STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

INDIANA HEALTH INFORMATION EXCHANGE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
INDIANA HEALTH INFORMATION EXCHANGE INC (EIN 36-4550324)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202003189349301005
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T07:15:41-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN352123203PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KSM BUSINESS SERVICES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 40857AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462400857ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364550324EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIANA HEALTH INFORMATION EXCHANGE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINDIBusinessNameControlTxt
Phone3176441720PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1846 N SENATE AVENUE NO 300AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN KANSKYPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone3176441720PhoneNum
Signature2020-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCASSE TATEPreparerPersonNm
PTINP01271193PTIN
Phone3175802000PhoneNum
Preparation2020-11-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.132.79.18IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-10IPDt
IP Tm18:18:03IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC13238888B5CA0FD418F0CCA23B587B24FEAB329AtSubmissionCreationDeviceId
At Submission Filing Device Id0596F46C4D5B385240A969DE9156AAB89ED55E3BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN KANSKYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1846 N SENATE AVENUE NO 300AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,429,429GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IHIE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionOUR MISSION IS TO USE INFORMATION TECHNOLOGY AND SHARED CLINICAL INFORMATION TO: - IMPROVE THE QUALITY, SAFETY, AND EFFICIENCY OF HEALTH CARE - CREATE UNPARALLELED RESEARCH CAPABILITIES FOR HEALTH RESEARCHERS- EXHIBIT A SUCCESSFUL MODEL OF HEALTH INFORMATION EXCHANGE FOR THE REST OF THE COUNTRYActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee91TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$102,414PYContributionsGrantsAmt
CY Contributions Grants$79,334CYContributionsGrantsAmt
PY Program Service Revenue$12,699,832PYProgramServiceRevenueAmt
CY Program Service Revenue$13,267,148CYProgramServiceRevenueAmt
PY Investment Income$73,996PYInvestmentIncomeAmt
CY Investment Income$82,947CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,876,242PYTotalRevenueAmt
CY Total Revenue$13,429,429CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,941,613PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,460,995CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,829,242PYOtherExpensesAmt
CY Other Expenses$5,698,625CYOtherExpensesAmt
PY Total Expenses$13,770,855PYTotalExpensesAmt
CY Total Expenses$14,159,620CYTotalExpensesAmt
PY Revenues Less Expenses-$894,613PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$730,191CYRevenuesLessExpensesAmt
Total Assets BOY$7,103,580TotalAssetsBOYAmt
Total Assets EOY$6,641,324TotalAssetsEOYAmt
Total Liabilities BOY$3,283,637TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,551,572TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,819,943NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,089,752NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO USE INFORMATION TECHNOLOGY AND SHARED CLINICAL INFORMATION TO: - IMPROVE THE QUALITY, SAFETY, AND EFFICIENCY OF HEALTH CARE - CREATE UNPARALLELED RESEARCH CAPABILITIES FOR HEALTH RESEARCHERS- EXHIBIT A SUCCESSFUL MODEL OF HEALTH INFORMATION EXCHANGE FOR THE REST OF THE COUNTRYMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,838,016ExpenseAmt
