INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC (EIN 35-0867958)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-13
- IRS object ID
- 202023189349301557
- Schema version
- 2019v5.1
- 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 | 2020-11-13T07:36:23-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4000 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350867958 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL | BusinessNameLine1Txt |
| Business Name Line2 | HOSPITAL INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CRAIG J JONES | InCareOfNm |
| Business Name Control | INDI | BusinessNameControlTxt |
| 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JONATHAN W VANATOR | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3179634842 | PhoneNum |
| Signature | 2020-11-09 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNIFER D RHODERICK | PreparerPersonNm |
| PTIN | P00395735 | PTIN |
| Phone | 3176817000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFFREY C BIRD MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN ST STE 300 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $505,137,356 | 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 | 1926 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | Improve the health of our patients and community through innovation and excellence in care, education, research and service. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 2987 | TotalEmployeeCnt |
| Total Volunteers | 421 | TotalVolunteersCnt |
| Total Gross UBI | $5,401,871 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,263,304 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,264,304 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $456,995,149 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $483,570,310 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,076,845 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,396,227 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,436,301 | PYOtherRevenueAmt |
| CY Other Revenue | $6,759,951 | CYOtherRevenueAmt |
| PY Total Revenue | $472,771,599 | PYTotalRevenueAmt |
| CY Total Revenue | $501,990,792 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,257,409 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $885,902 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $141,659,098 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $141,580,865 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $268,716,022 | PYOtherExpensesAmt |
| CY Other Expenses | $282,972,949 | CYOtherExpensesAmt |
| PY Total Expenses | $411,632,529 | PYTotalExpensesAmt |
| CY Total Expenses | $425,439,716 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $61,139,070 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $76,551,076 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $544,825,909 | TotalAssetsBOYAmt |
| Total Assets EOY | $615,068,428 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $106,169,123 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $119,462,667 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $438,656,786 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $495,605,761 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY THROUGH INNOVATION AND EXCELLENCE IN CARE, EDUCATION, RESEARCH AND SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $326,240,081 | ExpenseAmt |
| Grant | $885,902 | GrantAmt |
| Revenue | $460,088,792 | RevenueAmt |
| Desc | Indiana University Health Ball Memorial Hospital, Inc. ("IU Health Ball Memorial Hospital"), located in Muncie, Indiana, is a 379 bed acute-care and teaching hospital that offers a comprehensive range of services to care for its patients without regard to their ability to pay. IU Health Ball Hospital is a preferred healthcare facility for residents of east central Indiana. The hospital was founded in 1929 as both a teaching hospital and regional referral center for Muncie, Indiana, and surrounding counties. IU Health Ball Memorial Hospital offers 43 medical specialties, including cancer care, cardiology, orthopedics and specialized services for women and children. The IU Health Ball Hospital medical education department is home to three residencies (family medicine, internal medicine and a transitional year), as well as a research department. More than 40 resident physicians are trained every year at IU Health Ball Memorial Hospital family medicine and internal medicine facilities. They conduct more than 25,000 patient visits annually. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,342,211 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $14,585,380 | 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 | $4,068,069 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,737,103 | RevenueAmt |
| Desc | IU Health Ball Memorial Hospital provides services to related tax-exempt organizations. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (5 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $250,354 | $0 | $353,068 | Clinical Research |
| $1,836,771 | $0 | $2,557,712 | Rent from Related 501(c)(3) Organizations |
| $0 | $0 | $24,967 | INCOME (LOSS) FROM PASS-THRU ENTITIES |
| $138,575 | $0 | $170,461 | All other program service revenue/expense |
| $14,311 | $0 | $20,183 | Electronic Health Records Incentive |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,240,011 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $3,126,391 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $342,890,372 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| 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 | 2987 | 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CRAIG J JONES | PersonNm |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY C BIRD MD | ||||||||||
| DIRECTOR/PRESIDENT | 2.0 | 53.0 | Yes (X) | Yes (X) | $0 | $675,022 | $122,854 | |||
| Joan V Castor | ||||||||||
| DIRECTOR | 2.0 | 53.0 | Yes (X) | $0 | $429,100 | $93,853 | ||||
| PATRICK A CLEARY MD | ||||||||||
| DIRECTOR | 2.0 | 53.0 | Yes (X) | $0 | $398,790 | $38,184 | ||||
| PETER M VOSS MD | ||||||||||
| DIRECTOR/VICE CHAIRMAN | 30.0 | 25.0 | Yes (X) | Yes (X) | $372,104 | $0 | $42,519 | |||
| LORI A LUTHER | ||||||||||
| COO | 50.0 | 5.0 | $370,838 | $0 | $41,320 | Yes (X) | ||||
| JUDITH L COLEMAN | ||||||||||
| FORMER OFFICER | 0.0 | 55.0 | $0 | $314,630 | $38,369 | Yes (X) | ||||
| JONATHAN VANATOR | ||||||||||
| CFO | 2.0 | 53.0 | Yes (X) | $0 | $308,658 | $41,978 | ||||
| CHARLES R ROUTH MD | ||||||||||
| DIRECTOR | 2.0 | 53.0 | Yes (X) | $0 | $303,592 | $37,276 | ||||
| David W Hyatt | ||||||||||
| DIRECTOR | 53.0 | 2.0 | Yes (X) | $252,760 | $0 | $46,569 | ||||
| CARLA C COX RN | ||||||||||
| VP & CNO | 35.0 | 20.0 | $250,658 | $0 | $36,602 | Yes (X) | ||||
| TERRY A PENCE | ||||||||||
| VP, Operations | 55.0 | 0.0 | $233,461 | $0 | $42,278 | Yes (X) | ||||
| ALVIS E FOSTER | ||||||||||
| SENIOR RADIATION PHYSICIST | 55.0 | 0.0 | $217,257 | $0 | $45,377 | Yes (X) | ||||
| Max E Barnhart | ||||||||||
| Admin Dir-Retail Pharmacy Ops | 55.0 | 0.0 | $194,167 | $0 | $44,710 | Yes (X) | ||||
| MICHAEL E HALEY | ||||||||||
| FORMER OFFICER | 0.0 | 55.0 | $0 | $202,097 | $33,225 | Yes (X) | ||||
| Ann M McGuire | ||||||||||
| VP-Human Resources Regional/BU | 40.0 | 15.0 | $203,736 | $0 | $22,805 | Yes (X) | ||||
| JOSEPH R BUTTS | ||||||||||
| RADIATION PHYSICIST | 55.0 | 0.0 | $204,657 | $0 | $15,551 | Yes (X) | ||||
| David A Schwartz | ||||||||||
| Clinical Nurse-Resource | 83.0 | 2.0 | $6,298 | $191,009 | $13,147 | Yes (X) | ||||
| Alexis Neal | ||||||||||
| Service Line Leader | 55.0 | 0.0 | $181,418 | $0 | $12,635 | Yes (X) | ||||
| William W Hinkle | ||||||||||
| DIRECTOR | 2.0 | 5.0 | Yes (X) | $0 | $6,400 | $0 | ||||
| JOHN D LITTLER | ||||||||||
| DIRECTOR/CHAIRMAN | 2.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| WILBUR R DAVIS | ||||||||||
| DIRECTOR/VICE CHAIRMAN | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TERRY W BAILEY | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL J FISHER | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JEFFREY A HEAVILON M | ||||||||||
| DIRECTOR (Partial Year) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN K JACKSON | ||||||||||
| DIRECTOR (Partial Year) | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| J STEVEN RHEA | ||||||||||
| DIRECTOR/SECRETARY/TREAS | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KIRK W SHAFER | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Damon Elmore JD | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| David A Littler | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| Geoffrey S Mearns J | ||||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| DERRON L BISHOP PHD | ||||||||||
| Director (Partial Year) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| DANIEL E BORGENHEIMER | ||||||||||
| Director (Partial Year) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| SAMUEL C KIM MD | ||||||||||
| DIRECTOR (Partial Year) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,487,354 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,829,298 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $769,252 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 110 | 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 |
|---|---|---|---|---|---|
| HAGERMAN INCHARMON CONST JOINT VE | |||||
| 10315 ALLISONVILLE ROAD | FISHERS | IN | 46038 | CONSTRUCTION | $9,782,800 |
| UNITED HOSPITAL SERVICES LLC | |||||
| 9948 PARK DAVIS DR | INDIANAPOLIS | IN | 46235 | LAUNDRY SERVICES | $1,107,213 |
| MERIDIAN HEALTH SERVICES | |||||
| 240 N TILLOTSON AVENUE | MUNCIE | IN | 47304 | MGMT/LEASED EMP | $1,545,804 |
| FRESENIUS MGMT SVCS | |||||
| 1643 Collection Center Drive | CHICAGO | IL | 60693 | Management | $1,410,832 |
| ALLIANCE HEALTHCARE SERVICES | |||||
| 3600 W Bethel Ave | MUNCIE | IN | 47304 | Medical | $693,225 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,073,991 | RelatedOrganizationsAmt |
| Government Grants | $190,313 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $3,264,304 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $460,088,792 | $460,088,792 | |
| PHARMACY | 446110 | $14,585,380 | $9,239,968 | $5,345,412 |
| SHARED SERVICES | 541900 | $5,737,103 | $5,705,611 | $31,492 |
| RENT FROM RELATED 501(C)(3) ORGS. | 532000 | $2,590,356 | $2,590,356 | |
| CLINICAL RESEARCH | 541700 | $353,068 | $353,068 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $215,611 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $190,644 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $24,967 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $483,570,310 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,186,656 | TotalRevenueColumnAmt |
| Exclusion | $8,186,656 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,151,140 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $410,243 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $740,897 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $740,897 | TotalRevenueColumnAmt |
| Exclusion | $740,897 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,931,292 | SecuritiesAmt |
| Other | $14,600 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,717,408 | SecuritiesAmt |
| Other | $18,913 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $213,884 | SecuritiesAmt |
| Other | -$4,313 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $209,571 | TotalRevenueColumnAmt |
| Exclusion | $209,571 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| 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 |
| 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 |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA/FOOD SERVICE | 721110 | $2,015,665 | $2,015,665 |
| GIFT SHOP | 453220 | $415,789 | $415,789 |
| VENDING | 900099 | $44,777 | $44,777 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,542,823 | TotalRevenueColumnAmt |
| Exclusion | $3,542,823 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,019,054 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $501,990,792 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $478,168,439 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,401,871 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,156,178 | 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 | $885,902 | TotalAmt |
| Program Services | $885,902 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,915,650 | TotalAmt |
| Program Services | $1,674,816 | ProgramServicesAmt |
| Management And General | $240,834 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $588,321 | TotalAmt |
| Program Services | $514,358 | ProgramServicesAmt |
| Management And General | $73,963 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,616,331 | TotalAmt |
| Program Services | $95,835,427 | ProgramServicesAmt |
| Management And General | $13,780,904 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,962,046 | TotalAmt |
| Program Services | $3,463,940 | ProgramServicesAmt |
| Management And General | $498,106 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,415,296 | TotalAmt |
| Program Services | $15,225,855 | ProgramServicesAmt |
| Management And General | $2,189,441 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,083,221 | TotalAmt |
| Program Services | $7,067,003 | ProgramServicesAmt |
| Management And General | $1,016,218 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $883,354 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $883,354 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,083 | TotalAmt |
| Program Services | $331 | ProgramServicesAmt |
| Management And General | $3,752 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,267 | TotalAmt |
| Management And General | $2,267 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,714 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $22,714 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,300,515 | TotalAmt |
| Program Services | $42,142,687 | ProgramServicesAmt |
| Management And General | $58,157,828 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,203 | TotalAmt |
| Program Services | $783 | ProgramServicesAmt |
| Management And General | $67,420 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,809,285 | TotalAmt |
| Program Services | $1,389,711 | ProgramServicesAmt |
| Management And General | $419,574 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $713,547 | TotalAmt |
| Program Services | $587,403 | ProgramServicesAmt |
| Management And General | $126,144 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,829,107 | TotalAmt |
| Program Services | $10,823,110 | ProgramServicesAmt |
| Management And General | $5,997 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,031 | TotalAmt |
| Program Services | $148,599 | ProgramServicesAmt |
| Management And General | $30,432 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,239 | TotalAmt |
| Program Services | $15,945 | ProgramServicesAmt |
| Management And General | $12,294 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,234,158 | TotalAmt |
