INDIANA UNIVERSITY HEALTH ARNETT INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: INDIANA UNIVERSITY HEALTH ARNETT INC (EIN 26-3162145)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-09
IRS object ID: 202123139349303102
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	2021-11-09T12:00:41-06:00	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	263162145	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Indiana University Health Arnett 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	Todd A Williams	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2021-11-09	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Todd A	PersonFirstNm
Person Last	Williams	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	Arthur Vasquez	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	$504,155,610	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	2008	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	2626	TotalEmployeeCnt
Total Volunteers	47	TotalVolunteersCnt
Total Gross UBI	$888,770	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$451,350	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,296,595	PYContributionsGrantsAmt
CY Contributions Grants	$236,993	CYContributionsGrantsAmt
PY Program Service Revenue	$511,000,319	PYProgramServiceRevenueAmt
CY Program Service Revenue	$498,955,355	CYProgramServiceRevenueAmt
PY Investment Income	$4,872,296	PYInvestmentIncomeAmt
CY Investment Income	$2,011,996	CYInvestmentIncomeAmt
PY Other Revenue	$2,291,936	PYOtherRevenueAmt
CY Other Revenue	$2,843,944	CYOtherRevenueAmt
PY Total Revenue	$519,461,146	PYTotalRevenueAmt
CY Total Revenue	$504,048,288	CYTotalRevenueAmt
PY Grants And Similar Paid	$478,793	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$507,440	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$228,781,611	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$234,760,349	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$260,006,119	PYOtherExpensesAmt
CY Other Expenses	$254,110,160	CYOtherExpensesAmt
PY Total Expenses	$489,266,523	PYTotalExpensesAmt
CY Total Expenses	$489,377,949	CYTotalExpensesAmt
PY Revenues Less Expenses	$30,194,623	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,670,339	CYRevenuesLessExpensesAmt
Total Assets BOY	$475,189,520	TotalAssetsBOYAmt
Total Assets EOY	$319,820,511	TotalAssetsEOYAmt
Total Liabilities BOY	$254,113,168	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$84,073,820	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$221,076,352	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$235,746,691	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	$465,231,262	ExpenseAmt
Grant	$507,440	GrantAmt
Revenue	$474,532,037	RevenueAmt
Desc	Indiana University Health Arnett in Lafayette, Indiana is a full-service, 191-bed hospital that includes more than 40 specialties and 23 outpatient clinics. The hospital features an adjacent outpatient surgery center, cancer center and several medical offices serving Lafayette and the surrounding counties. IU Health Arnett is a Magnet-designated hospital recognized by the American Nurses Credentialing Center for demonstrating excellence in nursing services and high-quality clinical outcomes for patients.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$5,626,379	ExpenseAmt
Revenue	$5,902,359	RevenueAmt
Desc	OUR NETWORK OF PHARMACIES OFFERS THE CONVENIENCE OF ONE-STOP SHOPPING. WE PROVIDE EXPERT CARE AND HELP PATIENTS MAKE THE BEST USE OF THEIR MEDICATIONS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$0	ExpenseAmt
Revenue	$13,519,300	RevenueAmt
Desc	As of December 31, 2020, Indiana University Health Arnett, 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 Arnett recognized $13,519,300 as other program service revenue. Indiana University Health Arnett, Inc. will continue to monitor compliance with the terms and conditions of the Provider Relief Fund.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	RevenueRevenueAmt	DescDesc
$4,161,142	$4,365,250	IU HEALTH ARNETT PROVIDES SERVICES TO RELATED TAX-EXEMPT ORGANIZATIONS.
$579,040	$607,443	INCOME (LOSS) FROM PASS-THROUGH ENTITIES
$27,612	$28,966	RENT FROM RELATED 501(C)(3) ORGANIZATIONS

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$4,767,794	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$5,001,659	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$475,625,435	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	Yes (true)	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	75	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2626	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
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 (32 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
CHRISTOPHER A MANSFIELD MD
DIRECTOR/VICE CHAIR	53.0	2.0	Yes (X)	Yes (X)	$447,698	$0	$50,570
DAVID HUMMELS
DIRECTOR/CHAIR (PART YEAR)	2.0	2.0	Yes (X)	Yes (X)	$4,500	$0	$0
VICTOR L LECHTENBERG
DIRECTOR/CHAIR (PART YEAR)	2.0	2.0	Yes (X)	Yes (X)	$4,500	$0	$0
AMANDA WHITLOCK
DIRECTOR	2.0	2.0	Yes (X)		$4,500	$0	$0
GARY D HENRIOTT
DIRECTOR	2.0	3.0	Yes (X)		$9,000	$0	$0
MICHELE S SAYSANA MD
DIRECTOR	2.0	53.0	Yes (X)		$0	$439,143	$16,802
RANDALL R MITCHELL
DIRECTOR	2.0	2.0	Yes (X)		$13,500	$0	$0
RANDY W PRICE
DIRECTOR	2.0	2.0	Yes (X)		$4,500	$0	$0
REV KATE L WALKER
DIRECTOR	2.0	2.0	Yes (X)		$6,750	$0	$0
ROGER G BANGS MD
DIRECTOR	53.0	2.0	Yes (X)		$676,500	$0	$30,974
RUBAN NIRMALAN MD
DIRECTOR	53.0	2.0	Yes (X)		$743,654	$0	$45,461
SHAN SHERIDAN
DIRECTOR	2.0	2.0	Yes (X)		$9,000	$0	$0
WILLIAM Y LI MD
DIRECTOR	53.0	2.0	Yes (X)		$448,109	$0	$49,906
DANIEL E NEUFELDER
REGIONAL PRESIDENT (WCR)	35.0	20.0		Yes (X)	$0	$779,105	$144,072
PHILIP LIST
SECRETARY (WCR)	35.0	20.0		Yes (X)	$0	$153,459	$15,864
TODD A WILLIAMS
CFO/TREASURER (WCR)	35.0	20.0		Yes (X)	$0	$359,481	$51,693
ALLISON SHUTTZ
CNO (WCR) (PART YEAR)	35.0	20.0			$170,267	$0	$40,730	Yes (X)
BRIAN M WEIRICH
CNO(WCR) (PART YEAR)	35.0	20.0			$193,331	$0	$33,544	Yes (X)
JAMES H PARSONS
CHIEF PRACTICE OFFICER	55.0	0.0			$213,981	$0	$48,261	Yes (X)
JAMES P BIEN MD
CMO (WCR) - VP QUALITY & SAFETY	35.0	20.0			$466,113	$0	$50,679	Yes (X)
JEFFREY C ZEH
COO (WCR)	35.0	20.0			$374,172	$0	$18,627	Yes (X)
KOREEN C KYHNELL
VP - HUMAN RESOURCES (WCR)	35.0	20.0			$0	$227,983	$39,821	Yes (X)
CHENG DU MD
PHYSICIAN	50.0	0			$818,450	$0	$51,227		Yes (X)
GARRETT JACKSON MD
PHYSICIAN	45.0	5.0			$1,082,414	$122,167	$26,670		Yes (X)
JOSEPH E HUBBARD MD
PHY. DEPT. CHAIRPERSON	50.0	0			$1,055,406	$0	$50,114		Yes (X)
NAVEED AHMAD MD
PHY. DEPT. CHAIRPERSON	50.0	0			$835,366	$0	$49,899		Yes (X)
STANTON M REGAN MD
PHYSICIAN	50.0	0			$994,475	$0	$52,459		Yes (X)
ANDREW K EDWARDS MD
FORMER OFFICER	50.0	0.0			$412,308	$0	$45,006			Yes (X)
BRIAN T SHOCKNEY
FORMER KEY EMPLOYEE	0.0	55.0			$0	$849,268	$141,492			Yes (X)
CARA L BREIDSTER
FORMER OFFICER	0.0	55.0			$0	$367,659	$44,376			Yes (X)
DEREK E EMPIE
FORMER OFFICER	0.0	50.0			$0	$329,087	$50,270			Yes (X)
DONALD E CLAYTON MD
FORMER OFFICER	50.0	0.0			$123,447	$0	$19,966			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,111,940	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,627,353	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,168,484	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	355	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TRIMEDX LLC
5451 LAKEVIEW PKWY S DR	INDIANAPOLIS	IN	46268	CLINICAL ENGINEERING	$4,259,041
KETTELHUT CONSTRUCTION
740 SAGAMORE PARKWAY SOUTH	LAFAYETTE	IN	47905	CONSTRUCTION	$2,432,625
Hagerman Construction Corp
10315 Allisonville Road	FISHERS	IN	46038	Construction	$1,997,740
BARTON ASSOCIATES INC
1029 S SOMERSET AVE	INDIANAPOLIS	IN	46241	CONSULTING	$1,449,143
MEDEFIS
2121 N 117th Ave	OMAHA	NE	68164	VENDOR MANAGEMENT	$1,437,383

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	49	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$219,410	RelatedOrganizationsAmt
Government Grants	$17,332	GovernmentGrantsAmt
All Other Contributions	$251	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$236,993	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	622110	$474,532,037	$474,532,037	$0	$0
SHARED SERVICES	541900	$4,365,250	$4,365,250	$0	$0
PHARMACY	446110	$5,902,359	$5,516,200	$386,159	$0
INCOME (LOSS) FROM PASS-THROUGH ENTITIES	900099	$607,443	$104,832	$502,611	$0
FEDERAL RECOVERY REVENUE	900099	$13,519,300	$13,519,300	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,966	TotalRevenueColumnAmt
