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INDIANA UNIVERSITY HEALTH BLOOMINGON INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
INDIANA UNIVERSITY HEALTH BLOOMINGON INC (EIN 35-1720796)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202013189349301626
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)
Return2020-11-13T07:36:23-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIR STE 4000AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351720796EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIANA UNIVERSITY HEALTH BLOOMINGTON INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CRAIG J JONESInCareOfNm
Business Name ControlINDIBusinessNameControlTxt
Phone3179634842PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN STREET Suite 300AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL L CRAIGPersonNm
Person TitleVP & CFOPersonTitleTxt
Phone3179634842PhoneNum
Signature2020-11-09SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER D RHODERICKPreparerPersonNm
PTINP00395735PTIN
Phone3176817000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address162.1.179.248IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id35198520203185000006FederalOriginalSubmissionId
Federal Original Submission Id2020-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4CFE63EA556978BED96946D2A2E6D5903275AA84AtSubmissionCreationDeviceId
At Submission Filing Device Id1FAF8F4A5CE5AF7D4EEB3F68F347C3134530D94AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRIAN T SHOCKNEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN ST STE 300AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$632,927,327GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSEE SCHEDULE OWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionImprove the health of our patients and community through innovation and excellence in care, education, research and service.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee5035TotalEmployeeCnt
Total Volunteers203TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,697,447PYContributionsGrantsAmt
CY Contributions Grants$4,796,212CYContributionsGrantsAmt
PY Program Service Revenue$473,015,183PYProgramServiceRevenueAmt
CY Program Service Revenue$580,265,290CYProgramServiceRevenueAmt
PY Investment Income$8,355,418PYInvestmentIncomeAmt
CY Investment Income$14,764,804CYInvestmentIncomeAmt
PY Other Revenue$2,234,114PYOtherRevenueAmt
CY Other Revenue$3,011,232CYOtherRevenueAmt
PY Total Revenue$487,302,162PYTotalRevenueAmt
CY Total Revenue$602,837,538CYTotalRevenueAmt
PY Grants And Similar Paid$81,427PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$471,925CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$137,511,534PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$216,680,653CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$228,483,342PYOtherExpensesAmt
CY Other Expenses$270,279,443CYOtherExpensesAmt
PY Total Expenses$366,076,303PYTotalExpensesAmt
CY Total Expenses$487,432,021CYTotalExpensesAmt
PY Revenues Less Expenses$121,225,859PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$115,405,517CYRevenuesLessExpensesAmt
Total Assets BOY$644,933,798TotalAssetsBOYAmt
Total Assets EOY$802,954,447TotalAssetsEOYAmt
Total Liabilities BOY$52,028,374TotalLiabilitiesBOYAmt
Total Liabilities EOY$106,365,256TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$592,905,424NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$696,589,191NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY THROUGH INNOVATION AND EXCELLENCE IN CARE, EDUCATION, RESEARCH AND SERVICE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$375,659,607ExpenseAmt
Grant$471,925GrantAmt
Revenue$560,693,273RevenueAmt
DescIndiana University Health Bloomington, Inc. ("IU Health Bloomington") is a 297-bed full service hospital that offers a broad range of services to care for its patients without regard to their ability to pay. Based upon the values of trust, excellence, accountability, and mutual respect, IU Health Bloomington enhances the health of its patients and community in south-central Indiana by advancing the art and science of medicine through the use of new technologies, procedures, and care.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$12,185,353ExpenseAmt
Grant$0GrantAmt
Revenue$18,187,331RevenueAmt
DescIU HEALTH BLOOMINGTON PROVIDES SERVICES TO RELATED TAX-EXEMPT ORGANIZATIONS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$689,357ExpenseAmt
Grant$0GrantAmt
Revenue$1,028,905RevenueAmt
DescIU Health Bloomington receives revenue from the following pass-through entities: Brown County Medical Cooperative, LLC, SIRA Imaging Center, LLC, Southern Indiana Surgery Center, LLC and PIMCO Bravo Fund.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$197,663$0$295,023RENTAL INCOME FROM RELATED TAX-EXEMPT ENTITIES
$39,443$0$58,871Clinical Research
$1,264$0$1,887Member Revenue
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$238,370TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$355,781TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$388,772,687TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document308IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5035EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCRAIG J JONESPersonNm
Phone3179634842PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN STREET SUITE 300AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bret J Spier MD
Physician55.00.0Yes (X)$884,318$0$39,783
Fred Y Wu MD
Physician55.00.0Yes (X)$819,192$0$12,849
David J Licini MD
Physician55.00.0Yes (X)$817,374$0$12,020
Timothy MSteiner MD
Physician55.00.0Yes (X)$765,395$0$38,837
BRIAN T SHOCKNEY
Director/President35.020.0$0$662,735$125,994Yes (X)Yes (X)
Jonathan W Surdam M
Physician55.00.0Yes (X)$746,434$0$40,217
John S Strobel MD
Director53.02.0$717,967$0$43,418Yes (X)
Hojjat M Shamloo MD
Director53.02.0$651,159$0$49,480Yes (X)
Blake A Dye
Director2.053.0$0$534,852$32,758Yes (X)
Daniel A Handel MD
VP & CMO35.020.0$508,454$0$47,754Yes (X)
JAMES J LAUGHLIN MD
DIRECTOR53.02.0$422,607$0$18,075Yes (X)
MICHAEL L CRAIG
VP & CFO35.020.0$0$277,672$35,088Yes (X)
LARRY R BAILEY
Former Key Employee0.055.0$273,287$0$34,572Yes (X)
David L Beachy DO
Director53.02.0$265,898$0$34,382Yes (X)
MATTHEW D BAILEY
FORMER OFFICER0.00.0$0$290,903$0Yes (X)
Alan W Biggs
COO35.020.0$251,587$0$31,382Yes (X)
Bruce R Wade
VP Human Resources (SCR)30.025.0$0$219,967$37,638Yes (X)
WENDY S HERNANDEZ
FORMER KEY EMPLOYEE55.00.0$212,956$7,522$36,050Yes (X)
KENNETH E MARSHALL M
FORMER KEY EMPLOYEE55.00.0$208,168$0$46,897Yes (X)
Cynthia Herrington
VP & CNO35.020.0$219,586$0$29,406Yes (X)
Derek B Fields
FORMER KEY EMPLOYEE55.00.0$198,912$0$25,959Yes (X)
LYNN H COYNE
DIRECTOR2.05.0$0$0$0Yes (X)
JOYCE B POLING
DIRECTOR/Secretary2.05.0$0$0$0Yes (X)Yes (X)
Daniel J Peterson
Director/Chairman2.05.0$0$0$0Yes (X)Yes (X)
Jack A Kenworthy
Director/Vice Chairman2.05.0$0$0$0Yes (X)Yes (X)
Richard G Hendrickson
Director/Treasurer2.05.0$0$0$0Yes (X)Yes (X)
Julie Minton
Director2.05.0$0$0$0Yes (X)
Janet Farlow Perry
Director2.05.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,963,294TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,993,651TotReportableCompRltdOrgAmt
Total Other Compensation$772,559TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K420IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARAMARK
27310 NETWORK PLACECHICAGOIL60673FACILITIES$2,637,669
FA WILHELM CONSTRUCTION CO INC
3914 Prospect StreetINDIANAPOLISIN46203Construction$80,407,819
HELLMUTH OBATA KASSABAUM INC
10 S BROADWAY SUITE 200ST LOUISMO63102DESIGN/ENGINEERING$3,444,533
CSO ARCHITECTS INC
PO BOX 6069 DEPT 94INDIANAPOLISIN462066069Architectural/Design$2,197,220
TRIMEDX LLC
5451 Lakeview Pkwy S DrINDIANAPOLISIN46268Clinical engineering$2,717,229
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Related Organizations$196,285RelatedOrganizationsAmt
Government Grants$4,149,187GovernmentGrantsAmt
All Other Contributions$450,740AllOtherContributionsAmt
Total Contributions$4,796,212TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUE622110$560,693,273$560,693,273$0$0