| Program Services | $2,234,158 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,629,807 | TotalAmt |
| Program Services | $20,045,992 | ProgramServicesAmt |
| Management And General | $583,815 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,971,759 | TotalAmt |
| Program Services | $750 | ProgramServicesAmt |
| Management And General | $2,971,009 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DRUGS AND MEDICAL SUPPLIES | $78,757,555 | $78,757,555 | $0 | $0 |
| BAD DEBT | $23,428,827 | $23,428,827 | $0 | $0 |
| HOSPITAL ASSESSMENT FEE | $22,814,564 | $22,814,564 | $0 | $0 |
| INSTITUTIONAL DUES/LICENSES | $76,290 | $32,619 | $43,671 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,219,644 | TotalAmt |
| Program Services | $15,800,037 | ProgramServicesAmt |
| Management And General | $1,419,607 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,439,716 | TotalAmt |
| Program Services | $342,890,372 | ProgramServicesAmt |
| Management And General | $82,549,344 | 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 | $192,573,306 | BOYAmt |
| EOY | $323,996,464 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $31,021 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,331,912 | BOYAmt |
| EOY | $56,105,173 | 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 | $45,000 | BOYAmt |
| EOY | $150,139 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,516,920 | BOYAmt |
| EOY | $8,938,631 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,326,914 | BOYAmt |
| EOY | $2,429,067 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $483,211,813 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $279,989,709 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,274,865 | BOYAmt |
| EOY | $203,222,104 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,006,926 | BOYAmt |
| EOY | $16,935,269 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,806,190 | BOYAmt |
| EOY | $3,118,157 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,008 | BOYAmt |
| EOY | $40,008 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,903,868 | BOYAmt |
| EOY | $102,395 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $544,825,909 | BOYAmt |
| EOY | $615,068,428 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,379,518 | BOYAmt |
| EOY | $28,826,764 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,252 | BOYAmt |
| EOY | $13,142 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,775,353 | BOYAmt |
| EOY | $90,622,761 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,169,123 | BOYAmt |
| EOY | $119,462,667 | 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 | $438,656,786 | BOYAmt |
| EOY | $495,605,761 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $438,656,786 | BOYAmt |
| EOY | $495,605,761 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $544,825,909 | BOYAmt |
| EOY | $615,068,428 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $76,551,076 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,494,575 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$21,096,676 | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| 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 | $2,267 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,267 | 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, Lines 1i - Other Activities | FormAndLineReferenceDesc |
| Explanation | IU Health Ball Memorial Hospital paid institutional membership dues to the Indiana Hospital Association ("IHA") during 2019 in the amount of $34,721. Each membership organization notified IU Health Ball Memorial Hospital that a portion of the dues it paid was used for lobbying purposes. The IHA used 6.53%, or $2,267 of the 2019 membership dues paid by IU Health Ball Memorial Hospital, for lobbying expenditures. Total membership dues paid to this organization by IU Health Ball Memorial Hospital during 2019 that was attributable to lobbying expenditures was $2,267. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,467,983 | OtherCostOrOtherBasisAmt |
| Book Value | $3,467,983 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $337,044,674 | OtherCostOrOtherBasisAmt |
| Depreciation | $190,618,399 | DepreciationAmt |
| Book Value | $146,426,275 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $433,100 | OtherCostOrOtherBasisAmt |
| Depreciation | $314,956 | DepreciationAmt |
| Book Value | $118,145 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,220,905 | OtherCostOrOtherBasisAmt |
| Depreciation | $85,516,374 | DepreciationAmt |
| Book Value | $33,704,532 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,045,149 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,539,981 | DepreciationAmt |
| Book Value | $19,505,169 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $203,222,104 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PAYERS | $12,738,774 |
| SELF-INSURANCE LIABILITIES | $519,665 |
| INTERCOMPANY PAYABLES (NET) | $76,446,738 |
| ENVIRONMENTAL OBLIGATIONS | $129,412 |
| ALL OTHER LIABILITIES | $788,172 |
| INTEREST RATE SWAP LIABILITIES | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $90,622,761 | 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 Ball Memorial Hospital is a subsidiary in IU Health's Consolidated Audited Financial Statements. The Internal Revenue Service (IRS) has determined that IU Health and certain of its affiliated entities are tax-exempt organizations as defined in Section 501(c)(3) of the Internal Revenue Code (IRC). IU Health and its tax-exempt affiliates are, however, subject to federal and state income taxes on unrelated business income under the provision of IRC Section 511. The Tax Cuts and Jobs Act (TCJA) was enacted on December 22, 2017. For tax-exempt entities, TCJA requires organizations to pay an excise tax on compensation above certain thresholds and record income or losses for tax determination purposes from unrelated business activities on an activity-by-activity basis, among other provisions. Proposed regulations and interim guidance, necessary for implementation, have been issued on most aspects of TCJA. It is expected that proposed regulations will be issued as final regulations by the IRS in 2020. As of and for the year ended December 31, 2019, Indiana University Health has made reasonable estimates of the provision for income taxes, the compensation excise tax, and the effects, if any, on existing deferred tax balances. Indiana University Health will continue to refine its calculations in future periods, as additional regulations and guidance are issued by the IRS. Deferred income taxes that, as of December 31, 2019 and 2018, 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, 2019 and 2018, the Indiana University Health System had gross deferred tax assets of $143,157,000 and $119,965,000, respectively, primarily relating to net operating loss carryovers. Management determined that a full valuation allowance at December 31, 2019 and 2018 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 same portion or all of the deferred tax assets will not be realized, a valuation allowance to reduce the deferred tax assets is recorded. The change in valuation allowance for the current year is $23,192,000. At December 31, 2019, the Indiana University Health System has available net operating loss carryforwards of $575,596,000. Net operating losses generated from 1999 through 2017 will expire between 2020 and 2037. Net operating losses generated after 2017 do not expire. Certain subsidiaries of Indiana University Health are taxable entities. The tax expense and liabilities of these subsidiaries are not material to the consolidated financial statements. | 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5679 | PersonsServedCnt |
| Total Community Benefit Expns | $7,638,379 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,638,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01900 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 9557 | PersonsServedCnt |
| Total Community Benefit Expns | $94,197,056 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $82,226,527 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,970,529 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02980 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 15236 | PersonsServedCnt |
| Total Community Benefit Expns | $101,835,435 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $82,226,527 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,608,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04880 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 44675 | PersonsServedCnt |
| Total Community Benefit Expns | $2,926,535 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $130,068 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,796,467 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 2169 | PersonsServedCnt |
| Total Community Benefit Expns | $16,813,674 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,056,229 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,757,445 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03170 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,340,140 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $157,376 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,182,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 190 | PersonsServedCnt |
| Total Community Benefit Expns | $1,831,695 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $327,812 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,503,883 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 49536 | PersonsServedCnt |
| Total Community Benefit Expns | $1,269,811 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $770,640 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $499,171 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 30 | ActivitiesOrProgramsCnt |
| Persons Served | 96570 | PersonsServedCnt |
| Total Community Benefit Expns | $24,181,855 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,442,125 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,739,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04650 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 30 | ActivitiesOrProgramsCnt |
| Persons Served | 111806 | PersonsServedCnt |
| Total Community Benefit Expns | $126,017,290 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $87,668,652 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,348,638 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09530 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 615 | PersonsServedCnt |
| Total Community Benefit Expns | $69,163 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 106 | PersonsServedCnt |
| Total Community Benefit Expns | $7,082 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,082 | NetCommunityBenefitExpnsAmt |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 7234 | PersonsServedCnt |
| Total Community Benefit Expns | $142,420 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $142,420 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 578 | PersonsServedCnt |
| Total Community Benefit Expns | $18,336 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,336 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 16 | PersonsServedCnt |
| Total Community Benefit Expns | $52,625 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,625 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 8549 | PersonsServedCnt |
| Total Community Benefit Expns | $289,626 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $289,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,816,967 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $133,618,566 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $135,488,403 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,869,837 | 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 BALL MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2401 UNIVERSITY AVE | AddressLine1Txt |
| City | MUNCIE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | SEE PART V, SECTION C | WebsiteAddressTxt |
| State License | 19-005079-1 | 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 BALL MEMORIAL 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 | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | 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 | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 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 |
| 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 | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section A, Line 1 - Primary Website Address | https://iuhealth.org/find-locations/iu-health-ball-memorial-hospital |
| Schedule H, Part V, Section B, Line 3e - Prioritized Health Needs | IU Health Ball Memorial Hospital's 2018 Community Health Needs Assessment (CHNA) Report includes a prioritized description of significant health needs in the community. The CHNA report identified the following seven needs as priorities for IU Health Ball Memorial Hospital: - Access to Health Care Services - Drug and Substance Abuse - Food Insecurity and Healthy Eating - Mental Health - Obesity, Diabetes, and Lack of Physical Activity - Smoking and Tobacco Usage - Social Determinants of Health |