Related Or Exempt Func Income	$28,966	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$498,955,355	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$197,564	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$197,564	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,921,754	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$107,322	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$1,814,432	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,814,432	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,814,432	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

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)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
CAFETERIA/FOOD SERVICE	722320	$435,227	$0	$0	$435,227
GIFT SHOP	453220	$127,278	$0	$0	$127,278
MEDICAL STAFF DUES	900099	$63,615	$0	$0	$63,615

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,217,824	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,217,824	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,843,944	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$504,048,288	TotalRevenueColumnAmt
Related Or Exempt Func Income	$498,066,585	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$888,770	UnrelatedBusinessRevenueAmt
Exclusion	$4,855,940	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	$507,440	TotalAmt
Program Services	$507,440	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,158,827	TotalAmt
Program Services	$4,037,660	ProgramServicesAmt
Management And General	$121,167	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$600,727	TotalAmt
Program Services	$583,225	ProgramServicesAmt
Management And General	$17,502	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$193,146,700	TotalAmt
Program Services	$187,518,648	ProgramServicesAmt
Management And General	$5,628,052	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,765,603	TotalAmt
Program Services	$5,597,601	ProgramServicesAmt
Management And General	$168,002	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,110,595	TotalAmt
Program Services	$19,524,597	ProgramServicesAmt
Management And General	$585,998	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,977,897	TotalAmt
Program Services	$10,658,015	ProgramServicesAmt
Management And General	$319,882	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$38,926	TotalAmt
Management And General	$38,926	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,500	TotalAmt
Program Services	$1,500	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$14,026	TotalAmt
Management And General	$14,026	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$90,611,781	TotalAmt
Program Services	$88,906,824	ProgramServicesAmt
Management And General	$1,704,957	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$26,445	TotalAmt
Program Services	$18,581	ProgramServicesAmt
Management And General	$7,864	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,349,981	TotalAmt
Program Services	$1,185,267	ProgramServicesAmt
Management And General	$164,714	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,485,637	TotalAmt
Program Services	$1,290,660	ProgramServicesAmt
Management And General	$194,977	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,912,976	TotalAmt
Program Services	$10,910,332	ProgramServicesAmt
Management And General	$2,644	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$178,737	TotalAmt
Program Services	$124,405	ProgramServicesAmt
Management And General	$54,332	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$20,143	TotalAmt
Program Services	$19,334	ProgramServicesAmt
Management And General	$809	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,328	TotalAmt
Program Services	$1,328	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,752,051	TotalAmt
Program Services	$12,795,028	ProgramServicesAmt
Management And General	$1,957,023	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,973,882	TotalAmt
Program Services	$2,439,116	ProgramServicesAmt
Management And General	$2,534,766	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
DRUGS AND MEDICAL SUPPLIES	$77,101,649	$77,101,649
BAD DEBT	$33,416,211	$33,416,211
HOSPITAL ASSESSMENT FEE	$17,406,229	$17,406,229
INSTITUTIONAL DUES/LICENSES	$75,500	$75,500

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,743,158	TotalAmt
Program Services	$1,506,285	ProgramServicesAmt
Management And General	$236,873	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$489,377,949	TotalAmt
Program Services	$475,625,435	ProgramServicesAmt
Management And General	$13,752,514	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$197,094,235	BOYAmt
EOY	$39,659,283	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$112,737	BOYAmt
EOY	$49,564	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$62,353,959	BOYAmt
EOY	$58,427,785	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	$985,413	BOYAmt
EOY	$498,092	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,245,655	BOYAmt
EOY	$9,978,597	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,734,835	BOYAmt
EOY	$3,017,867	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$331,948,978	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$127,491,178	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$203,202,719	BOYAmt
EOY	$204,457,800	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	$3,459,967	BOYAmt
EOY	$3,731,523	EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$475,189,520	BOYAmt
EOY	$319,820,511	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$45,072,808	BOYAmt
EOY	$65,682,310	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	$209,040,360	BOYAmt
EOY	$18,391,510	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$254,113,168	BOYAmt
EOY	$84,073,820	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	$221,076,352	BOYAmt
EOY	$235,746,691	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$221,076,352	BOYAmt
EOY	$235,746,691	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$475,189,520	BOYAmt
EOY	$319,820,511	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$14,670,339	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	$14,026	OtherActivitiesAmt
Total Lobbying Expenditures	$14,026	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 1i OTHER ACTIVITIES	FormAndLineReferenceDesc
Explanation	IU HEALTH ARNETT PAID INSTITUTIONAL MEMBERSHIP DUES TO THE INDIANA HOSPITAL ASSOCIATION ("IHA") AND AMERICAN HOSPITAL ASSOCIATION DURING 2020 IN THE AMOUNT OF $40,434 AND $47,699 RESPECTIVELY. EACH MEMBERSHIP ORGANIZATION NOTIFIED IU HEALTH ARNETT THAT A PORTION OF THE DUES IT PAID WERE USED FOR LOBBYING PURPOSES. THE IHA USED 7.18%, OR $2,903 OF THE 2020 MEMBERSHIP DUES PAID BY IU HEALTH ARNETT, FOR LOBBYING EXPENDITURES. AMERICAN HOSPITAL ASSOCIATION USED 23.32% OR $11,123 OF 2020 MEMBERSHIP DUES PAID BY IU HEALTH ARNETT, FOR LOBBYING EXPENDITURES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,859,567	OtherCostOrOtherBasisAmt
Book Value	$3,859,567	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$222,244,847	OtherCostOrOtherBasisAmt
Depreciation	$59,844,157	DepreciationAmt
Book Value	$162,400,690	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,213	OtherCostOrOtherBasisAmt
Depreciation	$7,213	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$97,605,594	OtherCostOrOtherBasisAmt
Depreciation	$67,197,156	DepreciationAmt
Book Value	$30,408,438	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,231,757	OtherCostOrOtherBasisAmt
Depreciation	$442,652	DepreciationAmt
Book Value	$7,789,105	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$204,457,800	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES (NET)	$14,391,321
DUE TO THIRD-PARTY PAYERS	$2,813,690
SELF-INSURANCE LIABILITIES	$916,525
OPERATING LEASE LIABILITIES	$269,974

Field	Value	IRS element (for citing)
Total Liability	$18,391,510	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 ARNETT 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)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	18800	PersonsServedCnt
Total Community Benefit Expns	$7,573,234	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,573,234	NetCommunityBenefitExpnsAmt
Total Expense	0.0166	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	34476	PersonsServedCnt
Total Community Benefit Expns	$75,713,324	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,935,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,777,543	NetCommunityBenefitExpnsAmt
