2020-11-13T07:36:23-06:00 2019-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2019-01-01 351747218 INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC % CRAIG J JONES INDI 3179634842 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 JUDITH L COLEMAN CFO 3179634842 2020-11-04 JENNIFER D RHODERICK P00395735 3176817000 162.1.179.251 35198520203185000009 2020-11-13 P 4CFE63EA556978BED96946D2A2E6D5903275AA84 1FAF8F4A5CE5AF7D4EEB3F68F347C3134530D94A 2019 2021-01-29 14:40:06Z IU HEALTH PHYSICIANS DAVID A INGRAM MD 950 N MERIDIAN ST STE 300 INDIANAPOLIS IN 46204 864313212 false X SEE SCHEDULE O X 1987 IN Deliver preeminent medical care and service to our patients and communities through outstanding and innovative medical leadership and practice. 7 2 5500 0 0 0 342918 315377 799630275 863263058 346709 398376 264772 201307 800584674 864178118 0 0 0 0 829526575 880668115 0 0 0 245773622 255554355 1075300197 1136222470 -274715523 -272044352 179211139 236325955 147418745 216725861 31792394 19600094 X Deliver preeminent medical care and service to our patients and communities through outstanding and innovative medical leadership and practice, while participating in and supporting excellence in education and research. We achieve this with the vision of becoming the Midwest's premier academic multi-specialty physician group by being: - Renowned for our scope and quality of compassionate, patient-centered care; world-class care. - Recognized for our exemplary access and service to patients and refreshing physicians; putting patients first. - Lauded for our ability to improve the health of community for which it serves. - Distinguished for our scientific investigation and research that defines tomorrow's care. - Celebrated for our commitment to the education and training of health professionals, and acclaimed for the quality of our learners. - Acclaimed for our development of world-class academic leadership and the next generation of health care experts. false false 578898160 0 557892251 Indiana University Health Care Associates, Inc. ("IU Health Physicians") is the most complete multi-specialty physician group in the State of Indiana. IU Health Physicians provides high quality patient-centered care placing the highest priority on the needs of the patient and their families, without regard to the patient's ability to pay. 301524464 0 290583342 IU HEALTH PHYSICIANS PROVIDES SERVICES TO RELATED TAX-EXEMPT ORGANIZATIONS. 25029 0 24121 Comprised of the most comprehensive network of primary care and specialty physicians in Indiana, IU Health Physicians provides patients with the most innovative treatments and latest technologies offering more treatment options than anywhere in the state. IU Health Physicians partnership with the Indiana University School of Medicine also creates unique research and teaching opportunities vital to medical advancement. 15319217 0 14763344 Rent from Related 501(c)(3) Orgs. 15319217 0 14763344 895766870 true true false true false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 138 0 true 5500 true false false false false false false false false false false true false X 7 2 false false false false true true true true true false false true true true true true true true true false IN X CRAIG J JONES 3179634842 950 N MERIDIAN ST STE 300 INDIANAPOLIS IN 46204 X ROBERT M MENEGHINI M STAFF PHYSICIAN 55.0 0.0 X 1438440 0 11365 ALFONSO W GATMAITAN FORMER OFFICER 0.0 0.0 X 0 1406477 4922 MICHELLE A JANNEY R DIRECTOR 2.0 53.0 X 0 1285983 23935 MARK W TURRENTINE M SERVICE LINE CHIEF 55.0 0.0 X 1277947 0 11200 JOHN F FITZGERALD M SVP-Population Health 15.0 40.0 X 0 1154540 18755 Karen Myung MD Staff Physician 55.0 0.0 X 1039023 0 13076 Walter W Virkus MD Vice Chair-Clinical Affairs 55.0 0.0 X 1026152 0 12556 Kenneth D Puckett Director 2.0 53.0 X 0 749896 145910 DAVID A INGRAM MD President 55.0 0.0 X 780543 0 107628 BRIAN D KREMER COO 55.0 0.0 X 357805 0 40067 RICHARD C ZELLARS M DIRECTOR/DEPT. CHAIR 55.0 0.0 X X 366551 0 11222 JUDITH L COLEMAN CFO 0.0 55.0 X 0 314630 38369 PETER W BRUNN FORMER KEY EMPLOYEE 0.0 0.0 X 304308 0 37481 CELIA D SURFACE-BRUDE FORMER KEY EMPLOYEE 55.0 0.0 X 310551 0 16729 Kevin B Gebke MD Director/Vice Chair 55.0 0.0 X X 285449 0 9960 Jeffrey F