKING DUE TO ATTRACTING TEENAGERS. TRANSPORTATION IS A BARRIER TO CARE. WHILE THE CITY HAS OPTIONS, THE BUS SYSTEM IS INEFFICIENT AND CAN TAKE A LONG TIME. CANCER IS ALSO AN ISSUE, WITH LARGE DISPARITIES IN INCIDENCE RATES AMONG DIFFERENT DEMOGRAPHIC GROUPS. IN PARTICULAR THE INCIDENCE RATES OF LUNG, COLON, AND PROSTATE CANCERS ARE SIGNIFICANT NEEDS IN THE COMMUNITY. THE INTERVIEWEES ALSO IDENTIFIED SEVERAL OTHER SIGNIFICANT ISSUES IN THE COMMUNITY, INCLUDING: - DENTAL CARE AND ACCESS TO DENTAL CARE PROVIDERS - VIOLENCE AND HOMICIDE - INFANT MORTALITY, ESPECIALLY WITH THE DISPARITIES PRESENT AMONG DIFFERENT RACIAL GROUPS - CHILDHOOD OBESITY - CHRONIC DISEASES, PARTICULARLY DIABETES COMMUNITY SURVEY TO INFORM THE CHNA, A COMMUNITY SURVEY WAS CONDUCTED BY THE INDIANA HOSPITAL COLLABORATIVE. ACROSS INDIANA, 9,161 COMPLETED QUESTIONNAIRES WERE RECEIVED BY ALL PARTICIPATING HOSPITALS IN THE INDIANA HOSPITAL COLLABORATIVE, FOR AN OVERALL RESPONSE RATE OF 11.6 PERCENT; 5,030 QUESTIONNAIRES WERE RECEIVED FROM THE 17 INDIANA COUNTIES SERVED BY ONE OR MORE IU HEALTH HOSPITALS. FOR THE IU HEALTH NORTH HOSPITAL COMMUNITY, SURVEYS WERE RECEIVED FROM 864 COMMUNITY HOUSEHOLDS. ACCORDING TO THE RESPONSES, THESE HOUSEHOLDS INCLUDED 1,638 ADULTS. THE COMMUNITY SURVEY INDICATES THAT OBESITY, CHRONIC DISEASES, SUBSTANCE USE OR ABUSE, AND MENTAL HEALTH REPRESENT TOP CONCERNS IN THE COMMUNITY SERVED BY IU HEALTH NORTH HOSPITAL.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - IU HEALTH NORTH HOSPITAL. In conjunction with the CHNA, IU Health North Hospital's Board adopted an implementation strategy in April 2019 related to the 2018 CHNA. IU Health North Hospital prioritized and determined which of the community health needs identified in its most recently conducted CHNA were most critical for it to address. IU Health North Hospital will address the following community health needs between 2019 and 2021: - Access to Healthcare Services - Drug and Substance Abuse (including Opioids and Alcohol) - Food Insecurity - Healthcare and Social Services for Seniors - Mental Health - Obesity and Diabetes - Social Determinants of Health IU Health uses the term "Behavioral Health" to refer to Mental Health and Drug and Substance Abuse (including Opioids and Alcohol). Access to Healthcare IU Health North Hospital's implementation strategy to address the identified need of Access to Healthcare includes the following: -Provide funding for Trinity Free Clinic (TFC) to support the medical and dental needs of Hamilton County residents who are uninsured and underinsured. -In 2020, IU Health North provided support to TFC, which helped the clinic to purchase equipment for their new mobile medical unit that travels to underserved Hamilton County communities to provide healthcare services. -In collaboration with the IU Health Foundation, IU Health North also supported TFC's COVID-19 relief efforts to purchase two temperature scan kiosks and an electrostatic cleaner to sanitize the facility, which helped to mitigate the spread of the disease among patients, staff and volunteers. -Encourage IU Health team members to assist in staffing the Trinity Free Clinic. -In 2020, a total of six IU Health providers, pharmacists, nurses and language interpreters volunteered at TFC for over 31 hours. -Provide funding for the Heart & Soul Clinic's operations in Westfield to support medical and dental needs of Hamilton County residents who are uninsured and underinsured. -IU Health North provided support to the Heart & Soul Clinic to expand their language services program, which helped 212 non-English speaking patients receive medical and dental care in 2020. Of the 486 total patients served in 2020, 90 percent were classified as low or very-low income. -In 2020, the Heart & Soul Clinic received additional support from IU Health North to purchase a security monitoring system that helped mitigate health and safety risks for patients, staff and volunteers due to the large increase in drop-by visits resulting from the COVID-19 pandemic. -Invest in the Partnership for a Healthy Hamilton County (PHHC) to encourage collaboration among area health agencies and organizations. -IU Health North provided support to PHHC in 2020, which was used to assist their overall operations and strategic plan to improve the health of Hamilton County. -Develop programs and strategies in collaboration with PHHC to improve the overall health of Hamilton County residents and employees. -Participate in PHHC committees related to pertinent Community Health Needs Assessment (CHNA) priorities. -Provide an Individual Solutions coordinator to help patients register for health insurance through Healthy Indiana Plan (HIP) 2.0 or other Marketplace insurance. -In 2020, the Individual Solutions coordinators assisted approximately 93 individuals in health insurance enrollment. -Provide physician-led health seminars to seniors at PrimeLife Enrichment, Inc. -Provide funding to the Shepherd's Center of Hamilton County in support of its Reaching Resources program, which allows seniors to age as independently and gracefully as possible. -Provide 24/7 peer counseling via telemedicine for patients who present in the emergency department (ED) with substance abuse issues. -Provide telemedicine visits with trained behavioral health clinicians to patients who present in the emergency department (ED) with behavioral health needs. -Provide funding for Aspire Indiana to address specific behavioral health needs in Hamilton County. -In 2020, IU Health North provided COVID-19 relief support to Aspire Indiana. With support, Aspire purchased two temperature scan kiosks, which helped them continue to provide in-person patient visits and mitigate the spread of the disease. -Collaborate with the Max Challenge of Fishers to provide 100 Hamilton County residents with a free 10-week program to improve their overall health through fitness and nutrition. -Provide three health screenings during the 10-week period to measure changes in cholesterol, triglycerides, glucose, A1C, blood pressure, weight and Body Mass Index (BMI). -In 2020, IU Health North provided funding to the Indiana Women in Need Foundation's Survivor Support Program, which provides grants to individuals living with breast cancer. From the 2020 funding, 15 individuals in Central Indiana received a grant that helped them pay for support services, such as meals, medications and wellness services that assist in the financial and emotional challenges that coincide with breast cancer diagnoses. Note: This strategy did not appear in the April 2019 implementation strategy but was undertaken in 2020 as it meets significant community health needs in relation to access to healthcare, behavioral health and food insecurity. Behavioral Health (includes Drug & Substance Abuse and Mental Health) IU Health North Hospital's implementation strategy to address the identified need of Behavioral Health includes the following: -Invest in the Partnership for a Healthy Hamilton County (PHHC) to encourage collaboration among area health agencies and organizations. -Develop programs and strategies to improve the overall health of Hamilton County residents and employees. -Participate in PHHC committees related to pertinent Community Health Needs Assessment (CHNA) priorities. -Provide funding to the Shepherd's Center of Hamilton County in support of its Reaching Resources program, which allows seniors to age as independently and gracefully as possible. -Provide 24/7 peer counseling via telemedicine for patients who present in the emergency department (ED) with substance abuse issues. -In 2020, approximately 82 percent of patients who were offered peer recovery counseling accepted the service and were open to discussing ways to treat their substance abuse disorder. The peer recovery counselors spent 1,152 total minutes coaching patients with substance abuse disorders in 2020. -Provide telemedicine visits with trained behavioral health clinicians to patients who present in the emergency department (ED) with behavioral health needs. -In 2020, approximately 152 patients were referred from the ED to behavioral health services for follow-up or referral to an inpatient facility. -Provide annual funding to the Indiana Center for Prevention of Youth Abuse & Suicide (ICPYAS). -In 2020, IU Health North provided support to ICPYAS and approximately 75 Central Indiana schools hosted the Child Lures program. 220 adults completed the QPR suicide prevention training in 2020. -In collaboration with the IU Health Foundation, IU Health North also supported ICPYAS' COVID-19 relief efforts to purchase licensure that allowed them to host virtual child abuse and suicide prevention programming. In addition, the support covered the cost to provide six virtual suicide prevention trainings in 2020, which were free for the community to attend. -Collaborate with the Indiana Center for Prevention of Youth Abuse & Suicide to provide training for the community and IU Health team members on the recognition and prevention of child sexual abuse. -In 2020, approximately 276 adults completed the Stewards of Children child sexual abuse training, including 17 IU Health team members. 25 public Stewards of Children trainings and two IU Health trainings were offered in 2020. -Provide funding for Aspire Indiana to address specific behavioral health needs in Hamilton County. -Provide executive support for Breathe Easy Hamilton County initiatives. -In 2020, an IU Health North medical director collaborated with Breathe Easy to create a publicly accessible video regarding the dangers of COVID-19 in relation to smoking and vaping. -In 2020, IU Health North provided support for the Cherish Child Advocacy Center to assist in their COVID-19 relief efforts. The support went toward routine professional disinfection of the facility, personal protective equipment for clients, staff and volunteers, facility updates that accommodate social distancing, touchless technologies and supplies to keep the facility clean and safe for those seeking out abuse prevention and intervention services at the facility. Note: This strategy did not appear in the April 2019 implementation strategy but was undertaken in 2020 as it meets significant community health needs in relation to behavioral health.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - IU HEALTH NORTH HOSPITAL. Food Insecurity IU Health North Hospital's implementation strategy to address the identified need of Food Insecurity includes the following: -Invest in the Partnership for a Healthy Hamilton County (PHHC) to encourage collaboration among area health agencies and organizations. -Develop programs and strategies to improve the overall health of Hamilton County residents and employees. -Participate in PHHC committees related to pertinent Community Health Needs Assessment (CHNA) priorities. -Support local farmers' markets that provide access to healthy fruits and vegetables. -In 2020, IU Health North provided funding for the Carmel Farmers Market (summer and winter) and the Zionsville Farmers Market. -In partnership with the IU Health Foundation, IU Health North supported the Good Samaritan Network's 2020 Holiday Assistance Program, which provided meals for low-income families in Hamilton County. In 2020, 6,015 households were provided meals through the program. Note: This strategy did not appear in the April 2019 implementation strategy but was undertaken in 2020 as it meets significant community health needs in relation to food insecurity. Healthcare and Social Services for Seniors IU Health North Hospital's implementation strategy to address the identified need of Healthcare and Social Services for Seniors include the following: -Provide funding for Trinity Free Clinic to support the medical and dental needs of Hamilton County residents who are uninsured and underinsured. -Encourage IU Health team members to assist in staffing the medical clinic. -Provide funding for the Heart & Soul Clinic's operations in Westfield to support medical and dental needs of Hamilton County residents who are uninsured and underinsured. -Invest in the Partnership for a Healthy Hamilton County (PHHC) to encourage collaboration among area health agencies and organizations. -Develop programs and strategies to improve the overall health of Hamilton County residents and employees. -Participate in PHHC committees related to pertinent Community Health Needs Assessment (CHNA) priorities. -Provide an Individual Solutions coordinator to help patients register for health insurance through Healthy Indiana Plan (HIP) 2.0 or other Marketplace insurance. -Provide physician-led health seminars to seniors at PrimeLife Enrichment, Inc. -In 2020, one in-person seminar was hosted at PrimeLife Enrichment prior to COVID-19 center closures. There were approximately 50 senior citizens in attendance at the seminar. Pre and post surveys were given out before and after the health seminar to determine the attendees' increase in knowledge from the presentation. Approximately 90 percent of the senior citizens who completed the survey reported that they had an increase in knowledge related to cardiovascular health, which was the topic of the seminar. -To take temporary place of the in-person seminars after the center closure, IU Health North sent monthly geriatric health education articles to be distributed to seniors via the PrimeLife Enrichment newsletters and communications. -Provide funding to the Shepherd's Center of Hamilton County in support of its Reaching Resources program, which allows seniors to age as independently and gracefully as possible. -Due to the Shepherd's Center's focus on the pandemic in 2020, IU Health North supported their COVID-19 relief efforts. In partnership with the IU Health Foundation, IU