Total Expense	0.0478	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
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	53276	PersonsServedCnt
Total Community Benefit Expns	$83,286,558	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,935,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,350,777	NetCommunityBenefitExpnsAmt
Total Expense	0.0644	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	6797	PersonsServedCnt
Total Community Benefit Expns	$1,724,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,700	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,722,501	NetCommunityBenefitExpnsAmt
Total Expense	0.0038	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,685,701	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$817,790	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,867,911	NetCommunityBenefitExpnsAmt
Total Expense	0.0041	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	207421	PersonsServedCnt
Total Community Benefit Expns	$95,584,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,553,426	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,031,356	NetCommunityBenefitExpnsAmt
Total Expense	0.0286	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	33	PersonsServedCnt
Total Community Benefit Expns	$219,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$219,589	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	300	PersonsServedCnt
Total Community Benefit Expns	$528,164	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,459	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$455,705	NetCommunityBenefitExpnsAmt
Total Expense	0.0010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	214551	PersonsServedCnt
Total Community Benefit Expns	$100,742,437	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$83,445,375	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,297,062	NetCommunityBenefitExpnsAmt
Total Expense	0.0379	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	267827	PersonsServedCnt
Total Community Benefit Expns	$184,028,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$137,381,156	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,647,839	NetCommunityBenefitExpnsAmt
Total Expense	0.1023	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
Total Community Benefit Expns	$10,069	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,069	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	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	0	PersonsServedCnt
Total Community Benefit Expns	$10,069	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,069	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,828,563	BadDebtExpenseAmt
Reimbursed By Medicare	$69,447,818	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$82,824,551	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,376,733	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 ARNETT HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5165 MCCARTY LANE	AddressLine1Txt
City	LAFAYETTE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47905	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTPS://IUHEALTH.ORG/FIND-LOCATIONS/IU-HEALTH-ARNETT-HOSPITAL	WebsiteAddressTxt
State License	22-011506-1	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
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 ARNETT 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/COMMUNITY-BENEFIT	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
FPG Family Incm Lmt Dscnt Care	0.0	FPGFamilyIncmLmtDscntCarePct
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	IU HEALTH ARNETT'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 ARNETT - ACCESS TO HEALTH CARE SERVICES - DRUG AND SUBSTANCE ABUSE - HEALTH CARE AND SOCIAL SERVICES FOR SENIORS - MENTAL HEALTH - OBESITY AND DIABETES - SMOKING - SOCIAL DETERMINANTS OF HEALTH
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - IU HEALTH ARNETT HOSPITAL. IN CONDUCTING ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") IU HEALTH ARNETT HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES IT SERVES. PRIMARY DATA WERE GATHERED IN THREE WAYS: COMMUNITY MEETINGS, KEY STAKEHOLDER INTERVIEWS, AND A COMMUNITY SURVEY. FOR PURPOSES OF THIS CHNA, IU HEALTH ARNETT HOSPITAL'S COMMUNITY IS DEFINED AS BENTON, CARROLL, AND TIPPECANOE COUNTIES, INDIANA. THESE THREE COUNTIES ACCOUNTED FOR OVER 67 PERCENT OF THE HOSPITAL'S INPATIENT CASES IN 2016. COMMUNITY MEETINGS - TIPPECANOE COUNTY ON MAY 8, 2018, A MEETING OF COMMUNITY REPRESENTATIVES WAS HELD AT IU HEALTH ARNETT HOSPITAL IN LAFAYETTE, THE COUNTY SEAT OF TIPPECANOE COUNTY. THE MEETING WAS ATTENDED BY 22 COMMUNITY MEMBERS INVITED BY IU HEALTH BECAUSE THEY REPRESENT IMPORTANT COMMUNITY ORGANIZATIONS AND SECTORS SUCH AS: LOCAL HEALTH DEPARTMENTS, NON-PROFIT ORGANIZATIONS, LOCAL BUSINESSES, HEALTH CARE PROVIDERS, LOCAL POLICYMAKERS, 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. - CITY OF LAFAYETTE - FOOD FINDERS FOOD BANK - HANNA COMMUNITY CENTER - HEARTFORD HOUSE CHILD ADVOCACY CENTER - HENRIOTT GROUP, INC. - IU HEALTH - IU HEALTH ARNETT HOSPITAL - IU HEALTH WEST CENTRAL REGION - LTHC HOMELESS SERVICES - LAFAYETTE FAMILY YMCA - NORTH CENTRAL HEALTH SERVICES - PURDUE EXTENSION - RIGGS COMMUNITY HEALTH CENTER - SYCAMORE SPRINGS - TIPPECANOE ARTS FEDERATION - TIPPECANOE COUNTY CASA - TIPPECANOE COUNTY - TIPPECANOE HEALTH DEPARTMENT - UNITED WAY OF GREATER LAFAYETTE - YWCA GREATER LAFAYETTE - YWCA FOUNDATION 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, ALONG WITH A SUMMARY OF THE MOST UNFAVORABLE COMMUNITY HEALTH INDICATORS. FOR TIPPECANOE COUNTY, THOSE INDICATORS WERE (IN ALPHABETICAL ORDER): - CANCER INCIDENCE AND MORTALITY - DIABETES - PHYSICAL INACTIVITY AND ACCESS TO EXERCISE OPPORTUNITIES - PHYSICALLY AND MENTALLY UNHEALTHY DAYS - PREVENTABLE HOSPITAL STAYS - SEXUALLY TRANSMITTED DISEASES - SMOKING, INCLUDING DURING PREGNANCY - SUPPLY OF PRIMARY CARE PHYSICIANS AND MENTAL HEALTH PROVIDERS 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, SUCH AS: OPIOID ABUSE, THE NUMBER OF UNINSURED, CHILDHOOD TRAUMA, AND SUICIDE. OBESITY WAS ADDED AS A FACTOR THAT CONTRIBUTES TO DIABETES. DURING THE MEETING, A RANGE OF OTHER TOPICS WAS DISCUSSED, INCLUDING: - ACCESS TO HEALTHY FOOD - SUICIDE (NOT RELATED TO OVERDOSES) AMONG THE YOUNGER POPULATION - TEEN PREGNANCY - SCREEN TIME - PURDUE UNIVERSITY STUDENTS CONTRIBUTING TO THE POVERTY RATE AFTER DISCUSSING THE NEEDS IDENTIFIED THROUGH SECONDARY DATA AND ADDING OTHERS TO THE LIST, EACH PARTICIPANT WAS ASKED THROUGH A VOTING PROCESS TO IDENTIFY "THREE TO FIVE" THEY CONSIDER TO BE MOST SIGNIFICANT. FROM THIS PROCESS, THE GROUP IDENTIFIED THE FOLLOWING NEEDS AS MOST SIGNIFICANT IN TIPPECANOE COUNTY: - DIABETES AND OBESITY - OPIOID ABUSE - SUPPLY OF PRIMARY CARE PHYSICIANS - SUPPLY OF MENTAL HEALTH PROVIDERS THE GROUP DECIDED IT WOULD BE BEST TO SPLIT THE SUPPLY OF PRIMARY CARE PHYSICIANS AND THE SUPPLY OF MENTAL HEALTH PROVIDERS INTO TWO DISTINCT NEEDS. COMMUNITY MEETINGS - CARROLL COUNTY ON APRIL 16, 2018, A MEETING OF COMMUNITY REPRESENTATIVES WAS HELD AT WABASH & ERIE CANAL CONFERENCE CENTER IN DELPHI, THE COUNTY SEAT OF CARROLL COUNTY. THE MEETING WAS ATTENDED BY 12 COMMUNITY MEMBERS INVITED BY IU HEALTH BECAUSE THEY REPRESENT IMPORTANT COMMUNITY ORGANIZATIONS AND SECTORS SUCH AS: NON-PROFIT ORGANIZATIONS, LOCAL BUSINESS, HEALTH CARE PROVIDERS, LOCAL POLICYMAKERS, 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. - CARROLL COUNTY CHAMBER OF COMMERCE - CARROLL COUNTY COUNCIL - CARROLL WHITE RURAL ELECTRIC MEMBERSHIP CORPORATION (REMC) - DELPHI COMMUNITY ELEMENTARY SCHOOL - FAMILY HEALTH CLINICS (NORTH CENTRAL NURSING CLINICS) - IU HEALTH ARNETT HOSPITAL - IU HEALTH WEST CENTRAL REGION - NORTH CENTRAL HEALTH SERVICES 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, ALONG WITH A SUMMARY OF THE MOST UNFAVORABLE COMMUNITY HEALTH INDICATORS. FOR CARROLL COUNTY, THOSE INDICATORS WERE (IN ALPHABETICAL ORDER): - CANCER INCIDENCE AND MORTALITY - DIABETES - PHYSICAL INACTIVITY AND ACCESS TO EXERCISE OPPORTUNITIES - PHYSICALLY AND MENTALLY UNHEALTHY DAYS - PREVENTABLE HOSPITAL STAYS - SEXUALLY TRANSMITTED DISEASES - SMOKING, INCLUDING DURING PREGNANCY - SUPPLY OF PRIMARY CARE PHYSICIANS AND MENTAL HEALTH PROVIDERS 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, SUCH AS: OPIOID USE, PHARMACY CARE, AND URGENT/EMERGENCY CARE. DURING THE MEETING, A RANGE OF OTHER TOPICS WAS DISCUSSED, INCLUDING: - CHILDREN/YOUTH - FOLLOW UP CARE - PHARMACY ACCESS - TRANSPORTATION AFTER DISCUSSING THE NEEDS IDENTIFIED THROUGH SECONDARY DATA AND ADDING OTHERS TO THE LIST, EACH PARTICIPANT WAS ASKED THROUGH A VOTING PROCESS TO IDENTIFY "THREE TO FIVE" THEY CONSIDER TO BE MOST SIGNIFICANT. FROM THIS PROCESS, THE GROUP IDENTIFIED THE FOLLOWING NEEDS AS MOST SIGNIFICANT FOR CARROLL COUNTY: - SUPPLY OF PRIMARY CARE PHYSICIANS AND MENTAL HEALTH PROVIDERS - PHYSICAL INACTIVITY AND ACCESS TO EXERCISE OPPORTUNITIES - OPIOID USE - URGENT/EMERGENCY CARE - PHYSICALLY AND MENTALLY UNHEALTHY DAYS - PHARMACY CARE - CANCER INCIDENCE AND MORTALITY - DIABETES KEY STAKEHOLDER INTERVIEWS: AN INTERVIEW WAS CONDUCTED WITH A REPRESENTATIVE FROM THE BENTON COUNTY HEALTH DEPARTMENT, AND THE FEEDBACK WAS CONSISTENT WITH THE INPUT RECEIVED DURING THE COMMUNITY MEETINGS. AN INTERVIEW WAS CONDUCTED WITH A REPRESENTATIVE OF THE TIPPECANOE 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 FOR TIPPECANOE COUNTY 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. THE INTERVIEWEE CONFIRMED THAT THE FOUR NEEDS IDENTIFIED BY THE COMMUNITY MEETING PARTICIPANTS WERE SIGNIFICANT, ADDING THAT ALL FOUR RANK FAIRLY EVENLY IN TERMS OF THEIR PREVALENCE AND SIGNIFICANCE. THESE FOUR NEEDS WERE: - DIABETES AND OBESITY - OPIOID ABUSE - SUPPLY OF PRIMARY CARE PHYSICIANS - SUPPLY OF MENTAL HEALTH PROVIDERS "DIABETES AND OBESITY" WAS IDENTIFIED AS PARTICULARLY PREVALENT IN LOW INCOME POPULATIONS WHO STRUGGLE TO AFFORD AND ACCESS HEALTHY FOODS. THE SHORTAGE OF PRIMARY CARE AND MENTAL HEALTH PROVIDERS IS "REAL" AND IS MADE MORE CHALLENGING BECAUSE EXISTING PROFESSIONALS TYPICALLY ONLY ARE AVAILABLE TO PATIENTS DURING BUSINESS HOURS. THE SUPPLY OF MENTAL HEALTH PROVIDERS CONTRIBUTES TO OPIOID ABUSE, BECAUSE THOSE UNABLE TO ACCESS MENTAL HEALTH SERVICES MAY BE SELF-MEDICATING. HOMELESSNESS ALSO WAS DESCRIBED AS A CONTRIBUTING FACTOR TO SUBSTANCE ABUSE. MANY RECOVERING OR SUFFERING FROM ADDICTION HAVE TROUBLE FINDING STABLE HOUSING, LEADING TO CONTINUED DRUG ABUSE. AFFORDABLE HOUSING FOR LOW INCOME AND SECTION 8 RESIDENTS IS NEEDED. MANY RESIDENTS ARE UNINSURED OR UNDERINSURED, LEADING TO INADEQUATE ACCESS TO CARE. FOR UNDERINSURED INDIVIDUALS, MANY PROVIDERS ARE OUT OF NETWORK, PRESENTING SIGNIFICANT ACCESS BARRIERS. MANY COMMUNITY RESIDENTS DO NOT OWN CARS. A LACK OF TRANSPORTATION OPTIONS PRESENTS ANOTHER BARRIER TO ACCESSING CARE. BRINGING HEALTH SERVICES TO PEOPLE IN THEIR HOMES WOULD BE HELPFUL. DUE TO INADEQUATE ACCESS TO PRIMARY CARE, MANY USE EMERGENCY DEPARTMENTS FOR BASIC HEALTH CARE SERVICE. THIS IS PARTICULARLY TRUE FOR LOW INCOME RESIDENTS WHO, AT THE END OF THE MONTH, EXHAUST THEIR FOOD, MEDICATION, AND OTHER BASIC-NEEDS ASSISTANCE.
Schedule H, Part V, Section B, Line 5 Facility , 2	Facility , 2 - IU HEALTH ARNETT HOSPITAL (CONT). PROGRAMS THAT SEEK TO IMPROVE THE HEALTH OF LOW INCOME POPULATIONS WOULD ENHANCE JOB RETENTION, EDUCATION LEVELS, AND HOUSING STABILITY. MATERNAL AND CHILD HEALTH SERVICES ALSO ARE NEEDED. PREGNANT WOMEN IN TIPPECANOE COUNTY (AND INDIANA IN GENERAL) LACK ACCESS TO PRENATAL SERVICES. BIRTH CONTROL ALSO IS DIFFICULT TO ACCESS FOR MANY RESIDENTS. 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 IU HEALTH ARNETT HOSPITAL, SURVEYS WERE RECEIVED FROM 861 COMMUNITY HOUSEHOLDS. ACCORDING TO THE RESPONSES, THESE HOUSEHOLDS INCLUDED 1,595 ADULTS. THE COMMUNITY SURVEY INDICATES THAT SUBSTANCE ABUSE, OBESITY, MENTAL HEALTH, CHRONIC DISEASES, AND POVERTY REPRESENT TOP CONCERNS IN THE COMMUNITY SERVED BY IU HEALTH ARNETT HOSPITAL.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - IU HEALTH ARNETT HOSPITAL. In conjunction with the CHNA, IU Health Arnett's Board adopted an implementation strategy in April 2019 related to the 2018 CHNA. IU Health Arnett 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 Arnett will address the following community health needs between 2019 and 2021: - Access to Healthcare Services - Behavioral Health - Drug and Substance Abuse (including Opioids, Alcohol and Tobacco) - Healthcare and Social Services for Seniors - Behavioral Health - Mental 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 Arnett's implementation strategy to address the identified need of Access to Healthcare includes the following: - Provide scholarships for the Purdue University behavioral health nurse practitioner program. - IU Health funding supported 4 scholarships to the BHNPP at Purdue University - Support telemedicine virtual visits with primary care physicians and behavioral health specialists. - Expand virtual peer recovery coaches - Continue/expand quick response team (QRT)/paramedicine model. - Provide funding to support recovery coach and certified recovery specialist training. - Support youth career events and organizations. - IU Health is the healthcare sponsor for Junior Achievement's BizTown - Execute IU Health's five-year recruitment plan. - Explore the option to become a National Health Service Corps Site - IU Health Arnett is not eligible. - Provide windshield tours for physician recruits. -None needed - Provide internships and onsite/offsite learning opportunities for future professionals. - IU Health Arnett Family Medicine Residency Program consists of annual cohorts of 5 residents. Pharmacy provided over 300 student contact hours along with more than $2 million in overall health professional education investment Behavioral Health (includes Drug & Substance Abuse and Mental Health) IU Health Arnett's implementation strategy to address the identified need of Behavioral Health includes the following: - Create support groups for parents, families and those struggling with behavioral health issues. - Support the Mental Health America Crisis Center. - IU Health partnered with Mental Health America on numerous initiatives, including the Crisis Center, by providing $40,000 in funding during 2020. - Support local schools on North Central Health Services Youth Resilience grant project. - IU Health provided $2,500 in grants to 2 local school corporations to provide additional professional development to staff, students and parents to increase resiliency. - Support integrated care programs. - Support Willowstone Active Parenting classes. - Willowstone Family Services received $4,500 to support Active Parenting classes, in which 27 families consisting of 35 parents of 63 children enrolled in programming. - Provide health insurance navigation. - Provide behavioral health navigation services. - Provide trainings to hospital staff and community members (Question, Persuade, Refer (QPR) training, Mental Health First Aid, Applied Suicide Intervention Skills Training (ASIST), etc.). - Create/support awareness campaigns or events. - Increase youth education programs to prevent substance use. - Encourage proper storage and safe disposal of prescription medication through participation in drug take-back activities. - IU Health Arnett Retail Pharmacy partnered with Purdue University's BoilerWoRx program to distribute Deterra medication disposal packets to patients. Hundreds of the packets were distributed in 2020. The pharmacy also has a medication disposal box for community members to drop off unwanted medications for safe disposal. - Support opportunities for physician training and continuing education on substance use disorders (SUD). - Support community naloxone training. - Increase the number of trained peer recovery coaches and certified recovery specialists. - Support existing and research expansion of Quick Response Team (QRT)/community paramedicine programs. - IU Health referred fewer than 10 patients to the QRT during 2020. - Refer patients to local treatment facilities. - Accept primary care provider patients from local treatment facilities. - Create/support local support groups. - Support tobacco cessation program. - IU Health Arnett hosted limited tobacco cessation programs in 2020.COVID-19 impacted the in-person classes and virtual classes were not very well attended. - Support recovery housing options. - Support Recovery Cafe model. - Recovery Cafe Lafayette opened in 2019. - IU Health COE provided $4,650 in funding to support peer recovery coach training. - Collaborate with local initiatives. - IU Health team members participate in the Tippecanoe Resilience and Recovery Network, formerly the Tippecanoe Opioid Task Force, with representation on the prevention workgroup. Healthcare