SHARED SERVICES541900$18,187,331$18,187,331$0$0
RENT FROM RELATED 501(C)(3) ORGS.532000$295,023$295,023$0$0
CLINICAL RESEARCH541700$58,871$58,871$0$0
INCOME (LOSS) FROM PASS-THROUGH ENTITIES900099$1,028,905$1,028,905$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,887TotalRevenueColumnAmt
Related Or Exempt Func Income$1,887RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$580,265,290TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,560,667TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11,560,667ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$58,611RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$231,849RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$173,238RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$173,238TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$173,238ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,062,077SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$29,357,985SecuritiesAmt
Other$499,955OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,704,092SecuritiesAmt
Other-$499,955OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,204,137TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,204,137ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA/FOOD SERVICE721110$1,522,038$0$0$1,522,038
VENDING900099$25,014$0$0$25,014
EDUCATION900099$137,078$0$0$137,078

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,500,340TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,500,340ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,184,470OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$602,837,538TotalRevenueColumnAmt
Related Or Exempt Func Income$580,265,290RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,776,036ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$471,925TotalAmt
Program Services$471,925ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,291,155TotalAmt
Program Services$2,979,630ProgramServicesAmt
Management And General$311,525ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,335,226TotalAmt
Program Services$1,208,840ProgramServicesAmt
Management And General$126,386ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$174,538,255TotalAmt
Program Services$158,017,308ProgramServicesAmt
Management And General$16,520,947ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,686,788TotalAmt
Program Services$5,148,504ProgramServicesAmt
Management And General$538,284ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,364,700TotalAmt
Program Services$19,342,421ProgramServicesAmt
Management And General$2,022,279ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,464,529TotalAmt
Program Services$9,474,007ProgramServicesAmt
Management And General$990,522ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$102,068TotalAmt
Program Services$145ProgramServicesAmt
Management And General$101,923ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,981TotalAmt
Program Services$0ProgramServicesAmt
Management And General$13,981ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,812TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,812ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$247,910TotalAmt
Program Services$0ProgramServicesAmt
Management And General$247,910ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$109,633,698TotalAmt
Program Services$37,774,495ProgramServicesAmt
Management And General$71,859,203ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$298,030TotalAmt
Program Services$62,915ProgramServicesAmt
Management And General$235,115ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,554,754TotalAmt
Program Services$1,354,423ProgramServicesAmt
Management And General$200,331ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,447,226TotalAmt
Program Services$1,334,970ProgramServicesAmt
Management And General$112,256ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,323,018TotalAmt
Program Services$9,897,762ProgramServicesAmt
Management And General$425,256ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$437,475TotalAmt
Program Services$343,974ProgramServicesAmt
Management And General$93,501ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$79,078TotalAmt
Program Services$51,969ProgramServicesAmt
Management And General$27,109ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,154,099TotalAmt
Program Services$1,154,099ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,505,739TotalAmt
Program Services$14,121,081ProgramServicesAmt
Management And General$384,658ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,796,376TotalAmt
Program Services$621,955ProgramServicesAmt
Management And General$3,174,421ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DRUGS AND MEDICAL SUPPLIES$81,209,644$81,209,644$0$0
BAD DEBT$25,361,074$25,361,074$0$0
NONCAPITALIZED EQUIPMENT$1,529,433$818,518$710,915$0
HOSPITAL ASSESSMENT FEE$14,488,042$14,488,042$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,094,986TotalAmt
Program Services$3,534,986ProgramServicesAmt
Management And General$560,000ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$487,432,021TotalAmt
Program Services$388,772,687ProgramServicesAmt
Management And General$98,659,334ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,637,134BOYAmt
EOY$4,604,950EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$286,220,442BOYAmt
EOY$2,738,169EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,075,143EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$60,897,331BOYAmt
EOY$79,089,239EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$193,452BOYAmt
EOY$3,265,358EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,515,391BOYAmt
EOY$6,564,763EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,960,418BOYAmt
EOY$10,379,084EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$490,993,070LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$265,691,507LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$100,512,175BOYAmt
EOY$225,301,563EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$166,745,390BOYAmt
EOY$184,776,412EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,306,666BOYAmt
EOY$2,345,871EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,610,563BOYAmt
EOY$10,661,813EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,334,836BOYAmt
EOY$272,152,082EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$644,933,798BOYAmt
EOY$802,954,447EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,954,953BOYAmt
EOY$56,355,772EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,114,136BOYAmt
EOY$16,377,222EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$216,497BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,742,788BOYAmt
EOY$33,632,262EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,028,374BOYAmt
EOY$106,365,256EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$579,570,588BOYAmt
EOY$683,254,355EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,334,836BOYAmt
EOY$13,334,836EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$592,905,424BOYAmt
EOY$696,589,191EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$644,933,798BOYAmt
EOY$802,954,447EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$115,405,517ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,232,191NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$27,953,941OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,812OtherActivitiesAmt
Total Lobbying Expenditures$2,812TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1i - Other ActivitiesFormAndLineReferenceDesc
ExplanationIU Health Bloomington paid institutional membership dues to the Indiana Hospital Association ("IHA") and The Greater Bloomington Chamber of Commerce during 2019 in the amount of $32,597 and $13,650, respectively. Each membership organization notified IU Health Bloomington that a portion of the dues it paid were used for lobbying purposes. The IHA used 6.53%, or $2,129 of the 2019 membership dues paid by IU Health Bloomington, for lobbying expenditures. The Greater Bloomington Chamber of Commerce use $5.00%, or $683 of the 2019 membership dues paid by IU Health Bloomington, for lobbying expenditures. The total membership dues paid to these organizations by IU Health Bloomington during 2019 that were attributable to lobbying expenditures was $2,812.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,334,836BeginningYearBalanceAmt