Health North supported the Shepherd's Center's Crisis Response Plan, which provided weekly food, prescription and necessity deliveries to the doorsteps of in-need seniors. Each delivery recipient had an income that was 50 percent or below the area median income. Between August and December 2020, 557 care packages were delivered to 386 seniors. -Collaborate with the Max Challenge of Fishers to provide 100 Hamilton County residents with a free 10-week program to improve their overall health through fitness and nutrition. -Provide three health screenings during the 10-week period to measure changes in cholesterol, triglycerides, glucose, A1C, blood pressure, weight and Body Mass Index (BMI). Obesity and Diabetes IU Health North Hospital's implementation strategy to address the identified need of Obesity and Diabetes include the following: -Collaborate with the Max Challenge of Fishers to provide 100 Hamilton County residents with a free 10-week program to improve their overall health through fitness and nutrition. -In 2020, 51 percent of the participants in the Hamilton County Fresh & Fit challenge completed the program. The program was extended five additional weeks to accommodate fitness center closures due to the COVID-19 pandemic. Participants experienced a variety of health benefits throughout the program, such as improvements in their weight, cholesterol, A1C, glucose and blood pressure levels. For example, 89 percent of the 2020 participants with unhealthy A1C levels (above 5.7) were able to lower their levels by the end of the program, and the average amount of weight lost upon completion was 12.9 pounds per person. -Provide three health screenings during the 10-week period to measure changes in cholesterol, triglycerides, glucose, A1C, blood pressure, weight and Body Mass Index (BMI). -In 2020, only two health screenings were held, as the second out of the three was cancelled due to the COVID-19 pandemic and hospital visitor restrictions. -Collaborate with the Hamilton County or Fishers Parks & Recreation to make improvements to local parks, thus encouraging greater physical activity in the parks by Hamilton County residents and visitors. -During the IU Health Annual Days of Service in 2020, IU Health North and Saxony hospital team members volunteered in at-a-distance and remote projects throughout the month of September. Volunteers completed projects at Cool Creek Park, Coxhall Gardens, Potter's Bridge Park and River Road Park to make various updates, additions and improvements to benefit the parks and, ultimately, lead to an increase in physical activity. At the parks, volunteers planted trees and native flower species, spread mulch, inserted river rock, painted park facilities, picked up garbage and provided general maintenance to upkeep the parks' appearance. -Continue support of multiple local farmers' markets, including Fishers, Saxony, Carmel and Zionsville. Social Determinants of Health IU Health North Hospital's implementation strategy to address the identified need of Social Determinants of Health includes the following: -Provide funding for Trinity Free Clinic to support the medical and dental needs of Hamilton County residents who are uninsured and underinsured. -Encourage IU Health team members to assist in staffing the medical clinic. -Collaborate with the Hamilton County or Fishers Parks & Recreation to make improvements to local parks, thus encouraging greater physical activity in the parks by Hamilton County residents and visitors. IU North Hospital will address all community health needs based on their 2018 Community Health Needs Assessment. There were no identified needs that would not be addressed.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - IU HEALTH NORTH HOSPITAL. IN ADDITION TO FPG, IU HEALTH NORTH HOSPITAL MAY TAKE INTO CONSIDERATION A PATIENT'S INCOME AND/OR ABILITY TO PAY IN CALCULATION OF A FINANCIAL ASSISTANCE AWARD.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - IU HEALTH NORTH HOSPITAL. IU Health North Hospital takes into consideration several other factors in determining patient eligibility for financial assistance. These factors include the following: 1. Eligibility for Financial Assistance due to Financial or Personal Hardship In order to be eligible for Financial Assistance due to Financial or Personal Hardship under this Policy, a patient or guarantor must: - Submit a completed Financial Assistance Application with all supporting documentation and be approved in accordance with this Policy; - Be an Indiana Resident as defined in this Policy; and - If Uninsured, consult with a member of IU Health's Individual Solutions department to determine if health care coverage may be obtained from a government insurance or assistance product, the Health Insurance Marketplace, or from any other source of coverage. Financial Assistance due to Financial Hardship is only available for encounters where care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility. 2. Financial Assistance due to Financial Hardship The FPL income threshold under this section is as follows: - If one or more adults and zero dependents are in the household, the FPL Income Threshold is 200%. - If two or more adults and one or more dependents are in the household, the FPL Income Threshold is 250%. - If one adult and one or more dependents are in the household, the FPL Income Threshold is 300%. In some instances, an adult will also qualify as a dependent. When this occurs, IU Health will treat the adult as a dependent for purposes of the FPL calculation. IU Health will utilize the most recent FPL data available and will apply the FPL data to a patient or guarantor's account balance based upon the calendar date a completed Financial Assistance Application was received, not a patient's date of service. An Uninsured Patient or their guarantor whose household income is less than or equal to the FPL income threshold may be eligible for full Financial Assistance up to 100% of Gross Charges if approved. An Underinsured Patient or their guarantor whose household income is less than or equal to the FPL income threshold may be eligible for full Financial Assistance up to 100% of Patient Responsibility if approved. 3. Financial Assistance due to Personal Hardship An Uninsured or Underinsured patient or their guarantor whose household income is above the FPL income threshold may be eligible for Financial Assistance if the patient's outstanding Patient Responsibility exceeds 20% of the patient's or their guarantor's annual household income. - If approved, the patient's balance will be reduced to 20% of the patient or guarantor's annual household income or the Amounts Generally Billed, whichever is less. - IU Health will work with the patient or guarantor to identify a reasonable payment plan on the remainder of the balance. 4. Eligibility Period If approved for financial assistance by IU Health, the patient will be guaranteed financial assistance for treatment related to the underlying condition, for which the patient was originally screened and approved, through the remainder of the calendar year. As a condition of extending the on-going Financial Assistance, the patient must comply with requests from IU Health to verify that the patient continues to meet the conditions for qualification. 5. Appeals and Assistance Granted By the Financial Assistance Committee The Financial Assistance Committee will review and make determinations on all requests for appeals related to Financial Assistance. If a patient or guarantor seeks to appeal a Financial Assistance Determination, a written request must be submitted, along with the supporting documentation. The Financial Assistance Committee will review requests for and may grant additional Financial Assistance, including but not limited to, the following: - Assistance to patients who are seeking treatment that can only be provided in Indiana by IU Health or who would benefit from continued medical services from IU Health for continuity of care; - Care approved by the IU Health Chief Medical Officer (CMO) or the Chief Executive Officer (CEO) or CMO of an IU Health facility or region, including medically necessary non-elective services for which no payment source can be identified; - Care provided when it is known no payment source exists; - International humanitarian aid; and - Other care identified by the Financial Assistance Committee that fulfills the IU Health Mission. All decisions of the Financial Assistance Committee are final. 6. Presumptive Eligibility No Financial Assistance Application is required to receive Financial Assistance under this Presumptive Eligibility section. IU Health will deem patients or their guarantors presumptively eligible for Financial Assistance if they are found to be eligible for one of the following programs and care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility: - Medicaid (any state) - Indiana Children's Special Health Care Services - Healthy Indiana Plan - Patients who are awarded Hospital Presumptive Eligibility (HPE) - A state and/or federal program that verifies the patient or guarantor's gross household income meets the FPL income threshold. IU Health will conduct a quarterly review of all accounts placed with a collection agency partner for at least one hundred and twenty (120) days after the account is eligible for an ECA as set forth in this Policy. If the patient or guarantor's individual scoring criteria demonstrates the patient has a low likelihood and/or propensity to pay or no credit, the patient or guarantor may be deemed presumptively eligible for Financial Assistance. Financial Assistance may additionally be granted in the following circumstances: - If the patient or their guarantor is found to have filed a petition for bankruptcy. - If the patient is deceased and found to have no estate. - If the patient is deceased and was under 21 years of age at the time of death. 7. Exhaustion of Alternate Sources of Assistance Patients must exhaust all other state and federal assistance programs prior to receiving Financial Assistance due to Financial or Personal Hardship under this Policy including, but not limited to, Medicaid. Patients who may be eligible for coverage under an applicable health insurance policy must exhaust all insurance benefits. - This includes patients covered under their own policy and those who may be entitled to benefits from a third-party policy. - IU Health may request patients show proof that such a claim was properly submitted to the appropriate insurance provider before awarding Financial Assistance. Eligible patients who receive medical care from an IU Health facility as a result of an injury proximately caused by a third party, and later receive a monetary settlement or award from said third party, may receive Financial Assistance for any outstanding balance not covered by the settlement or award. In the event Financial Assistance has already been granted in the above circumstances, IU Health reserves the right to reverse the Financial Assistance Determination in an amount equal to the amount IU Health would be entitled to receive had no Financial Assistance been awarded. 8. Patient Assets There are situations where a patient or their guarantor may have significant income or assets available to pay for healthcare services such as a legal settlement. The Financial Assistance Committee may evaluate the income or assets in determining Financial Hardship. IU Health may require a list of all property owned by the patient or guarantor and adjust a Financial Assistance Determination as a result.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - IU HEALTH NORTH HOSPITAL. IU Health North Hospital takes several other measures to publicize its FAP within the community. These measures include the following: 1. Post this Policy, a Plain Language Summary of this Policy, and the Financial Assistance Application on its website. 2. Provide patients with a Plain Language Summary of this Policy during registration and/or discharge. 3. Post conspicuous displays in appropriate acute care settings such as emergency departments and registration areas describing the available assistance and directing eligible patients to the Financial Assistance Application. 4. Include a conspicuous written notice on all patient post-discharge billing statements notifying the patient about this Policy and the telephone number of the Customer Service Department which can assist patients with questions regarding this Policy. 5. Make available Customer Service representatives via telephone during normal business hours. 6. Mail copies of this Policy, a Plain Language Summary of this Policy, and a Financial Assistance Application to patients or their guarantor free of charge upon request. 7. Broadly communicate this Policy as a part of its general outreach efforts. 8. Educate patient-facing team members on this Policy and the process for referring patients to the program.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a C.B. REPORT PREPARED BY A RELATED ORG.	IU HEALTH NORTH HOSPITAL'S COMMUNITY BENEFIT AND OTHER INVESTMENTS, ENCOMPASSING ITS TOTAL COMMUNITY INVESTMENT, ARE INCLUDED IN THE IU HEALTH COMMUNITY BENEFIT REPORT WHICH IS PREPARED ON BEHALF OF AND INCLUDES IU HEALTH AND ITS RELATED HOSPITAL ENTITIES IN THE STATE OF INDIANA. THE IU HEALTH COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC ON IU HEALTH'S WEBSITE AT: HTTPS://IUHEALTH.ORG/IN-THE-COMMUNITY/COMMUNITY-BENEFIT. THE IU HEALTH COMMUNITY BENEFIT REPORT IS ALSO DISTRIBUTED TO NUMEROUS KEY ORGANIZATIONS THROUGHOUT THE STATE OF INDIANA IN ORDER TO BROADLY SHARE THE IU HEALTH STATEWIDE SYSTEM'S COMMUNITY BENEFIT EFFORTS. IT IS ALSO AVAILABLE BY REQUEST THROUGH THE INDIANA STATE DEPARTMENT OF HEALTH OR IU HEALTH.