and Social Services for Seniors IU Health Arnett's implementation strategy to address the identified need of Healthcare and Social Services for Seniors include the following: - Provide insurance navigation for seniors. - Support Food Finders Senior Shopping Day. - Continue Meals on Wheels program. - IU Health Arnett Hospital prepares and packages meals for the Lafayette Meals on Wheels program. In June 2020, the program left the IU Health Arnett facility and went to a different location. In 2020, IU Health Arnett prepared 300 meals each day. - Support organizations that provide programming or services to seniors. - Participate in senior outreach activities (Senior Games, Lafayette Senior Expo, and Area IV walking groups).All of the outreach activities were canceled in 2020 due to COVID-19. - Support Senior Wellness Center Activities (Tai Chi, etc.) - Support the "Stepping On" classes (fall prevention). - IU Health Arnett Trauma Services canceled the Stepping on Classes due to COVID-19 restrictions. Smoking IU Health Arnett's implementation strategy to address the identified need of Smoking includes the following: - To help address needs associated with smoking and tobacco use, IU Health Arnett partnered with the Lafayette School Corporation DARE, granting them $2,000 to purchase the workbooks for the 1,500 middle schoolers going through the program. IU Health Arnett is unable to address those community health needs that do not relate directly to the Hospital's mission to deliver healthcare. These are needs that other governmental agencies and/or community organizations have the most appropriate expertise and resources to address. IU Health Arnett is unable to address the following community health needs identified in the 2018 Community Health Needs Assessment: Maternal and Child Health The Nurse Family Partnership provides in-home services to qualifying families. Healthy Communities of Clinton County Coalition offers numerous health services to new and expecting mothers. IU Health Arnett provides maternity services in the region, as well as post-partum and breastfeeding support groups for new mothers. As a system, IU Health is addressing maternal and child health by focusing on infant mortality, creating a system-wide collaborative to focus on this issue. Obesity and Diabetes IU Health Arnett focused on obesity prevention as one of the priority health needs from 2015-2018. The hospital supported many activities in the community. However, during the 2018 community health needs assessment, other needs arose as more necessary to address. There are other community resources that continue to address obesity and diabetes, including Healthy Active Tippecanoe. The hospital provides diabetes education programs. The local YMCA provides a Diabetes Prevention Program. Purdue Extension is another community resource that addresses obesity and diabetes. IU Health team members will continue to participate in the Healthy Active Tippecanoe, which addresses healthy eating and active living. Social Determinants of Health Many of the strategies will indirectly address various social determinants of health. IU Health team members often serve on agency boards or participate in local coalitions addressing the social determinants of health.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - IU HEALTH ARNETT HOSPITAL. IN ADDITION TO FPG, IU HEALTH ARNETT 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 ARNETT HOSPITAL. IU Health Arnett 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 Arnett will treat the adult as a dependent for purposes of the FPL calculation. IU Health Arnett 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 Arnett, 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 Arnett 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 Arnett 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 Arnett 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 ARNETT HOSPITAL. IU Health Arnett takes several other measures to broadly 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	45	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
IU HEALTH ARNETT HOSP OUTPAT SURG CTR
1327 S 500 E	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IUH ARNETT MOB - ONSITE
5177 MCCARTY LANE	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT CARDIOLOGY
5175 McCarty Lane	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT HOSPITAL SLEEP CENTER
3900 MCCARTY LANE STE 101	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT MED OFFICES -FERRY ST
2600 FERRY ST	LAFAYETTE	IN	47904	DIAGNOSTIC AND OTHER OUTPATIENT
ARNETT RETAIL PHARMACY
2600 GREENBUSH ST	LAFAYETTE	IN	47904	PHARMACY
IUH ARNETT MED OFFICES - GREENBUSH ST
2600 GREENBUSH ST	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
DSI LAFAYETTE DIALYSIS
915 MEZZANINE DR	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT NEPHROLOGY
915 MEZZANINE DR	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT MED OFFICE - OTTERBEIN
407 N MEADOW ST	OTTERBEIN	IN	47970	DIAGNOSTIC AND OTHER OUTPATIENT
IUH ARNETT MED OFFICES - W LAFAYETTE
253 SAGAMORE PKWY W	WEST LAFAYETTE	IN	47906	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT FAMILY MEDICINE
2800 FERRY ST	LAFAYETTE	IN	47904	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT PHYSICIANS CANCER SERV
720 S 6TH ST	MONTICELLO	IN	47960	SPECIALTY CARE
IU HEALTH ARNETT PHYSICIANS CANCER SERV
420 N 26TH ST	LAFAYETTE	IN	47904	SPECIALTY CARE
IU HEALTH ARNETT RETAIL PHARMACY
5165 MCCARTY LN ENTRANCE 4	LAFAYETTE	IN	47905	PHARMACY
IU HEALTH ARNETT MEDICAL OFFICE - DELPHI
651 ARMORY ROAD	DELPHI	IN	46923	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT MED OFF - LAFAYETTE
1 WALTER SCHOLER DR	LAFAYETTE	IN	47909	DIAGNOSTIC AND OTHER OUTPATIENT
IUH ARNETT OCCUPATIONAL HEALTH SERVICES
2600 GREENBUSH ST	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IUH ARNETT OUTPATIENT SURGERY CENTER
1327 VETERANS MEMORIAL PKWY E	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT PAIN MEDICINE
415 N 26TH ST STE 202	LAFAYETTE	IN	47904	DIAGNOSTIC AND OTHER OUTPATIENT
IUH ARNETT URGENT CARE - W LAFAYETTE
253 SAGAMORE PKWY W	WEST LAFAYETTE	IN	47906	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT MCCARTY PHARMACY
5165 MCCARTY LN RM AG320	LAFAYETTE	IN	47905	PHARMACY
IU HEALTH ARNETT PHYSICIANS FAMILY MED
810 S SIXTH ST	MONTICELLO	IN	47960	PRIMARY CARE
IU HEALTH ARNETT PHYSICIANS GEN SURGERY
810 S SIXTH ST	MONTICELLO	IN	47960	SPECIALTY CARE
IU HEALTH ARNETT PHYSICIANS CARDIOLOGY
810 S SIXTH ST	MONTICELLO	IN	47960	SPECIALTY CARE
IU HEALTH ARNETT PHYSICIANS NEPHROLOGY
810 S SIXTH ST	MONTICELLO	IN	47960	SPECIALTY CARE
IUH ARNETT PHYS ORTHO & SPORTS MED
810 S SIXTH ST	MONTICELLO	IN	47960	SPECIALTY CARE
IUH ARNETT PHYS PRIMARY CARE WALK-IN
810 S SIXTH ST	MONTICELLO	IN	47960	PRIMARY CARE
IUH ARNETT PHYSICIANS WOMEN'S HEALTH
810 S SIXTH ST	MONTICELLO	IN	47960	SPECIALTY CARE
RILEY PHYSICIANS AT IU HEALTH ARNETT
810 S SIXTH ST	MONTICELLO	IN	47960	SPECIALTY CARE
IU HEALTH ARNETT PHYSICIANS GEN SURGERY
1458 S JACKSON ST SUITE A	FRANKFORT	IN	46041	SPECIALTY CARE
IU HEALTH ARNETT OBGYN
550 S HOKE AVE	FRANKFORT	IN	46041	SPECIALTY CARE
IU HEALTH ARNETT PHYSICIANS CANCER SERV
550 S HOKE AVE	FRANKFORT	IN	46041	SPECIALTY CARE
IU HEALTH ARNETT PHYSICIANS FAMILY MED
550 S HOKE AVE	FRANKFORT	IN	46041	PRIMARY CARE
IUH ARNETT PHYSICIANS INTERNAL MED & PED
550 S HOKE AVE	FRANKFORT	IN	46041	PRIMARY CARE
IU HEALTH ARNETT PHYSICIANS NEPHROLOGY
550 S HOKE AVE	FRANKFORT	IN	46041	SPECIALTY CARE
IUH ARNETT PHYS ORTHO & SPORTS MED
550 S HOKE AVE	FRANKFORT	IN	46041	SPECIALTY CARE
IUH ARNETT PHYSICIANS ANESTHESIOLOGY
1300 S JACKSON ST	FRANKFORT	IN	46041	SPECIALTY CARE
IUH ARNETT PHYSICIANS GASTROENTEROLOGY
1300 S JACKSON ST	FRANKFORT	IN	46041	SPECIALTY CARE
IU HEALTH ARNETT PHYSICIANS RADIOLOGY
1300 S JACKSON ST	FRANKFORT	IN	46041	RADIOLOGY
IU HEALTH ARNETT PAIN MGMT-FRANKFORT
1458 S JACKSON ST	FRANKFORT	IN	46041	SPECIALTY CARE
IU HEALTH ARNETT CARDIOLOGY
1458 S JACKSON ST	FRANKFORT	IN	46041	SPECIALTY CARE
IUH ARNETT PHYSICIAN MEDICAL WEIGHT LOSS
1458 S JACKSON ST	FRANKFORT	IN	46041	SPECIALTY CARE
IUH ARNETT PHYSICIANS ALLERGY & ASTHMA
1458 S JACKSON ST	FRANKFORT	IN	46041	SPECIALTY CARE

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 ARNETT'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 7f PERCENT OF TOTAL EXPENSE	THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE ON LINE 7, COLUMN (F) IS $33,416,211.