| Schedule H, Part V, Section B, Line 5 - Input from Community | In conducting its most recent Community Health Needs Assessment ("CHNA") IU Health Ball Memorial Hospital took into account input from persons who represent the broad interests of the communities it serves. Primary data were gathered in three different methodologies for this assessment: Community Meetings, Key Stakeholder Interviews, and a Community Survey. For purposes of this CHNA, IU Health Ball Memorial Hospital's community is defined as Delaware, Jay, and Randolph Counties, Indiana. These three counties accounted for 80.9 percent of the hospital's inpatient cases in 2016. Community Meetings - Delaware County On May 10, 2018, two meetings of community representatives were held at the IU Health Ball Memorial Hospital in Muncie, the county seat of Delaware County. The first meeting was attended by 23 community members, and the second meeting was attended by 14 community members. The community members were invited by IU Health because they represent important community organizations and sectors such as: local health departments, non-profit organizations, local business, health care providers, and schools. Through this meeting, IU Health sought a breadth of perspectives on the community's health needs. The specific organizations represented at the meetings are listed below. - Alpha Center - BY5 - Ball State University - Bethel Point Rehab - Bridges Community Services - Boys and Girls Club of Muncie - Building Better Communities/Ball State University - Cancer Services of East Central Indiana - City of Muncie - Delaware County Government - Delaware County Health Department - Delaware County Senior Center - IU Health Ball Memorial Hospital - IU Health East Central Region - Meridian Health Services - Muncie/Delaware County Chamber of Commerce - Open Door Health Services - Purdue Extension - Second Harvest Food Bank - Transition Resources Corporation - Head Start - Westminster Village - YWCA of Muncie - Youth Opportunity Center The meeting began with a presentation that discussed the goals and status of the CHNA process and the purpose of the community meetings. Then, secondary data were presented, along with a summary of the most unfavorable community health indicators. For Delaware County, those indicators were (in alphabetical order): - Adult smoking - Housing problems in Delaware County - Infant mortality and low birth weight births - Mental health and supply of mental health providers - Physical inactivity and access to healthy food - Poverty rates and children in poverty - Supply of primary care physicians and dentists 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 at the meetings, such as: chronic disease, cancer, services for the elderly, adverse childhood experiences, social associations/ connectedness, obesity, health literacy, addictions, access to specialty physicians, built environment, lead problems, and supply of primary care physicians and dentists. In addition, physical inactivity and access to healthy food were split into their own line items, instead of being combined. During the meetings, a range of other topics was discussed, including: - Differences in secondary data for mental health indicators - Inter-relatedness of needs - Services for the elderly - Difference between obesity, physical activity, and access to healthy food 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 groups identified the following needs as most significant for Delaware County: The results from the first meeting were as follows: - Mental health and supply of mental health providers - Poverty rates and children in poverty - Obesity - Tied for fourth: Adult smoking and adverse childhood experiences The results from the second meeting were as follows: - Addictions - Physical activity/obesity - Access to healthy foods - Adult smoking - Infant mortality Interviews - Delaware County On May 10, 2018, an interview was also conducted with a representative of the Delaware county health department. The interview was conducted to assure that appropriate and additional input was received from governmental public health officials. The results of the community meetings were discussed and insights were sought regarding significant community health needs, why such needs are present, and how they can be addressed. The interview was guided by a structured protocol. 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 some of the top needs identified by the community meeting group were some of the most significant in the community. These needs were: - Mental health, addictions, and supply of mental health providers (including rehabilitation and addiction services) - Poverty rates and children in poverty - Obesity - Physical inactivity - Access to healthy foods Drug addiction was identified as a major issue, and it was believed that receiving long-term treatment is not an option for many seeking treatment. Few resources were believed to exist in the county, and resources outside of the county were thought to have long wait lists. Poverty is a significant issue, with Delaware County ranking as one of the highest poverty counties in the state. The community was thought to be in a difficult period after the decline of industry in the region, with issues stemming from this including: - Losing population and tax base - Poor infrastructure, particularly for roads - Failure to attract employers to the area due to infrastructure concerns - Failure to retain a locally-educated population from the local Ball State University Access to healthy food was identified as a key contributor to the significant obesity issue, exacerbated by poverty and the growing rate of fast food restaurants in the county. While healthy options were thought to exist on a smaller scale, cheaper unhealthy food is more readily accessible. A lack of regular exercise was also identified as a main contributor to the issue of obesity, particularly among poorer communities. Many neighborhoods did not have a built environment to support regular exercise, with issues such as crime, lack of sidewalks, heavy traffic, and others contributing to an unsafe physical environment. Infant mortality was identified as a significant issue, with a lack of parent education on child safety (such as infants sleeping in the same bed as parents or other children) contributing. A lack of social associations, connectedness, and support systems was thought to play a role in many of the county issues, particularly with mental health and addiction problems. Communicable diseases, particularly Hepatitis C and HIV, are increasingly common due to intravenous drug use in the community. The need for a central resource to refer residents with mental health, behavioral health, and addiction needs was identified as a significant need. The need for more public outreach and education programs on nutrition and physical activity, in places other than a clinical setting, was identified. Adult smoking and resultant chronic diseases were also identified as issues. Community Meetings - Jay County On May 23, 2018, two meetings of community representatives were held at the IU Health Jay Hospital in Portland, the county seat of Jay County. The meetings were attended by 28 community members invited by IU Health because they represent important community organizations and sectors such as: local health departments, police/ fire departments, non-profit organizations, local business, health care providers, local policymakers, faith-based organizations, and schools. Through the meetings, IU Health sought a breadth of perspectives on the community's health needs. The specific organizations represented at the meetings are listed below. - Community & Family Services - Crown Pointe Senior Living - First Merchants Bank - Fort Recovery Industries - Geneva Town Council - IU Health Jay Hospital - Jay-Randolph Developmental Services, Inc. - Jay County Chamber - Jay County Child Services - Jay County Community Development - Jay County Council - Jay County Health Department - Jay County Ministerial Association - Jay County Tourism - Jay Schools - John Jay Center for Learning - Life Stream - Meridian Health Services - Pennville Town Council - Persimmon Ridge Rehab - Portland Fire Department - Portland Foundation - Portland Police Department - Swiss Village, Inc. - United Way of Jay The meeting began with a presentation that discussed the goals and status of the CHNA process and the purpose of the communit |
| Schedule H, Part V, Section B, Line 7a - CHNA Website | A copy of IU Health Ball Memorial Hospital's CHNA is available on its website at the following URL: https://iuhealth.org/in-the-community/community-benefit |
| Schedule H, Part V, Section B, Line 10a - Implementation Strategy Website | A copy of IU Health Ball Memorial Hospital's CHNA implementation strategy is available on its website at the following URL: https://iuhealth.org/in-the-community/community-benefit |
| Schedule H, Part V, Section B, Line 11 - Addressing Identified Needs | In conjunction with the CHNA, IU Health Ball Memorial Hospital's Board adopted an implementation strategy in April 2019 related to the 2018 CHNA. IU Health Ball Memorial Hospital prioritized and determined which of the community health needs identified in its most recently conducted CHNA were most critical for it to address. IU Health Ball Memorial Hospital will address the following community health needs between 2019 and 2021: - Access to Healthcare Services - Drug and Substance Abuse (including Opioids and Alcohol) - Food Insecurity and Healthy Eating - Mental Health - Obesity, Diabetes, and Physical Inactivity - Smoking and Tobacco Usage - Social Determinants of Health IU Health uses the term "Behavioral Health" to refer to Mental Health and Drug and Substance Abuse (including Opioids and Alcohol). Access to Healthcare IU Health Ball Memorial Hospital's implementation strategy to address the identified need of Access to Healthcare includes the following: - Utilize IU Health's internal recruitment resources. - Leverage IU Health Ball Memorial Residency Programs for potential recruits. - Maintain and update facilities' plan and initiatives to support incoming practices. - Form work groups around identified health needs for region. - Composition of work groups to include identified Ball State University stakeholders and other relevant community partners. - Develop collaboration plan to support/enhance/expand IU Health Ball Memorial Hospital Community Health Needs Assessment strategies around identified health needs. - Recruit new primary care, obstetric and mental health medical doctors to practice in East Central Region. - Six new providers were added to the IU Health East Central Region in 2019. (two physicians, two FNPs, one NP and one PA.) Two of the new providers are located in Jay County, One in Blackford County, and three in Delaware County, where the provider footprint was expanded with the addition of an existing physician practice into the IU Health physician network. A new HIV Pre-Exposure Prophylaxis Clinic was initiated and a Pediatric Hospitalist Program was started as well at IU Health Ball Memorial Hospital. These new providers, locations and services allow for increased access and expertise for East Central Indiana patients. - Provide two family medicine directors and a resident rotation at a subsidized rate to local federally qualified health center (FQHC) Open Door Health Services to expand obstetrics capacity to serve low-income residents. - IU Health provided two family Medicine Directors plus a resident rotation at a subsidized rate to Open Door health Services. This has allowed Open Door to expand its obstetric capability to service low-income residents of East Central Indiana. The two physicians provided a total of 15,006 patient encounters. Other OB Services are offered at IU Health Ball Memorial Hospital through its Family Medicine Program, Perinatal Center and physician practice facilities. Several other private practices offer OB Services to the community as well. - Collaborate with Ball State University regarding health improvement initiatives at Muncie Community Schools. - A collaboration with Ball State University has been established develop and implement in-school physical activity and nutritional education curriculums at the elementary-school level in the Muncie Community Schools. The primary tasks to complete in year 1 (2020) are as follows: (1) assembly of team members, (2) development of a physical activity and nutrition education curriculum including assessment procedures (and purchasing of educational materials), and (3) implementation of a pilot program at Southview Elementary School in Muncie. Behavioral Health (includes Drug & Substance Abuse and Mental Health) IU Health Ball Memorial Hospital's implementation strategy to address the identified need of Behavioral Health includes the following: - Provide structured therapeutic recovery program. - Assist in the establishment of a community network of existing substance use disorders (SUD) related concerns. - Apply for Health Resources and Services Administration (HRSA) grant funding for a full time psychologist and postdoctoral fellow to be placed in the internal medicine residency. - Form work groups around identified health needs for region. - Composition of work groups to include identified Ball State University stakeholders and other relevant community partners. - Develop collaboration plan to support/enhance/expand IU Health Ball Memorial Hospital Community Health Needs Assessment strategies around identified health needs. - Apply for grant funding to expand virtual IOP to serve other East Central Region facilities. - The IU Health Ball Addiction Treatment and Recovery Center opened in 2019 and now offers an Intensive Outpatient Program (IOP) - which includes Group therapy Recreation therapy and individual and family counseling services and peer recovery coaching. Medication Assisted Treatment (MAT) is also offers as well as an Individual outpatient Program and IOP Aftercare Program. Between July 2019 and December 2019 the Center provided 67 assessments and had 44 persons enrolled in IOP and/or Individual Track. Patients who have completed the IOP demonstrate a 35% increase in sobriety and pregnant women have demonstrated a 100% sobriety rate. An IOP at IU Health Jay is currently under development. The IU Health Behavioral Health Collaborative has agreed to supply the cost of staff, space and equipment. We were not able to secure grant funding. Numerous community partners are engaged including AA, Briana's Hope and Cor Fortium plus faith based partnerships and community resource partners. Referral partners include IU Health Ball Emergency Department and Family Medicine Residency, Volunteers of America Fresh Start in Winchester and Delaware County Corrections. - Employ peer recovery coaches in the IU Health Ball Memorial Hospital Emergency Department (ED). - 2019 was the first year that Peer Recovery services were offered in the IU Health Ball Memorial Hospital Emergency Department. Patients who enter the emergency department for an opioid-related health issue are deemed initially eligible for the Planned Outreach, Intervention, Naloxone, and Treatment (POINT) program; this includes patients admitted for opioid withdrawal symptoms, opioid intoxication, opioid overdose, endocarditis related to injection opioid use, and abscess related to injection opioid use. Peer recovery coaches (PRCs) are notified of these patients via the EMR track board and nurse/physician alerts (pager, telephone call). These patients are then approached by a peer recovery coach and asked to complete an opioid use disorder (OUD) screening tool. If symptoms indicate an OUD, they are offered peer recovery coaching services. Additionally, outside of their POINT program responsibilities, peer recovery coaches offer services to patients presenting with other substance use disorder issues (non-opioid). A total of 97 patients received intervention with a PRC in 2019 at IU Health Ball. The program is budgeted for 2 full time and one part time peer recovery coaches and is typically staffed from 8a-4pm or 4pm-12am Monday-Sunday. Peer recovery coaches will immediately provide services if available. Indiana University is the organization providing the funding for the program at Ball through a federal research grant. Specific to the grant, Clean Slate is the primary provider for MAT. The IU Health Psychiatry hub collaborates with IUH Jay and IUH Blackford to provide peer recovery coach services. In addition, patients with SUD are being referred to the continuum of care of services including the IUH Ball ATRC, MAT, inpatient facilities and other levels of care as indicated. - Provide Screening, Brief Intervention, and Referral to Treatment (SBIRT) process for family medicine clinic patients. - Screening, brief intervention and referral to treatment (SBIRT) is offered to patients at the IU Health Ball Memorial Hospital Family Medicine Residency Center. 3,774 patients were eligible for screening in 2019, a decrease of 41 from 2018. 61% of the eligible population were screened through internal collaboration by MA's, Physicians, Behavioral Health staff, and our Data Analyst. External collaborators include referral sources such as the IU Health Addictions and Recovery Center. In 2019, the IU Health Internal Medicine Residency Clinic applied for grant funding to add staff that would support SBIRT at that clinic as well. The grant team made it to the final round of reviews, but ultimately did not secure funding through HRSA. - Provide prescription medication disposal kiosks at IU Health East Central Region facilities. - Drug take-back kiosks have been installed at four East Central Indiana locations: Pavilion Pharmacy at IU Health Ball Memorial Hospital in Muncie; IU Health Yorktown Pharmacy,Yorktown; IU Health Blackford Pharmacy, Hartford City; and IU Health Jay Hospital, Portland. |