Schedule H, Part I, Line 7c TOTAL COMMUNITY BENEFIT EXPENSE	SCHEDULE H, PART I, LINE 7, COLUMN (F), PERCENT OF TOTAL EXPENSE, IS BASED ON COLUMN (E) NET COMMUNITY BENEFIT EXPENSE. THE PERCENT OF TOTAL EXPENSE BASED ON COLUMN (C) TOTAL COMMUNITY BENEFIT EXPENSE, WHICH EXCLUDES DIRECT OFFSETTING REVENUE, IS 15.10%.
Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE	The amount of bad debt expense subtracted for purposes of calculating the percentage of total expense on Line 7, column (f) is $13,444,567. Bad Debt expense is reported at cost based on the cost-to-charge ratio derived from worksheet 2, ratio of patient care cost-to-charges.
Schedule H, Part II PROMOTION OF HEALTH IN COMMUNITIES SERVED	IU Health North Hospital participates in a variety of community-building activities that address the social determinants of health in the communities it serves. IU Health North and its related hospital entities across the state of Indiana ("IU Health Statewide System") invest in economic development efforts across the state, collaborate with like-minded organizations through coalitions that address key issues, and advocate for improvements in the health status of vulnerable populations. This includes making contributions to community-building activities by providing investments and resources to local community initiatives. Several examples include IU Health North's support of the following organizations' efforts that focus on some of the root causes of health issues, such as access to healthcare, lack of education, insufficient access to resources, employment and poverty: - Aspire Indiana, Inc. - Heart and Soul Clinic - Indiana Center for the Prevention of Youth Abuse and Suicide - Partnership for a Healthy Hamilton County - Shepherd's Center of Hamilton County - Trinity Free Clinic Additionally, through the IU Health Statewide System's team member volunteer program, IU Health Serves, team members across the state positively impact the health of the community and foster a culture of engagement and social responsibility. In 2020, more than 1,400 team members throughout the statewide system dedicated time to support over 49 projects to positively impact the community.
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted care	IU Health North Hospital uses several factors other than Federal Poverty Guidelines ("FPGs") in determining eligibility for free care under its FAP. These factors include the following: 1. Eligibility for Financial Assistance due to Financial or Personal Hardship In order to be eligible for Financial Assistance due to Financial or Personal Hardship under this Policy, a patient or guarantor must: - Submit a completed Financial Assistance Application with all supporting documentation and be approved in accordance with this Policy; - Be an Indiana Resident as defined in this Policy; and - If Uninsured, consult with a member of IU Health's Individual Solutions department to determine if health care coverage may be obtained from a government insurance or assistance product, the Health Insurance Marketplace, or from any other source of coverage. Financial Assistance due to Financial Hardship is only available for encounters where care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility. 2. Financial Assistance due to Financial Hardship The FPL income threshold under this section is as follows: - If one or more adults and zero dependents are in the household, the FPL Income Threshold is 200%. - If two or more adults and one or more dependents are in the household, the FPL Income Threshold is 250%. - If one adult and one or more dependents are in the household, the FPL Income Threshold is 300%. In some instances, an adult will also qualify as a dependent. When this occurs, IU Health will treat the adult as a dependent for purposes of the FPL calculation. IU Health will utilize the most recent FPL data available and will apply the FPL data to a patient or guarantor's account balance based upon the calendar date a completed Financial Assistance Application was received, not a patient's date of service. An Uninsured Patient or their guarantor whose household income is less than or equal to the FPL income threshold may be eligible for full Financial Assistance up to 100% of Gross Charges if approved. An Underinsured Patient or their guarantor whose household income is less than or equal to the FPL income threshold may be eligible for full Financial Assistance up to 100% of Patient Responsibility if approved. 3. Financial Assistance due to Personal Hardship An Uninsured or Underinsured patient or their guarantor whose household income is above the FPL income threshold may be eligible for Financial Assistance if the patient's outstanding Patient Responsibility exceeds 20% of the patient's or their guarantor's annual household income. - If approved, the patient's balance will be reduced to 20% of the patient or guarantor's annual household income or the Amounts Generally Billed, whichever is less. - IU Health will work with the patient or guarantor to identify a reasonable payment plan on the remainder of the balance. 4. Eligibility Period If approved for financial assistance by IU Health, the patient will be guaranteed financial assistance for treatment related to the underlying condition, for which the patient was originally screened and approved, through the remainder of the calendar year. As a condition of extending the on-going Financial Assistance, the patient must comply with requests from IU Health to verify that the patient continues to meet the conditions for qualification. 5. Appeals and Assistance Granted By the Financial Assistance Committee The Financial Assistance Committee will review and make determinations on all requests for appeals related to Financial Assistance. If a patient or guarantor seeks to appeal a Financial Assistance Determination, a written request must be submitted, along with the supporting documentation. The Financial Assistance Committee will review requests for and may grant additional Financial Assistance, including but not limited to, the following: - Assistance to patients who are seeking treatment that can only be provided in Indiana by IU Health or who would benefit from continued medical services from IU Health for continuity of care; - Care approved by the IU Health Chief Medical Officer (CMO) or the Chief Executive Officer (CEO) or CMO of an IU Health facility or region, including medically necessary non-elective services for which no payment source can be identified; - Care provided when it is known no payment source exists; - International humanitarian aid; and - Other care identified by the Financial Assistance Committee that fulfills the IU Health Mission. All decisions of the Financial Assistance Committee are final. 6. Presumptive Eligibility No Financial Assistance Application is required to receive Financial Assistance under this Presumptive Eligibility section. IU Health will deem patients or their guarantors presumptively eligible for Financial Assistance if they are found to be eligible for one of the following programs and care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility: - Medicaid (any state) - Indiana Children's Special Health Care Services - Healthy Indiana Plan - Patients who are awarded Hospital Presumptive Eligibility (HPE) - A state and/or federal program that verifies the patient or guarantor's gross household income meets the FPL income threshold. IU Health will conduct a quarterly review of all accounts placed with a collection agency partner for at least one hundred and twenty (120) days after the account is eligible for an ECA as set forth in this Policy. If the patient or guarantor's individual scoring criteria demonstrates the patient has a low likelihood and/or propensity to pay or no credit, the patient or guarantor may be deemed presumptively eligible for Financial Assistance. Financial Assistance may additionally be granted in the following circumstances: - If the patient or their guarantor is found to have filed a petition for bankruptcy. - If the patient is deceased and found to have no estate. - If the patient is deceased and was under 21 years of age at the time of death. 7. Exhaustion of Alternate Sources of Assistance Patients must exhaust all other state and federal assistance programs prior to receiving Financial Assistance due to Financial or Personal Hardship under this Policy including, but not limited to, Medicaid. Patients who may be eligible for coverage under an applicable health insurance policy must exhaust all insurance benefits. - This includes patients covered under their own policy and those who may be entitled to benefits from a third-party policy. - IU Health may request patients show proof that such a claim was properly submitted to the appropriate insurance provider before awarding Financial Assistance. Eligible patients who receive medical care from an IU Health facility as a result of an injury proximately caused by a third party, and later receive a monetary settlement or award from said third party, may receive Financial Assistance for any outstanding balance not covered by the settlement or award. In the event Financial Assistance has already been granted in the above circumstances, IU Health reserves the right to reverse the Financial Assistance Determination in an amount equal to the amount IU Health would be entitled to receive had no Financial Assistance been awarded. 8. Patient Assets There are situations where a patient or their guarantor may have significant income or assets available to pay for healthcare services such as a legal settlement. The Financial Assistance Committee may evaluate the income or assets in determining Financial Hardship. IU Health may require a list of all property owned by the patient or guarantor and adjust a Financial Assistance Determination as a result.