End Year Balance$13,334,836EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,334,836BeginningYearBalanceAmt
End Year Balance$13,334,836EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,906,654BeginningYearBalanceAmt
Contributions$8,468,719ContributionsAmt
Investment Earnings Or Losses$16,073InvestmentEarningsOrLossesAmt
Grants Or Scholarships$49,762GrantsOrScholarshipsAmt
Other Expenditures$4,513OtherExpendituresAmt
Administrative Expenses$2,335AdministrativeExpensesAmt
End Year Balance$13,334,836EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,906,654BeginningYearBalanceAmt
End Year Balance$4,906,654EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,906,654BeginningYearBalanceAmt
End Year Balance$4,906,654EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.41700PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.58300TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,741,447OtherCostOrOtherBasisAmt
Book Value$19,741,447BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$154,956,494OtherCostOrOtherBasisAmt
Depreciation$141,956,279DepreciationAmt
Book Value$13,000,215BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,354,483OtherCostOrOtherBasisAmt
Depreciation$7,133,780DepreciationAmt
Book Value$4,220,703BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$135,771,350OtherCostOrOtherBasisAmt
Depreciation$110,282,654DepreciationAmt
Book Value$25,488,696BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$169,169,296OtherCostOrOtherBasisAmt
Depreciation$6,318,794DepreciationAmt
Book Value$162,850,502BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$225,301,563TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INT. IN NET ASSETS OF FNDTN.$13,334,836
INTERCOMPANY RECEIVABLES (NET)$258,498,621
ALL OTHER ASSETS$118,625
SECURITY DEPOSITS$200,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$272,152,082TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES (NET)$0
DUE TO THIRD-PARTY PAYERS$3,669,970
SELF-INSURANCE LIABILITIES$254,077
ENVIRONMENTAL OBLIGATIONS$412,602
ACCRUED LOAN GUARANTEES$0
ALL OTHER LIABILITIES$29,295,613
FieldValueIRS element (for citing)
Total Liability$33,632,262TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 - Intended Uses of Org.'s Endowment FundsTemporarily and permanently restricted net assets are generally restricted for indigent and other patient care services, medical education and research programs, and medical supplies and equipment.
Schedule D, Part X, Line 2 - FIN 48 (ASC 740) FootnoteIU Health Bloomington 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served6294PersonsServedCnt
Total Community Benefit Expns$7,968,807TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,968,807NetCommunityBenefitExpnsAmt
Total Expense0.01720TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served8931PersonsServedCnt
Total Community Benefit Expns$90,353,733TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$69,364,109DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,989,624NetCommunityBenefitExpnsAmt
Total Expense0.04540TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served15225PersonsServedCnt
Total Community Benefit Expns$98,322,540TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$69,364,109DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,958,431NetCommunityBenefitExpnsAmt
Total Expense0.06260TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served36321PersonsServedCnt
Total Community Benefit Expns$4,336,181TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$390,128DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,946,053NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served2882PersonsServedCnt
Total Community Benefit Expns$1,126,798TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$332,017DirectOffsettingRevenueAmt
Net Community Benefit Expns$794,781NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served305PersonsServedCnt
Total Community Benefit Expns$25,142,354TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,972,808DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,169,546NetCommunityBenefitExpnsAmt
Total Expense0.01980TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$10,084TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,084NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served67PersonsServedCnt
Total Community Benefit Expns$703,697TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$608,532DirectOffsettingRevenueAmt
Net Community Benefit Expns$95,165NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs29ActivitiesOrProgramsCnt
Persons Served39575PersonsServedCnt
Total Community Benefit Expns$31,319,114TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,303,485DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,015,629NetCommunityBenefitExpnsAmt
Total Expense0.03020TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs29ActivitiesOrProgramsCnt
Persons Served54800PersonsServedCnt
Total Community Benefit Expns$129,641,654TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$86,667,594DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,974,060NetCommunityBenefitExpnsAmt
Total Expense0.09280TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served544PersonsServedCnt
Total Community Benefit Expns$8,137TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,137NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served110PersonsServedCnt
Total Community Benefit Expns$596TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$596NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served654PersonsServedCnt
Total Community Benefit Expns$8,733TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,733NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,015,647BadDebtExpenseAmt
Reimbursed By Medicare$99,423,222ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$107,886,750CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,463,528MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
SEE PART VI
DIAG. AND OTHER OUTPATIENT0.50.5
SEE PART VI
AMBULATORY SURGERY CENTER0.50.5
SEE PART VI
Physician Office Space0.50.5
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IU HEALTH BLOOMINGTON HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 WEST SECOND STREETAddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationINStateAbbreviationCd
ZIP47403ZIPCd
FieldValueIRS element (for citing)
Website AddressSEE PART V, SECTION CWebsiteAddressTxt
State License19-005047-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1IU HEALTH BLOOMINGTON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
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Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
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Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
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FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
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Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
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FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
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Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
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Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section A, Line 1 Primary Website Addresshttps://iuhealth.org/find-locations/iu-health-bloomington-hospital Schedule H, Part V, Section B, Line 3e - Prioritized Health Needs IU Health Bloomington'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 Bloomington: - Access to Healthcare Services - Chronic Disease and Chronic Disease Management - Drug and Substance Abuse (including Opioids and Alcohol)* - Mental Health* - Obesity, Diabetes, and Physical Inactivity - Senior Health - 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).