DescRESULTS DELIVERY AND INPC ACCESS - PROVIDE PATIENTS ELECTRONIC MEDICAL INFORMATION AND TEST RESULTS TO INDIANA HOSPITALS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,237,472ExpenseAmt
DescPOPULATION HEALTH PATIENT ACCESS - TO PROVIDE NOTIFICATION AND MEASUREMENT OF TREATMENT OF PATIENTS - GOAL IS TO IMPROVE HEALTH CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$111,874ExpenseAmt
DescMEANINGFUL USE SUPPORT - TO PROVIDE MEANINGFUL USE SERVICES AND PRODUCTS TO INDIANA HOSPITALS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$11,187,362TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee91EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN KANSKY PRESIDENT AND CEOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3176441720PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1846 N SENATE AVENUE SUITE 110AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DENNIS MURPHY
CHAIRMAN2.00Yes (X)Yes (X)$0$2,898,820$369,440
JONATHAN NALLI
TREASURER2.00Yes (X)Yes (X)$0$2,382,322$43,054
BRYAN MILLS
DIRECTOR2.00Yes (X)$0$1,448,357$424,280
JIM CALLAGHAN
DIRECTOR2.00Yes (X)$0$1,207,154$73,785
JAY HESS
DIRECTOR2.00Yes (X)$0$977,237$269,207
BRIAN TABOR
DIRECTOR2.00Yes (X)$0$658,847$100,304
DAVID JOHNSON
SECRETARY OFFICER2.00Yes (X)Yes (X)$0$632,327$78,025
PETER EMBI
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$534,082$51,568
MATTHEW GUTWEIN
DIRECTOR2.00Yes (X)$0$416,552$38,580
VIRGINIA CAINE
DIRECTOR2.00Yes (X)$0$361,944$7,432
JOHN KANSKY
PRESIDENT & CEO40.00Yes (X)$257,292$0$29,606
KEITH KELLEY
CHIEF OPERATING OFFICER40.00Yes (X)$207,588$0$29,525
KRISTINA BOX
DIRECTOR2.00Yes (X)$0$229,144$0
PATRICIA MARTIN
DIRECTOR2.00Yes (X)$0$175,323$15,678
BRIAN LAWSON
VP, SOLUTIONS ENGINEERING40.00$166,608$0$19,973Yes (X)
LAURA ORCUTT
VP, PLANNING AND ADMINISTRATION40.00$134,988$0$13,734Yes (X)
REBECCA LEARN
VP, CLIENT EXPERIENCE40.00$124,642$0$10,835Yes (X)
CHERIE EPLION
BUSINESS DEVELOPMENT DIRECTOR40.00$123,603$0$3,584Yes (X)
DEBRA HEMLER
DIRECTOR, CRM40.00$122,195$0$7,981Yes (X)
DAVID TREPANIER
SOULUTIONS ENGINER II40.00$116,821$0$0Yes (X)
DAVID COOK
DIRECTOR2.00Yes (X)$0$0$0
JOHN ELLIS
DIRECTOR2.00Yes (X)$0$0$0
PARDEEP KUMAR
DIRECTOR2.00Yes (X)$0$0$0
NED LAMKIN
DIRECTOR2.00Yes (X)$0$0$0
PRAKASH PATEL
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,253,737TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$11,922,109TotReportableCompRltdOrgAmt
Total Other Compensation$1,586,591TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K22IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ENVISTA LLC
PO BOX 7047 GROUP QINDIANAPOLISIN46207DATA CENTER SERVICES$942,164
REGENSTRIEF INSTITUTE
410 WEST 10TH STREET STE 2000INDIANAPOLISIN46202HEALTH INFORMATION TECHNOLOGY CONSULTING$748,725
IBM CORPORATION
1 NEW ORCHARD RDARMONKNY10504DATA CENTER SERVICES$362,771
DIAMETER HEALTH INC
10 EXECUTIVE DRIVEFARMINGTONCT06032POPULATION HEALTH SOFTWARE SERVICES$242,688
OKTA INC
PO BOX 743620LOS ANGELESCA90074SOFTWARE AND SUPPORT$238,445
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Government Grants$79,334GovernmentGrantsAmt
Total Contributions$79,334TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLINICAL MESSAGING519100$10,368,825$10,368,825
PROGRAM REVENUE519100$2,898,323$2,898,323
FieldValueIRS element (for citing)