Schedule H, Part I, Line 7g Subsidized Health Services	IU HEALTH NORTH HOSPITAL DOES NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	13444567
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	The amount reported on line 2 as bad debt is reported at cost, as calculated using the cost to charge ratio methodology.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	IU Health will deem patients or their guarantors presumptively eligible for Financial Assistance if they are found to be eligible for one of the following programs and care was initiated via an eligible facility's emergency department, direct admission from a physician's office, or transfer from another hospital facility: 1. Medicaid (any state) 2. Indiana Children's Special Health Care Services 3. Healthy Indiana Plan 4. Patients who are awarded Hospital Presumptive Eligibility (HPE) 5. A state and/or federal program that verifies the patient or guarantor's gross household income meets the FPL income threshold. No Financial Assistance Application is required to receive Financial Assistance under this Presumptive Eligibility section. IU Health will conduct a quarterly review of all accounts placed with a collection agency partner for at least one hundred and twenty (120) days after the account is eligible for an ECA as set forth in this Policy. If the patient or guarantor's individual scoring criteria demonstrates the patient has a low likelihood and/or propensity to pay or no credit, the patient or guarantor may be deemed presumptively eligible for Financial Assistance. Financial Assistance may additionally be granted in the following circumstances: a) If the patient or their guarantor is found to have filed a petition for bankruptcy. b) If the patient is deceased and found to have no estate. c) If the patient is deceased and was under 21 years of age at the time of death. Due to this comprehensive methodology, IU Health does not believe any amount of bad debt is attributable to patients who may be eligible under the financial assistance policy and no portion of bad debt is included as community benefit.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	IU Health's consolidated financial statements, footnote 4, addresses bad debt expense as follows: The Indiana University Health System does not require collateral or other security from its patients, substantially all of whom are residents of the State, for the delivery of health care services. However, consistent with industry practice, the Indiana University Health System routinely obtains assignment of (or is otherwise entitled to receive) patients' benefits payable under their health insurance programs, plans, or policies (e.g., Medicare, Medicaid, managed care payers, and commercial insurance policies). The Indiana University Health System uses a portfolio approach to account for categories of patient contracts as a collective group, rather than recognizing revenue on an individual contract basis. The portfolios consist of major payer classes for inpatient revenue and outpatient revenue. Based on the historical collection trends and other analysis, the Indiana University Health System believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach were used. In support of its mission, the Indiana University Health System provides care to uninsured and underinsured patients. The Indiana University Health System provides charity care to patients who lack financial resources and are deemed to be medically indigent. Financial assistance is available to qualifying uninsured and underinsured patients receiving care at an Indiana University Health System hospital location. Under its financial assistance policy, the Indiana University Health System provides medically necessary care to uninsured patients. Financial assistance up to the full amount of patient financial responsibility is available for uninsured and underinsured patients receiving care via the emergency department, direct admission from a physician's office, or transfer from another hospital. The federal poverty level (FPL) thresholds for this type of financial assistance are based on household makeup. Households without dependents are eligible for assistance if household income is less than or equal to 200% FPL, two adults and at least one dependent are eligible if household income is less than or equal to 250% FPL, and households with one adult and at least one dependent are eligible if household income is less than or equal to 300% FPL. Individuals with medical bills totaling more than 20% of annual household income, regardless of FPL, qualify for catastrophic assistance and are eligible for a reduction in patient financial responsibility to 20% of annual household income. Since the Indiana University Health System does not pursue collection of these amounts, the discounted amounts are not reported as patient service revenue. The Indiana University Health System uses presumptive eligibility screening procedures for some forms of financial assistance and recognizes net patient service revenue on services provided to self-pay patients at the discounted rate at the time services are rendered. The estimated cost of charity care, using the consolidated cost to charge ratio, was $90,358,000 and $96,693,000 in 2020 and 2019, respectively.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The amount reported on Schedule H, Part III, Line 6 is calculated, in accordance with the Form 990 instructions, using "allowable costs" from IU Health North Hospital's Medicare Cost Report. "Allowable costs" for Medicare Cost Report purposes, however, are not reflective of all costs associated with IU Health North Hospital's participation in Medicare programs. For example, the Medicare Cost Report excludes certain costs such as billed physician services, the costs of Medicare Parts C and D, fee schedule reimbursed services, and durable medical equipment services. Inclusion of all costs associated with IU Health North's participation in Medicare programs would significantly increase the Medicare shortfall reported on Schedule H, Part III, Line 7. IU Health North Hospital's Medicare shortfall is attributable to reimbursements that are less than the cost of providing patient care and services to Medicare beneficiaries and does not include any amounts that result from inefficiencies or poor management. IU Health North Hospital accepts all Medicare patients knowing that there may be shortfalls; therefore it has taken the position that any shortfall should be counted as part of its community benefit. Additionally, it is implied in Internal Revenue Service Revenue Ruling 69-545 that treating Medicare patients is a community benefit. Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with governmental health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IU Health North Hospital's FAP and Written Debt Collection Policy describe the collection practices applicable to patients, including those who may qualify for financial assistance. 1. Financial Assistance Application Financial Assistance Applications must include the following documentation: - All sources of Income for the last three (3) months. - Most recent three (3) months of pay stubs or Supplemental Security Income via Social Security. - Most recent three (3) statements from checking and savings accounts, certificates of deposit, stocks, bonds and money market accounts. - Most recent state and Federal Income Tax forms including Schedules C, D, E, and F. In the event the patient or guarantor's income does not warrant the filing of a federal tax statement, the individual may submit a notarized affidavit attesting to the foregoing. - Most recent W-2 statement. - For patients or members of the Household who are currently unemployed, Wage Inquiry from WorkOne. - If applicable, divorce/dissolution decrees and child custody order. Patients or their guarantors wishing to apply for Financial Assistance due to Financial Hardship are encouraged to submit an Application within ninety (90) days of discharge. Patients or their guarantors may submit an Application up to two-hundred and forty (240) days from the date of their initial post-discharge billing statement from IU Health, however, accounts may be subject to Extraordinary Collection Actions (ECA) as soon as one-hundred and twenty (120) days after receipt of the initial post-discharge billing statement. Patients or their guarantors submitting an incomplete Financial Assistance Application will receive written notification of the Application's deficiency upon discovery by IU Health. The Application will be pended for a period of forty-five (45) days from the date the notification is mailed. IU Health will suspend any ECA until the Application is complete or the expiration of the forty-five (45) day period. Patients with limited English proficiency may request a copy of this Policy, a Financial Assistance Application, and a Plain Language Summary in one of the below languages: - Arabic; - Burmese; - Burmese - Falam; - Burmese - Hakha Chin; - Mandarin/Chinese; or - Spanish The patient, and/or their representative, such as the patient's physician, family members, legal counsel, community or religious groups, social services or hospital personnel may request a Financial Assistance Application be mailed to a patient's primary mailing address free of charge. IU Health maintains the confidentiality of all Financial Assistance Applications and supporting documentation. IU Health will deny or revoke Financial Assistance for any patient or guarantor who falsifies any portion of a Financial Assistance Application. 2. Financial Assistance Determinations IU Health will inform patients or guarantors of the results of their Application by providing the patient or guarantor with a Financial Assistance Determination within ninety (90) days of receiving a completed Application and all requested documentation. A patient's Financial Assistance Application and Financial Assistance Determination are specific to each date(s) of service and approved related encounters. If a patient or guarantor is granted less than full charity assistance and the patient or guarantor provides additional information for reconsideration, Revenue Cycle Services may amend a prior Financial Assistance Determination. 3. Extraordinary Collection Actions IU Health may refer delinquent patient accounts to a third-party collection agency after utilizing reasonable efforts to determine a patient's eligibility for assistance under this Policy. Reasonable efforts include the following: - IU Health will notify the patient of this Policy at least thirty (30) days prior to initiating an ECA. - IU Health will not initiate an ECA for at least one-hundred and twenty (120) days after the patient's initial post-discharge billing statement. - IU Health will review all Financial Assistance Applications received up to and including two-hundred and forty (240) days after the patient's initial post-discharge billing statement. IU Health will cease any ECAs it has initiated upon receipt of a Financial Assistance Application until a Financial Assistance Determination is made under this policy. - If an Application is Approved, IU Health will issue a revised statement, issue refunds, and make reasonable efforts to reverse ECAs as necessary. IU Health and its third-party collection agencies may initiate an ECA against a patient or their guarantor in accordance with this Policy and 26 C.F.R. § 1.501(r). ECAs may include the following: - Selling a patient or their guarantor's outstanding financial responsibility to a third party. - Reporting adverse information about the patient or their guarantor to consumer credit reporting agencies or credit bureaus. - Deferring or denying, or requiring a payment before providing, medically necessary care because of a patient or their guarantor's nonpayment of one or more bills for previously provided care covered under this Policy. - Actions requiring a legal or judicial process, including but not limited to placing a lien on a patient's or their guarantor's property, foreclosing on a patient's or their guarantor's real property, attaching or seizing a patient's or their guarantor's bank account or other personal property, commencing a civil action against a patient or their guarantor, causing a patient or guarantor's arrest, causing a patient and/or guarantor to be subject to a writ of body attachment, and garnishing a patient or guarantor's wages When it is necessary to engage in such action, IU Health and its third party collection agencies, will engage in fair, respectful and transparent collections activities. 4. Refunds Patients eligible for Financial Assistance under this Policy who remitted payment to IU Health in excess of their Patient Responsibility will be alerted to the overpayment as promptly after discovery as is reasonable given the nature of the overpayment. Patients with an outstanding account balance due on a separate account will have their refund applied to the outstanding balance. Patients without an outstanding account balance described above will be issued a refund check for their overpayment as soon as technically feasible.
Schedule H, Part V, Section B, Line 16a FAP website	- IU HEALTH NORTH HOSPITAL: Line 16a URL: https://iuhealth.org/pay-a-bill/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- IU HEALTH NORTH HOSPITAL: Line 16b URL: https://iuhealth.org/pay-a-bill/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- IU HEALTH NORTH HOSPITAL: Line 16c URL: https://iuhealth.org/pay-a-bill/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	Communities are multifaceted and so are their health needs. IU Health North Hospital understands that the health of individuals and communities are shaped by various social and environmental factors, along with health behaviors and additional influences. IU Health North Hospital assesses the health care needs of the communities it serves by conducting a Community Health Needs Assessment (CHNA) for each of its hospital locations. For the 2018 CHNAs, Indiana University Health conducted the community survey data collection in collaboration with Indiana University, University of Evansville, and an Indiana Hospital Collaborative, including Community Health Network, Franciscan Alliance, St. Vincent Health, and other hospital partners. After completion of the CHNA, IU Health North Hospital reviewed secondary data, findings from other community health assessments of areas served by the hospital, input obtained from individuals who participated in community meetings, input obtained from key stakeholders, and a community survey to identify and analyze the needs identified by each source. The top health needs of the IU Health communities are those that are supported by multiple data sources. Additionally, the effectiveness of an intervention for each need and IU Health's ability to impact positive change was evaluated. IU Health believes its CHNA process is comprehensive and additional assessments are not required.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	IU Health North Hospital is committed to serving the healthcare needs of all of its patients regardless of their ability to pay for such services. To assist in meeting those needs, IU Health North Hospital has established a FAP to provide Financial Assistance to Uninsured Patients. IU Health North Hospital is committed to ensuring its patients are compliant with all provisions of the Patient Protection & Affordable Care Act. To that end, IU Health North Hospital will make a good faith effort to locate and obtain health insurance coverage for patients prior to considering patients for coverage under the FAP. IU Health North Hospital takes several measures to inform its patients of the FAP and FAP-eligibility. These measures include the following: 1. Post this Policy, a Plain Language Summary of this Policy, and the Financial Assistance Application on its website. 2. Provide patients with a Plain Language Summary of this Policy during registration and/or discharge. 3. Post conspicuous displays in appropriate acute care settings such as emergency departments and registration areas describing the available assistance and directing eligible patients to the Financial Assistance Application. 4. Include a conspicuous written notice on all patient post-discharge billing statements notifying the patient about this Policy and the telephone number of the Customer Service Department which can assist patients with questions regarding this Policy. 5. Make available Customer Service representatives via telephone during normal business hours. 6. Mail copies of this Policy, a Plain Language Summary of this Policy, and a Financial Assistance Application to patients or their guarantor free of charge upon request. 7. Broadly communicate this Policy as a part of its general outreach efforts. 8. Educate patient-facing team members on this Policy and the process for referring patients to the program.