Schedule H, Part V, Section B, Line 5 - Input from CommunityIn conducting its most recent CHNA, IU Health Bloomington's approach to gathering qualitative data consisted of a multi-component approach to identify and verify community health needs for the IU Health Bloomington service area. This included the following components: 1. Community Meetings 2. Key Stakeholders Interviews 3. Community Survey Community Meetings (Monroe & Owen Counties) To obtain a more complete picture of the factors that play into the Monroe and Owen County community health, input from local leaders with a stake in the community's health were invited to attend a community health sub-committee meeting on May 8, 2018 held at IU Health Bloomington. Organizations who participated in the focus groups are as follows: - Bloomington Economic Development Center - Bloomington Health Foundation - Bloomington North High School - Monroe County Health Department - Local Council of Women - United Way of Monroe County - Slotegraff and Niehoff The meeting began with a presentation that discussed the goals and status of the CHNA process and the purpose of the community meeting. Then, secondary data were presented, along with a summary of the most unfavorable community health indicators. For the community served by IU Health Bloomington Hospital, those indicators were (in alphabetical order): - Cardiovascular diseases and related mortality - Drug and substance abuse - Motor vehicle accidents and drunk driving - Physically and mentally unhealthy days - Poverty and un-employment - Severe housing problems - Smoking, including during pregnancy - Supply of primary care physicians and mental health providers Meeting participants then were asked to discuss whether the identified, unfavorable indicators accurately identified the most significant community health issues and were encouraged to add issues that they believed were significant. Several issues were added, such as: childhood poverty, transportation needs, infant mortality, sexually transmitted diseases, obesity, patient compliance, and chronic disease. In addition, the group decided it would be best to split poverty and un-employment into two distinct needs. 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 needs they consider to be the most significant. From this process, the group identified these five needs as being the most significant in the community served by IU Health Bloomington Hospital: - Drug and substance abuse - Chronic disease - Smoking, including during pregnancy - Obesity - Physically and mentally unhealthy days In addition to the sub-committee meeting, two open focus groups were conducted at local schools in Monroe County and a third open focus group was conducted at the Owen County YMCA. A member of the Owen County Health Board attended the Owen County YMCA focus group. In total, 18 individuals participated in these focus groups. Individual interviews were conducted with people experiencing or recently experiencing homelessness and the Bloomington Commission on Aging. The top health issues identified were: - Homelessness - Lack of mental healthcare providers - Transportation to healthcare appointments for those without vehicles - Food Insecurities - Substance Abuse - Children and infants in need - Housing - Healthcare During the meetings, a range of other topics were discussed including: - Resource access - Substance use - Food insecurity - Importance of side-walks for community building, - transportation, and recreation - Healthcare - Basic needs - Homelessness - Childhood conditions - Understanding self - sense of belonging to community - Transportation - Social connections - Insurance - High cost of housing - Care of older adults in the community - Mental health After comparing, the data gathered from the meetings and interviews, the following five needs were noted as the most significant for the community served by IU Health Bloomington Hospital: - Drug and substance abuse - Chronic disease - Smoking, including during pregnancy - Obesity - Mental health Community Meeting (Lawrence County) To obtain a more complete picture of the factors that play into the Lawrence community health, input from local leaders with a stake in the community's health were invited to attend a community health sub-committee meeting on April 10, 2018 held at IU Health Bedford. Organizations who participated in the focus groups are as follows: - Bedford Public Library - Bedford Chamber of Commerce - City of Bedford - City of Bedford Parks and Recreation - Purdue Extension - Stone City Products The meeting began with a presentation that discussed the goals and status of the CHNA process and the purpose of the community meeting. Then, secondary data were presented, along with a summary of the most unfavorable community health indicators. For the community served by IU Health Bloomington Hospital, those indicators were (in alphabetical order): - Chronic Disease management and mortality - Low birthweight and teen birth rates - Mental illness and supply of mental health providers - Mortality from motor vehicle accidents and other injuries - Obesity and physical inactivity - Smoking and smoking during pregnancy - Unemployment and economic factors Meeting participants then were asked to discuss whether the identified, unfavorable indicators accurately identified the most significant community health issues and were encouraged to add issues that they believed were significant. Several issues were added, such as: substance abuse and treatment, access to and pricing of healthcare, collaboration in the community on health needs, and healthy food access and knowledge. During the meetings, a range of other topics were discussed including: - Hospital admission that are preventable - Skills gap in local area compared to job opportunities - Mental health stigma - Smoking policies - Limited resources in the community - Lack of awareness of existing programs/resources - Population patterns in the world and in rural communities 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 needs they consider the most significant. From this process, the group identified five needs as being the most significant in the Lawrence County community: - Substance abuse and treatment - Obesity and physical inactivity - Access to and pricing of healthcare - Unemployment and economic factors/workforce training and education - Mental illness and supply of mental health providers Key Stakeholder Interviews (Monroe and Lawrence Counties) IU Health Bloomington also conducted key stakeholder interviews with representatives of the Monroe and Lawrence County Health Departments. An interview was not conducted with the Owen County Health Department; however, a member of the Owen County Health Board attended the Owen county YMCA focus group. The interviews were conducted to assure that appropriate and additional input was received from the governmental public health officials. Accordingly, 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 interviews were guided by a structural protocol that focused on opinions regarding significant community health needs, describing why such needs are present, and seeking ideas for how to address them. Monroe County During the April 5, 2018 focus group meeting, the interviewee confirmed that the needs identified through the community meetings were all issues, including: - Drug and substance abuse - Chronic disease - Smoking, including pregnancy - Obesity - Physical Inactivity Overall, services for mental health and substance abuse treatment were considered some of the most significant needs. Substance abuse continues to be a major issue and seems to have increased in recent years despite many efforts to curb the epidemic. While obesity has improved in recent times in Monroe County, it is still an issue and leading to chronic diseases such as heart disease and diabetes. Early childhood trauma and early adult trauma were identified as contributing factors for many of these issues as it was thought that many who experience traumatic events do not learn coping skills to carry on later into life. Access to health care and health services is a need. Although Monroe County has an abundance of resources, it is often difficult to get economically disadvantaged populations to affordable providers. Basic needs insecurity is an issue for certain residents, and affects many aspects of health. Encouraging vaccinations in the community is an important need, as conditions like mumps, measles and others seem to have been revitalized. Public health funding is a major need, as funding opportunities are typically for new programs while previously establi