Schedule H, Part I, Line 7c TOTAL COMMUNITY BENEFIT EXPENSE	PERCENTAGE OF TOTAL EXPENSES LISTED ON SCHEDULE H, PART I, LINE 7, COLUMN (F) IS CALCULATED BASED ON NET COMMUNITY BENEFIT EXPENSE. THE PERCENTAGE OF TOTAL EXPENSES CALCULATED BASED ON TOTAL COMMUNITY BENEFIT EXPENSE IS 40.36%.
Schedule H, Part II PROMOTION OF HEALTH IN COMMUNITIES SERVED	IU Health Arnett participates in a variety of community-building activities that address the social determinants of health in the communities it serves. IU Health Arnett 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 Arnett'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: -Riggs Community Health Center -Starfish Initiative -Teach for America -United Way 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 Arnett uses several factors other than federal poverty guidelines ("FPG") 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 Arnett will treat the adult as a dependent for purposes of the FPL calculation. IU Health Arnett 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 Arnett 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 Arnett, 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 Arnett 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 Arnett 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 Arnett 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 Arnett 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	33416211
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 Arnett 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 Arnett 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 Arnett 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 Arnett IS A SUBSIDIARY IN THE CONSOLIDATED FINANCIAL STATEMENTS OF IU HEALTH. IU HEALTH'S BAD DEBT EXPENSE FOOTNOTE IS 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 THE IU HEALTH ARNETT MEDICARE COST REPORT. "ALLOWABLE COSTS" FOR MEDICARE COST REPORT PURPOSES, HOWEVER, ARE NOT REFLECTIVE OF ALL COSTS ASSOCIATED WITH IU HEALTH ARNETT'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 ARNETT'S PARTICIPATION IN MEDICARE PROGRAMS WOULD SIGNIFICANTLY INCREASE THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7. IU HEALTH ARNETT'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 ARNETT 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 Arnett follows IU Health'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 ARNETT 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 ARNETT 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 ARNETT 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 Arnett 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 Arnett ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). FOR THE 2018 CHNA, IU HEALTH Arnett 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 Arnett 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 Arnett COMMUNITY 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 Arnett 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 Arnett 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 ARNETT IS PRIMARILY LOCATED IN TIPPECANOE COUNTY BUT ALSO HAS MEDICAL OFFICES AND SERVES PATIENTS IN BENTON, CARROLL, CLINTON, AND WHITE COUNTIES. TIPPECANOE COUNTY INCLUDES ZIP CODES WITHIN THE TOWNS OF BATTLE GROUND, CLARKS HILL, DAYTON, LAFAYETTE, ROMNEY, WEST LAFAYETTE AND WEST POINT. BASED ON THE MOST RECENT CENSUS BUREAU (2020 ESTIMATE) STATISTICS, TIPPECANOE COUNTY'S POPULATION IS 186,251 PERSONS WITH APPROXIMATELY 49% BEING FEMALE AND 51% MALE. THE COUNTY'S POPULATION ESTIMATES BY RACE ARE 74.8% WHITE, 8.7% HISPANIC OR LATINO, 8.8% ASIAN, 5.9% BLACK, 0.4% AMERICAN INDIAN OR ALASKA NATIVE, AND 2.2% PERSONS REPORTING TWO OR MORE RACES. TIPPECANOE COUNTY HAS RELATIVELY MODERATE LEVELS OF EDUCATIONAL ATTAINMENT. AMONG RESIDENTS AGES 25 AND UP, 91.6% ENDED THEIR FORMAL EDUCATION WITH A HIGH SCHOOL DIPLOMA OR EQUIVALENT. AMONG RESIDENTS AGES 25 AND UP, 38.7% EARNED A BACHELOR'S DEGREE OR HIGHER.