Total Program Service Revenue$13,267,148TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,947TotalRevenueColumnAmt
Exclusion$82,947ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,429,429TotalRevenueColumnAmt
Related Or Exempt Func Income$13,267,148RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$82,947ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$710,592TotalAmt
Program Services$186,581ProgramServicesAmt
Management And General$524,011ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,362,167TotalAmt
Program Services$5,359,414ProgramServicesAmt
Management And General$1,002,753ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$835,306TotalAmt
Program Services$714,651ProgramServicesAmt
Management And General$120,655ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$552,930TotalAmt
Program Services$454,857ProgramServicesAmt
Management And General$98,073ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$45,148TotalAmt
Management And General$45,148ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$195,275TotalAmt
Management And General$195,275ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$36,115TotalAmt
Management And General$36,115ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,540TotalAmt
Management And General$35,540ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$34,986TotalAmt
Management And General$34,986ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,931TotalAmt
Management And General$1,931ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,162,304TotalAmt
Program Services$1,104,004ProgramServicesAmt
Management And General$58,300ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$260,910TotalAmt
Program Services$206,119ProgramServicesAmt
Management And General$54,791ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$98,621TotalAmt
Management And General$98,621ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,667TotalAmt
Management And General$4,667ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$67,494TotalAmt
Program Services$41,846ProgramServicesAmt
Management And General$25,648ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$65,623TotalAmt
Management And General$65,623ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT LABOR$3,083,778$3,083,778
481(A) ADJUSTMENT$290,075$290,075
TRAINING & RECRUITING$117,082$117,082
DUES & SUBSCRIPTIONS$64,699$64,699

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$134,377TotalAmt
Program Services$36,112ProgramServicesAmt
Management And General$98,265ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,159,620TotalAmt
Program Services$11,187,362ProgramServicesAmt
Management And General$2,972,258ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$859,994BOYAmt
EOY$1,356,227EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,030,971BOYAmt
EOY$2,772,634EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$191,255BOYAmt
EOY$100,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,485,657BOYAmt
EOY$1,848,367EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$421,472BOYAmt
EOY$481,040EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$494,251LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$427,701LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$95,689BOYAmt
EOY$66,550EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,036BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,506BOYAmt
EOY$16,506EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,103,580BOYAmt
EOY$6,641,324EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$865,473BOYAmt