Schedule H, Part V, Section B, Line 7a - CHNA WebsiteA copy of IU Health Bloomington'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 WebsiteA copy of IU Health Bloomington'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 NeedsIn conjunction with the CHNA, IU Health Bloomington's Board adopted an implementation strategy in April 2019 relating to the 2018 CHNA. IU Health Bloomington prioritized and determined which of the community health needs identified in its most recently conducted CHNA was most critical for it to address. IU Health Bloomington will address the following community health needs between 2019 and 2021: - Access to Healthcare Services - Chronic Disease and Chronic Disease Management - Drug and Substance Abuse (including Opioids and Alcohol)* - Obesity, Diabetes and Physical Inactivity - Mental Health* - Senior Health - 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 Bloomington's implementation strategy to address the identified need of Access to Healthcare includes the following: - Implement a medical neighborhood approach to increase delivery of coordinated healthcare to patients. - IU Health Bloomington has implemented a medical neighborhood approach to increase the delivery of coordinated healthcare to patients. Our median lag time to primary care had decreased due to this work. This includes redesigning the primary care front office, using RN's to triage and provide a care map that is guided by pharmacists, RD's and health educators. - Community organizations and members will have access to information about services to support health and wellness. - Aunt Bertha or IUHealthconnect.org has been introduced in the South Central Region to link clients to care. - Support development of a community portal with referral to services. - Aunt Bertha or IUHealthconnect.org has been introduced in the South Central Region to link clients to care. - Develop congregational support through a community collaboration. - Worked with Redeemer Church twice in 2019 for a community-based clinic supporting health education, clinical services, access to insurance, preparation for back to school resources and in the fall, we supported winterization for older adults. - Conduct prediabetes screenings in the community to identify people at-risk for diabetes and chronic disease. - Health fairs include screenings for prediabetes and referral to care. - Support evidence-based obesity prevention programs: GOAL (Get Onboard Active Living); Moving Forward, and Goal University - Three cohorts of these programs offered in the community with additional support after the program ends. Chronic Disease and Chronic Disease Management - Implement a medical neighborhood approach to increase delivery of coordinated healthcare to patients. - IU Health Bloomington has implemented a medical neighborhood approach to increase the delivery of coordinated healthcare to patients. Our median lag time to primary care had decreased due to this work. This includes redesigning the primary care front office, using RN's to triage and provide a care map that is guided by pharmacists, RD's and health educators. - Community organizations and members will have access to information about services to support health and wellness. - Aunt Bertha or IUHealthconnect.org has been introduced in the South Central Region to link clients to care. - Support development of a community portal with referral to services. - Aunt Bertha or IUHealthconnect.org has been introduced in the South Central Region to link clients to care. - Develop congregational support through a community collaboration. - Worked with Redeemer Church twice in 2019 for a community-based clinic supporting health education, clinical services, access to insurance, preparation for back to school resources and in the fall, we supported winterization for older adults. - Develop an integrated pathway for diabetes, hypertension, hyperlipidemia prevention and comprehensive education and care. - Care maps for diabetes, HTN and COPD education has been developed to guide the patient care and involve ancillary team members. - Conduct prediabetes screenings in the community to identify people at-risk for diabetes and chronic disease. - Health fairs include screening for prediabetes and referral to care. - Support evidence-based obesity prevention programs: GOAL (Get Onboard Active Living); Moving Forward, and Goal University - Three cohorts of these programs offered in the community with additional support after the program ends. - Identify at-risk populations, such as pregnant moms, youth, and adults using tobacco products and refer to services. - Support Family Vitality program working with an OB/GYN and pediatric clinics to identify moms and infants at risk for obesity, tobacco use, etc. and offer them support. Obesity, Diabetes and Physical Inactivity IU Health Bloomington's implementation strategy to address the identified need of Obesity, Diabetes and Physical Inactivity includes the following: - Develop an integrated pathway for diabetes, hypertension, hyperlipidemia prevention and comprehensive education and care. - Care maps for diabetes, HTN and COPD education has been developed to guide the patient care and involve ancillary team members. - Conduct prediabetes screenings in the community to identify people at-risk for diabetes and chronic disease. - Health fairs include screening for prediabetes and referral to care. - Support evidence-based obesity prevention programs: GOAL (Get Onboard Active Living); Moving Forward, and Goal University - Three cohorts of these programs offered in the community with additional support after the program ends. Behavioral Health (includes Drug & Substance Abuse and Mental Health) IU Health Bloomington's implementation strategy to address the identified need of Behavioral Health includes the following: - Women with children and pregnant women who have behavioral health and/or substance use issues will be identified early and receive care through IU Health Bloomington Women's Clinics. - Support Family Vitality program working with an OB/GYN and other openings to identify moms at risk for SUD, tobacco use, etc. and get them into care and treatment. - Provide and promote drug take-back program in the hospital. - A drug take back box has been installed in the hospital lobby. Disposed of items are weighed and disposed of appropriately. - Develop behavioral health access and appointment system of support for Positive Link client's onsite. - Partnered with Volunteers of America to provide telehealth-behavioral health onsite at Positive Link locations. - Provide services and upgrade area for confidential support in collaboration with Volunteers of America. - Area upgraded and completed. - Support caregivers caring for family or dependents with dementia. - The Alzheimer's Resource Services sees family members and people living with dementia supporting their needs and linking them to community resources. Education, linkage to services and training for people entering the care giver profession are all items and services provided in this department. - Provide staff from Alzheimer's Resource Services to support the Memory Clinic. - Team members work from Neurology offices on Wednesday mornings providing support and linkage to services for those newly diagnosed with dementia. Senior Health IU Health Bloomington's implementation strategy to address the identified need of Senior Health includes the following: - Support caregivers caring for family or dependents with dementia. - The Alzheimer's Resource Services sees family members and people living with dementia supporting their needs and linking them to community resources. Education, linkage to services and training for people entering the care giver profession are all items and services provided in this department. - Provide staff from Alzheimer's Resource Services to support the Memory Clinic. - Team members work from Neurology offices on Wednesday mornings providing support and linkage to services for those newly diagnosed with dementia. Also, IU Health Bloomington will address all community health needs based on their 2018 Community Health Needs Assessment.