Peipert MD Director 55.0 0.0 X 277895 0 3995 Judy L Hollingsworth Former Key Employee 55.0 0.0 X 197905 0 24388 CHERRI D HOBGOOD MD FORMER OFFICER 0.0 0.0 X 201995 0 10218 JAY L HESS MD DIRECTOR 2.0 6.0 X 0 44000 0 JAMIE B DIMOND DIRECTOR 2.0 0.0 X 0 0 0 7864564 4955526 541776 2119 true true false Indiana University PO BOX 66271 INDIANAPOLIS IN 46266 MEDICAL 82385657 UNIVERSITY MEDICAL DIAGNOSTIC ASSOC PO BOX 44994 INDIANAPOLIS IN 46244 MEDICAL 12100854 MEDICUS HEALTHCARE SOLUTIONS LLC 22 ROULSTON RD WINDHAM NH 03087 STAFFING 1424652 SCRIBEAMERICA LLC PO Box 417756 BOSTON MA 022417756 Medical 1566361 Staff America PO Box 645005 CINCINNATI OH 452645005 Staffing 1268927 28 92542 2940 219895 315377 NET PATIENT SERVICE REVENUE 621100 557892251 557892251 0 0 SHARED SERVICES 541900 290583342 290583342 0 0 CLINICAL RESEARCH 541700 24121 24121 0 0 RENT FROM RELATED 501(C)(3) ORGS 532000 14763344 14763344 0 0 863263058 242471 242471 0 0 132099 0 135094 0 -2995 0 -2995 -2995 147756 8149 0 0 147756 8149 155905 155905 0 0 0 0 0 0 0 0 0 PARKING 812930 204302 0 0 204302 204302 864178118 863263058 0 599683 X 0 0 0 0 2459503 1941861 517642 2577736 2035210 542526 765811229 604633951 161177278 20744549 16378525 4366024 57585769 45465919 12119850 31489329 24861894 6627435 0 294246 47520 246726 34551 9337 25214 5000 0 5000 0 0 124934143 76029005 48905138 0 200267 200267 6440039 4875397 1564642 1822414 1675075 147339 0 26326014 26326014 539440 539440 0 138387 138387 758850 758850 0 3415168 3200157 215011 14341073 11819829 2521244 BAD DEBT 45628843 45628843 0 0 DRUGS AND MEDICAL SUPPLIES 25653266 25653266 0 0 RECRUITMENT 1052678 1030489 22189 0 PARKING EXPENSES 926623 161840 764783 0 3043353 2355794 687559 1136222470 895766870 240455600 0 0 0 0 0 0 0 144461859 156696336 0 0 0 0 1772667 2611423 947867 2395187 7269584 7665380 72312976 28860020 14398116 43452956 0 0 0 0 0 0 1700000 1700000 8661046 21804673 179211139 236325955 138203655 177820656 0 0 1271883 0 0 0 0 0 0 0 0 0 0 0 7943207 38905205 147418745 216725861 X 31792394 19600094 0 0 31792394 19600094 179211139 236325955 X -272044352 259852052 X false true X true false X 18239 37042 609162 342918 315377 1322738 665921428 699197164 760445128 799630275 863263058 3788457053 10296785 12264703 15318020 178591 204302 38262401 0 0 676236452 711498909 776372310 800151784 863782737 3828042192 0 0 0 84496537 93719500 130972133 134983111 143200573 587371854 84496537 93719500 130972133 134983111 143200573 587371854 3240670338 352460 252292 176909 397341 374570 1553572 0 352460 252292 176909 397341 374570 1553572 0 0 676588912 711751201 776549219 800549125 864157307 3829595764 0.84622 0.85202 0.00041 0.00076 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5000 5000 false Schedule C, Part II-B Line 1i - Other Activities IU Health Physicians paid institutional membership dues to the American Medical Group Association ("AMGA") during 2019 in the amount of $25,000. The AMGA notified IU Health Physicians that a portion of the dues it paid was used for lobbying purposes. The AMGA used 20%, or $5,000 of 2019 membership dues paid by IU Health Physicians, for lobbying expenditures. 0 953480 788793 164687 0 45806404 11980518 33825887 0 23606140 16035513 7570627 0 1946951 55196 1891755 43452956 INTERCOMPANY RECEIVABLES (NET) 12369003 PENSION AND OTHER RET. ASSETS 9392486 ACCRUED LOAN GUARANTEE 43184 21804673 0 PENSION AND OTHER RET. LIAB. 8199277 OPERATING LEASE LIABILITIES 30705928 38905205 X Schedule D, Part X, Line 2 - FIN 48 (ASC 740) Footnote IU Health Physicians is a subsidiary in Indiana University Health, Inc.'s ("IU Health") Consolidated Audited Financial Statements. The Internal Revenue Service (IRS) has determined that Indiana University Health and certain of its affiliated entities are tax-exempt organizations as defined in Section 501(c)(3) of the Internal Revenue Code (IRC). Indiana University Health and its tax-exempt affiliates are, however, subject to federal and state income taxes on unrelated business income under the provisions of IRC Section 511. 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 based on accounting guidance included in Accounting Standards Codification (ASC) 740, Income Taxes. 