| Schedule H, Part V, Section B, Line 13b - Income Level Other than FPG | In addition to FPG, IU Health Ball Memorial Hospital may take into consideration a patient's income and/or ability to pay in calculation of a financial assistance award. |
| Schedule H, Part V, Section B, Line 13h - Other FAP Factors | IU Health Ball Memorial Hospital takes into consideration several other factors in determining patient eligibility for financial assistance. These factors include the following: 1. IU Health Ball Memorial Hospital's Individual Solutions Department Prior to seeking Financial Assistance under the FAP, all patients or their guarantors must consult with a member of IU Health Ball Memorial Hospital's Individual Solutions department to determine if healthcare coverage may be obtained from a government insurance/assistance product or from the Health Insurance Exchange Marketplace. 2. Alternate Sources of Assistance When technically feasible, a patient will exhaust all other state and federal assistance programs prior to receiving an award from IU Health Ball Memorial Hospital's Financial Assistance Program. Patients who may be eligible for coverage under an applicable insurance policy, including, but not limited to, health, automobile, and homeowner's, must exhaust all insurance benefits prior to receiving an award from IU Health Ball Memorial Hospital's Financial Assistance Program. This includes patients covered under their own policy and those who may be entitled to benefits from a third-party policy. Patients may be asked to show proof that such a claim was properly submitted to the proper insurance provider at the request of IU Health Ball Memorial Hospital. Eligible patients who receive medical care from IU Health Ball Memorial Hospital 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 to which IU Health Ball Memorial Hospital is entitled. In the event a Financial Assistance Award has already been granted in such circumstances, IU Health Ball Memorial Hospital reserves the right to reverse the award in an amount equal to the amount IU Health Ball Memorial Hospital would be entitled to receive had no Financial Assistance been awarded. 3. Alternate Methods of Eligibility Determination IU Health Ball Memorial Hospital will conduct a quarterly review of all accounts placed with a collection agency partner for a period of no less than one hundred and twenty (120) days after the account is eligible for an Extraordinary Collection Action ("ECA"). Said accounts may be eligible for assistance under the FAP based on the patient's individual scoring criteria To ensure all patients potentially eligible for Financial Assistance under the FAP may receive Financial Assistance, IU Health Ball Memorial Hospital will deem patients/guarantors to be presumptively eligible for Financial Assistance if they are found to be eligible for one of the following programs, received emergency or direct admit care, and satisfied his/her required co-pay/deductible: - Indiana Children's Special Health Care Services - Medicaid - Healthy Indiana Plan - Patients who are awarded Hospital Presumptive Eligibility (HPE) - Enrolled in a state and/or federal program that verifies the patient's gross household income is less than or equal to 200% of the Federal Poverty Level 4. Additional Considerations Financial Assistance may be granted to a deceased patient's account if said patient is found to have no estate. Additionally, IU Health Ball Memorial Hospital will deny or revoke Financial Assistance for any patient or guarantor who falsifies any portion of a Financial Assistance application. 5. Non-Emergent Services Down Payment Uninsured Patients presenting for scheduled or other non-emergent services will not be charged more than the Amounts Generally Billed ("AGB") for their services. Patients will receive an estimated AGB cost of their care prior to IU Health Ball Memorial Hospital rendering the services and will be asked to pay a down-payment percentage of the AGB adjusted cost prior to receiving services. In the event a patient is unable to fulfill the down-payment, their service may be rescheduled for a later date as medically prudent and in accordance will all applicable federal and state laws and/or regulations. 6. Emergency Services Non-Refundable Deposit This section will be implemented with a strict adherence to EMTALA and IU Health Policy ADM 1.32, Screening and Transfer of Emergency or Unstable Patients. Amount of Non-Refundable Deposit All Uninsured Patients presenting for services at IU Health Ball Memorial Hospital's Emergency Department, via transfer from another hospital facility, or direct admission, will be responsible for a one-hundred dollar ($100.00) non-refundable deposit for services rendered. Patients/guarantors will be responsible for any copays and/or deductibles required by their plan prior to full Financial Assistance being applied. Uninsured Patients wishing to make an application for Financial Assistance greater than the AGB must fulfill their non-refundable deposit prior to IU Health Ball Memorial Hospital processing said application. Uninsured Patients making payments toward their outstanding non-refundable deposit balance will have said payments applied to their oldest application on file, if applicable. |
| Schedule H, Part V, Section B, Line 16a - FAP Website | A copy of IU Health Ball Memorial Hospital's FAP is available at the following URL: https://iuhealth.org/pay-a-bill/financial-assistance |
| Schedule H, Part V, Section B, Line 16b - FAP Application Website | A copy of IU Health Ball Memorial Hospital's FAP Application is available at the following URL: https://iuhealth.org/pay-a-bill/financial-assistance |
| Schedule H, Part V, Section B, Line 16c - FAP PLS Website | A plain language summary of the FAP, including translated copies, is available on the following website: https://iuhealth.org/pay-a-bill/financial-assistance |
| Schedule H, Part V, Section B, Line 16j - Other Measures to Publicize | IU Health Ball Memorial Hospital takes several other measures to publicize its FAP within the community. These measures include the following: 1. Conspicuous public displays will be posted in appropriate acute care settings such as the emergency department and registration areas describing the available assistance and directing eligible patients to the Financial Assistance Application. 2. IU Health Ball Memorial Hospital will include a conspicuous written notice on all patient billing statements that notifies the patient about the availability of this Policy, and the telephone number of its Customer Service Department which can assist patients with any questions they may have regarding this Policy. 3. IU Health Ball Memorial Hospital Customer Service representatives will be available via telephone Monday through Friday, excluding major holidays, from 8:00 a.m. to 7:00 p.m. Eastern Time to address questions related to this Policy. 4. IU Health Ball Memorial Hospital will broadly communicate this Policy as part of its general outreach efforts. 5. IU Health Ball Memorial Hospital will educate its patient facing team members of the FAP and the process for referring patients to the Program. |
| Schedule H, Part I, Line 7g - Subsidized Health Services | IU Health Ball Memorial Hospital does not include any costs associated with physician clinics as subsidized health services. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 24 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| BALL CANCER CENTER | ||||
| 2200 FOREST RIDGE RD STE 120 | NEW CASTLE | IN | 47362 | DIAGNOSTIC AND OTHER OUTPATIENT |
| IU HEALTH BALL MEMORIAL BARIATRIC & MEDI | ||||
| 2901 W JACKSON ST | MUNCIE | IN | 47303 | SPECIALTY CARE |
| IU HEALTH PAVILION COMMUNITY PHARMACY | ||||
| 2401 W UNIVERSITY AVE OMP 1635 | MUNCIE | IN | 47303 | PHARMACY |
| IU HEALTH YORKTOWN PHARMACY | ||||
| 1420 S PILGRIM BLVD | YORKTOWN | IN | 47396 | PHARMACY |
| IU HEALTH BLACKFORD PHARMACY | ||||
| 400 PILGRIM BLVD | HARTFORD CITY | IN | 47348 | PHARMACY |
| IUH BALL MEMORIAL CANCER CNTR AT JAY CO | ||||
| 510 WEST VOTAW STREET | PORTLAND | IN | 47371 | SPECIALTY CARE |
| IU HEALTH BALL MEMORIAL INTERVENTIONAL P | ||||
| 5501 W BETHEL AVE | MUNCIE | IN | 47304 | SPECIALTY CARE |
| BALL STATE HEALTH CENTER PHARMACY | ||||
| 1500 NEELY AVE | MUNCIE | IN | 47306 | PHARMACY |
| BMH PEDIATRIC REHABILITATION CENTER | ||||
| 205 N TILLOTSON AVE | MUNCIE | IN | 47304 | REHABILITATION SERVICES |
| EAST CENTRAL RADIOLOGY | ||||
| 2598 W WHITE RIVER BLVD | MUNCIE | IN | 47303 | RADIOLOGY |
| IU HEALTH BALL MEMORIAL OUTPATIENT CENTE | ||||
| 1420 S PILGRM BLVD | YORKTOWN | IN | 47396 | DIAGNOSTIC AND OTHER OUTPATIEN |
| IU HEALTH BALL MEMORIAL OUTPATIENT CENTE | ||||
| 1710 SPICELAND R | NEW CASTLE | IN | 47362 | DIAGNOSTIC AND OTHER OUTPATIEN |
| IU HEALTH FAMILY PHARMACY | ||||
| 5501 W BETHEL AVE | MUNCIE | IN | 47304 | PHARMACY |
| BALL STATE STUDENT HEALTH CENTER | ||||
| 1500 NEELY AVE ROOM 106A | MUNCIE | IN | 47306 | PRIMARY CARE |
| IU HEALTH BALL MEMORIAL RADIOLOGY | ||||
| 2401 W UNIVERSITY AVE | MUNCIE | IN | 47303 | RADIOLOGY |
| IU HEALTH BALL MEMORIAL OUTPATIENT REHAB | ||||
| 3300 W COMMUNITY DR | MUNCIE | IN | 47304 | REHABILITATION SERVICES |
| IU HEALTH BALL MEMORIAL HOSPITAL REHABIL | ||||
| 2401 W UNIVERSITY AVE | MUNCIE | IN | 47303 | REHABILITATION SERVICES |
| IU HEALTH BALL MEMORIAL CANCER CENTER | ||||
| 2401 W UNIVERSITY AVE | MUNCIE | IN | 47303 | SPECIALTY CARE |
| IU HEALTH BALL MEMORIAL PERINATAL CENTER | ||||
| 2401 W UNIVERSITY AVE | MUNCIE | IN | 47303 | SPECIALTY CARE |
| IU HEALTH BALL MEMORIAL CARDIOVASCULAR S | ||||
| 2401 W UNIVERSITY AVE | MUNCIE | IN | 47303 | SPECIALTY CARE |
| IU HEALTH BALL MEMORIAL OTOLARYNGOLOGY | ||||
| 2401 W UNIVERSITY AVE | MUNCIE | IN | 47303 | SPECIALTY CARE |
| IU HEALTH BALL MEMORIAL WOUND HEALING SE | ||||
| 2901 W JACKSON ST | MUNCIE | IN | 47303 | SPECIALTY CARE |
| IU HEALTH BALL MEMORIAL VOSS CENTER FOR | ||||
| 5501 W BETHEL AVE SUITE C | MUNCIE | IN | 47304 | SPECIALTY CARE |
| IU HEALTH BALL MEMORIAL OUTPATIENT SURGE | ||||
| 2401 W UNIVERSITY AVE | MUNCIE | IN | 47303 | SURGERY CENTER |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c - Other Factors Used in Determining Elig. | IU Health Ball Memorial Hospital uses several factors other than Federal Poverty Guidelines ("FPGs") in determining eligibility for free care under its FAP. These factors include the following: 1. Indiana Residency Requirement Financial Assistance will only be made available to residents of the State of Indiana and those eligible for assistance under 42 U.S.C.A.1396b(v). IU Health Ball Memorial Hospital will employ the same residency test as set forth in Indiana Code 6-3-1-12 to define an Indiana resident. The term Resident includes any individual who was domiciled in Indiana during the taxable year, or any individual who maintains a permanent place of residence in Indiana and spends more than one hundred eight-three (183) days of the taxable year in Indiana. Patients residing in the state of Indiana while attending an institution of higher education may be eligible for assistance under the FAP if they meet the aforementioned residency test and are not claimed as a dependent on a parent's or guardian's federal income tax return. 2. IU Health Ball Memorial Hospital's Individual Solutions Department Prior to seeking Financial Assistance under the FAP, all patients or their guarantors must consult with a member of IU Health Ball Memorial Hospital's Individual Solutions department to determine if healthcare coverage may be obtained from a government insurance/assistance product or from the Health Insurance Exchange Marketplace. 3. Uninsured Patients All Uninsured Patients presenting for services at IU Health Ball Memorial Hospital eligible under the FAP will not be charged more than the AGB as described in the FAP. 4. Services Rendered by Individual Providers The FAP does not cover services rendered by individual providers. A full listing of providers and services not covered by the FAP is available at HTTPS://IUHEALTH.ORG/PAY-A-BILL/FINANCIAL-ASSISTANCE and is updated on a quarterly basis. 5. Alternate Sources of Assistance When technically feasible, a patient will exhaust all other state and federal assistance programs prior to receiving an award from IU Health Ball Memorial Hospital's Financial Assistance Program. Patients who may be eligible for coverage under an applicable insurance policy, including, but not limited to, health, automobile, and homeowner's, must exhaust all insurance benefits prior to receiving an award from IU Health Ball Memorial Hospital's Financial Assistance Program. This includes patients covered under their own policy and those who may be entitled to benefits from a third-party policy. Patients may be asked to show proof that such a claim was properly submitted to the proper insurance provider at the request of IU Health Ball Memorial Hospital. Eligible patients who receive medical care from IU Health Ball Memorial Hospital 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 to which IU Health Ball Memorial Hospital is entitled. In the event a Financial Assistance Award has already been granted in such circumstances, IU Health Ball Memorial Hospital reserves the right to reverse the award in an amount equal to the amount IU Health Ball Memorial Hospital would be entitled to receive had no Financial Assistance been awarded. 6. Alternate Methods of Eligibility Determination IU Health Ball Memorial Hospital will conduct a quarterly review of all accounts placed with a collection agency partner for a period of no less than one hundred and twenty (120) days after the account is eligible for an ECA. Said accounts may be eligible for assistance under the FAP based on the patient's individual scoring criteria. To ensure all patients potentially eligible for Financial Assistance under the FAP may receive Financial Assistance, IU Health Ball Memorial Hospital will deem patients/guarantors to be presumptively eligible for Financial Assistance if they are found to be eligible for one of the following programs, received emergency or direct admit care, and satisfied his/her required co-pay/deductible: - Indiana Children's Special Health Care Services - Medicaid - Healthy Indiana Plan - Patients who are awarded Hospital Presumptive Eligibility (HPE) - Enrolled in a state and/or federal program that verifies the patient's gross household income is less than or equal to 200% of the Federal Poverty Level. 