Schedule H, Part V, Section B, Line 13b - Income Level Other than FPGIn addition to FPG, IU Health Bloomington 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 FactorsIU Health Bloomington takes into consideration several other factors in determining patient eligibility for financial assistance. These factors include the following: 1. IU Health'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'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 Bloomington'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 Bloomington'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 Bloomington. Eligible patients who receive medical care from IU Health Bloomington 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 Bloomington is entitled. In the event a Financial Assistance Award has already been granted in such circumstances, IU Health Bloomington reserves the right to reverse the award in an amount equal to the amount IU Health Bloomington would be entitled to receive had no Financial Assistance been awarded. 3. Alternate Methods of Eligibility Determination IU Health Bloomington 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 Bloomington 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 Bloomington 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") AGB for their services. Patients will receive an estimated AGB cost of their care prior to IU Health Bloomington 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. 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 Bloomington'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 Bloomington 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 WebsiteA copy of IU Health Bloomington's FAP is available on the following website: https://iuhealth.org/pay-a-bill/financial-assistance
Schedule H, Part V, Section B, Line 16b - FAP Application WebsiteA copy of IU Health Bloomington's FAP Application is available on the following website: https://iuhealth.org/pay-a-bill/financial-assistance
Schedule H, Part V, Section B, Line 16c - FAP PLS WebsiteA 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 PublicizeIU Health Bloomington 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 Bloomington 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 Bloomington 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 Bloomington will broadly communicate this Policy as part of its general outreach efforts. 5. IU Health Bloomington will educate its patient facing team members of the FAP and the process for referring patients to the Program.
FieldValueIRS element (for citing)
Facility99FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (99 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
BLOOMINGTON ENDOSCOPY CENTER
550 LANDMARK AVEBLOOMINGTONIN47402AMBULATORY SURGERY
SOUTHERN INDIANA SURGERY CENTER
2800 REX GROSSMAN BLVDBLOOMINGTONIN47403AMBULATORY SURGERY
IU HEALTH ANTICOAGULATOIN CLINIC
727 W 2nd Street First FloorBLOOMINGTONIN47403DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH BEHAVIORAL HEALTH
727 W 2nd Street First FloorBLOOMINGTONIN47404Specialty Care
IU HEALTH PAIN CENTER
888 AUTO MALL RDBLOOMINGTONIN47401Specialty Care
IU HEALTH WOUND CENTER
2920 MCINTIRE DRBLOOMINGTONIN47404Specialty Care
SIRA IMAGING CENTER
500 S LANDMARK AVEBLOOMINGTONIN47403DIAGNOSTIC AND OTHER OUTPATIENT
Brown County Medical Cooperative
103 Willow StNashvilleIN47448Diagnostic and Other Outpatient
IU Health Cancer Radiation Center
9149 SR 37 RR11 Box 493BedfordIN47421Specialty Care
IU Health Diabetes Center
727 W 2nd Street First FloorBloomingtonIN47403Specialty Care
IU Health Rehabilitation and Sport
2499 W Cota DrBloomingtonIN47403Specialty Care
IU Health Children's Therapy Center
4935 W Arlington Road Suite B CBloomingtonIN47404Specialty Care
IU Health Cancer Center Infusion Therapy
508 W 2nd StreetBloomingtonIN47403Specialty Care
IU Health Rehabilitation and Sport East
328 S Woodcrest DrBloomingtonIN47401Specialty Care
IU Health Cancer Radiation Center
2620 W Cota DrBloomingtonIN47404Specialty Care
IU Health Rehabilitation and Sport
926 W SR46 Suite 200SpencerIN47460Specialty Care
IUH Bloom Addiction Treatment and Recov
727 W 2nd Street Suite 202BloomingtonIN47403Specialty Care
IU Health Oncology and Hematology Clinic
514 W 2nd StreetBloomingtonIN47403Specialty Care
IU Health Bloomington Walk-in
550 S Landmark AveBloomingtonIN47403Primary Care
IU Health Bloomington Retail Pharmacy
601 W 2nd StreetBloomingtonIN47403Pharmacy
Southern Indiana Physicians Cardiology
2209 John R Wooden DrMartinsvilleIN46151Specialty Care
SIP Ear Nose & Throat
2209 John R Wooden DrMartinsvilleIN46151Specialty Care
SIP Family & Internal Medicine
2209 John R Wooden DrMartinsvilleIN46151Primary Care
SIP Foot & Ankle
2209 John R Wooden DrMartinsvilleIN46151Specialty Care
SIP General Surgery
2209 John R Wooden DrMartinsvilleIN46151Diagnostic and Other Outpatient
SIP Medical Oncology and Hematology
2209 John R Wooden DrMartinsvilleIN46151Diagnostic and Other Outpatient
SIP Nuerology
2209 John R Wooden DrMartinsvilleIN46151Specialty Care
SIP Orthopedics & Sports Medicine
2209 John R Wooden DrMartinsvilleIN46151Specialty Care
SIP Pulmonology
2209 John R Wooden DrMartinsvilleIN46151Specialty Care
SIP Riley Physicians Pediatrics
2209 John R Wooden DrMartinsvilleIN46151Specialty Care
Sothern Indiana Physicians Urology
2209 John R Wooden DrMartinsvilleIN46151Specialty Care
IU SIP Women's Health
2209 John R Wooden DrMartinsvilleIN46151Specialty Care
SIP Family & Internal Medicine
3 E Main StreetGosportIN47433Primary Care
SIP Family & Internal Medicine
103 W Willow Street Suite ANashvilleIN47448Primary Care
SIP Family & Internal Medicine
5921 W State Road 46BloomingtonIN47404Primary Care
SIP Riley Physicians Pediatrics
4935 W Arlington RoadBloomingtonIN47404Specialty Care
Southern Indiana Physicians Foot & Ankle
583 S Clarizz BlvdBloomingtonIN47401Specialty Care
Southern Indiana Physicians Nuerology
583 S Clarizz BlvdBloomingtonIN47401Specialty Care
SIP Riley Physicians Pediatrics
651 S Clarizz BlvdBloomingtonIN47401Specialty Care
SIP Family & Internal Medicine
995 S Clarizz BlvdBloomingtonIN47401Primary Care
Southern Indiana Physicians Cardiology
926 W SR46 Suite 100SpencerIN47460Specialty Care
SIP Family & Internal Medicine
926 W SR46SpencerIN47460Primary Care
Southern Indiana Physicians Nephrology
