2021-11-10T11:00:41-06:00 2020-12-31 990 2020-01-01 351747218 Indiana University Health Care Associates Inc INDI 3179634842 950 N MERIDIAN STREET 300 INDIANAPOLIS IN 46204 JUDITH L COLEMAN CFO 2021-11-10 JUDITH L COLEMAN 999009999 2020 2022-09-23 18:48:47Z IU HEALTH PHYSICIANS Himanshu Shah MD 950 N MERIDIAN STREET 300 INDIANAPOLIS IN 46204 866357964 false X HTTPS://IUHEALTH.ORG/FOR-PROVIDERS/CAREERS-EDUCATION/IU-HEALTH-PHYSICIANS X 1987 IN To deliver preeminent medical care and service to our patients and communities through outstanding and innovative medical leadership and practice, while participating in and supporting excellence in education and research. 7 2 5766 0 0 0 315377 649581 863263058 865118008 398376 351080 201307 141333 864178118 866260002 0 16655939 0 880668115 948226935 0 0 0 255554355 225343114 1136222470 1190225988 -272044352 -323965986 236325955 196785353 216725861 204425919 19600094 -7640566 X To deliver preeminent medical care and service to our patients and communities through outstanding and innovative medical leadership and practice, while participating in and supporting excellence in education and research. We achieve this with the vision of becoming the Midwest's premier academic multi-specialty physician group by being: - Renowned for our scope and quality of compassionate, patient-centered care; world-class care. - Recognized for our exemplary access and service to patients and referring physicians, putting patients first. - Lauded for our ability to improve the health of community for which it serves. - Distinguished for our scientific investigation and research that defines tomorrow's care. - Celebrated for our commitment to the education and training of health professionals and acclaimed for the quality of our learners. - Acclaimed for our development of world-class academic leadership and the next generation of health care experts. false false 552177862 16655939 505811382 INDIANA UNIVERSITY HEALTH CARE ASSOCIATES, INC. ("IU HEALTH PHYSICIANS") IS THE MOST COMPLETE MULTI-SPECIALTY PHYSICIAN GROUP IN THE STATE OF INDIANA. IU HEALTH PHYSICIANS PROVIDES HIGH QUALITY PATIENT-CENTERED CARE PLACING THE HIGHEST PRIORITY ON THE NEEDS OF THE PATIENT AND THEIR FAMILIES, WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. 353050140 0 323404452 IU HEALTH PHYSICIANS PROVIDES SERVICES, WHICH INCLUDE COORDINATED ACTIVITIES AND POLICIES, TO RELATED TAX-EXEMPT ORGANIZATIONS DESIGNED TO MEET THE MISSION OF THE INDIANA UNIVERSITY HEALTH SYSTEM. 14825841 0 13580912 IU Health Care Associates leases physician office and clinic space to tax-exempt RELATED 501(C)(3) ORGS. 0 0 22321262 As of December 31, 2020, Indiana University Health Care Associates, 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 Care Associates recognized $22,321,262 as other program service revenue. Indiana University Health Care Associates, Inc. will continue to monitor compliance with the terms and conditions of the Provider Relief Fund. 22321262 920053843 true true false true false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true 138 0 true 5766 true false false false false false false false false false false true false X 7 2 false false false false true true true true true false false true true true true true true true true false IN X CRAIG J JONES 3179634842 950 N MERIDIAN ST STE 300 INDIANAPOLIS IN 46204 JEFFREY F PEIPERT MD DIRECTOR / VICE CHAIR 55.0 0 X X 279119 0 18668 KEVIN B GEBKE MD