EOY$911,586EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,418,164BOYAmt
EOY$2,639,986EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,283,637BOYAmt
EOY$3,551,572EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,319,943BOYAmt
EOY$3,089,752EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$500,000BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,819,943BOYAmt
EOY$3,089,752EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,103,580BOYAmt
EOY$6,641,324EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$730,191ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations12SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (12 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
INDIANA UNIVERSITY HEALTH INC
3519558723Yes (1)$0$0
COMMUNITY HOSPITALS OF INDIANA INC
3509836173Yes (1)$0$0
HEALTH & HOSPITAL CORPORATION
3560656976Yes (1)$0$0
INDIANA STATE MEDICAL ASSOCIATION
35041165010Yes (1)$0$0
INDIANA UNIVERSITY
3560016736Yes (1)$0$0
THE INDIANAPOLIS MEDICAL SOCIETY
12756608810Yes (1)$0$0
MARION COUNTY HEALTH DEPARTMENT
3560656976Yes (1)$0$0
FRANCISCAN ALLIANCE INC
3509135373Yes (1)$0$0
ST VINCENT HOSPITAL & HEALTH CARE CENTER INC
3520525913Yes (1)$0$0
CENTRAL INDIANA CORPORATE PARTNERSHIP
35206545910Yes (1)$0$0
INDIANA HOSPITAL ASSOCIATION INC
35098875310Yes (1)$0$0
INDIANA STATE DEPARTMENT OF HEALTH
3560001586Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total12SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationYes (1)SuprtOrgNoIRSDeterminationInd
Supported Org Section C456Yes (1)SupportedOrgSectionC456Ind
Supported Org QualifiedYes (1)SupportedOrgQualifiedInd
Suprt Exclusively Sec170c2 BYes (1)SuprtExclusivelySec170c2BInd
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION A, LINE 2, SUPPORTING ORGANIZATIONS:THE FOLLOWING GOVERNMENTAL ENTITIES ARE IHIE SUPPORTED ORGANIZATIONS: HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY D/B/A ESKENAZI HEALTH F/K/A WISHARD HEALTH SERVICES; INDIANA STATE DEPARTMENT OF HEALTH; INDIANA UNIVERSITY; AND MARION COUNTY HEALTH DEPARTMENT (THE "GOVERNMENT ENTITIES"). THE GOVERNMENT ENTITIES ARE EACH DESCRIBED IN INTERNAL REVENUE CODE ("CODE") SECTION 509(A)(1) BECAUSE EACH IS ALSO DESCRIBED IN CODE SECTION 170(B)(1)(A)(V). THE FOLLOWING ORGANIZATIONS DESCRIBED IN CODE SECTION 501(C)(6) ARE ALSO IHIE SUPPORTED ORGANIZATIONS: CENTRAL INDIANA CORPORATE PARTNERSHIP, INC.; INDIANA HOSPITAL ASSOCIATION, INC.; INDIANA STATE MEDICAL ASSOCIATION, INC.; AND INDIANAPOLIS MEDICAL SOCIETY, INC. (THE "501(C)(6) ENTITIES"). AS DESCRIBED BELOW, THE 501(C)(6) ENTITIES EACH SATISFY THE TEST IN CODE SECTION 509(A)(2) AND WOULD QUALIFY AS PUBLIC CHARITIES IF THEY WERE DESCRIBED IN CODE SECTION 501(C)(3).
PART IV, SECTION A, LINE 3B, SUPPORTING ORGANIZATIONS:IHIE PERFORMED CALCULATIONS WITH RESPECT TO CENTRAL INDIANA CORPORATE PARTNERSHIP, INC; INDIANA STATE MEDICAL ASSOCIATION, INC.; INDIANAPOLIS MEDICAL SOCIETY, INC. AND INDIANA HOSPITAL ASSOCIATION. INC. TO VERIFY THAT THE PUBLIC SUPPORT TESTS UNDER CODE SECTION 509(A)(2) WERE SATISFIED.
PART IV, SECTION A, LINE 3C, SUPPORTING ORGANIZATIONS:IHIE'S ARTICLES OF INCORPORATION PROVIDE THAT IHIE SHALL OPERATE EXCLUSIVELY TO BENEFIT, PERFORM, AND CARRY OUT THE CHARITABLE, EDUCATIONAL, AND OTHER EXEMPT PURPOSES OF ITS SUPPORTED ORGANIZATIONS, AS SUCH PURPOSES ARE DESCRIBED IN CODE SECTIONS 170(C)(2)(B), 501(C)(3), 2055(A)(2), AND 2522(A)(2). IHIE'S BOARD OF DIRECTORS AND MANAGMENT ENSURE STRICT COMPLIANCE WITH THE FOREGOING THROUGH VIGILIANT OVERSIGHT AND CONSULTATION WITH EXPERIENCED LEGAL COUNSEL AND ADVISORS.