7. Additional Considerations Financial Assistance may be granted to a deceased patient's account if said patient is found to have no estate. Additionally, IU Health Ball Memorial Hospital will deny or revoke Financial Assistance for any patient or guarantor who falsifies any portion of a Financial Assistance application. 8. Patient Assets IU Health Ball Memorial Hospital may consider patient/guarantor Assets in the calculation of a patient's true financial burden. A patient's/guarantor's primary residence and one (1) motor vehicle will be exempted from consideration in most cases. A patient's primary residence is defined as the patient's principal place of residence and will be excluded from a patient's extraordinary asset calculation so long as the patient's equity is less than five-hundred thousand dollars ($500,000) and the home is occupied by the patient/guarantor, patient's/guarantor's spouse or child under twenty-one (21) years of age. One (1) motor vehicle may be excluded as long as the patient's equity in the vehicle is less than fifty-thousand dollars ($50,000). IU Health Ball Memorial Hospital reserves the right to request a list of all property owned by the patient/guarantor and adjust a patient's award of Financial Assistance if the patient demonstrates a claim or clear title to any extraordinary Asset not excluded from consideration under the above guidance. 9. Non-Emergent Services Down Payment Uninsured Patients presenting for scheduled or other non-emergent services will not be charged more than the AGB for their services. Patients will receive an estimated AGB cost of their care prior to IU Health Ball Memorial Hospital rendering the services and will be asked to pay a down-payment percentage of the AGB adjusted cost prior to receiving services. In the event a patient is unable to fulfill the down-payment, their service may be rescheduled for a later date as medically prudent and in accordance with all applicable federal and state laws and/or regulations. 10. Emergency Services Non-Refundable Deposit This section will be implemented with a strict adherence to EMTALA and IU Health Policy ADM 1.32, Screening and Transfer of Emergency or Unstable Patients. Amount of Non-Refundable Deposit All Uninsured Patients presenting for services at IU Health Ball Memorial Hospital's Emergency Department, via transfer from another hospital facility, or direct admission, will be responsible for a one-hundred dollar ($100.00) non-refundable deposit for services rendered. Patients/guarantors will be responsible for any copays and/or deductibles required by their plan prior to full Financial Assistance being applied. Uninsured Patients wishing to make an application for Financial Assistance greater than the AGB must fulfill their non-refundable deposit prior to IU Health Ball Memorial Hospital processing said application. Uninsured Patients making payments toward their outstanding non-refundable deposit balance will have said payments applied to their oldest application on file, if applicable. |
| Schedule H, Part I, Line 6a - C.B. Report Prepared by a Related Org. | IU Health Ball Memorial Hospital's community benefit and other investments, encompassing its total community investment, are included in the IU Health Community Benefit Report which is prepared on behalf of and includes IU Health and its related hospital entities in the State of Indiana ("IU Health Statewide System"). 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 7, Column (f) - Bad Debt 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 $23,428,827. Bad debt expense is reported at cost based on the cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. |
| Schedule H, Part I, Line 7 - Total Community Benefit Expense | Schedule H, Part I, Line 7, Column (f), Percent of Total Expense, is based on column (e) Net Community Benefit Expense. The percent of total expense based on column (c) Total Community Benefit Expense, which does not include direct offsetting revenue, is 31.35%. |
| Schedule H, Part II - Promotion of Health in Communities Served | IU Health Ball Memorial Hospital is a subsidiary of IU Health. IU Health participates in a variety of community-building activities that address the social determinants of health in the communities it serves. IU Health and its related hospital entities across the State of Indiana 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 that addressed economic development, community support and workforce development. IU Health Ball Memorial Hospital partners with the following organizations and initiatives that focus on some of the root causes of health issues, such as lack of education, employment and poverty: - United Way - Tobacco Free Coalition of Delaware County - Muncie Action Plan - Hosting of medical explorer program for youth - Career Fairs at Indiana Colleges and Universities - Whitely Neighborhood Association - Muncie-Delaware County Chamber of Commerce - East Central Indiana Regional Partnership - Purdue Extension - Ball State University - Muncie Community Schools - Ivy Tech College - Muncie Drug Task Force - The Arc of Indiana - Second Harvest Food Bank - Youth Opportunity Center - Hillcroft Services - Ross Community Center - 812 Coalition - Greater Muncie Habitat for Humanity Additionally, through the IU Health Statewide System's team member community benefit service program, "IU Health Serves", team members across the state make a difference in the lives of thousands of Hoosiers every year. |
| Schedule H, Part III, Line 2 - Methodology Used to Est. Bad Debt Exp. | The bad debt expense of $4,816,967 reported on Schedule H, Part III, Line 2 is reported at cost, as calculated using the cost to charge ratio methodology. Schedule H, Part III, Line 3 - Bad Debt Attributable to Patients Eligible Under FAP An uninsured patient and/or guarantor who was admitted through an eligible facility's emergency department via a direct admission from a physician's office, or transfer from another hospital facility, and whose household income is less than or equal to 200% of the Federal Poverty Level may be eligible for full charity assistance after the successful completion of the Financial Assistance Application and satisfaction of his/her non-refundable deposit. To capture all patients who are potentially eligible for Financial Assistance under the IU Health Financial Assistance Policy, IU Health will deem patients/guarantors to be presumptively eligible for financial assistance if they are found to be eligible for one of the following programs, received emergency or direct admit care, and satisfied the required co-pay/deductible: 1. Indiana Children's Special Health Care Services 2. Medicaid 3. Healthy Indiana Plan 4. Patients who are awarded Hospital Presumptive Eligibility 5. Enrolled in a state and/or federal program that verifies the patient's gross household income is less than or equal to 200% of the Federal Poverty Level (FPL). IU Health also conducts a quarterly review of all accounts placed with a collection agency partner for a period of no less than one hundred and twenty (120) days after the account is eligible for an extraordinary collection actions. Said accounts may be eligible for assistance under the financial assistance policy based on the patient's individual scoring criteria and are not included in bad debt. Due to this comprehensive methodology, IU Health does not believe any amount of bad debt is attributable to patients who may be eligible under the Financial Assistance Policy and no portion of bad debt is included as community benefit. Ind |
| Schedule H, Part III, Line 4 - Bad Debt Expense | IU Health's consolidated financial statements, Footnote 4, addresses bad debt expense as follows: The Indiana University Health System does not require collateral or other security from its patients, substantially all of whom are residents of the State, for the delivery of health care services. However, consistent with industry practice, the Indiana University Health System routinely obtains assignment of (or is otherwise entitled to receive) patients' benefits payable under their health insurance programs, plans or policies (e.g., Medicare, Medicaid, managed care payers, and commercial insurance policies). The Indiana University Health System uses a portfolio approach to account for categories of patient contracts as a collective group, rather than recognizing revenue on an individual contract basis. The portfolios consist of major payer classes for inpatient revenue and outpatient revenue. Based on the historical collection trends and other analysis, the Indiana University Health System believes that revenue recognized by utilizing the portfolio approach approximates the revenue that would have been recognized if an individual contract approach were used. In support of its mission, the Indiana University Health System provides care to uninsured and underinsured patients. The Indiana University Health System provides charity care to patients who lack financial resources and are deemed to be medically indigent. Under its financial assistance policy, the Indiana University Health System provides medically necessary care to uninsured patients with inadequate financial resources at charitable discounts equivalent to the amounts generally billed, and it provides eligibility for full charity for emergent encounters for uninsured patients who earn less than 200% of the federal poverty level and who meet application criteria. Patients whose liability is deemed catastrophic relative to their annual household income are also eligible for reduced charges. 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 free care 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 $96,693,000 and $94,886,000 in 2019 and 2018, respectively. |
| Schedule H, Part III, Line 8 - Medicare Shortfall | IU Health Ball Memorial Hospital has a Medicare shortfall for 2019. IU Health Ball Memorial Hospital's Medicare reimbursements, however, are less than the cost of providing patient care and services to Medicare beneficiaries and do not include any amounts that result from inefficiencies or poor management in 2019. IU Health Ball Memorial Hospital accepts all Medicare patients knowing that there may be shortfalls; therefore it has taken the position that any shortfall should be counted as part of its community benefit. Additionally, it is implied in Internal Revenue Service Revenue Ruling 69-545 that treating Medicare patients is a community benefit. Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with governmental health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community. 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 Ball Memorial Hospital Medicare Cost Report. "Allowable costs" for Medicare Cost Report purposes, however, are not reflective of all costs associated with IU Health Ball Memorial Hospital's participation in Medicare programs. For example, the Medicare Cost Report excludes certain costs such as billed physician services, the costs of Medicare Parts C and D, fee schedule reimbursed services, and durable medical equipment services. Inclusion of all costs associated with IU Health Ball Memorial Hospital participation in Medicare programs would significantly reduce the Medicare surplus reported on Schedule H, Part III, Line 7. |
| Schedule H, Part III, Line 9b - Written Debt Collection Policy | IU Health Ball Memorial Hospital's FAP and Written Debt Collection Policy describe the collection practices applicable to patients, including those who may qualify for financial assistance. 1. Financial Assistance Application Patients or their guarantors wishing to apply for Financial Assistance are encouraged to submit a Financial Assistance Application within ninety (90) days of their discharge. Patients or their guarantors may submit an application up to two-hundred and forty (240) days from the date of their first billing statement from IU Health, however, accounts may be subject to ECA as soon as one hundred and twenty (120) days after having received their first billing statement. Patients or their guarantors submitting an incomplete 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 patient fails to cure any deficiencies in their application in the allotted period. Patients with limited English proficiency may request to have a copy of the FAP, a FAP Application, and FAP Plain Language Summary in one of the below languages: - Arabic - Burmese - Burmese-Falam - Burmese-Hakha Chin - Mandarin/Chinese - 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 FAP Application to be mailed to a patient's primary mailing address free of charge. IU Health Ball Memorial Hospital keeps all applications and supporting documentation confidential. Patients applying for assistance under the FAP will be required to complete a Financial Assistance Application. Patients must include the following documentation with their Financial Assistance Application: - 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 a patient's and/or guarantor's income does not warrant the filing of a federal tax return, the patient 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; and - If applicable, divorce/dissolution decrees and child custody order 2. Eligibility Determination IU Health Ball Memorial Hospital 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. If a patient or guarantor is granted less than full charity assistance and the patient or guarantor provides additional information for reconsideration, IU Health Revenue Cycle Services may amend a prior Financial Assistance Determination. If a patient or guarantor seeks to appeal the Financial Assistance Determination further, a written request must be submitted, along with the supporting documentation, to the Financial Assistance Committee for additional review/reconsideration. All decisions of the Financial Assistance Committee are final. A patient's Financial Assistance Application and eligibility determination are specific to each individual date(s) of service and related encounters. 3. Extraordinary Collection Actions IU Health Ball Memorial Hospital may refer delinquent patient accounts to a third-party collection agency after utilizing reasonable efforts to determine a patient's eligibility for assistance under the FAP. IU Health Ball Memorial Hospital and its third-party collection agencies may initiate ECA against a patient or their guarantor in accordance with this Policy and 26 C.F.R. 1.501(r). Said ECA may include the following: - Selling a patient's 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's or their guarantor's nonpayment of one or more bills for previously provided care covered under the FAP. - Actions requiring a legal or judicial process, including but not limited to placing a lien on 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 Ball Memorial Hospital and its third party collection agencies, will engage in fair, respectful and transparent collections activities. Patients or guarantors currently subject to an ECA who have not previously applied for Financial Assistance may apply for assistance up to two-hundred and forty (240) days of the date of their first billing statement from IU Health Ball Memorial Hospital. IU Health Ball Memorial Hospital and their third-party collection agencies will suspend any ECA engaged on a patient or their guarantor while an Application is being processed and considered. 4. Refunds Patients eligible for assistance under the FAP who remitted payment to IU Health Ball Memorial Hospital 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 on a separate account not eligible for assistance under the FAP 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 VI, Line 2 - Needs Assessment | Communities are multifaceted and so are their health needs. IU Health Ball Memorial Hospital understands that the health of individuals and communities are shaped by various social and environmental factors, along with health behaviors and additional influences. IU Health Ball Memorial Hospital assesses the health care needs of the communities it serves by conducting a community health needs assessment, (CHNA). For the 2018 CHNA, IU Health Ball Memorial Hospital 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 Ball Memorial Hospital reviewed secondary data, findings from other community health assessments of areas served by the hospital, input obtained from individuals who participated in community meetings, input obtained from key stakeholders, and a community survey to identify and analyze the needs identified by each source. The top health needs of the IU Health Ball Memorial Hospital 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 believes its CHNA process is comprehensive and additional assessments are not required. |