926 W SR46 Suite 100SpencerIN47460Specialty Care
SIP Palliative Care
514 W 2nd StreetBloomingtonIN47403Specialty Care
SIP Women's Health
1010 W 2nd StreetBloomingtonIN47403Specialty Care
IU Health SIP Neurosurgery
719 W 2nd StreetBloomingtonIN47403Specialty Care
SIP Medical Oncology and Hematology
601 W 2nd StreetBloomingtonIN47403Specialty Care
IUH SIP Riley Physicians Neonatology
601 W 2nd StreetBloomingtonIN47403Specialty Care
IU Health SIP Cardiothoracic Surgery
601 W 2nd StreetBloomingtonIN47403Specialty Care
SIP Family & Internal Medicine
642 S Walker StreetBloomingtonIN47403Primary Care
SIP Women's Health
642 S Walker StreetBloomingtonIN47403Specialty Care
SIP Riley Physicians Pediatrics
350 S Landmark AveBloomingtonIN47403Specialty Care Outpatient
SIP Orthopedics & Sports Medicine
1375 N Wellness WayBloomingtonIN47404Specialty Care
Southern Indiana Physicians Rheumatology
1000 W 1st StreetBloomingtonIN47403Specialty Care
Southern Indiana Physicians Cardiology
1312 W Arch Haven Ave Suite ABloomingtonIN47403Specialty Care
Southern Indiana Physicians Cardiology
550 S Landmark AveBloomingtonIN47403Specialty Care
SIP Endocrinology
550 S Landmark AveBloomingtonIN47403Specialty Care
SIP Family & Internal Medicine
550 S Landmark AveBloomingtonIN47403Primary Care
SIP Gastroenterology
550 S Landmark AveBloomingtonIN47403Specialty Care
SIP Infectious Disease
550 S Landmark AveBloomingtonIN47403Specialty Care
SIP Long Term Care
550 S Landmark AveBloomingtonIN47403Diagnostic and Other Outpatient
Southern Indiana Physicians Pulmonology
550 S Landmark AveBloomingtonIN47403Specialty Care
Southern Indiana Physicians Nephrology
550 S Landmark AveBloomingtonIN47403Specialty Care
SIP Vascular Surgery
550 S Landmark AveBloomingtonIN47403Specialty Care
Southern Indiana Physicians Cardiology
1302 S Rogers StreetBloomingtonIN47403Specialty Care
SIP Family & Internal Medicine
1302 S Rogers StreetBloomingtonIN47403Primary Care
SIP Family & Internal Medicine
1520 S Liberty DriveBloomingtonIN47403Primary Care
Sothern Indiana Physicians Urology
1520 S Liberty DriveBloomingtonIN47403Specialty Care
Sothern Indiana Physicians Primary Care
2605 E Creeks Edge DriveBloomingtonIN47401Primary Care
Southern Indiana Physicians Rheumatology
2605 E Creeks Edge DriveBloomingtonIN47401Specialty Care
SIP Orthopedics & Sports Medicine
2605 E Creeks Edge DriveBloomingtonIN47401Specialty Care
SIP Women's Health
2920 McIntire DrBloomingtonIN47404Specialty Care
SIP Ear Nose & Throat
2920 McIntire DrBloomingtonIN47404Specialty Care
SIP Ear Nose & Throat
1206 N 1000 W Suite BLintonIN47441Specialty Care
Southern Indiana Physicians Cardiology
1206 N 1000 W Suite BLintonIN47441Specialty Care
IU Health SIP Mitchell Clinic
105 Teke Burton DriveMitchellIN47446Primary Care
SIP Family & Internal Medicine
105 Teke Burton DriveMitchellIN47446Primary Care
SIP Family & Internal Medicine
8695 W Jack Carnes WayFrench LickIN47432Primary Care
Southern Indiana Physicians Cardiology
2900 W 16th StreetBedfordIN47421Specialty Care
IU Health SIP Lab
2900 W 16th StreetBedfordIN47421Diagnostic and Other Outpatient
IU Health SIP Ear Nose & Throat
2900 W 16th StreetBedfordIN47421Specialty Care
IU Health SIP Family & Internal Medicine
2900 W 16th StreetBedfordIN47421Primary Care
IU Health SIP Family & Internal Medicine
2900 W 16th StreetBedfordIN47421Primary Care
IU Health SIP Foot & Ankle
2900 W 16th StreetBedfordIN47421Specialty Care
IU Health SIP Gastroenterology
2900 W 16th StreetBedfordIN47421Primary Care
IU Health SIP Long Term Care
2900 W 16th StreetBedfordIN47421Diagnostic and Other Outpatient
IUH SIP Medical Oncology and Hematology
2900 W 16th StreetBedfordIN47421Specialty Care
IU Health SIP Nephrology
2900 W 16th StreetBedfordIN47421Specialty Care
IU Health SIP Neurology Outpatient
2900 W 16th StreetBedfordIN47421Specialty Care
IUH SIP Orthopedics & Sports Medicine
2900 W 16th StreetBedfordIN47421Specialty Care
IU Health SIP Surgery
2900 W 16th StreetBedfordIN47421Diagnostic and Other Outpatient
IU Health SIP Urology
2900 W 16th StreetBedfordIN47421Specialty Care
IU Health SIP Women's Health
2900 W 16th StreetBedfordIN47421Specialty Care
SIP Riley Physicians Pediatrics
1614 25th StreetBedfordIN47421Specialty Care
Southern Indiana Physicians Cardiology
642 W Hospital RoadPaoliIN47454Specialty Care
SIP Foot & Ankle
642 W Hospital RoadPaoliIN47454Specialty Care
SIP Gastroenterology
642 W Hospital RoadPaoliIN47454Specialty Care
SIP Medical Oncology and Hematology
642 W Hospital RoadPaoliIN47454Specialty Care
IU Health SIP Family & Internal Medicine
560 Longest StreetPaoliIN47454Primary Care

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c - Other Factors Used in Determining Elig.IU Health Bloomington 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 Bloomington 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 guardians' federal income tax return. 2. IU Health'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'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 Bloomington 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 Bloomington'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 Bloomington'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 Bloomington. Eligible patients who receive medical care from IU Health Bloomington 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 Bloomington is entitled. In the event a Financial Assistance Award has already been granted in such circumstances, IU Health Bloomington reserves the right to reverse the award in an amount equal to the amount IU Health Bloomington would be entitled to receive had no Financial Assistance been awarded. 6. Alternate Methods of Eligibility Determination IU Health Bloomington 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 Bloomington 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 Bloomington 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 Bloomington 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 Bloomington 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 Bloomington 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 Bloomington'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 Bloomington 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 Bloomington's community benefit and other investments, encompassing its total community investment, are included in the IU Health Community Benefit Report which is prepared on behalf of and includes IU Health and its related hospital entities in the State of Indiana. The IU Health Community Benefit Report is made available to the public on IU Health's website at https://iuhealth.org/in-the-community/community-benefit. The IU Health Community Benefit Report is also distributed to numerous key organizations throughout the State of Indiana in order to broadly share the IU Health Statewide System's community benefit efforts. It is also available by request through the Indiana State Department of Health or IU Health.