Schedule H, Part VI, Line 4 Community information	IU Health North Hospital is in Hamilton County, Indiana, a county located in central Indiana. Its service area counties include Marion, Hamilton, Boone, Hendricks, Hancock, Madison, and Tipton counties. Hamilton County includes ZIP codes within the towns of Arcadia, Atlanta, Carmel, Cicero, Fishers, Noblesville, Sheridan, and Westfield. Based on the most recent Census Bureau (2020) statistics, Hamilton County's population is 347,467 persons with approximately 51.2% being female and 48.8% male. The county's population estimates by race are 82.8% White, 4.5% Black, 4.3% Hispanic or Latino, 6.5%% Asian, 0.2% American Indian or Alaska Native, and 2.1% persons reporting two or more races. Hamilton County has relatively high levels of educational attainment. Among residents ages 25 and up, 96.8% completed their education with a high school diploma or equivalent. Among resident ages 25 and up, 59.3% earned a bachelor's degree or higher.
Schedule H, Part VI, Line 5 Promotion of community health	IU Health North Hospital is a subsidiary of Indiana University Health, Inc., a tax-exempt healthcare organization, whose Board of Directors is composed of members of which substantially all are independent community members. During 2020, IU Health North Hospital's promotion of community health included the following highlights: In 2020, IU Health North Hospital maintained a strong presence across the northern Indianapolis suburbs in Hamilton County and supported numerous not-for-profit agencies including local parks departments, medical and dental clinics that provide care to the un- and under-insured, behavioral health agencies and organizations that provide health and social services to seniors who are in need. As part of these efforts, IU Health North Hospital also continued its participation in the Partnership for a Healthy Hamilton County in conjunction with Riverview Health, Aspire Indiana Health, Good Samaritan Network and several other health-related agencies in the county. This group seeks to transform communities by influencing and leading health innovation through community collaborations. IU Health North Hospital provided a 10-week fitness and nutrition program, Fresh & Fit, to 100 Hamilton County residents helping them to improve their overall health by lowering cholesterol, blood pressure, blood sugar, A1C and weight. Participants in Fresh & Fit also report additional benefits of the program including increased energy, improved mental well-being, reduced joint pain and a reduction in medications. Fresh & Fit was extended out an additional five weeks in 2020 to accommodate fitness center closures during the coronavirus pandemic. IU Health North Hospital is a subsidiary of IU Health. IU Health and its related hospital entities across the state of Indiana extend medical privileges to all physicians who meet the credentialing qualifications necessary for appointment to its medical staff. IU Health does not deny appointments based on gender, race, creed or national origin. IU Health, in conjunction with the IU School of Medicine, trains the next generation of physicians in an exceptional environment. Blending breakthrough research and treatments with the highest quality of patient care.
Schedule H, Part VI, Line 6 Affiliated health care system	IU Health North Hospital is part of the IU Health Statewide System. The IU Health Statewide system is Indiana's most comprehensive healthcare system. A unique partnership with the Indiana University School of Medicine ("IU School of Medicine"), one of the nation's leading medical schools, gives patients access to innovative treatments and therapies. IU Health is comprised of hospitals, physicians and allied services dedicated to providing preeminent care throughout Indiana and beyond. National Recognition - Eight hospitals designated as Magnet by the American Nurses Credentialing Center recognizing excellence in nursing care. - U.S. News & World Report - Annual Rankings - IU Health Medical Center is nationally ranked for the 23rd year in a row. IU Health Medical Center is nationally ranked in 3 adult specialties and 10 pediatric specialties and rated high performing in 5 adult specialties and 6 procedures and conditions. - IU Health has five hospitals that are considered high performing in certain procedures and conditions: IU Health Ball, IU Health Arnett, IU Health North, IU Health West, and IU Health Bloomington hospitals. - Riley Hospital for Children at IU Health is nationally ranked in 10 pediatric specialties. IU Health Statewide System Hospitals in the system include the following: - IU Health Inc. (i.e., the IU Health Academic Health Center consists of IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health, and IU Health Saxony Hospital) - IU Health Arnett - IU Health Ball - IU Health Bedford Hospital - IU Health Blackford - IU Health Bloomington Hospital - IU Health Frankfort - IU Health Jay - IU Health North Hospital - IU Health Paoli Hospital - IU Health Tipton Hospital - IU Health West Hospital - IU Health White Memorial Hospital The system is divided into five regions that serve communities in Northwest, Northeast, Central, and Southern Indiana. IU Health Inc. has significant statewide reach as a: 1) teaching hospital, 2) research activities with the IU School of Medicine and other national collaborations, 3) Riley's network of locations throughout the state due to its pediatric expertise, and 4) Riley's trauma department is the only Level I Pediatric Trauma Center in Indiana. Although each hospital in the system conducts and adopts its own CHNA and implementation strategy, the system considers the sum of these plans part of a system wide goal of making Indiana one of the healthiest states in the nation. The hospitals are guided by a system wide mission to improve the health of our patients and community through innovation, and excellence in care, education, research, and service. The system is keenly aware of the positive impact it can have on improving the health of communities throughout the state of Indiana by aligning resources in a system-level and strategic way. Education and Research The system includes the Academic Health Center that works in partnership with the IU School of Medicine to train physicians, blending breakthrough research and treatments with the highest quality of patient care. Each year, more than 1,000 residents and fellows receive training in IU Health hospitals. Research conducted by IU School of Medicine faculty gives IU Health physicians and patients access to the most leading-edge and comprehensive treatment options. In 2017, IU Health and the IU School of Medicine announced that they would invest $50 million over six years in the Strategic Research Initiative (SRI), a new research collaboration that has enhanced the institutions' joint capabilities in fundamental scientific investigation, translational research and clinical trials. The initial focus is on projects in the fields of neuroscience, cancer and cardiovascular disease with the goal to fund transformative proposals that will fundamentally change the understanding of these diseases and lead to important new therapies for patients. The three target research areas represent research strengths at IU School of Medicine, key strategic service lines for IU Health, and important medical needs in a time of an aging population and rising healthcare costs. One of the most significant outcomes of this initiative includes the Indiana University Melvin and Bren Simon Cancer Center receiving the National Cancer Institute's (NCI)-designated status of "comprehensive." This designation was achieved in August 2019 making the center the only NCI-designated Comprehensive Cancer Center in Indiana and one of just 51 in the nation. Community Health To further promote the health of the communities served by the system, the system-level Community Health team builds the capabilities and competencies to impact team members, risk lives, and patients throughout the system. Additionally, the team partners with state and local community-based organizations, community coalitions, and governmental agencies to pursue a system-level advocacy/collaboration strategy that seeks to improve the health of communities. All hospitals in the system identify and address significant health needs unique to the community it serves. However, because some of these health needs are common in communities served by multiple hospitals in the system, they warrant a system level strategy. Community Health plans and provides technical assistance for system-level strategies that address these common health needs including health equity, tobacco treatment, behavioral health access, and social needs. Each hospital works collaboratively with the Community Health team to operationalize system-level strategies through the implementation of specific activities that align and activate local resources. This benefits the community each hospital serves and works towards a statewide impact (system-level) on health outcomes. IU Health Serves IU Health Serves, a system-level team member volunteer program, seeks to positively impact the health of communities the IU Health Statewide System serves and fosters a culture of engagement and social responsibility. IU Health Inc. coordinates the different initiatives of the program, including Days of Service. This is the largest volunteer event of the year, consisting of projects designed to engage IU Health Inc. team members in activities that address local, identified community health priorities. Community Impact Investment (CII) Fund The CII Fund is a $100 million board designated fund to be managed and overseen by the IU Health Foundation to financially support high impact community investing designed to address social determinants of health in communities IU Health serves. Each IU Health hospital has a significant impact on and are deeply invested in their local communities. Through the grants provided by this CII Fund, IU Health can strategically and intentionally address the social, economic and environmental factors that impact the health of our surrounding communities. Each IU Health hospital and its team members are eligible for this grant opportunity.