Schedule H, Part VI, Line 5 Promotion of community health	IU Health Arnett 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. In 2018, IU Health Arnett completed a community health needs assessment which identified 4 priority health needs: Access to Healthcare, Health and Social Services for Seniors, Mental Health and Substance Use. The Community Outreach and Engagement Committee worked to identify major community partners to assist with education, outreach, programs and services to address these priority needs. IU Health committed $387,000 to 17 major partners, including local school corporations, community YMCAs and Purdue University, among others. Additionally, to assist with accessing healthcare, IU Health Arnett team members participated in a community initiative, Workforce 2030 Council, in order to build more interest and capacity in healthcare careers. IU Health provided $10,000 in scholarships to Purdue University's Mental Health Nurse Practitioner Program. For mental health, IU Health supported evidence-based parenting classes through Willowstone Family Services. IU Health also partnered with Mental Health America Wabash Valley Region to fund different programs and services, including the Crisis Center and community education sessions. In 2020, MHA utilized funds from IU Health to purchase equipment that made it possible to continue their services during a statewide lockdown order. IU HEALTH ARNETT 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 APPOINTMENT ON THE BASIS OF 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 Arnett is part of the IU Health Statewide System ("the system"), which 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. The system 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 Arnett 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 Arnett 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 (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
INDIANA UNIVERSITY HEALTH FOUNDATION INC
1800 NORTH CAPITOL AVENUE	INDIANAPOLIS	IN	46202	356043086	501(C)(3)	$41,000	EDUCATION FUND
YMCA of Lafayette
1950 South 18th Street	Lafayette	IN	47905	350868213	501(c)(3)	$118,800	community campaign
United Way of Greater Lafayette
1114 State Street	Lafayette	IN	47905	350891621	501(c)(3)	$25,000	GENERAL SUPPORT
Healthy Communities of Clinton County
1458 OAK ST STE B	Frankfort	IN	46041	462835793	501(c)(3)	$87,417	GENERAL SUPPORT
MENTAL HEALTH AMERICA OF TIPPECANOE COUNTY INC
914 South St	Lafayette	IN	47901	383653969	501(c)(3)	$45,000	GENERAL SUPPORT
Food Finders
1204 greenbush street	Lafayette	IN	47904	311020198	501(c)(3)	$41,400	GENERAL SUPPORT
White County United Way
PO Box 580	Monticello	IN	47960	351137113	501(c)(3)	$13,500	GENERAL SUPPORT
TIPPECANOE SCHOOL CORPORATION
21 Elston Road	Lafayette	IN	47909	000000000	GOVT	$12,500	SCHOOL SUPPLIES
PURDUE UNIVERSITY
475 STADIUM MALL DRIVE	WEST LAFAYETTE	IN	47907	356002041	GOVT	$10,000	EDUCATION
LAFAYETTE SCHOOL CORPORATION
2300 CASON STREET	LAFAYETTE	IN	47904	000000000	GOVT	$8,100	WATER BOTTLE FILLERS
TWIN LAKES SCHOOL CORPORATION
565 SOUTH MAIN STREET	MONTICELLO	IN	47960	000000000	GOVT	$6,500	SCHOOL SAFETY

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	4	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	ORG.'S PROC. FOR MON. THE USE OF GRANT FUNDS ALTHOUGH IU HEALTH ARNETT DOES NOT MONITOR THE USE OF GRANT FUNDS ONCE DISTRIBUTED, THROUGH DUE DILIGENCE THE ORGANIZATION HAS REASONABLY CONFIRMED THAT THE ENTITIES TO WHICH THE CONTRIBUTIONS ARE MADE 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	false	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 (24 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
CHRISTOPHER A MANSFIELD MD
DIRECTOR/VICE CHAIR	$421,448	$0	$7,710	$0	$18,540	$0	$18,400	$0	$32,170	$0	$498,267	$0	$0	$0
RUBAN NIRMALAN MD
DIRECTOR	$724,244	$0	$600	$0	$18,810	$0	$18,638	$0	$26,824	$0	$789,116	$0	$0	$0
ROGER G BANGS MD
DIRECTOR	$628,465	$0	$6,971	$0	$41,064	$0	$18,400	$0	$12,574	$0	$707,473	$0	$0	$0
WILLIAM Y LI MD
DIRECTOR	$428,267	$0	$600	$0	$19,242	$0	$18,400	$0	$31,506	$0	$498,015	$0	$0	$0
MICHELE S SAYSANA MD
DIRECTOR	$0	$374,063	$0	$64,366	$0	$713	$0	$16,802	$0	$0	$0	$455,945	$0	$0
CARA L BREIDSTER
FORMER OFFICER	$0	$264,625	$0	$46,094	$0	$56,940	$0	$18,631	$0	$25,745	$0	$412,036	$0	$0
DEREK E EMPIE
FORMER OFFICER	$0	$253,961	$0	$43,264	$0	$31,861	$0	$18,354	$0	$31,916	$0	$379,357	$0	$0
ANDREW K EDWARDS MD
FORMER OFFICER	$392,898	$0	$600	$0	$18,810	$0	$19,268	$0	$25,738	$0	$457,314	$0	$0	$0
DONALD E CLAYTON MD
FORMER OFFICER	$106,548	$0	$600	$0	$16,299	$0	$9,507	$0	$10,459	$0	$143,413	$0	$0	$0
DANIEL E NEUFELDER
REGIONAL PRESIDENT (WCR)	$0	$524,378	$0	$228,363	$0	$26,364	$0	$117,624	$0	$26,448	$0	$923,177	$0	$0
TODD A WILLIAMS
CFO/TREASURER (WCR)	$0	$268,233	$0	$35,958	$0	$55,290	$0	$18,400	$0	$33,293	$0	$411,174	$0	$0
PHILIP LIST
SECRETARY (WCR)	$0	$136,827	$0	$16,500	$0	$132	$0	$9,775	$0	$6,089	$0	$169,324	$0	$0
BRIAN T SHOCKNEY
FORMER KEY EMPLOYEE	$0	$555,231	$0	$263,743	$0	$30,294	$0	$112,183	$0	$29,309	$0	$990,760	$0	$0
JAMES P BIEN MD
CMO (WCR) - VP QUALITY & SAFETY	$351,676	$0	$44,720	$0	$69,717	$0	$18,400	$0	$32,279	$0	$516,792	$0	$0	$0
JEFFREY C ZEH
COO (WCR)	$295,087	$0	$43,364	$0	$35,720	$0	$18,400	$0	$227	$0	$392,798	$0	$0	$0
BRIAN M WEIRICH
CNO(WCR) (PART YEAR)	$140,737	$0	$13,296	$0	$39,298	$0	$12,752	$0	$20,792	$0	$226,876	$0	$0	$0
KOREEN C KYHNELL
VP - HUMAN RESOURCES (WCR)	$0	$177,513	$0	$24,119	$0	$26,350	$0	$13,086	$0	$26,735	$0	$267,804	$0	$0
JAMES H PARSONS
CHIEF PRACTICE OFFICER	$168,046	$0	$23,055	$0	$22,880	$0	$13,437	$0	$34,825	$0	$262,242	$0	$0	$0
ALLISON SHUTTZ
CNO (WCR) (PART YEAR)	$125,252	$0	$20,554	$0	$24,460	$0	$9,845	$0	$30,885	$0	$210,997	$0	$0	$0
JOSEPH E HUBBARD MD
PHY. DEPT. CHAIRPERSON	$1,034,766	$0	$600	$0	$20,040	$0	$18,400	$0	$31,714	$0	$1,105,520	$0	$0	$0
CHENG DU MD
PHYSICIAN	$796,822	$0	$0	$0	$21,629	$0	$20,734	$0	$30,493	$0	$869,677	$0	$0	$0
STANTON M REGAN MD
PHYSICIAN	$973,239	$0	$1,250	$0	$19,986	$0	$18,400	$0	$34,059	$0	$1,046,934	$0	$0	$0
NAVEED AHMAD MD
PHY. DEPT. CHAIRPERSON	$815,956	$0	$600	$0	$18,810	$0	$18,400	$0	$31,499	$0	$885,265	$0	$0	$0
GARRETT JACKSON MD
PHYSICIAN	$1,063,915	$120,079	$539	$61	$17,959	$2,027	$1,355	$153	$22,610	$2,552	$1,106,378	$124,872	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	IU HEALTH ARNETT'S REGIONAL PRESIDENT IS EMPLOYED BY IU HEALTH, INC. IU HEALTH, INC., IU HEALTH ARNETT, 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 4b Supplemental nonqualified retirement plan	DANIEL E. NEUFELDER AND BRIAN T. SHOCKNEY PARTICIPATE IN AN IU HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, PROVISIONS OF WHICH ARE DESIGNED TO RETAIN ITS 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, THE BENEFIT MAY BE FORFEITED OR REDUCED. DANIEL E. NEUFELDER AND BRIAN T. SHOCKNEY HAVE AN AMOUNT INCLUDED IN COLUMN C, DEFERRED COMPENSATION, REPRESENTING THE CURRENT YEAR UNVESTED CONTRIBUTIONS MADE UNDER THE SUPPLEMENTAL RETIREMENT PLAN. NO AMOUNTS WERE ACTUALLY 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
LINE J - WEB SITE	HTTPS://IUHEALTH.ORG/FIND-LOCATIONS/IU-HEALTH-ARNETT-HOSPITAL
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 4,161,142 including grants of $)(Revenue $ 4,365,250) IU HEALTH ARNETT PROVIDES SERVICES TO RELATED TAX-EXEMPT ORGANIZATIONS.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 579,040 including grants of $)(Revenue $ 607,443) INCOME (LOSS) FROM PASS-THROUGH ENTITIES
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 27,612 including grants of $)(Revenue $ 28,966) RENT FROM RELATED 501(C)(3) ORGANIZATIONS
Form 990, Part IV, Line 13 SECTION B, LINES 12, 13, 14, AND 16B - POLICIES	IU HEALTH ARNETT IS PART OF THE IU HEALTH SYSTEM. AS THE SOLE MEMBER AND CONTROLLING PARENT OF IU HEALTH ARNETT, IU HEALTH AND ITS BOARD OF DIRECTORS HAVE MANDATED THAT CERTAIN POLICIES BE FOLLOWED TO ENSURE GREATER STANDARDIZATION THROUGHOUT THE SYSTEM. THUS, IU HEALTH ARNETT'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 6 Classes of members or stockholders	THE SOLE MEMBER OF IU HEALTH ARNETT IS IU HEALTH, A 501(C)(3) TAX-EXEMPT HOSPITAL.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE CONTROL AND MANAGEMENT OF THE AFFAIRS OF IU HEALTH ARNETT IS VESTED IN A BOARD OF UP TO FOURTEEN (14) VOTING DIRECTORS WHOM ARE APPOINTED BY IU HEALTH, AS THE SOLE MEMBER OF THE ORGANIZATION. FOUR (4) OF THE VOTING DIRECTORS WILL BE PHYSICIAN REPRESENTATIVES FROM THE WEST CENTRAL REGION. THE PHYSICIAN DIRECTORS WILL BE IDENTIFIED THROUGH A NOMINATION PROCESS DEVELOPED BY THE WEST CENTRAL REGION AND SUBMITTED TO IU HEALTH FOR CONSIDERATION AND APPROVAL.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE BOARD OF DIRECTORS MAY NOT UNDERTAKE CERTAIN ACTIONS WITHOUT THE PRIOR APPROVAL OF IU HEALTH, AS THE SOLE MEMBER. ACTIONS THAT REQUIRE PRIOR APPROVAL INCLUDE THE FOLLOWING: -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; -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 CFO REVIEWED AND APPROVED THE FORM 990. FOLLOWING THE CFO'S 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 Arnett 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 15b Process to establish compensation of other employees	IU HEALTH ARNETT'S REGIONAL 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 SULLIVAN COTTER. 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 SULLIVAN COTTER'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 SULLIVAN COTTER. 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 SULLIVAN COTTER 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 ARNETT 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.