DIRECTOR/2020 CHAIR 53.0 2.0 X X 355291 0 15441 Himanshu Shah MD DIRECTOR 55.0 0 X 538994 0 17650 JAMIE B DIMOND DIRECTOR 2.0 0 X 0 0 0 JAY L HESS MD DIRECTOR 2.0 10.0 X 0 42500 0 KENNETH D PUCKETT DIRECTOR 2.0 53.0 X 0 818678 142031 MICHELLE A JANNEY RN DIRECTOR 2.0 51.0 X 0 1575690 24648 DAVID A INGRAM MD PRESIDENT 51.0 2.0 X 945576 0 137940 JUDITH L COLEMAN CFO 55.0 0.0 X 0 366850 39639 BRIAN D KREMER COO (PART YR)/ VP - MEDICAL AFFAIRS 55.0 0 X 412589 0 49382 MELISSA HOCKADAY VP - CNO - IU HEALTH PHYS 55.0 0 X 289382 0 48711 ALAN LADD MD STAFF PHYSICIAN 55.0 0 X 1133820 0 18400 JASON WATTERS MD STAFF PHYSICIAN 55.0 0 X 1206406 0 17270 KARL SHIVELY MD VICE CHAIR-CLINICAL AFFAIRS 55.0 0 X 1204880 0 17270 MARK W TURRENTINE MD DIVISION CHIEF 55.0 0 X 1504372 0 18400 ROBERT M MENEGHINI MD STAFF PHYSICIAN 55.0 0 X 1318911 0 17315 CELIA D SURFACE-BRUDER FORMER KEY EMPLOYEE 53.0 2.0 X 363272 0 29083 CHERRI HOBGOOD FORMER OFFICER 0.0 0 X 206357 0 10279 JOHN F FITZGERALD MD Former Officer 0.0 55.0 X 178027 903231 704155 JUDY L HOLLINGSWORTH FORMER KEY EMPLOYEE 55.0 0 X 209039 0 30182 PETER W BRUNN FORMER KEY EMPLOYEE 55.0 0 X 345494 0 46243 RICHARD C ZELLARS MD FORMER OFFICER 55.0 0 X 366651 0 18422 10858182 3706950 1421128 2310 true true false INDIANA UNIVERSITY PO BOX 66271 INDIANAPOLIS IN 46266 MEDICAL 84799796 UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES PO BOX 44994 INDIANAPOLIS IN 46244 MEDICAL 17522637 SCRIBEAMERICA LLC PO BOX 417756 BOSTON MA 022417756 MEDICAL 1309251 EDELBERG COMPLIANCE ASSOCIATES INC 1205 JOHNSON FERRY RD SUITE 136 356 MARIETTA GA 30068 Medical Coding 1022550 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 Staffing 810258 29 252716 3780 393085 649581 NET PATIENT SERVICE REVENUE 621100 505811382 505811382 SHARED SERVICES 541900 323404452 323404452 Federal Recovery Revenue 900099 22321262 22321262 RENT FROM RELATED 501(C)(3) ORGS 532000 13580912 13580912 0 0 0 0 865118008 345118 345118 84320 0 97962 0 -13642 0 -13642 -13642 5962 0 0 5962 5962 5962 PARKING 812930 154975 154975 0 0 0 0 154975 866260002 865118008 0 492413 16655939 16655939 3108744 2427304 681440 1918987 1498343 420644 824301322 643613491 180687831 22940185 17914017 5026168 60793136 47473431 13319705 35164561 27460047 7704514 193376 13924 179452 47658 6704 40954 2640 2640 107139726 51201768 55937958 0 292970 292970 6134861 4524223 1610638 2017079 1668418 348661 27637447 27637447 368672 368672 73488 73488 261315 261315 4061294 3802531 258763 14964456 12550171 2414285 BAD DEBT 30943786 30943786 DRUGS AND MEDICAL SUPPLIES 26528583 26528583 RECRUITMENT 1814690 1337833 476857 PARKING EXPENSES 760309 95090 665219 2100764 1704348 396416 0 1190225988 920053843 270172145 0 156696336 128203577 0 0 0 0 2611423 2314444 2395187 1255678 7665380 9154202 80129014 40747548 43452956 39381466 0 0 1700000 1700000 21804673 14775986 236325955 196785353 177820656 167750438 0 0 38905205 36675481 216725861 204425919 X 19600094 -7640566 19600094 -7640566 236325955 196785353 X -323965986 296725326 X false true X true false X 37042 609162 342918 315377 649581 1954080 699197164 760445128 799630275 863263058 865118008 3987653633 12264703 15318020 178591 204302 154975 28120591 0 0 711498909 776372310 800151784 863782737 865922564 4017728304 0 0 0 0 0 0 93719500 130972133 134983111 143200573 148964534 651839851 93719500 130972133 134983111 143200573 148964534 651839851 3365888453 252292 176909 397341 374570 429438 1630550 0 252292 