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. X true true X X X X true true false false false false false true false CHERRI D HOBGOOD MD FORMER OFFICER 199526 0 500 0 1969 0 8741 0 1477 0 212213 0 0 0 RICHARD C ZELLARS MD DIRECTOR/DEPT. CHAIR 363729 0 500 0 2322 0 11200 0 22 0 377773 0 0 0 ALFONSO W GATMAITAN FORMER OFFICER 0 0 0 490998 0 915479 0 4922 0 0 0 1411399 0 915479 MICHELLE A JANNEY RN DIRECTOR 0 686415 0 358023 0 241545 0 18075 0 5860 0 1309918 0 146318 JOHN F FITZGERALD MD SVP-Population Health 0 404730 0 314530 0 435280 0 18075 0 680 0 1173295 0 376472 JUDITH L COLEMAN CFO 0 259644 0 43864 0 11122 0 18075 0 20294 0 352999 0 0 DAVID A INGRAM MD President 506994 0 260879 0 12670 0 107628 0 0 0 888171 0 0 0 MARK W TURRENTINE MD SERVICE LINE CHIEF 1152590 0 121793 0 3564 0 11200 0 0 0 1289147 0 0 0 ROBERT M MENEGHINI MD STAFF PHYSICIAN 1221816 0 216624 0 0 0 11200 0 165 0 1449805 0 0 0 CELIA D SURFACE-BRUDER FORMER KEY EMPLOYEE 245778 0 42182 0 22591 0 6762 0 9967 0 327280 0 0 0 BRIAN D KREMER COO 303711 0 53554 0 540 0 11071 0 28996 0 397872 0 0 0 PETER W BRUNN FORMER KEY EMPLOYEE 244098 0 53352 0 6858 0 11138 0 26343 0 341789 0 0 0 Karen Myung MD Staff Physician 898392 0 140631 0 0 0 12871 0 205 0 1052099 0 0 0 Kenneth D Puckett Director 0 462981 0 211080 0 75835 0 116713 0 29197 0 895806 0 0 Kevin B Gebke MD Director/Vice Chair 283912 0 500 0 1037 0 9960 0 0 0 295409 0 0 0 Judy L Hollingsworth Former Key Employee 174312 0 19899 0 3694 0 8078 0 16310 0 222293 0 0 0 Walter W Virkus MD Vice Chair-Clinical Affairs 926213 0 98697 0 1242 0 11200 0 1356 0 1038708 0 0 0 Jeffrey F Peipert MD Director 274773 0 800 0 2322 0 0 0 3995 0 281890 0 0 0 Schedule J, Part I, Line 1a - Listed Benefits Tax gross-ups were provided to an Officer and a highest compensated employee listed on IU Health Care Associates, Inc. Form 990, Part VII, Section A. The tax gross-ups were treated as taxable compensation. Schedule J, Part I, Line 3 - Comp. of the Org.s CEO/Executive Director IU Health Care Associates' President is employed by IU Health Care Associates, Inc. IU Health Care Associates and other related organizations have a process in place to determine the compensation for its officers and key employees. IU Health Human Resources uses market data from multiple compensation experts/vendors who utilize a variety of methods and procedures to obtain compensation ranges for comparable officers and employee positions. This market data and multiple other factors (including market pay benchmarks, internal equity, candidate/employee qualifications & performance, and business needs) are used to recommend compensation ranges for its officers and other employees, which are then used as a guide for setting reasonable compensation by management. Please see Schedule O for additional details. Schedule J, Part I, Line 4a - Severance Alfonso W. Gatmaitan entered into a severance agreement with IU Health during 2018. Severance of $915,479 that was received during 2019 is included in column B(III), other reportable compensation. Deferred severance of $915,479 was disclosed in the 2018 in column C, retirement and other deferred compensation. Schedule J, Part I, Line 4b - Supplemental Nonqualified Retirement Plan Kenneth D. Puckett, David A. Ingram M.D., John F. Fitzgerald M.D. and Michelle A. Janney, R.N. participate in an IU Health supplemental executive retirement plan, provisions of which are designed to retain its critical employees. The plan provides for an additional retirement benefit for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, the benefit may be forfeited or reduced. Each of the executives listed above, with the exception of John F. Fitzgerald, M.D. and Michelle A. Janney, R.N. have an amount included in column C, deferred compensation, representing the current year unvested contributions made under the supplemental executive retirement plan. These amounts were not paid to the executives during the year. The following executives have an amount included in column B (iii), other reportable compensation, representing the current year vested amounts received under the supplemental executive retirement plan: - Michelle A. Janney, R.N. ($146,317.64) - John F. Fitzgerald M.D. ($376,472.10) Schedule J, Part I, Line 7 - Non-Fixed Payments Amounts disclosed in