Form 990, Part VI, Line 19 Required documents available to the public	IU HEALTH ARNETT'S ARTICLES OF INCORPORATION ARE AVAILABLE FOR PUBLIC INSPECTION THROUGH THE INDIANA SECRETARY OF STATE'S WEBSITE. IU HEALTH ARNETT'S CONFLICT OF INTEREST PROCEDURES ARE DISCLOSED ON THE FORM 990, SCHEDULE O. IU HEALTH ARNETT IS A SUBSIDIARY IN IU HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IU HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION THROUGH ITS BOND FILINGS AND AS AN ATTACHMENT TO IU HEALTH'S FORM 990 AS WELL AS IU HEALTH ARNETT'S FORM 990.
Form 990, Part VII, Section B, Line 1 COMP OF THE FIVE HIGHEST PD IND. CONTRACTORS	THE AMOUNTS PAID TO Kettelhut CONSTRUCTION TOTALING $2,432,625 INCLUDE BOTH GOODS AND SERVICES ASSOCIATED WITH THE CONSTRUCTION OF IU Health Arnett CARDIOLOGY RELOCATION. THE AMOUNTS FOR GOODS VS. SERVICES WERE NOT EASILY SEPARATED FOR REPORTING ON THE 990, PART VII, SECTION B, INDEPENDENT CONTRACTORS. THE AMOUNTS PAID TO Hagerman CONSTRUCTION Corp TOTALING $1,997,740 INCLUDE BOTH GOODS AND SERVICES ASSOCIATED WITH THE CONSTRUCTION OF IU Health ARNETT WOUND CARE. 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 2f Other Program Service Revenue	RENT FROM RELATED 501(C)(3) ORGS - Total Revenue: 28966, Related or Exempt Function Revenue: 28966, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	ALL OTHER REVENUE - Total Revenue: 2217824, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2217824;
Form 990, Part IX, Line 11g Other Fees	SHARED SERVICES/PROF FEES - Total Expense: 90611781, Program Service Expense: 88906824, Management and General Expenses: 1704957, Fundraising Expenses: ;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ARNETT CLINIC LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	352030653	HEALTHCARE	IN	$3,791,031	$61,568,331	IUHA
CAH PHYSICIANS LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	262769447	HEALTHCARE	IN	$0	$0	IUHA
CLARIAN-ARNETT OCCUP HEALTH CTRS LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	271973115	HEALTHCARE	IN	$0	$44,069	IUHA

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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
INDIANA HEALTH INFO EXCHANGE INC
846 N SENATE AVE	INDIANAPOLIS	IN	46202	364550324	HEALTHCARE	IN	501(c)(3)	Type I	N/A	false
IU HEALTH BALL MEMORIAL PHYSICIANS INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351925641	HEALTHCARE	IN	501(c)(3)	10		Yes (true)	Suite 300	IUHBMH
IU HEALTH NORTH HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351932442	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
IU HEALTH BMH FOUNDATION INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	311111784	FUNDRAISING	IN	501(c)(3)	Type I		Yes (true)	Suite 800	IUHBMH
IU HEALTH BALL MEMORIAL HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	350867958	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
IU HEALTH JAY INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	822736786	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
IU HEALTH BEDFORD INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	237042323	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
IU HEALTH BLOOMINGTON INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351720796	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
IU HEALTH CARE ASSOCIATES INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351747218	HEALTHCARE	IN	501(c)(3)	10		Yes (true)	Suite 300	IUH
INDIANA UNIVERSITY HEALTH FOUNDATION INC
1633 N CAPITOL AVE	INDIANAPOLIS	IN	46202	356043086	FUNDRAISING	IN	501(c)(3)	Type I		Yes (true)	SUITE 1200	IUH
IU HEALTH FRANKFORT INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	815174295	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
METHODIST HEALTH GROUP INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	350876390	HEALTHCARE	IN	501(c)(3)	Type III-FI		false	Suite 800	NA
IU HEALTH MORGAN INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	273533027	HEALTHCARE	IN	501(c)(3)	10		Yes (true)	Suite 800	IUH
INDIANA UNIVERSITY HEALTH INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351955872	HEALTHCARE	IN	501(c)(3)	3		false	Suite 300	NA
IU HEALTH PAOLI INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	352090919	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
IU HEALTH PLANS NFP INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	463803873	INSURANCE	IN	501(c)(4)			Yes (true)	Suite 800	IUH
IU HEALTH TIPTON HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	262772226	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
IU HEALTH WEST HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351814660	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
IU HEALTH WHITE MEMORIAL HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	273532963	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
IU MEDICAL GROUP FOUNDATION INC
340 W 10TH ST NO FS5100	INDIANAPOLIS	IN	46202	201093251	FUNDRAISING	IN	501(c)(3)	Type I		false		NA
IUHLP Liquidation Inc
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351125434	HEALTHCARE	IN	501(c)(3)	10		Yes (true)	Suite 800	IUHLP
MDWISE MARKETPLACE INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	465270582	INSURANCE	IN	501(c)(4)			Yes (true)	Suite 800	IUH
MDWISE NETWORK INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	472619552	INSURANCE	IN	501(c)(4)			Yes (true)	Suite 800	IUH
METHODIST OCCUP HEALTH CENTERS INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	351844176	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUH
RILEY CHEER GUILD INC
705 RILEY HOSPITAL DR	INDIANAPOLIS	IN	46202	356018517	FUNDRAISING	IN	501(c)(3)	Type III-FI		false		NA
UNIVERSITY FAMILY PHYSICIANS INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	237427350	HEALTHCARE	IN	501(c)(3)	10		Yes (true)	Suite 800	IUHCA
CLARIAN TRANSPLANT INSTITUTE INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	134350599	HEALTHCARE	IN	501(c)(3)	10		Yes (true)	Suite 800	IUH
IU HEALTH BLACKFORD HOSPITAL INC
950 N MERIDIAN STREET	INDIANAPOLIS	IN	46204	010646166	HEALTHCARE	IN	501(c)(3)	3		Yes (true)	Suite 300	IUHBMH
16 TECH COMMUNITY CORPORATION
1220 WATERWAY BLVD	INDIANAPOLIS	IN	46202	810853467	ECONOMIC DEVELOPMENT	IN	501(c)(3)	Type I		false		NA

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 31106 89 Nexus Way		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	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	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 (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
IU HEALTH NORTH HOSPITAL INC
E	$3,469,899	FMV
IU HEALTH WHITE MEMORIAL HOSPITAL INC
K	$293,371	FMV
IU HEALTH FRANKFORT INC
L	$2,141,317	FMV
IU HEALTH WHITE MEMORIAL HOSPITAL INC
L	$1,888,053	FMV
IU HEALTH CARE ASSOCIATES INC
M	$2,251,290	FMV
METHODIST OCCUPATIONAL HEALTH CENTER INC
M	$367,055	FMV
IU Health West Hospital INC
E	$162,080	FMV
IUH ASSURANCE SPC LTD
R	$598,192	FMV
IU HEALTH RISK RETENTION GROUP INC
R	$3,648,795	FMV
IU HEALTH FOUNDATION INC
C	$219,410	FMV