| Schedule H, Part VI, Line 3 Patient Education of Eligibility for Assist. | IU Health Ball Memorial Hospital is committed to serving the healthcare needs of all of its patients regardless of their ability to pay for such services. To assist in meeting those needs, IU Health Ball Memorial Hospital has established a FAP to provide Financial Assistance to Uninsured Patients. IU Health Ball Memorial Hospital is committed to ensuring its patients are compliant with all provisions of the Patient Protection & Affordable Care Act. To that end, IU Health Ball Memorial Hospital will make a good faith effort to locate and obtain health insurance coverage for patients prior to considering patients for coverage under the FAP. IU Health Ball Memorial Hospital takes several measures to inform its patients of the FAP and FAP-eligibility. These measures include the following: 1. Conspicuous public displays will be posted in appropriate acute care settings such as the emergency department and registration areas describing the available assistance and directing eligible patients to the Financial Assistance Application. 2. IU Health Ball Memorial Hospital will include a conspicuous written notice on all patient billing statements that notifies the patient about the availability of this Policy, and the telephone number of its Customer Service Department which can assist patients with any questions they may have regarding this Policy. 3. IU Health Customer Service representatives will be available via telephone Monday through Friday, excluding major holidays, from 8:00 a.m. to 7:00 p.m. Eastern Time to address questions related to this Policy. 4. IU Health Ball Memorial Hospital will broadly communicate this Policy as part of its general outreach efforts. 5. IU Health Ball Memorial Hospital will educate its patient facing team members of the FAP and the process for referring patients to the Program. |
| Schedule H, Part VI, Line 4 - Community Information | IU Health Ball Memorial Hospital is located in Delaware County, Indiana, a county located in central Indiana. Delaware County includes ZIP codes within the towns of Muncie, Eaton, Gaston, Selma, Albany, Daleville and Yorktown. Based on the most recent Census Bureau (2019) statistics, Delaware County's population is 114,135 persons with approximately 51.7% being female and 48.3% male. The county's population estimates by race are 86.7% White, 2.6% Hispanic or Latino, 7.2% Black, 1.4% Asian, 0.3% American Indian or Alaska Native, and 2.3% persons reporting two or more races. Delaware County has relatively low levels of educational attainment. The level of education most of the population has achieved is a high school degree (89.3%). As of 2019, 24.3% of the population had a bachelor's degree or higher. |
| Schedule H, Part VI, Line 5 - Promotion of Community Health | IU Health Ball Memorial Hospital is a subsidiary of Indiana University Health, Inc., a tax-exempt healthcare organization, whose Board of Directors is composed of members, of which substantially all are independent community members. IU Health Ball Memorial Hospital serves as the backbone organization providing resources to operate a three-county health coalition focused on obesity prevention and tobacco cessation as a means to reduce the impact of chronic disease including cancer and heart disease. More than 150 organizations are partners in the "Healthy Community Alliance of East Central Indiana" coalition and each pledges to influence audiences to make positive choices regarding improved nutrition, increased physical activity or tobacco cessation. Coalition partners report a collective total audience size of more than 50,000 people. In 2019, the hospital convened a group of community partners to address social determinants of health in the Thomas Park/Avondale neighborhood, an impoverished area with high obesity rates, food access issues and blighted housing. After preparing a grant proposal, the hospital was awarded a $1 million grant from the IU Health Foundation to apply to blight improvement, physical activity facilities, youth programming and food access starting in 2020. The hospital participates in the facilitation of a local food council which brings collaborative partners together around improvements in food policy, food waste and food access, while providing a forum for small food distribution operations. IU Health has installed drug take-back kiosks at four east central Indiana pharmacy locations: the kiosks are open to the public and available during business hours. In 2019, 1,012 pounds of prescription medications were recovered. As an additional obesity prevention initiative, IU Health Ball Memorial Hospital partners with Muncie's Minnetrista farmers market and nearly ten other community partners to offer "families at the farmers market." This program consists of three monthly Saturday workshops that offer a wellness-based presentation on utilizing tasty natural herbs, ideal healthy recipes for children, or a diabetes component. Grocery shopping tips are often a part of the educational lectures, including a better understanding of nutritional labels and food storage. Participating families also receive free "IU Health Bucks" to shop for produce in the farmers market. In 2019, more than 55 families, primarily from underserved areas of the community participated in the program. The hospital also partnered with the YMCA to offer the "Catch" (coordinated approach to child health) curriculum within an after-school program for 103 students who received an additional 15-30 minutes of physical activity each day and learned about nutritional facts. Additionally, to assist with the community accessing healthcare, IU Health Ball Memorial Hospital offers comprehensive cervical cancer screenings free of charge in 2019, screeners performed 31 cervical exams. Because the average adult smoking rate is nearly 25% and peaks at over 40% in some areas of the community served, the hospital also offers a low cost lung cancer screening for heavy smokers intended to identify cancer at an early stage. 311 persons were screened in 2019. |
| Schedule H, Part VI, Line 6 - Affiliated Healthcare System | IU Health Ball Memorial Hospital is part of the IU Health Statewide System. The IU Health Statewide system is Indiana's most comprehensive healthcare system. A unique partnership with the Indiana University School of Medicine ("IU School of Medicine"), one of the nation's leading medical schools, gives patients access to innovative treatments and therapies. IU Health is comprised of hospitals, physicians and allied services dedicated to providing preeminent care throughout Indiana and beyond. National Recognition - Eight hospitals designated as Magnet by the American Nurses Credentialing Center recognizing excellence in nursing care. - IU Health Medical Center is honored to be nationally ranked by U.S. News & World Report for the 22nd year in a row. According to the U.S. News rankings, IU Health Medical Center is the No. 1 ranked hospital in Indiana and Indianapolis and the only nationally ranked adult hospital in the state. For 2019-2020, IU Health Medical Center was rated as high performing nationally in five specialties, with a sixth specialty achieving a top 50 national ranking: - Cancer - high performing - Gastroenterology - ranked 45th in nation - Nephrology - high performing - Neurology & Neurosurgery - high performing - Urology - high performing Besides IU Health Medical Center, IU Health has three other hospitals among the 10 top ranked hospitals in Indiana: - IU Health Ball Memorial Hospital - 5th - IU Health Arnett Hospital - 8th - IU Health Bloomington Hospital - 8th The annual rankings, now in their 30th year, are designed to assist patients and their doctors in making informed decisions about where to receive care for challenging health conditions or for common elective procedures. Education and Research As an academic health center, IU Health 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 $150 million over five years in the Strategic Research Initiative, 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 our 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: - Cancer: One of the initiative's primary goals is to enable the IU Health Melvin and Bren Simon Cancer Center to attain the National Cancer Institute's top status of "comprehensive," which would recognize it as one of the top-tier cancer centers in the nation. 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. - Neuroscience: The neurosciences research program tackles a broad range of brain injuries, neurodegenerative disorders and neurodevelopmental disorders. - Cardiovascular: The cardiovascular research initiative develops a comprehensive program for the study and treatment of heart failure, from newborns to older adults. A top priority is developing a cardiovascular genetics program. The Strategic Research Initiative provides patients with access to internationally renowned physicians and to new therapies developed through translational research and clinical trials, and will make use of the latest genetic tools to develop personalized therapies that are more effective for individuals and efficient for healthcare providers. IU Health Statewide System IU Health is a part of the IU Health Statewide System which continues to broaden its reach and positive impact throughout the state of Indiana. IU Health is Indiana's most comprehensive academic health center and consists of IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health, and IU Health Saxony Hospital. Other hospitals in the IU Health Statewide System include the following: - IU Health Arnett Hospital - IU Health Ball Memorial Hospital - IU Health Bedford Hospital - IU Health Blackford Hospital - IU Health Bloomington Hospital - IU Health Frankfort Hospital - IU Health Jay Hospital - IU Health North Hospital - IU Health Paoli Hospital - IU Health Tipton Hospital - IU Health West Hospital - IU Health White Memorial Hospital Although each hospital in the IU Health Statewide System prepares and submits its own community benefits plan relative to the local community, the IU Health Statewide System considers its community benefit plan as part of an overall vision for strengthening Indiana's overall health. A comprehensive community outreach strategy and community benefit plan is in place that encompasses the academic medical center downtown Indianapolis, suburban Indianapolis and statewide entities around priority areas that focus on health improvement efforts statewide. IU Health is keenly aware of the positive impact it can have on the communities of need in the state of Indiana by focusing on the most pressing needs in a systematic and strategic way. In 2019, IU Health provided over $700 million of dollars in total community benefit and served more than one million individuals. Some ways we address our community health priorities as a system include: IU Health Day of Service The annual IU Health Days of Service is a high-impact event aimed at engaging IU Health team members in activities that address an identified community priority. Each year, more than 2,000 IU Health team members volunteer during the Days of Service. Community Health Initiatives With investments in high-quality and impactful initiatives to address community health needs statewide, IU Health is helping Indiana residents improve their health and their quality of life. In 2019, IU Health impacted many people statewide through presentations, health risk screenings, health education programs, and additional health educational opportunities made available to the community, especially to our community members in the greatest need of such services. Twenty-four local organizations are benefitting from grants awarded by IU Health. In 2019, IU Health Community Outreach and Engagement awarded more than $900,000 to community organizations and institutions which-like IU Health-are addressing the health needs of the community. These needs include access to affordable healthcare, behavioral health and substance abuse, healthy weight and nutrition and social determinants of health. The grants, administered by the IU Health Foundation, were awarded to the following: Access to Affordable Healthcare - Covering Kids and Families (https://www.ckfindiana.org/) received $25,000 to assist in increasing health insurance enrollment and retention. - LifeSmart Youth (https://lifesmartyouth.org/) received $50,000 toward a new initiative called Tween Education & Access to Community Health (TEACH), which aims to help advance racial health equity and access to care by providing culturally-relevant, medically-accurate reproductive health education to 4,000 Black and Latin youth ages 8 - 12 (grades 4 - 7) in Marion County schools and summer camps. Behavioral Health and Substance Abuse: - Volunteers of America Ohio & Indiana's (https://www.voaohin.org/) (VOAOHIN) Fresh Start Recovery Center received a $75,000 grant to provide residential addiction treatment to pregnant women and mothers. It also allows up to two children ages 5 and under to live with their mother while they receive services. - Goodwill Foundation of Central and Southern Indiana (https://www.goodwillindy.org/foundation/) received $75,000 to help Goodwill Education Initiatives (GEI) Resilience Initiative support resilience work across 15 Excel Center locations by leveraging groundbreaking research on neuroplasticity-the ability of the brain to reorganize itself-and to train staff and students on enhancing their resilience and mitigating the effects of trauma. - Additional grant winners: - Reach for Youth (https://www.reachforyouth.org/) - Lutheran Foundation (https://thelutheranfoundation) - Indy Public Safety Foundation (https://indypsf.org/) Healthy Weight and Nutrition - United Way of Central Indiana, Inc.'s (https://uwci.org/) initiative Jump IN for Healthy Kids received a $50,000 grant to address the epidemic of childhood obesity with a specific focus on implementing strateg |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| YOUTH OPPORTUNITY CENTER | |||||||