PART IV, SECTION B, LINE 1, TYPE I SUPPORTING ORGANIZATIONS:IHIE'S BYLAWS PROVIDE THAT EACH SUPPORTED ORGANIZATION HAS THE RIGHT TO APPOINT ONE INDIVIDUAL TO IHIE'S BOARD OF DIRECTORS. IHIE'S ARTICLES OF INCORPORATION AND BYLAWS PROVIDE THAT AT ALL TIMES THE MAJORITY OF DIRECTORS SHALL BE APPOINTED BY THE SUPPORTING ORGANIZATIONS.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$36,115DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$36,115TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ENGAGES A REGISTERED LOBBYIST IN THE STATE OF INDIANA TO REPRESENT ITS INTERESTS AT THE STATE LEGISLATIVE AND EXECUTIVE BRANCHES. WHILE THE ORGANIZATION ENGAGES A LOBBYIST ON A MONTHLY BASIS, NOT ALL ACTIVITIES CONDUCTED ARE "LOBBYING" UNDER THE DEFINITION IN INTERNAL REVENUE CODE (IRC) SECTION 4911 BECAUSE NOT ALL SUCH ACTIVITIES CONSTITUTE "INFLUENCING LEGISLATION," AS DEFINED IN IRC SECTION 4911(D)(1); HOWEVER, THE ORGANIZATION IS REPORTING HEREIN THE ENTIRE EXPENDITURE, WHICH NEVERTHELESS REPRESENTS AN INSUBSTANTIAL PART OF THE ORGANIZATION'S OVERALL EXPENDITURES.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$160,399OtherCostOrOtherBasisAmt
Depreciation$114,043DepreciationAmt
Book Value$46,356BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$333,852OtherCostOrOtherBasisAmt
Depreciation$313,658DepreciationAmt
Book Value$20,194BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$66,550TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,429,429TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$13,429,429RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,429,429TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,869,545TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,869,545ExpensesSubtotalAmt
Other Expenses Not Included$290,075OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$290,075ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,159,620TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:IHIE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE(IRC), THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE IRC. IN ADDITION, IHIE HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE IRC. THERE WAS NO UNRELATED BUSINESS INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018. IHIE FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION RETURNS. IHIE IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2016.
PART XII, LINE 4B - OTHER ADJUSTMENTS:481(A) ADJUSTMENT 290,075.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DENNIS MURPHY
CHAIRMAN$0$1,550,957$0$1,136,690$0$211,173$0$339,451$0$29,989$0$3,268,260$0$0
JONATHAN NALLI
TREASURER$0$876,513$0$1,282,657$0$223,152$0$15,400$0$27,654$0$2,425,376$0$0
BRYAN MILLS
DIRECTOR$0$1,196,424$0$231,000$0$20,933$0$393,316$0$30,964$0$1,872,637$0$0
JIM CALLAGHAN
DIRECTOR$0$858,126$0$25,897$0$323,131$0$44,000$0$29,785$0$1,280,939$0$0
JAY HESS
DIRECTOR$0$566,578$0$0$0$410,659$0$257,859$0$11,348$0$1,246,444$0$0
BRIAN TABOR
DIRECTOR$0$658,847$0$0$0$0$0$89,206$0$11,098$0$759,151$0$0
DAVID JOHNSON
SECRETARY OFFICER$0$510,722$0$119,319$0$2,286$0$25,138$0$52,887$0$710,352$0$0
PETER EMBI
VICE CHAIRMAN$0$534,082$0$0$0$0$0$37,799$0$13,769$0$585,650$0$0
MATTHEW GUTWEIN
DIRECTOR$0$416,552$0$0$0$0$0$23,524$0$15,056$0$455,132$0$0
VIRGINIA CAINE
DIRECTOR$0$361,944$0$0$0$0$0$0$0$7,432$0$369,376$0$0
JOHN KANSKY
PRESIDENT & CEO$208,854$0$48,438$0$0$0$9,937$0$19,669$0$286,898$0$0$0
KEITH KELLEY
CHIEF OPERATING OFFICER$183,286$0$24,302$0$0$0$9,856$0$19,669$0$237,113$0$0$0