Column B(ii) include a long-term and short-term incentive for certain executives and short-term incentive for other employees. Although these plans are based on a fixed formula that has been approved by the Board of Directors based upon certain qualitative and quantitative factors and goals, all discretionary incentive plans must be approved by the Committee on Personnel and Compensation and Board of Directors prior to any incentive payout. Page 1, Line J Web Site: https://iuhealth.org/for-providers/careers-education/iu-health-physicians Part VI, Section A, Line 1b Independent Voting Members IU Health Physicians is part of a multi-entity hospital system controlled by IU Health, a 501(c)(3) tax-exempt organization whose board is comprised of voting members, of which substantially all are independent community members. Part VI, Section A, Lines 6, 7a and 7b Members or Stockholders Line 6: The Corporation has two (2) Members, which are designated as the Class A Member and the Class B Member. The Class A Member consists of those individuals who serve from time to time as the Trustees of Indiana University and holds 49 membership units. The Class B Member is Indiana University Health, Inc. and holds 51 membership units. Line 7a: The Board of Directors shall consist of four "Ex Officio Directorsthree "Physician Directors" as described below: (a) The Dean of the School, ex officio; (b) The Executive Associate Dean for Finance and Administrative Officer of the School, ex officio; (c) The Executive Vice President and Chief Administrative Officer of the Class B Member, ex officio; (d) The Executive Vice President and Chief Operating Officer of the Class B Member, ex officio; (e) An Associate who has been appointed by the Class A Member from a slate of Candidates proposed by the Nominating Committee ("Physician Director A"); (f) An Associate who has been appointed by the Class B Member from a slate of Candidates proposed by the Nominating Committee ("Physician Director B1")' (g) Another associate who has been appointed by the Class B Member from a slate of candidates proposed by the Nominating committee ("Physician Director B2"). At least one of the Physician Directors shall be a Department Chair of the School, unless otherwise agreed by the Class A and B Members Line 7b: Any decision by the Board of Directors to amend, supplement, or repeal all or any part of the provisions contained in the Articles of Incorporation must be duly approved by a vote of both Members. Part VI, Section A, Line 11b Review of Form 990 The CFO reviewed and approved the Form 990. Following the CFO's review and approval, a complete copy of the Form 990 was made available to each board member prior to its filing. Each member was also informed of the availability of IU Health's Tax Department to answer any questions. Part VI, Section B, Lines 12, 13, 14, and 16b Policies IU Health Physicians is part of the IU Health system. As a member of IU Health Physicians, IU Health and its Board of Directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health Physicians' Board of Directors was not required to separately adopt a conflict of interest, whistleblower, document retention and destruction and joint venture policies because IU Health's Board of Directors had already adopted and required these policies to be followed by its subsidiaries. Part VI, Section B, Line 12c Conflict of Interest Policy IU Health Physicians follows IU Health's Conflict of Interest Policy. IU Health's Conflict of Interest Policy includes the following provisions: All IU Health employees, associates, colleagues and contracted personnel, including employed physicians and paid medical directors ("IU Health Representatives") are covered by and subject to its Conflict of Interest Policy. IU Health regularly and consistently monitors and enforces compliance with the policy through the following procedures: (a) On an annual basis, each IU Health Representative at the level of Manager or above, together with every other person designated by the Corporate Compliance Department ("Department"), must complete, sign and submit a Conflict of Interest Questionnaire ("Questionnaire") to the Department. Governing board members, committee members, corporate officers, medical