| 3700 W KILGORE AVE | MUNCIE | IN | 47304 | 351805697 | 501(C)(3) | $300,000 | GENERAL SUPPORT |
| DELAWARE ADVANCEMENT CORPORATION | |||||||
| PO BOX 842 | MUNCIE | IN | 47308 | 311111841 | 501(C)(3) | $37,500 | GENERAL SUPPORT |
| East Central Indiana Regional Partnership | |||||||
| PO Box 1912 | Muncie | IN | 47308 | 204381437 | 501(C)(3) | $30,000 | GENERAL SUPPORT |
| Arts Place Inc | |||||||
| PO Box 804 | Portland | IN | 47371 | 351379424 | 501(C)(3) | $12,500 | GENERAL SUPPORT |
| IVY TECH FOUNDATION | |||||||
| 50 W Fall Creek Parkway North | Indianapolis | IN | 462085752 | 237073977 | 501(c)(3) | $250,000 | General Support |
| SECOND HARVEST FOOD BANK | |||||||
| 6621 N Old SR 3 | Muncie | IN | 47303 | 311111795 | 501(c)(3) | $120,500 | GENERAL SUPPORT |
| CARDINAL GREENWAY INC | |||||||
| 700 E Wysor Street | Muncie | IN | 47305 | 351885151 | 501(c)(3) | $102,500 | General Support |
| Meridian Health Services | |||||||
| 240 N Tilotson Ave | Muncie | IN | 47304 | 351302836 | 501(c)(3) | $10,000 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 - Org.'s Procedures for Monit. the Use of Grant | FormAndLineReferenceDesc |
| Explanation | Although IU Health Ball Memorial Hospital 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER M VOSS MD | ||||||||||||||
| DIRECTOR/VICE CHAIRMAN | $308,299 | $0 | $42,483 | $0 | $21,322 | $0 | $18,075 | $0 | $24,444 | $0 | $414,623 | $0 | $0 | $0 |
| JEFFREY C BIRD MD | ||||||||||||||
| DIRECTOR/PRESIDENT | $0 | $470,692 | $0 | $176,646 | $0 | $27,684 | $0 | $100,293 | $0 | $22,561 | $0 | $797,876 | $0 | $0 |
| PATRICK A CLEARY MD | ||||||||||||||
| DIRECTOR | $0 | $316,028 | $0 | $57,904 | $0 | $24,858 | $0 | $18,075 | $0 | $20,109 | $0 | $436,974 | $0 | $0 |
| CHARLES R ROUTH MD | ||||||||||||||
| DIRECTOR | $0 | $217,140 | $0 | $65,356 | $0 | $21,096 | $0 | $17,939 | $0 | $19,337 | $0 | $340,868 | $0 | $0 |
| LORI A LUTHER | ||||||||||||||
| COO | $306,078 | $0 | $42,196 | $0 | $22,564 | $0 | $18,075 | $0 | $23,245 | $0 | $412,158 | $0 | $0 | $0 |
| JONATHAN VANATOR | ||||||||||||||
| CFO | $0 | $270,283 | $0 | $37,835 | $0 | $540 | $0 | $18,075 | $0 | $23,903 | $0 | $350,636 | $0 | $0 |
| CARLA C COX RN | ||||||||||||||
| VP & CNO | $218,913 | $0 | $28,577 | $0 | $3,168 | $0 | $16,465 | $0 | $20,137 | $0 | $287,260 | $0 | $0 | $0 |
| TERRY A PENCE | ||||||||||||||
| VP, Operations | $203,581 | $0 | $26,924 | $0 | $2,956 | $0 | $15,490 | $0 | $26,788 | $0 | $275,739 | $0 | $0 | $0 |
| Max E Barnhart | ||||||||||||||
| Admin Dir-Retail Pharmacy Ops | $169,771 | $0 | $17,844 | $0 | $6,552 | $0 | $13,394 | $0 | $31,316 | $0 | $238,877 | $0 | $0 | $0 |
| ALVIS E FOSTER | ||||||||||||||
| SENIOR RADIATION PHYSICIST | $215,965 | $0 | $500 | $0 | $792 | $0 | $14,702 | $0 | $30,675 | $0 | $262,634 | $0 | $0 | $0 |
| JOSEPH R BUTTS | ||||||||||||||
| RADIATION PHYSICIST | $203,977 | $0 | $500 | $0 | $180 | $0 | $13,068 | $0 | $2,483 | $0 | $220,208 | $0 | $0 | $0 |
| JUDITH L COLEMAN | ||||||||||||||
| FORMER OFFICER | $0 | $259,644 | $0 | $43,864 | $0 | $11,122 | $0 | $18,075 | $0 | $20,294 | $0 | $352,999 | $0 | $0 |
| David W Hyatt | ||||||||||||||
| DIRECTOR | $220,323 | $0 | $29,686 | $0 | $2,751 | $0 | $16,500 | $0 | $30,069 | $0 | $299,329 | $0 | $0 | $0 |
| Joan V Castor | ||||||||||||||
| DIRECTOR | $0 | $285,876 | $0 | $129,771 | $0 | $13,453 | $0 | $68,821 | $0 | $25,032 | $0 | $522,953 | $0 | $0 |
| Ann M McGuire | ||||||||||||||
| VP-Human Resources Regional/BU | $163,445 | $0 | $21,801 | $0 | $18,490 | $0 | $13,245 | $0 | $9,560 | $0 | $226,541 | $0 | $0 | $0 |
| MICHAEL E HALEY | ||||||||||||||
| FORMER OFFICER | $0 | $130,666 | $0 | $0 | $0 | $71,431 | $0 | $12,203 | $0 | $21,022 | $0 | $235,322 | $0 | $0 |
| David A Schwartz | ||||||||||||||
| Clinical Nurse-Resource | $6,237 | $189,144 | $53 | $1,617 | $8 | $248 | $416 | $12,605 | $4 | $122 | $6,718 | $203,736 | $0 | $0 |
| Alexis Neal | ||||||||||||||
| Service Line Leader | $160,706 | $0 | $14,047 | $0 | $6,665 | $0 | $11,544 | $0 | $1,091 | $0 | $194,053 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 - Comp. of the Org.'s CEO/Executive Director | IU Health Ball Memorial Hospital's Regional President is employed by IU Health. IU Health, IU Health Ball 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 4b - Supplemental Nonqualified Retirement Plan | Jeffrey C. Bird M.D., and Joan V. Castor participate in a supplemental executive retirement plan, provisions of which are designed to retain these critical employees. The plan provides for an additional retirement benefit for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, the benefit may be forfeited or reduced. Jeffrey C. Bird M.D. and Joan V. Castor have an amount included in column c, deferred compensation, representing the current year unvested contributions made under the supplemental retirement plan. No amount was 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 (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Page 1, Line J - Web Site: | https://iuhealth.org/find-locations/iu-health-ball-memorial-hospital |
| Part VI, Section A, Line 2 - Family or Business Relationships | Certain officers, directors or key employees of Indiana University Health, Inc. (IU Health) may also serve on the boards or as officers of other related or unrelated organizations. As noted below, no additional compensation was provided to these individuals for their service to related organizations. Related for-profit organization: Cardinal Health Ventures, Inc. Type of Relationship: Business Director or Officer: Peter M. Voss, M.D., Jeffrey C. Bird, M.D., Wilbur R. Davis, John D. Littler and J. Steven Rhea are board members. Related for-profit organization: Ball Outpatient Surgery Center (BOSC) Type of Relationship: Business Director or Officer: Patrick A. Cleary M.D. owns less than 3% of entity. Not-for-profit organization: Indiana University Health Ball Memorial Hospital Type of Relationship: Family Director or Officer: John D. and David A. Littler are brothers Part VI, Section A, Line 4 - Changes to the Governing Documents On May 16, 2019, Article IV, Section 4.9, Board Member Attendance of Indiana University Health Ball Memorial Hospital, Inc.'s by-laws were amended to include the ability to grant excused absence. |
| Part VI, Section A, 6, 7a and 7b - Members or Stockholders | Line 6: IU Health Ball Memorial Hospital has one class of membership and the sole member is IU Health. Line 7a: IU Health elects one more than one-half of the total number of Directors. Immediately following such election the remainder are elected by the Directors, excluding those whose terms are set to expire. Line 7b: Notwithstanding any other provisions of the Articles of Incorporation, the following matters require the written approval of IU Health prior to implementation: - Authorization for the establishment or acquisition of any subsidiaries, affiliates or joint venture arrangements or acquisition of all or substantially all of the assets of any other business or entity; - Approval or amendment to any operating or capital budget; - Authorization of any unbudgeted operating or capital budget items or deviations, including any issuance or guarantee of any unbudgeted debt, greater than the budgeted amount by $1 million for any individual item or $3 million per fiscal year in the aggregate; - Authorization of any agreement to act as primary obligor, or to serve as a guarantor, surety or co-obligor with respect to the indebtedness of any other party, to borrow amounts from third-party lenders, or to loan money to any person or entity; - Approval of strategic plans and amendments, which will be integrated with IU Health's strategic plan; - Amendment or repeal of the Corporation's or an Affiliate's articles of incorporation or bylaws (or other corresponding organizational documents of an Affiliate that is not a corporation); - Authorization of any merger, consolidation, reorganization, sale or transfer of all or substantially all of the Corporation's assets; - Authorization of any voluntary declaration of bankruptcy, plan of dissolution, any liquidating distribution of assets or other action related to its dissolution or liquidation; - Authorization of any pledge of, or grant any security interest or mortgage in, or otherwise encumber, any tangible assets of the Corporation in excess of $2,000,000, other than in the ordinary course of business or pursuant to a budget or strategic plan approved by IU Health; - Approval of any management agreement for the management of all or a substantial part of the Corporation's operations; or - Appointment or removal of any of the Corporation's Directors with or without cause. |
| Part VI, Section A, Line 11b - Review of Form 990 | The CFO reviewed and approved the Form 990. 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. |
| Part VI, Section B, Lines 12, 13, 14, and 16b - Policies | IU Health Ball Memorial Hospital is part of the IU Health system. As the sole member and controlling parent of IU Health Ball Memorial Hospital, IU Health and its Board of Directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health Ball Memorial Hospital's Board of Directors was not required to separately adopt a conflict of interest, whistleblower, document retention and destruction and joint venture policies because IU Health's Board of Directors had already adopted and required these policies to be followed by its subsidiaries. |
| Part VI, Section B, Line 12c - Conflict of Interest Policy | IU Health Ball Memorial Hospital follows IU Health's Conflict of Interest Policy. IU Health's Conflict of Interest Policy includes the following provisions: All IU Health employees, associates, colleagues and contracted personnel, including employed physicians and paid medical directors ("IU Health Representatives") are covered by and subject to its Conflict of Interest Policy. IU Health regularly and consistently monitors and enforces compliance with the policy through the following procedures: (a) On an annual basis, each IU Health Representative at the level of Manager or above, together with every other person designated by the Corporate Compliance Department ("Department"), must complete, sign and submit a Conflict of Interest Questionnaire ("Questionnaire") to the Department. Governing board members, committee members, corporate officers, medical staff and researchers must comply with the administrative requirements noted in the respective policies and procedures relative to those areas. (b) An IU Health Representative must supplement a Questionnaire in writing, if after completion of the original Questionnaire, a situation arises, or may reasonably be expected to arise, that would change any answer or information on the original Questionnaire if the situation had existed or been anticipated at the time of completion of the original Questionnaire. (c) If a fully and properly completed Questionnaire reveals facts or other information that might reasonably indicate a Conflict of Interest or violation of the policy, the IU Health Representative completing the questionnaire must secure approval by his/her supervisor, evidenced in writing. (d) The Department will review each Questionnaire and determine whether a Conflict of Interest exists and, if so, whether and how it should or may be eliminated, avoided or managed in order to comply with the spirit of the policy and with the best interests of IU Health and its patients. In making the determination, the Corporate Compliance Department may consult with the IU Health Representative's supervisor and other appropriate individuals and groups. (e) The scope of the policy is not limited to those who are required to complete Questionnaires. If an IU Health Representative is involved in a situation or relationship that would constitute a violation of the policy in the absence of disclosure and approval as described above, then the IU Health Representative must disclose the matter to his/her supervisor, secure his/her supervisor's approval in writing, and disclose the matter to the Department. Otherwise, the IU Health Representative is in violation of the policy and subject to corrective action, up to and including termination. (f) The Chief Compliance Officer, in consultation with onsite Compliance personnel, may from time to time appoint standing or ad hoc committees to assist in resolving issues that arise under provisions of the policy. |