Schedule H, Part VI, Line 7 State filing of community benefit report	IN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
Susie's Place
7519 Beechwood Centre Road	Avon	IN	46123	262132955	501(c)(3)	$10,000	FMV	General Support
Trinity Free Clinic
1045 West 146th Street	Carmel	IN	46032	352120420	501(c)(3)	$11,600	FMV	General Support
Boys & Girls Club of Tipton County
341 W Jefferson St	Tipton	IN	46072	351871264	501(c)(3)	$11,000	FMV	General Support
Indiana Center for Prevention
4607 East 106th Street	Carmel	IN	46033	352072683	501(c)(3)	$6,000	FMV	General Support
Shepherd's Center of Hamilton County
347 S 8th Street Suite B	Noblesville	IN	46060	311131854	501(c)(3)	$25,000	FMV	General Support
Hope Healthcare Services
107 Park Place Blvd	Avon	IN	46123	830404310	501(c)(3)	$5,975	FMV	General Support
Good Shepherd Food Pantry Division of Second Blessing Ministry
138 East Jefferson Street	Tipton	IN	46072	202705291	501(c)(3)	$5,000	FMV	General Support
Good Samaritan Network
12933 Parkside Dr	Fishers	IN	46038	204371453	501(c)(3)	$20,377	FMV	General Support
Sheltering Wings
PO Box 92	Danville	IN	46122	352077713	501(c)(3)	$8,048	FMV	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	Although Indiana University Health North Hospital, Inc. does not monitor the use of grant funds once distributed, through due diligence the organization has reasonably confirmed that the entities or individuals to which the contributions are made meet specified qualifications, and in the case of entities, are highly reputable in the community and use the funds for the purposes intended.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH D PUCKETT
DIRECTOR / REGIONAL PRESIDENT (ISR)	$0	$530,772	$0	$264,649	$0	$23,256	$0	$110,203	$0	$31,828	$0	$960,708	$0	$0
MATTHEW R COOK
DIRECTOR (PART YEAR)	$0	$624,019	$0	$300,294	$0	$23,213	$0	$18,400	$0	$24,500	$0	$990,426	$0	$0
KEVIN L SMITH MD
DIRECTOR	$0	$422,104	$0	$5,005	$0	$97,270	$0	$17,650	$0	$899	$0	$542,928	$0	$0
MEGAN CRITTENDON MD
DIRECTOR	$0	$358,280	$0	$7,023	$0	$1,810	$0	$17,492	$0	$0	$0	$384,605	$0	$0
KRISTY A SCHULHOF
FORMER OFFICER	$0	$0	$0	$0	$0	$347,648	$0	$1,514	$0	$0	$0	$349,162	$0	$347,648
CARA L BREIDSTER
REGIONAL CFO (ISR)	$0	$264,625	$0	$46,094	$0	$56,940	$0	$18,631	$0	$25,745	$0	$412,036	$0	$0
DEREK E EMPIE
SECRETARY (PART YEAR)	$0	$253,961	$0	$43,264	$0	$31,861	$0	$18,354	$0	$31,916	$0	$379,357	$0	$0
ATHANASIA S BANICH
PRESIDENT	$0	$177,430	$0	$30,362	$0	$21,088	$0	$5,314	$0	$29,861	$0	$264,055	$0	$0
MARK A MCLEAN
FORMER KEY EMPLOYEE	$0	$182,713	$0	$22,715	$0	$6,249	$0	$13,949	$0	$21,028	$0	$246,653	$0	$0
HARPREETINDER SINGH MD
REGIONAL CMO (ISR)	$0	$348,976	$0	$59,386	$0	$55,490	$0	$17,044	$0	$23,440	$0	$504,335	$0	$0
ARTHUR VASQUEZ
REGIONAL COO (ISR)	$0	$312,385	$0	$50,036	$0	$35,305	$0	$18,400	$0	$32,167	$0	$448,294	$0	$0
LISA A SPARKS RN
REGIONAL CNO (ISR)	$0	$225,418	$0	$37,088	$0	$28,966	$0	$16,988	$0	$31,016	$0	$339,475	$0	$0
TAMARAH D BROWNLEE
REGIONAL VP-HR (ISR)	$0	$167,995	$0	$28,939	$0	$12,288	$0	$13,635	$0	$34,685	$0	$257,543	$0	$0
PAUL M CALKINS MD
VP & CMO (PART YEAR)	$292,517	$318,097	$0	$0	$0	$0	$0	$0	$0	$0	$292,517	$318,097	$0	$0
DIANE L HESSON
FORMER HCE	$0	$154,797	$0	$20,683	$0	$24,085	$0	$14,415	$0	$25,115	$0	$239,095	$0	$0
CHAD A DILLEY
FORMER HCE	$0	$160,428	$0	$19,253	$0	$19,361	$0	$11,617	$0	$10,872	$0	$221,532	$0	$0
MICHAEL L HARLOWE
PRESIDENT - TIPTON	$7,709	$251,509	$1,259	$41,084	$1,010	$32,951	$208	$6,792	$839	$27,377	$11,026	$359,713	$0	$0
JANICE M VADAS
DIRECTOR-ALLIED SERVICES	$181,314	$0	$17,437	$0	$690	$0	$12,469	$0	$3,622	$0	$215,531	$0	$0	$0
Patricia Bowling
Director-Surgical Services	$142,035	$0	$16,297	$0	$4,831	$0	$11,104	$0	$31,288	$0	$205,554	$0	$0	$0
NANCY DAVISON
Regional Director-Imaging Services	$137,543	$0	$8,055	$0	$5,663	$0	$4,676	$0	$76	$0	$156,013	$0	$0	$0
SUN RIEHM
Pharmacist	$154,067	$0	$600	$0	$5,175	$0	$10,695	$0	$11,193	$0	$181,730	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part II COMPENSATION PAID FOR SERVICES RENDERED BY PAUL CALKINS	IU HEALTH NORTH CONTRACTED AND PAID ANESTHESIA CONSULTANTS, INC. FOR PAUL CALKINS' SERVICES AS THE VP & CHIEF MEDICAL OFFICER OF IU HEALTH NORTH. DURING 2020, COMPENSATION PAID BY IU HEALTH NORTH TO ANESTHESIA CONSULTANTS, INC. FOR HIS SERVICES TO IU HEALTH NORTH WAS $292,517. THIS AMOUNT IS REFLECTED IN COMPENSATION PAID BY IU HEALTH NORTH ON SCHEDULE J, PART II, IN COLUMN (B)(I), BASE COMPENSATION PAID BY IU HEALTH NORTH. Related organization, IU Health, Inc. contracted and paid Anesthesia Consultants, Inc. for Paul Calkins' services as the Interim Chief Medical Executive of IU Health, Inc. During 2020, compensation paid by IU Health, Inc. to Anesthesia Consultants, Inc. for his services was $318,097. This amount is reflected on Schedule J, Part II, in column(B)(i), row(ii), base compensation paid by IU Health, Inc.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	IU HEALTH NORTH HOSPITAL'S REGIONAL PRESIDENT IS EMPLOYED BY IU HEALTH. IU HEALTH NORTH HOSPITAL'S PRESIDENT IS ALSO EMPLOYED BY IU HEALTH, INC. IU HEALTH, IU HEALTH NORTH HOSPITAL, AND OTHER RELATED ENTITIES HAVE A PROCESS IN PLACE TO DETERMINE THE COMPENSATION FOR THE OTHER OFFICERS AND KEY EMPLOYEES. IU HEALTH HUMAN RESOURCES USES MARKET DATA FROM MULTIPLE COMPENSATION EXPERTS/VENDORS WHO UTILIZE A VARIETY OF METHODS AND PROCEDURES TO OBTAIN COMPENSATION RANGES FOR COMPARABLE OFFICER AND EMPLOYEE POSITIONS. THIS MARKET DATA AND MULTIPLE OTHER FACTORS (INCLUDING MARKET PAY BENCHMARKS, INTERNAL EQUITY, CANDIDATE/EMPLOYEE QUALIFICATIONS & PERFORMANCE, AND BUSINESS NEEDS) ARE USED TO RECOMMEND COMPENSATION RANGES FOR ITS OFFICERS AND OTHER EMPLOYEES, WHICH ARE THEN USED AS A GUIDE FOR SETTING REASONABLE COMPENSATION BY MANAGEMENT. PLEASE SEE SCHEDULE O FOR ADDITIONAL DETAILS.
Schedule J, Part I, Line 4a Severance or change-of-control payment	Kristy A. Schulhof entered into a severance agreement with IU Health during 2019. Severance of $347,648 that was received during 2020 is included in column B(III), other reportable compensation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	Matthew R. Cook and Kenneth D. Puckett participate in an IU Health supplemental executive retirement plan, provisions of which are designed to retain these critical employees. The plan provides for an additional retirement benefit for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, that benefit may be forfeited or reduced. Each of these executives listed above have an amount included in column c, deferred compensation, representing the current year unvested contributions made under the supplemental retirement plan. These amounts were not paid to these executives during the year.
Schedule J, Part I, Line 7 Non-fixed payments	Amounts disclosed in Column B(ii) include a long-term and short-term incentive for certain executives and short-term incentive for other employees. Although these plans are based on a fixed formula that has been approved by the Board of Directors based upon certain qualitative and quantitative factors and goals, all discretionary incentive plans must be approved by the Board of Directors prior to any incentive payout.
Schedule J, Part II COMPENSATION FROM AN UNRELATED ORGANIZATION OR INDIVIDUAL	NAME - PAUL M. CALKINS, M.D., COMPENSATION FROM UNRELATED ORGANIZATION - 292517.000000, NAME OF UNRELATED ORGANIZATION - ANESTHESIA CONSULTANTS, INC., TYPE OF COMPENSATION - SERVICES AS CMO

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
LINE J - WEB SITE	HTTPS://IUHEALTH.ORG/FIND-LOCATIONS/IU-HEALTH-NORTH-HOSPITAL
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 684,237 including grants of $ 0)(Revenue $ 1,050,446) IU Health North Hospital leases physician office and clinic space to tax-exempt related 501(c)(3) organizations.
Form 990, Part VI, Line 1b INDEPENDENT VOTING MEMBERS	IU HEALTH NORTH HOSPITAL IS PART OF A MULTI-ENTITY HOSPITAL SYSTEM CONTROLLED BY IU HEALTH, A 501(C)(3) TAX-EXEMPT ORGANIZATION WHOSE BOARD IS COMPRISED OF VOTING MEMBERS, OF WHICH SUBSTANTIALLY ALL ARE INDEPENDENT COMMUNITY MEMBERS.
Form 990, Part VI, Line 13 PART VI, LINES 12, 13, 14, AND 16B - POLICIES	IU Health North Hospital is part of the IU Health system. As the sole member and controlling parent of IU Health North Hospital, IU Health and its Board of Directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health North Hospital's Board of Directors was not required to separately adopt a conflict of interest, whistleblower, document retention and destruction and joint venture policies because IU Health's Board of Directors had already adopted and required these policies to be followed by its subsidiaries.
Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION	IU Health North Hospital's President is employed by IU Health. IU Health's process for determining compensation is as follows: (1) The Board of Directors ("Board") has established a Talent Management and Executive Compensation Committee ("TMECC"), the purpose of which includes reviewing and making recommendations regarding executive (Senior Vice Presidents and above) pay and benefits (collectively referred to as "compensation") on an annual basis. The TMECC is made up of members of the Board that are neither physicians nor employees and do not otherwise have a conflict of interest regarding any of IU Health's compensation arrangements. The TMECC reviews an executive's entire compensation package including base salary, short-term and long-term incentives, health and welfare benefits, qualified and nonqualified retirement plans, as well as any additional fringe benefits. As deemed appropriate, the Committee on Finance, which is also made up of members of the Board, may also review executive compensation and benefits. (2) The TMECC engages an independent compensation consulting firm on an annual basis to conduct a compensation analysis for its executive group, which consists of employees at the level of senior vice president and above. The current compensation advisor is SullivanCotter. SullivanCotter performs its analysis in the form of a compensation survey ("survey") that includes relevant comparability data for compensation levels paid by similarly situated organizations (both governmental and tax exempt) for functionally comparable positions as well as the availability of similar services in the geographic area. SullivanCotter then prepares a survey report and provides recommendations to the TMECC, if deemed appropriate, on changes in executive compensation. A separate analysis using the same methodology is done for the President and Chief Executive Officer. (3) The TMECC then reviews SullivanCotter's report and recommendations and, if appropriate, votes on whether to recommend any changes in executive compensation to the Board. The TMECC will only recommend changes to the Board if they are consistent with the Board's philosophy on compensation matters and are deemed reasonable based upon the independent analysis provided by SullivanCotter. The TMECC's review, discussion and vote are documented in the minutes for the meeting. There are no executives present during the final discussion and approval. (4) The Board then reviews the report prepared by SullivanCotter as well as the recommendations of the TMECC as to any changes in executive compensation. As deemed appropriate, the Committee on Finance may also provide its review of the TMECC's recommendations on any changes in executive compensation. This review and discussion are documented in the minutes. (5) The Board then votes on whether to accept the TMECC's recommendations on any changes in executive compensation. Changes in executive compensation are made if approved by the TMECC and Board on an annual basis, or as necessary throughout the year. The discussion and approval are documented in the minutes of the meeting. There are no executives present during the final discussion and approval. IU Health's General Counsel also prepares a formal written opinion reviewing the executive compensation approval process, comparing it to the Intermediate Sanctions Test of IRC Section 4958. If warranted, IU Health's General Counsel may also provide comments regarding the executive compensation approval process as it relates to meeting the requirements for a rebuttable presumption of reasonableness as provided in the Intermediate Sanctions Test. (6) After the end of each year, the TMECC and Board also review the achievements of the executive group as it relates to the long-term and short-term shared and individual goals developed by the executives and the Board. These achievements may also be reviewed with the Committee on Finance. The Board, at its discretion, may approve bonus payments based upon the achievement of the goals. The discussion and vote of the TMECC and Board is documented in the minutes for each such meeting. The bonuses are not paid until approval is made by the Board. (7) The TMECC and Audit Committee also review Form 990 disclosures related to executive compensation as well as the organization's practices and approval processes prior to the filing of the Form 990 return with the Internal Revenue Service. IU Health North Hospital's President and other officers and key employees of IU Health North are employed by IU Health, IU Health West, or other related entities, which have a process in place to determine the compensation for the other officers and key employees. IU Health Human Resources uses market data from multiple compensation experts/vendors who utilize a variety of methods and procedures to obtain compensation ranges for comparable officer and employee positions. This market data and multiple other factors (including market pay benchmarks, internal equity, candidate/employee qualifications & performance, and business needs) are used to recommend compensation ranges for its officers and other employees, which are then used as a guide for setting reasonable compensation by management.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE SOLE MEMBER OF IU HEALTH NORTH HOSPITAL IS IU HEALTH, A 501(C)(3) TAX-EXEMPT ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE BOARD OF DIRECTORS OF THE IU HEALTH NORTH HOSPITAL SHALL CONSIST OF UP TO FIFTEEN (15) VOTING MEMBERS ALL APPOINTED BY IU HEALTH, WHO SHALL INCLUDE REPRESENTATIVES FROM THE MEDICAL STAFFS OF IU HEALTH NORTH HOSPITAL AND IU HEALTH WEST HOSPITAL, AND THE PRESIDENT OF THE INDIANAPOLIS SUBURBAN REGION, WHO SHALL BE AN EX-OFFICIO, VOTING DIRECTOR OF THE BOARD. AT ALL TIMES, THE IU HEALTH NORTH HOSPITAL DIRECTORS SHALL CONSIST OF THE SAME INDIVIDUALS APPOINTED BY IU HEALTH TO SERVE AS DIRECTORS OF IU HEALTH WEST HOSPITAL.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE BOARD OF DIRECTORS SHALL NOT, WITHOUT THE PRIOR APPROVAL OF THE IU HEALTH: - ANY PROPOSED AMENDMENT TO THE CORPORATION'S ARTICLES OF INCORPORATION OR THESE BYLAWS; - ADOPTION OF THE CORPORATION'S ANNUAL CAPITAL AND OPERATING BUDGETS; - APPROVAL OF ANY UNBUDGETED OPERATING OR CAPITAL BUDGET ITEMS OR DEVIATIONS, INCLUDING ANY ISSUANCE OR GUARANTEE OF ANY UNBUDGETED DEBT; - APPROVAL OF ANY STRATEGIC PLAN FOR THE CORPORATION, INCLUDING ANY AMENDMENTS TO A STRATEGIC PLAN; - APPROVAL OF ANY ENCUMBRANCE, SALE OR CONVEYANCE OF ASSETS; - ANY MERGER, CONSOLIDATION, JOINT VENTURE OR AFFILIATION INVOLVING THE CORPORATION OR ANY OF ITS AFFILIATES AND ANY OTHER ENTITY; - APPOINTMENT AND REMOVAL OF THE CORPORATION'S PRESIDENT AND OTHER OFFICERS; - CONSTRUCTION, ACQUISITION OR LEASE OF HOSPITAL BUILDINGS; - APPROVE ANY MANAGEMENT AGREEMENT FOR THE MANAGEMENT OF ALL OR SUBSTANTIAL PART OF IU HEALTH WEST HOSPITAL'S OPERATIONS; - PROJECTS OR CONTRACTS THAT REQUIRE MEMBER APPROVAL IN ACCORDANCE WITH THE MEMBER'S RESOLUTION AND POLICY GOVERNING SYSTEM-WIDE CONTRACT EXECUTION AUTHORITY AND PAYMENT APPROVAL LIMITS; AND - THE DISSOLUTION OF THE CORPORATION OR ANY OF ITS AFFILIATES.
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Indianapolis Suburban Chief Financial Officer and Finance Committee reviewed and approved the Form 990. Following their review and approval, a complete copy of the Form 990 was made available to each board member prior to its filing. Each member was also informed of the availability of IU Health's Tax Department to answer any questions.
Form 990, Part VI, Line 12c Conflict of interest policy	IU HEALTH NORTH HOSPITAL FOLLOWS IU HEALTH'S CONFLICT OF INTEREST POLICY. IU HEALTH'S CONFLICT OF INTEREST POLICY INCLUDES THE FOLLOWING PROVISIONS: ALL IU HEALTH EMPLOYEES, ASSOCIATES, COLLEAGUES AND CONTRACTED PERSONNEL, INCLUDING EMPLOYED PHYSICIANS AND PAID MEDICAL DIRECTORS ("IU HEALTH REPRESENTATIVES") ARE COVERED BY AND SUBJECT TO ITS CONFLICT OF INTEREST POLICY. IU HEALTH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY THROUGH THE FOLLOWING PROCEDURES: (A) ON AN ANNUAL BASIS, EACH IU HEALTH REPRESENTATIVE AT THE LEVEL OF MANAGER OR ABOVE, TOGETHER WITH EVERY OTHER PERSON DESIGNATED BY THE CORPORATE COMPLIANCE DEPARTMENT ("DEPARTMENT"), MUST COMPLETE, SIGN AND SUBMIT A CONFLICT OF INTEREST QUESTIONNAIRE ("QUESTIONNAIRE") TO THE DEPARTMENT. GOVERNING BOARD MEMBERS, COMMITTEE MEMBERS, CORPORATE OFFICERS, MEDICAL STAFF AND RESEARCHERS MUST COMPLY WITH THE ADMINISTRATIVE REQUIREMENTS NOTED IN THE RESPECTIVE POLICIES AND PROCEDURES RELATIVE TO THOSE AREAS. (B) AN IU HEALTH REPRESENTATIVE MUST SUPPLEMENT A QUESTIONNAIRE IN WRITING, IF AFTER COMPLETION OF THE ORIGINAL QUESTIONNAIRE, A SITUATION ARISES, OR MAY REASONABLY BE EXPECTED TO ARISE, THAT WOULD CHANGE ANY ANSWER OR INFORMATION ON THE ORIGINAL QUESTIONNAIRE IF THE SITUATION HAD EXISTED OR BEEN ANTICIPATED AT THE TIME OF COMPLETION OF THE ORIGINAL QUESTIONNAIRE. (C) IF A FULLY AND PROPERLY COMPLETED QUESTIONNAIRE REVEALS FACTS OR OTHER INFORMATION THAT MIGHT REASONABLY INDICATE A CONFLICT OF INTEREST OR VIOLATION OF THE POLICY, THE IU HEALTH REPRESENTATIVE COMPLETING THE QUESTIONNAIRE MUST SECURE APPROVAL BY HIS/HER SUPERVISOR, EVIDENCED IN WRITING. (D) THE DEPARTMENT WILL REVIEW EACH QUESTIONNAIRE AND DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO, WHETHER AND HOW IT SHOULD OR MAY BE ELIMINATED, AVOIDED OR MANAGED IN ORDER TO COMPLY WITH THE SPIRIT OF THE POLICY AND WITH THE BEST INTERESTS OF IU HEALTH AND ITS PATIENTS. IN MAKING THE DETERMINATION, THE CORPORATE COMPLIANCE DEPARTMENT MAY CONSULT WITH THE IU HEALTH REPRESENTATIVE'S SUPERVISOR AND OTHER APPROPRIATE INDIVIDUALS AND GROUPS. (E) THE SCOPE OF THE POLICY IS NOT LIMITED TO THOSE WHO ARE REQUIRED TO COMPLETE QUESTIONNAIRES. IF AN IU HEALTH REPRESENTATIVE IS INVOLVED IN A SITUATION OR RELATIONSHIP THAT WOULD CONSTITUTE A VIOLATION OF THE POLICY IN THE ABSENCE OF DISCLOSURE AND APPROVAL AS DESCRIBED ABOVE, THEN THE IU HEALTH REPRESENTATIVE MUST DISCLOSE THE MATTER TO HIS/HER SUPERVISOR, SECURE HIS/HER SUPERVISOR'S APPROVAL IN WRITING, AND DISCLOSE THE MATTER TO THE DEPARTMENT. OTHERWISE, THE IU HEALTH REPRESENTATIVE IS IN VIOLATION OF THE POLICY AND SUBJECT TO CORRECTIVE ACTION, UP TO AND INCLUDING TERMINATION. (F) THE CHIEF COMPLIANCE OFFICER, IN CONSULTATION WITH ONSITE COMPLIANCE PERSONNEL, MAY FROM TIME TO TIME APPOINT STANDING OR AD HOC COMMITTEES TO ASSIST IN RESOLVING ISSUES THAT ARISE UNDER PROVISIONS OF THE POLICY.
Form 990, Part VI, Line 19 Required documents available to the public	IU Health North Hospital's Articles of Incorporation are available to the public through the Indiana Secretary of State's website. IU Health North Hospital's conflict of interest policy is described on Form 990, Schedule O. IU Health North Hospital is a consolidated subsidiary in the consolidated financial statements for IU Health. The consolidated financial statements for IU Health are available to the public through its bond filings and as an attachment to IU Health's Form 990 as well as IU Health North Hospital's Form 990.
Form 990, Part VII, Section B, Line 1, Column (A) Comp. of the Five Highest Paid Ind. Contractors	The amounts paid to Messer Construction Co. totaling $5,266,251 include both goods and services associated with the construction of IU Health Joe & Shelly Schwarz Cancer Center on the Indiana University Health North Hospital Campus. The amounts for goods vs. services were not easily separated for reporting on the 990, Part VII, Section B, Independent contractors.