KRISTINA BOX
DIRECTOR$0$229,144$0$0$0$0$0$0$0$0$0$229,144$0$0
PATRICIA MARTIN
DIRECTOR$0$175,323$0$0$0$0$0$0$0$15,678$0$191,001$0$0
BRIAN LAWSON
VP, SOLUTIONS ENGINEERING$158,482$0$8,126$0$0$0$7,306$0$12,667$0$186,581$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationKEITH KELLEY, CHIEF OPERATING OFFICER, RECEIVES A HOUSING ALLOWANCE. THIS IS INCLUDED IN HIS W-2 WAGES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS SUBMITTED TO THE EXECUTIVE & FINANACE COMMITTEE FOR REVIEW AND APPROVAL. THE RETURN IS THEN SUBMITTED TO THE BOARD BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS OF INDIANA HEALTH INFORMATION EXCHANGE, INC. (THE CORPORATION), HAS ADOPTED A CONFLICT OF INTEREST POLICY (THE "POLICY") THAT REQUIRES EACH DIRECTOR, OFFICER AND MEMBER OF A BOARD COMMITTEE (DEFINED IN THE POLICY) TO PROVIDE THE CORPORATION AN ANNUAL DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THAT ARISE AS A RESULT OF AN INDIVIDUAL SERVING AS A DIRECTOR, OFFICER OR MEMBER OF A BOARD COMMITTEE. THE POLICY ALSO REQUIRES CERTAIN ACTIONS TO APPROVE OR RATIFY A CONTRACT OR OTHER TRANSACTION BETWEEN THE CORPORATION AND AN INTERESTED PERSON (DEFINED IN THE POLICY). TO HELP ENSURE REGULAR AND CONSISTENT COMPLIANCE WITH THE POLICY, THE CORPORATION'S MANAGEMENT HAS ADOPTED THIS CONFLICT OF INTEREST MONITORING AND COMPLIANCE PROCEDURE. RESPONSIBLE INDIVIDUAL: THE CORPORATION'S VP, GENERAL COUNSEL & COMPLIANCE OFFICER,(THE "COMPLIANCE OFFICER"). PROCEDURE: 1. THE COMPLIANCE OFFICER WILL ANNUALLY COLLECT A WRITTEN DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST FROM EACH DIRECTOR, OFFICER AND MEMBER OF A BOARD COMMITTEE. 2. THE COMPLIANCE OFFICER WILL PREPARE AND DISTRIBUTE TO EACH DIRECTOR, OFFICER AND MEMBER OF A BOARD COMMITTEE A LIST OF ALL ACTUAL AND POTENTIAL CONFLICTS DISCLOSED TO THE CORPORATION. 3. AT EACH MEETING OF THE BOARD OF DIRECTORS AND EACH BOARD COMMITTEE MEETING, THE COMPLIANCE OFFICER WILL BE RESPONSIBLE FOR MONITORING COMPLIANCE WITH AND ENFORCING THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE CORPORATION'S BYLAWS PROVIDE THAT THE CORPORATION'S EXECUTIVE AND FINANCE COMMITTEE SHALL SERVE AS THE CORPORATION'S COMPENSATION COMMITTEE AND SHALL REVIEW AND, IF IN THE BEST INTEREST OF THE CORPORATION, APPROVE ALL COMPENSATION ARRANGEMENTS WITH KEY EMPLOYEES OF THE CORPORATION, PROVIDED, HOWEVER, THAT EMPLOYMENT OF A PRESIDENT/CEO REQUIRES THE AFFIRMATIVE VOTE OF 2/3 OF THE CORPORATION'S DIRECTORS. THE COMPENSATION DETERMINATION PROCESS INCLUDES REVIEW OF COMPARABILITY DATA. THE CORPORATION'S EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE CORPORATION AND TWO ADDITIONAL MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS ELECTED BY SUCH OFFICERS. THE PRESIDENT/CEO OF THE CORPORATION IS A NON VOTING, EX OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE. THE PRESIDENT/CEO HAS NO INVOLVEMENT IN THE PROCESS OF SETTING HIS OR HER OWN COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 18THE CORPORATION'S FORM 990 AND FORM 1023 ARE AVAILABLE TO THE PUBLIC UPON REQUEST IN ACCORDANCE WITH APPLICABLE LAW. THE PUBLIC CAN ALSO ACCESS THE CORPORATION'S FORM 990 AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19THE CORPORATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC THROUGH THE INDIANA SECRETARY OF STATE'S WEBSITE. THE CORPORATION'S BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS MAY BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST ON A CASE-BY-CASE BASIS.