staff and researchers must comply with the administrative requirements noted in the respective policies and procedures relative to those areas. (b) An IU Health Representative must supplement a Questionnaire in writing, if after completion of the original Questionnaire, a situation arises, or may reasonably be expected to arise, that would change any answer or information on the original Questionnaire if the situation had existed or been anticipated at the time of completion of the original Questionnaire. (c) If a fully and properly completed Questionnaire reveals facts or other information that might reasonably indicate a Conflict of Interest or violation of the policy, the IU Health Representative completing the questionnaire must secure approval by his/her supervisor, evidenced in writing. (d) The Department will review each Questionnaire and determine whether a Conflict of Interest exists and, if so, whether and how it should or may be eliminated, avoided or managed in order to comply with the spirit of the policy and with the best interests of IU Health and its patients. In making the determination, the Corporate Compliance Department may consult with the IU Health Representative's supervisor and other appropriate individuals and groups. (e) The scope of the policy is not limited to those who are required to complete Questionnaires. If an IU Health Representative is involved in a situation or relationship that would constitute a violation of the policy in the absence of disclosure and approval as described above, then the IU Health Representative must disclose the matter to his/her supervisor, secure his/her supervisor's approval in writing, and disclose the matter to the Department. Otherwise, the IU Health Representative is in violation of the policy and subject to corrective action, up to and including termination. (f) The Chief Compliance Officer, in consultation with onsite Compliance personnel, may from time to time appoint standing or ad hoc committees to assist in resolving issues that arise under provisions of the policy. Part VI, Section B, Line 15a & 15b - Process for Determining Comp IU Health Care Associates' President is employed by IU Health Care Associates. IU Health Care Associates and other related entities have a process in place to determine the compensation for its officers and key employees. IU Health Human Resources uses market data from multiple compensation experts/vendors who utilize a variety of methods and procedures to obtain compensation ranges for comparable officer and employee positions. This market data and multiple other factors (including market pay benchmarks, internal equity, candidate/employee qualifications & performance, and business needs) are used to recommend compensation ranges for its officers and other employees, which are then used as a guide for setting reasonable compensation by management. Part VI, Section C, Line 19 Public Disclosure IU Health Physicians' Articles of Incorporation are available for public inspection through the Indiana Secretary of State's website. IU Health Physicians' conflict of interest procedures are disclosed on Form 990, Schedule O. IU Health Physicians is a subsidiary in IU Health's Consolidated Audited Financial Statements. IU Health's Consolidated Audited Financial Statements are available for public inspection through its bond filings and as an attachment to IU Health's Form 990. Part XI, Line 9 Other Changes in Net Assets or Fund Balances During 2019, IU Health, a related 501(c)(3) tax-exempt organization, made an equity transfer to IU Health Physicians of $260,526,411. Since IU Health Physicians joined the IU Health system, IU Health has provided funds to support IU Health Physicians' exempt purpose. Although there was never any intent for IU Health Physicians to repay IU Health, these amounts were recorded as intercompany balances rather than equity transfers. During 2019, IU Health and IU Health Physicians made adjustments to their books and records to reflect these intercompany balances as equity transfers for both book and tax purposes. During 2019, IU Health Physicians also recorded a change in pension liability in the amount of $(674,358). 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