Form 990, Part VII, Section B, Line 1, Column (A) Comp. of the Five Highest Paid Ind. Contractors	The amounts paid to Baumgartner & Company Asphalt totaling $1,099,792 include both goods and services associated with the construction of North Hospital's West Lot & Roadway. The amounts for goods vs. services were not easily separated for reporting on the 990, Part VII, Section B, Independent contractors.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER - Total Revenue: 125397, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 125397;
Form 990, Part IX, Line 11g Other Fees	SHARED SERVICES/PROF. FEES - Total Expense: 52673244, Program Service Expense: 50232625, Management and General Expenses: 2440619, Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt
INDIANA HEALTH INFO EXCHANGE INC
846 N SENATE AVE	INDIANAPOLIS	IN	46202	364550324	HEALTHCARE	IN	501(c)(3)	Type I	NA	false
IU HEALTH BALL MEMORIAL PHYSICIANS INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351925641	HEALTHCARE	IN	501(c)(3)	10	IUHBMH	Yes (true)	Suite 300
IU HEALTH ARNETT INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	263162145	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
IU HEALTH BMH FOUNDATION INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	311111784	FUNDRAISING	IN	501(c)(3)	Type I	IUHBMH	Yes (true)	Suite 800
IU HEALTH BALL MEMORIAL HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	350867958	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
IU HEALTH JAY INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	822736786	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
IU HEALTH BEDFORD INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	237042323	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
IU HEALTH BLOOMINGTON INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351720796	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
IU HEALTH CARE ASSOCIATES INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351747218	HEALTHCARE	IN	501(c)(3)	10	IUH	Yes (true)	Suite 300
INDIANA UNIVERSITY HEALTH FOUNDATION INC
1633 N CAPITOL AVE	INDIANAPOLIS	IN	46202	356043086	FUNDRAISING	IN	501(c)(3)	Type I	IUH	Yes (true)	SUITE 1200
IU HEALTH FRANKFORT INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	815174295	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
METHODIST HEALTH GROUP INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	350876390	HEALTHCARE	IN	501(c)(3)	Type III-FI	NA	false	Suite 800
IU HEALTH MORGAN INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	273533027	HEALTHCARE	IN	501(c)(3)	10	IUH	Yes (true)	Suite 800
INDIANA UNIVERSITY HEALTH INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351955872	HEALTHCARE	IN	501(c)(3)	3	NA	false	Suite 300
IU HEALTH PAOLI INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	352090919	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
IU HEALTH PLANS NFP INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	463803873	INSURANCE	IN	501(c)(4)		IUH	Yes (true)	Suite 800
IU HEALTH TIPTON HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	262772226	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
IU HEALTH WEST HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351814660	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
IU HEALTH WHITE MEMORIAL HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	273532963	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
IU MEDICAL GROUP FOUNDATION INC
340 W 10TH ST NO FS5100	INDIANAPOLIS	IN	46202	201093251	FUNDRAISING	IN	501(c)(3)	Type I	NA	false
IUHLP LIQUIDATION INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351125434	HEALTHCARE	IN	501(c)(3)	10	IUH	Yes (true)	Suite 800
MDWISE MARKETPLACE INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	465270582	INSURANCE	IN	501(c)(4)		IUH	Yes (true)	Suite 800
MDWISE NETWORK INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	472619552	INSURANCE	IN	501(c)(4)		IUH	Yes (true)	Suite 800
METHODIST OCCUP HEALTH CENTERS INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351844176	HEALTHCARE	IN	501(c)(3)	3	IUH	Yes (true)	Suite 300
RILEY CHEER GUILD INC
705 RILEY HOSPITAL DR	INDIANAPOLIS	IN	46202	356018517	FUNDRAISING	IN	501(c)(3)	Type III-FI	NA	false
UNIVERSITY FAMILY PHYSICIANS INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	237427350	HEALTHCARE	IN	501(c)(3)	10	IUHCA	Yes (true)	Suite 800
CLARIAN TRANSPLANT INSTITUTE INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	134350599	HEALTHCARE	IN	501(c)(3)	10	IUH	Yes (true)	Suite 800
IU HEALTH BLACKFORD HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	010646166	HEALTHCARE	IN	501(c)(3)	3	IUHBMH	Yes (true)	Suite 300
16 Tech Community Corporation
1220 Waterway Blvd	Indianapolis	IN	46202	810853467	Economic Development	IN	501(c)(3)	Type I	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BELTWAY SURGERY CENTERS LLC
569 Brookwood Village Ste 901	BIRMINGHAM	AL	35244	352072586	HEALTHCARE	IN	NA
BOSC HOLDINGS LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	454147343	HEALTHCARE	IN	NA
BSC HOLDINGS LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	452314634	HEALTHCARE	IN	NA
CHV FUND I LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	262523206	VENTURE CAPITAL	IN	NA
CHV FUND II MANAGEMENT LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	371717823	VENTURE CAPITAL	IN	NA
CHV FUND II LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	800902337	VENTURE CAPITAL	IN	NA
CHV FUND MANAGEMENT LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	262523151	VENTURE CAPITAL	IN	NA
EAGLE HIGH SURG CENTER LLC
569 Brookwood Village Ste 901	BIRMINGHAM	AL	35244	352259204	HEALTHCARE	IN	NA
EHSC HOLDINGS LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	454147879	HEALTHCARE	IN	NA
EWASC HOLDINGS LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	473087761	HEALTHCARE	IN	NA
HEALTH VENTURE MANAGEMENT LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	205740218	MANAGEMENT	IN	NA
IEC HOLDINGS LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	454148032	HEALTHCARE	IN	NA
INDIANA ENDOSCOPY CENTERS LLC
569 Brookwood Village Ste 901	BIRMINGHAM	AL	35244	208398421	HEALTHCARE	IN	NA
IUH EWA SURGERY CTR LLC
569 Brookwood Village Ste 901	BIRMINGHAM	AL	35244	473102482	HEALTHCARE	IN	NA
IUH SAXONY SURGERY CTR LLC
569 Brookwood Village Ste 901	BIRMINGHAM	AL	35244	275271091	HEALTHCARE	IN	NA
ROC SURGERY LLC
569 Brookwood Village Ste 901	BIRMINGHAM	AL	35244	271497960	HEALTHCARE	IN	NA
ROCS HOLDINGS LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	454148369	HEALTHCARE	IN	NA
SENATE ST SURGERY CENTER LLC
569 Brookwood Village Ste 901	BIRMINGHAM	AL	35244	421709357	HEALTHCARE	IN	NA
SSC HOLDINGS LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	464472887	HEALTHCARE	IN	NA
SSSC HOLDINGS LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	454148167	HEALTHCARE	IN	NA
IU HEALTH FORT WAYNE LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	831224627	HEALTHCARE	IN	NA
BALL OUTPATIENT SUR CTR LLC
569 Brookwood Village Ste 901	BIRMINGHAM	AL	35244	270275794	HEALTHCARE	IN	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Address Line2ForeignAddress/AddressLine2Txt
CERBERUS RESIDENTIAL OPPORT INST LTD
190 ELGIN AVENUE	GEORGE TOWN	GRAND CAYMAN	CJ	INVESTMENTS	CJ	NA	C Corporation	Yes (true)
CHV CAPITAL INC
				VENTURE CAPITAL		NA	C Corporation	Yes (true)	950 N MERIDIAN ST	SUITE 800	INDIANAPOLIS	IN	46204	260752507	IN
IU HEALTH 457(B) PLAN
				INVESTMENTS		NA	Trust	Yes (true)	1100 N MARKET ST		WILMINGTON	DE	19890	476948347	IN
IU HEALTH ACO INC
				HEALTHCARE		NA	C Corporation	Yes (true)	950 N MERIDIAN ST	SUITE 800	INDIANAPOLIS	IN	46204	454421020	IN
IU HEALTH BOARD DESIGNATED TRUST
				INVESTMENTS		NA	Trust	Yes (true)	400 HOWARD ST		SAN FRANCISCO	CA	94105	306309021	IN
IU HEALTH NTGI S&P500 FUND CF
				INVESTMENTS		NA	Trust	Yes (true)	PO BOX 804358		CHICAGO	IL	60680	306298263	IN
IU HEALTH PLANS HOLDING COMPANY INC
				INSURANCE		NA	C Corporation	Yes (true)	950 N MERIDIAN ST	SUITE 800	INDIANAPOLIS	IN	46204	463794815	IN
IU HEALTH PLANS INSURANCE COMPANY
				INSURANCE		NA	C Corporation	Yes (true)	950 N MERIDIAN ST	SUITE 800	INDIANAPOLIS	IN	46204	811097215	IN
IU HEALTH PLANS INC
				HMO		NA	C Corporation	Yes (true)	950 N MERIDIAN ST	SUITE 800	INDIANAPOLIS	IN	46204	262127080	IN
IU HEALTH RISK PURCHASING GROUP INC
				INSURANCE		NA	C Corporation	Yes (true)	151 MEETING ST	SUITE 301	CHARLESTON	SC	29401	260202446	IN
IU HEALTH RISK RETENTION GROUP INC
				INSURANCE		NA	C Corporation	Yes (true)	151 MEETING ST	SUITE 301	CHARLESTON	SC	29401	201107674	SC
IUH ASSURANCE SPC LTD
PO BOX 69 94 SOLARIS AVE		GRAND CAYMAN	CJ	INSURANCE	CJ	NA	C Corporation	Yes (true)						980395429		CAMANA BAY
PROTEUO FUND LP
PO BOX 69 94 SOLARIS AVE		GRAND CAYMAN	CJ	INVESTMENTS	CJ	NA	C Corporation	Yes (true)						981075227		CAMANA BAY
BMH MEDICAL PAVILION ASSOCIATION INC
				CONDO MANAGEMENT		NA	C Corporation	Yes (true)	2525 W UNIVERSITY AVE		MUNCIE	IN	47303	351858408	IN
University Surgeons Inc
				Physician Services		NA	C Corporation	Yes (true)	950 N Meridian St Ste 800		Indianapolis	IN	46204	202981280	IN
Pediatric Surgical Associates Inc
				Physician Services		NA	C Corporation	Yes (true)	950 N Meridian St Ste 800		Indianapolis	IN	46204	352122922	IN
Cardiothoracic Surgeons Inc
				Physician Services		NA	C Corporation	Yes (true)	950 N Meridian St Ste 800		Indianapolis	IN	46204	351416173	IN
University Vascular Surgery Inc
				Physician Services		NA	C Corporation	Yes (true)	950 N Meridian St Ste 800		Indianapolis	IN	46204	351832370	IN

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC
J	$349,883	FMV
INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC
L	$436,210	FMV
INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC
M	$11,459,971	FMV
METHODIST OCCUPATIONAL HEALTH CENTERS INC
M	$162,093	FMV
IU HEALTH TIPTON HOSPTIAL INC
O	$760,371	FMV
IU HEALTH RISK RETENTION GROUP INC
R	$797,080	FMV
IUH ASSURANCE SPC LTD
R	$304,050	FMV
IU HEALTH FOUNDATION
C	$317,728	FMV