FORM 990, PART XII, LINE 2CTHE EXECUTIVE AND FINANACE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR.
FORM 990, PART V, LINE 2ATHE ORGANIZATION USED A PROFESSIONAL EMPLOYER ORGANIZATION FOR ITS PAYROLL. PAYROLL FORMS WERE FILED UNDER THE NAME AND EIN OF THE PEO.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
CENTRAL INDIANA CORPORATE PARTNERSHIP INC
111 MONUMENT CIRCLE STE 1800INDIANAPOLISIN46204352065459PROMOTE GROWTH AND OPPORTUNITY IN CENTRAL INDIANAIN501(C)(6)N/A0
INDIANA UNIVERSITY HEALTH
950 NORTH MERIDAN ST GATEWAYINDIANAPOLISIN46204351955872PROVISION OF HEALTHCARE SERVICESIN501(C)(3)N/A0LINE 3
COMMUNITY HOSPITAL OF INDIANA INC
1500 N RITTER AVEINDIANAPOLISIN46219350983617PROVISION OF HEALTHCARE SERVICESIN501(C)(3)N/A0LINE 3
INDIANA STATE MEDICAL ASSOCIATION
322 CANAL WALKINDIANAPOLISIN46202350411650EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CAREIN501(C)(6)N/A0
FRANCISCAN ALLIANCE
1515 DRAGOON TRLMISHAWAKAIN46544350913537PROVISION OF CHARITABLE HEALTHCAREIN501(C)(3)N/A0LINE 3
ST VINCENT HOSPITAL & HEALTH CARE
2001 W 86TH STINDIANAPOLISIN46260352052591PROVISION OF HEALTHCARE SERVICESIN501(C)(3)N/A0LINE 3
INDIANA HOSPITAL ASSOCIATION INC
ONE AMERICA SQUARE NO 1900INDIANAPOLISIN46282350988753EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CAREIN501(C)(6)N/A0
HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY DBA ESKENAZI HEALTH
1001 W TENTH STREETINDIANAPOLISIN46202356065597EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CAREINGOVERNMENTAL UNITN/A0
INDIANA UNIVERSITY
107 S INDIANA AVEBLOOMINGTONIN47405356001673EDUCATIONINGOVERNMENTAL UNITN/A0
THE INDIANAPOLIS MEDICAL SOCIETY INC
631 E NEW YORK STINDIANAPOLISIN46202350791210EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CAREIN501(C)(6)N/A0
MARION COUNTY HEALTH DEPARTMENT
3838 NORTH RURAL STINDIANAPOLISIN46205356065697EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CAREINGOVERNMENTAL UNITN/A0
INDIANA STATE DEPARTMENT OF HEALTH
402 W WASHINGTON STINDIANAPOLISIN46202356000158EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CAREINGOVERNMENTAL UNITN/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INDIANA UNIVERSITY HEALTH
L$2,751,626FMV
FRANCISCAN ALLIANCE
L$1,769,584FMV
ST VINCENT HOSPITAL & HEALTH CARE CENTER INC
L$1,907,183FMV
HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY DBA ESKENAZI HEALTH
L$373,912FMV
COMMUNITY HOSPITAL OF INDIANA INC
L$1,070,209FMV
CENTRAL INDIANA CORPORATE PARTNERSHIP INC
L$0FMV
INDIANA STATE MEDICAL ASSOCIATION
L$0FMV
THE INDIANAPOLIS MEDICAL SOCIETY INC
L$0FMV
MARION COUNTY HEALTH DEPARTMENT
L$53,796FMV
INDIANA STATE DEPARTMENT OF HEALTH
L$200,000FMV
INDIANA UNIVERSITY
L$43,048FMV
INDIANA HOSPITAL ASSOCIATION INC
L$0FMV