176909 397341 374570 429438 1630550 0 0 0 0 0 0 0 711751201 776549219 800549125 864157307 866352002 4019358854 0.8374 0.8462 0 0.0004 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2640 2640 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY IU HEALTH PHYSICIANS PAID INSTITUTIONAL MEMBERSHIP DUES TO THE AMERICAN MEDICAL GROUP ASSOCIATION ("AMGA") DURING 2020 IN THE AMOUNT OF $26,395. THE AMGA NOTIFIED IU HEALTH PHYSICIANS THAT A PORTION OF THE DUES IT PAID WAS USED FOR LOBBYING PURPOSES. THE AMGA USED 10%, OR $2,640 OF 2020 MEMBERSHIP DUES PAID BY IU HEALTH PHYSICIANS, FOR LOBBYING EXPENDITURES. 953480 825342 128138 15566782 11068839 4497943 62149138 28738006 33411132 1459614 115361 1344253 39381466 INTERCOMPANY RECEIVABLES (NET) 5026138 PENSION AND OTHER RET. ASSETS 9697786 ACCRUED LOAN GUARANTEE 52062 14775986 PENSION AND OTHER RET. LIAB. 8226859 OPERATING LEASE LIABILITIES 28448622 36675481 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote IU Health Physicians 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. true IU Medical Group Foundation 340 W 10th St NO FS5100 Indianapolis IN 46202 201093251 501(c)(3) 16655939 FMV General Support 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Although Indiana University Health Care Associates, Inc. does not monitor the use of grant funds once distributed, through due diligence the organization has reasonably confirmed that the entities or individuals to which the contributions are made meet specified qualifications, and in the case of entities, are highly reputable in the community and use the funds for the purposes intended. X true true X X X X true true false false false false false true false RICHARD C ZELLARS MD FORMER OFFICER 363729 0 600 0 2322 0 18400 0 22 0 385073 0 0 0 KEVIN B GEBKE MD DIRECTOR/2020 CHAIR 296843 0 57206 0 1242 0 15441 0 0 0 370732 0 0 0 JEFFREY F PEIPERT MD DIRECTOR / VICE CHAIR 274773 0 782 0 3564 0 18299 0 369 0 297787 0 0 0 MICHELLE A JANNEY RN DIRECTOR 0 844903 0 528686 0 202102 0 18400 0 6248 0 1600338 0 0 KENNETH D PUCKETT DIRECTOR 0 530772 0 264649 0 23256 0 110203 0 31828 0 960708 0 0 Himanshu Shah MD DIRECTOR 536072 0 600 0 2322 0 17650 0 0 0 556644 0 0 0 JOHN F FITZGERALD MD Former Officer 66447 337123 59211 300410 52369 265698 112476 570651 3462 17566 293965 1491448 0 0 CHERRI HOBGOOD FORMER OFFICER 5354 0 0 0 201003 0 10222 0 58 0 216636 0 0 0 JUDITH L COLEMAN CFO 0 267902 0 52568 0 46380 0 18400 0 21239 0 406489 0 0 DAVID A INGRAM MD PRESIDENT 612322 0 329499 0 3756 0 137940 0 0 0 1083516 0 0 0 PETER W BRUNN FORMER KEY EMPLOYEE 254279 0 53189 0 38027 0 18646 0 27597 0 391737 0 0 0 CELIA D SURFACE-BRUDER FORMER KEY EMPLOYEE 256882 0 50314 0 56076 0 17888 0 11195 0 392354 0 0 0 JUDY L HOLLINGSWORTH FORMER KEY EMPLOYEE 180981 0 21333 0 6725 0 13540 0 16642 0 239221 0 0 0 BRIAN D KREMER COO (PART YR)/ VP - MEDICAL AFFAIRS 315509 0 58231 0 38849 0 18432 0 30949 0 461971 0 0 0 MELISSA HOCKADAY VP - CNO - IU HEALTH PHYS 224347 0 39427 0 25609 0 16694 0 32017 0 338094 0 0 0 ROBERT M MENEGHINI MD STAFF PHYSICIAN 1053676 0 6265 0 258970 0 17150 0 165 0 1336226 0 0 0 MARK W TURRENTINE MD DIVISION CHIEF 1243967 0 4997 0 255408 0 18400 0 0 0 1522772 0 0 0 ALAN LADD MD STAFF PHYSICIAN 817102 0 4997 0 311721 0 18400 0 0 0 1152220 0 0 0 KARL SHIVELY MD VICE CHAIR-CLINICAL AFFAIRS 939037 0 6265 0 259579 0 17150 0 120 0 1222150 0 0 0 JASON WATTERS MD STAFF PHYSICIAN 981613 0 6265 0 218528 0 17150 0 120 0 1223676 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Tax gross-ups were provided to an Officer and Directors listed on IU Health Care Associates, Inc. Form 990, Part VII, Section A. The tax gross-ups were treated as taxable compensation. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation IU HEALTH CARE ASSOCIATES' PRESIDENT IS EMPLOYED BY IU HEALTH CARE ASSOCIATES, INC. IU HEALTH CARE ASSOCIATES AND OTHER RELATED ORGANIZATIONS HAVE A PROCESS IN PLACE TO DETERMINE THE COMPENSATION FOR ITS 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 OFFICERS AND EMPLOYEE POSITIONS. THIS MARKET DATA AND MULTIPLE OTHER FACTORS (INCLUDING MARKET PAY BENCHMARKS, INTERNAL EQUITY, CANDIDATE/EMPLOYEE QUALIFICATIONS & PERFORMANCE, AND BUSINESS NEEDS) ARE USED TO RECOMMEND COMPENSATION RANGES FOR ITS OFFICERS AND OTHER EMPLOYEES, WHICH ARE THEN USED AS A GUIDE FOR SETTING REASONABLE COMPENSATION BY MANAGEMENT. PLEASE SEE SCHEDULE O FOR ADDITIONAL DETAILS. Schedule J, Part I, Line 4a Severance or change-of-control payment JOHN F. FITZGERALD ENTERED INTO A SEVERANCE AGREEMENT WITH IU HEALTH DURING 2020. SEVERANCE OF $189,215 THAT WAS RECEIVED DURING 2020 IS INCLUDED IN COLUMN B(III), OTHER REPORTABLE COMPENSATION. DEFERRED SEVERANCE OF $667,058 IS INCLUDED IN COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. CHERRI D. HOBGOOD ENTERED INTO A SEVERANCE AGREEMENT WITH IU HEALTH DURING 2020. SEVERANCE OF $201,003 THAT WAS RECEIVED DURING 2020 IS INCLUDED IN COLUMN B(III), OTHER REPORTABLE COMPENSATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Kenneth D. Puckett, David A. Ingram M.D., John F. Fitzgerald M.D. and Michelle A. Janney, R.N. 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. Each of the executives listed above, with the exception of John F. Fitzgerald, M.D. and Michelle A. Janney, R.N. have an amount included in column C, deferred compensation, representing the current year unvested contributions made under the supplemental executive retirement plan. These amounts were not paid to the executives during the year. The following executives have an amount included in column B (iii), other reportable compensation, representing the current year vested amounts received under the supplemental executive retirement plan: - Michelle A. Janney, R.N.($168,003.40) - John F. Fitzgerald M.D. ($89,093) 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 COMMITTEE ON PERSONNEL AND COMPENSATION AND BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. Form 990, Part III, Line 4d Description of other program services (Expenses $ 0 including grants of $ 0)(Revenue $ 22,321,262) As of December 31, 2020, Indiana University Health Care Associates, 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 Care Associates recognized $22,321,262 as other program service revenue. Indiana University Health Care Associates, Inc. will continue to monitor compliance with the terms and conditions of the Provider Relief Fund. Form 990, Part VI, Line 1a INDEPENDENT VOTING MEMBERS IU HEALTH PHYSICIANS IS PART OF A MULTI-ENTITY HOSPITAL SYSTEM CONTROLLED BY IU HEALTH, A 501(C)(3) TAX-EXEMPT ORGANIZATION WHOSE BOARD IS COMPRISED OF VOTING MEMBERS, OF WHICH SUBSTANTIALLY ALL ARE INDEPENDENT COMMUNITY MEMBERS. Form 990, Part VI, Line 13 PART VI, LINES 12, 13, 14, AND 16B - POLICIES IU HEALTH PHYSICIANS IS PART OF THE IU HEALTH SYSTEM. AS A MEMBER OF IU HEALTH PHYSICIANS, IU HEALTH AND ITS BOARD OF DIRECTORS HAVE MANDATED THAT CERTAIN POLICIES BE FOLLOWED TO ENSURE GREATER STANDARDIZATION THROUGHOUT THE SYSTEM. THUS, IU HEALTH PHYSICIANS' 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 CORPORATION HAS TWO (2) MEMBERS, WHICH ARE DESIGNATED AS THE CLASS A MEMBER AND THE CLASS B MEMBER. THE CLASS A MEMBER CONSISTS OF THOSE INDIVIDUALS WHO SERVE FROM TIME TO TIME AS THE TRUSTEES OF INDIANA UNIVERSITY AND HOLDS 49 MEMBERSHIP UNITS. THE CLASS B MEMBER IS INDIANA UNIVERSITY HEALTH, INC. AND HOLDS 51 MEMBERSHIP UNITS. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The Board of Directors shall consist of four "Ex Officio Directors" and three "Physician Directors" as described below: (a) the Dean, ex officio; (b) a director appointed by the Dean, ex officio; (c) two directors appointed by the CEO and President of IU Health ("IUH CEO"), ex officio; (d) an Associate who has been appointed by the Class A Member from a slate of candidates proposed by the Nominating Committee ("Physician Director A"); (e) an Associate who has been appointed by the Class B Member from a slate of candidates proposed by the Nominating Committee ("Physician Director B1"); and (f) another Associate who has been appointed by the Class B Member from a slate of candidates proposed by the Nominating Committee ("Physician Director B2"). At least one of the Physician Directors shall be a Department Chair of the School, unless otherwise agreed by the Class A and Class B Members. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ANY DECISION BY THE BOARD OF DIRECTORS TO AMEND, SUPPLEMENT, OR REPEAL ALL OR ANY PART OF THE PROVISIONS CONTAINED IN THE ARTICLES OF INCORPORATION MUST BE DULY APPROVED BY A VOTE OF BOTH MEMBERS. 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 PHYSICIANS 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 15a Process to establish compensation of top management official IU HEALTH CARE ASSOCIATES' PRESIDENT IS EMPLOYED BY IU HEALTH CARE ASSOCIATES. IU HEALTH CARE ASSOCIATES AND OTHER RELATED ENTITIES HAVE A PROCESS IN PLACE TO DETERMINE THE COMPENSATION FOR ITS 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 15b Process to establish compensation of other employees SEE RESPONSE TO 15A Form 990, Part VI, Line 19 Required documents available to the public IU HEALTH PHYSICIANS' ARTICLES OF INCORPORATION ARE AVAILABLE FOR PUBLIC INSPECTION THROUGH THE INDIANA SECRETARY OF STATE'S WEBSITE. IU HEALTH PHYSICIANS' CONFLICT OF INTEREST PROCEDURES ARE DISCLOSED ON FORM 990, SCHEDULE O. IU HEALTH PHYSICIANS 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. Form 990, Part XI, Line 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES DURING 2020, IU HEALTH, A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION, MADE AN EQUITY TRANSFER TO IU HEALTH PHYSICIANS OF $297,109,159. SINCE IU HEALTH PHYSICIANS JOINED THE IU HEALTH SYSTEM, IU HEALTH HAS PROVIDED FUNDS TO SUPPORT IU HEALTH PHYSICIANS' EXEMPT PURPOSE. ALTHOUGH THERE WAS NEVER ANY INTENT FOR IU HEALTH PHYSICIANS TO REPAY IU HEALTH, THESE AMOUNTS WERE RECORDED AS INTERCOMPANY BALANCES RATHER THAN EQUITY TRANSFERS. DURING 2019, IU HEALTH AND IU HEALTH PHYSICIANS MADE ADJUSTMENTS TO THEIR BOOKS AND RECORDS TO REFLECT THESE INTERCOMPANY BALANCES AS EQUITY TRANSFERS FOR BOTH BOOK AND TAX PURPOSES. DURING 2020, IU HEALTH PHYSICIANS ALSO RECORDED A CHANGE IN PENSION LIABILITY IN THE AMOUNT OF $(383,833). 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