| Part VI, Section B Line 15A & 15B - Process for Determining Comp | IU Health Ball Memorial Hospital's Regional President is employed by IU Health. IU Health's process for determining compensation is as follows: The process includes the following: (1) The Board of Directors ("Board") has established a Talent Management and Executive Compensation Committee ("TMECC"), the purpose of which includes reviewing and making recommendations regarding executive (Senior Vice Presidents and above) pay and benefits (collectively referred to as "compensation") on an annual basis. The TMECC is made up of members of the Board that are neither physicians nor employees and do not otherwise have a conflict of interest regarding any of IU Health's compensation arrangements. The TMECC reviews an executive's entire compensation package including base salary, short-term and long-term incentives, health and welfare benefits, qualified and nonqualified retirement plans, as well as any additional fringe benefits. As deemed appropriate, the Committee on Finance, which is also made up of members of the Board, may also review executive compensation and benefits. (2) The TMECC engages an independent compensation consulting firm on an annual basis to conduct a compensation analysis for its executive group, which consists of employees at the level of senior vice president and above. The current compensation advisor is SullivanCotter. SullivanCotter performs its analysis in the form of a compensation survey ("survey") that includes relevant comparability data for compensation levels paid by similarly situated organizations (both governmental and tax exempt) for functionally comparable positions as well as the availability of similar services in the geographic area. SullivanCotter then prepares a survey report and provides recommendations to the TMECC, if deemed appropriate, on changes in executive compensation. A separate analysis using the same methodology is done for the President and Chief Executive Officer. (3) The TMECC then reviews SullivanCotter's report and recommendations and, if appropriate, votes on whether to recommend any changes in executive compensation to the Board. The TMECC will only recommend changes to the Board if they are consistent with the Board's philosophy on compensation matters and are deemed reasonable based upon the independent analysis provided by SullivanCotter. The TMECC's review, discussion and vote are documented in the minutes for the meeting. There are no executives present during the final discussion and approval. (4) The Board then reviews the report prepared by SullivanCotter as well as the recommendations of the TMECC as to any changes in executive compensation. As deemed appropriate, the Committee on Finance may also provide its review of the TMECC's recommendations on any changes in executive compensation. This review and discussion are documented in the minutes. (5) The Board then votes on whether to accept the TMECC's recommendations on any changes in executive compensation. Changes in executive compensation are made if approved by the TMECC and Board on an annual basis, or as necessary throughout the year. The discussion and approval are documented in the minutes of the meeting. There are no executives present during the final discussion and approval. IU Health's General Counsel also prepares a formal written opinion reviewing the executive compensation approval process, comparing it to the Intermediate Sanctions Test of IRC Section 4958. If warranted, IU Health's General Counsel may also provide comments regarding the executive compensation approval process as it relates to meeting the requirements for a rebuttable presumption of reasonableness as provided in the Intermediate Sanctions Test. (6) After the end of each year, the TMECC and Board also review the achievements of the executive group as it relates to the long-term and short-term shared and individual goals developed by the executives and the Board. These achievements may also be reviewed with the Committee on Finance. The Board, at its discretion, may approve bonus payments based upon the achievement of the goals. The discussion and vote of the TMECC and Board is documented in the minutes for each such meeting. The bonuses are not paid until approval is made by the Board. (7) The TMECC and Audit Committee also review Form 990 disclosures related to executive compensation as well as the organization's practices and approval processes prior to the filing of the Form 990 return with the Internal Revenue Service. IU Health Ball Memorial Hospital and other related entities have a process in place to determine the compensation for the other officers and key employees. IU Health Human Resources uses market data from multiple compensation experts/vendors who utilize a variety of methods and procedures to obtain compensation ranges for comparable officer and employee positions. This market data and multiple other factors (including market pay benchmarks, internal equity, candidate/employee qualifications & performance, and business needs) are used to recommend compensation ranges for its officers and other employees, which are then used as a guide for setting reasonable compensation by management. |
| Part VI, Section C, Line 19 - Public Disclosure | IU Health Ball Memorial Hospital's Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health Ball Memorial Hospital's conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health Ball Memorial Hospital 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 Ball Memorial Hospital Form 990. |
| Part XI, Line 9 - Other Changes in Net Assets or Fund Balance | During 2019, IU Health Ball Memorial Hospital recorded the following other changes in net assets or fund balances: Equity Transfer (Settlement of Debt) - $ (21,096,675) |
| Schedule O, Part VII, Section B, Attach 2 Comp.of the Five Highest | Hagerman Inc./Harmon Joint Venture includes goods and services associated with the construction of the new Indiana University Health Bloomington Hospital and Regional Academic Center. These were not easily separated for reporting on the 990. The $9,782,800 being reported includes both goods and services paid. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SHARED SERVICES/PROF. FEES TOTAL FEES:XXX-XX-XXXX |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST CENTRAL RADIOLOGY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN ST STE 800 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351907818 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Total Income | $1,717,689 | TotalIncomeAmt |
| End Of Year Assets | $2,754,790 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IUHBMH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Clarian Transplant Institute Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 134350599 | Healthcare | IN | 501(c)(3) | 10 | IUH | Yes (true) |
| Indiana University Health Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 351955872 | Healthcare | IN | 501(c)(3) | 3 | NA | false |
| IU Health Arnett Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 263162145 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| IU Health Ball Memorial Physicians Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 351925641 | Healthcare | IN | 501(c)(3) | 10 | IUHBMH | Yes (true) |
| IU Health Bedford Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 237042323 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| IU Health Blackford Hospital Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 010646166 | Healthcare | IN | 501(c)(3) | 3 | IUHBMH | Yes (true) |
| IU Health Bloomington Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 351720796 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| IU Health BMH Foundation Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 311111784 | Fundraising | IN | 501(c)(3) | 12 I | IUHBMH | Yes (true) |
| IU Health Care Associates Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 351747218 | Healthcare | IN | 501(c)(3) | 10 | IUH | Yes (true) |
| IU Health Frankfort Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 815174295 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| IU Health Jay Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 822736786 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| IU Health Morgan Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 273533027 | Healthcare | IN | 501(c)(3) | 10 | IUH | Yes (true) |
| IU Health North Hospital Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 351932442 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| IU Health Paoli Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 352090919 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| IU Health Plans NFP Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 463803873 | Insurance | IN | 501(c)(4) | N/A | IUH | Yes (true) |
| IU Health Tipton Hospital Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 262772226 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| IU Health West Hospital Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 351814660 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| IU Health White Memorial Hospital Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 273532963 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| IUHLP Liquidation Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351125434 | Healthcare | IN | 501(c)(3) | 10 | IUH | Yes (true) |
| IUHLP-P Liquidation Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 311070868 | Healthcare | IN | 501(c)(3) | 10 | IUHLP | Yes (true) |
| MDwise Marketplace Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 465270582 | Insurance | IN | 501(c)(4) | N/A | IUH | Yes (true) |
| MDwise Network Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 472619552 | Insurance | IN | 501(c)(4) | N/A | IUH | Yes (true) |
| IU Health Foundation Inc | ||||||||||
| 1633 N Capitol Ave Ste 1200 | Indianapolis | IN | 46202 | 356043086 | Fundraising | IN | 501(c)(3) | 12 I | IUH | Yes (true) |
| Methodist Health Group Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 350876390 | Healthcare | IN | 501(c)(3) | 12 III-FI | NA | false |
| Methodist Occup Health Centers Inc | ||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 351844176 | Healthcare | IN | 501(c)(3) | 3 | IUH | Yes (true) |
| Riley Cheer Guild Inc | ||||||||||
| 705 Riley Hospital Dr | Indianapolis | IN | 46202 | 356018517 | Fundraising | IN | 501(c)(3) | 12 III-FI | NA | false |
| University Family Physicians Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 237427350 | Healthcare | IN | 501(c)(3) | 10 | IUHCA | Yes (true) |
| Indiana Health Info Exchange Inc | ||||||||||
| 846 N Senate Ave | Indianapolis | IN | 46202 | 364550324 | Healthcare | IN | 501(c)(3) | 12 I | NA | false |
| IU Medical Group Foundation Inc | ||||||||||
| 340 W 10th St No FS5100 | Indianapolis | IN | 46202 | 201093251 | Fundraising | IN | 501(c)(3) | 12 II | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| BOSC LLC | |||||||
| 569 Brookwood Village Ste 901 | Birmingham | AL | 35244 | 270275794 | Healthcare | IN | NA |
| BSC 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 Mgt 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 Mgmt LLC | |||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 262523151 | Venture Capital | IN | NA |
| Health Vntr Mgt 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 |
| IN Endo Ctr LLC | |||||||
| 569 Brookwood Village Ste 901 | Birmingham | AL | 35244 | 208398421 | 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 |
| Sen St Surg Ctr LLC | |||||||
| 569 Brookwood Village Ste 901 | Birmingham | AL | 35244 | 421709357 | Healthcare | IN | NA |
| SSSC Holdings LLC | |||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 454148167 | Healthcare | IN | NA |
| Egl Hig Srg Ctr 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 |
| IUH EWA Srg Ctr LLC | |||||||
| 569 Brookwood Village Ste 901 | Birmingham | AL | 35244 | 473102482 | Healthcare | IN | NA |
| IUH Sax Srg Ctr LLC | |||||||
| 569 Brookwood Village Ste 901 | Birmingham | AL | 35244 | 275271091 | Healthcare | IN | NA |
| SSC Holdings LLC | |||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 464472887 | Healthcare | IN | NA |
| IUH FORT WAYNE LLC | |||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 831224627 | Healthcare | IN | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Foreign PostalForeignAddress/ForeignPostalCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BMH Medical Pavilion Association Inc | |||||||||||||||||
| 2525 W University Ave | Muncie | IN | 47303 | 351858408 | Condo Management | IN | NA | C | Yes (true) | ||||||||
| CHV Capital Inc | |||||||||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 260752507 | Venture Capital | IN | NA | C | Yes (true) | ||||||||
| IU Health 457(B) Plan | |||||||||||||||||
| 1100 N Market St | Wilmington | DE | 19890 | 476948347 | Investments | DE | NA | T | Yes (true) | ||||||||
| IU Health ACO Inc | |||||||||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 454421020 | Healthcare | IN | NA | C | Yes (true) | ||||||||
| IU Health Board Designated Trust | |||||||||||||||||
| 400 Howard St | San Francisco | CA | 94105 | 306309021 | Investments | CA | NA | T | Yes (true) | ||||||||
| IU Health NTGI S&P500 Fund CF | |||||||||||||||||
| PO Box 804358 | Chicago | IL | 60680 | 306298263 | Investments | IL | NA | T | Yes (true) | ||||||||
| IU Health Plans Holding Company Inc | |||||||||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 463794815 | Insurance | IN | NA | C | Yes (true) | ||||||||
| IU Health Plans Insurance Company | |||||||||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 811097215 | Insurance | IN | NA | C | Yes (true) | ||||||||
| IU Health Plans Inc | |||||||||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 262127080 | HMO | IN | NA | C | Yes (true) | ||||||||
| IU Health Risk Purchasing Group Inc | |||||||||||||||||
| 151 Meeting St Ste 301 | Charleston | SC | 29401 | 260202446 | Insurance | IN | NA | C | Yes (true) | ||||||||
| IU Health Risk Retention Group Inc | |||||||||||||||||
| 151 Meeting St Ste 301 | Charleston | SC | 29401 | 201107674 | Insurance | SC | NA | C | Yes (true) | ||||||||
| IUH Assurance SPC Ltd | |||||||||||||||||
| 980395429 | Insurance | NA | C | Yes (true) | PO BOX 69 94 SOLARIS AVE | CAMANA BAY | GRAND CAYMAN | CJ | CJ | ||||||||
| Proteuo Fund LP | |||||||||||||||||
| 981075227 | Investments | NA | C | Yes (true) | PO BOX 31106 89 NEXUS WAY | CAMANA BAY | GRAND CAYMAN | CJ | CJ | ||||||||
| SCANS Inc | |||||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 453080392 | Healthcare | IN | NA | C | Yes (true) | ||||||||
| Cardinal Health Ventures Inc | |||||||||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351611424 | Management | IN | NA | C | Yes (true) | $105,534 | $0 | ||||||
| Cerberus Residential Opportunity Institu | |||||||||||||||||
| 999999999 | Investments | NA | C | Yes (true) | 190 Elgin Avenue George Town | Grand Cayman | N/A | CJ | CJ | N/A | |||||||
| IU Health Southern IN Physicians Inc | |||||||||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 351913875 | Healthcare | IN | NA | C | Yes (true) | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | 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 | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| IUH BALL MEMORIAL HOSPITAL FOUNDATION INC | ||
| C | $2,837,366 | FMV |
| IU HEALTH BALL MEMORIAL PHYSICIANS INC | ||
| J | $1,517,808 | FMV |
| BALL OUTPATIENT SURGERY CENTER LLC | ||
| J | $774,993 | FMV |
| IUH BALL MEMORIAL HOSPITAL FOUNDATION INC | ||
| K | $1,056,821 | FMV |
| IU HEALTH BLACKFORD HOSPITAL INC | ||
| L | $3,505,714 | FMV |
| IU HEALTH BALL MEMORIAL PHYSICIANS INC | ||
| L | $549,021 | FMV |
| BALL OUTPATIENT SURGERY CENTER INC | ||
| L | $335,929 | FMV |
| IU HEALTH CARE ASSOCIATES INC | ||
| M | $5,125,731 | FMV |
| METHODIST OCCUPATIONAL HEALTH CENTERS INC | ||
| M | $411,726 | FMV |
| REHABILITATION HOSPITAL OF INDIANA INC | ||
| M | $283,683 | FMV |
| IU HEALTH BLACKFORD HOSPITAL INC | ||
| O | $196,225 | FMV |
| IU HEALTH RISK RETENTION GROUP INC | ||
| R | $1,557,628 | FMV |
| IUH ASSURANCE SPC LTD | ||
| R | $932,075 | FMV |
| IU HEALTH BALL MEMORIAL PHYSICIANS INC | ||
| O | $75,222 | FMV |
| CARDINAL HEALTH VENTURES INC | ||
| S | $170,461 | FMV |
| IU HEALTH JAY INC | ||
| L | $1,148,555 | FMV |
| IU HEALTH BALL MEMORIAL PHYSICIANS INC | ||
| R | $24,479,759 | FMV |
| Indiana University Health Foundation Inc | ||
| C | $62,000 | FMV |