Schedule H, Part I, Line 7, Column (c) - Total Community Benefit ExpenseSchedule 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 excludes direct offsetting revenue, is 28.06%.
Schedule H, Part I, Line 7, Column (f) - Percent of Total ExpenseThe amount of bad debt expense subtracted for purposes of calculating the percentage of total expense on Line 7, column (f) is $25,361,074. 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 7g - Subsidized Health ServicesIU Health Bloomington does not include any costs associated with physician clinics as subsidized health services.
Schedule H, Part II - Promotion of Health in Communities ServedIU Health Bloomington is part of the IU Health Statewide System. The IU Health Statewide System participates in a variety of community-building activities that address the social determinants of health in the communities it serves through investments in economic development efforts across the state, collaboration with like-minded organizations through coalitions that address key issues, and advocacy 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. Several examples include IU Health's support of the following organizations and initiatives that focus on some of the root causes of health issues, such as lack of education, employment and poverty: - Monroe County Public Health Clinic - Monroe County Community School System - Monroe County Opioid Commission - Early Learning Indiana - United Way Additionally, through the IU Health Statewide System's team member community benefit service program, "Strength That Cares", team members across the state make a difference in the lives of thousands of Hoosiers every year.
Schedule H, Part III, Line 2 - Bad Debt Expense MethodologyThe amount reported on line 2 as bad debt is reported at cost, as calculated using the cost to charge ratio methodology.
Schedule H, Part III, Line 3 - Bad Debt Att to Patients Eligible Under FAPAn 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.
Schedule H, Part III, Line 4 - Bad Debt ExpenseIU Health Bloomington is a subsidiary in the consolidated financial statements of IU Health. 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 ShortfallThe 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 Bloomington Medicare Cost Report. "Allowable costs" for Medicare Cost Report purposes, however, are not reflective of all costs associated with IU Health Bloomington'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 Bloomington's participation in Medicare programs would significantly increase the Medicare shortfall reported on Schedule H, Part III, Line 7. IU Health Bloomington's Medicare shortfall is attributable to reimbursements that are less than the cost of providing patient care and services to Medicare beneficiaries and does not include any amounts that result from inefficiencies or poor management. IU Health Bloomington accepts all Medicare patients knowing that there may be shortfalls; therefore it has taken the position that any shortfall should be counted as part of its community benefit. Additionally, it is implied in Internal Revenue Service Revenue Ruling 69-545 that treating Medicare patients is a community benefit. Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with governmental health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community.
Schedule H, Part III, Line 9b - Written Debt Collection PolicyIU Health Bloomington'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 Bloomington 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 Bloomington 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 Bloomington 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 Bloomington 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 Bloomington 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 Bloomington. IU Health Bloomington 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 Bloomington 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 IV, Line 1(a) - Name of EntitySIRA Imaging Center, LLC
Schedule H, Part IV, Line 2(a) - Name of EntitySouthern Indiana Surgery Center, LLC
Schedule H, Part IV, Line 3(a) - Name of EntityBrown County Medical Cooperative, LLC
Schedule H, Part VI, Line 2 - Needs AssessmentCommunities are multifaceted and so are their health needs. IU Health Bloomington 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 Bloomington assesses the health care needs of the communities it serves by conducting a CHNA. This assessment includes collaboration with other community organizations such as: - Bloomington Economic Development Center - Bloomington Health Foundation - Bloomington North High School - Local Council of Women - Monroe County Health Department - Slodagraff and Niehoff - United Way of Monroe County - Bedford Public Library - Bedford Chamber of Commerce - City of Bedford - City of Bedford Parks and Recreation - Purdue Extension - Stone City Products After completion of the CHNA, IU Health Bloomington reviewed the information gathered from community leader focus groups, community input surveys and statistical data. The needs identified were analyzed and ranked to determine the prevalence and severity of community health needs and which ones were most critical. Additionally, the effectiveness of an intervention for each need and IU Health Bloomington's ability to impact positive change was evaluated. IU Health Bloomington believes its CHNA process is comprehensive and additional asessments are not required.
Schedule H, Part VI, Line 3 - Patient Education of Eligibility for Assist.IU Health Bloomington 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 Bloomington has established a FAP to provide Financial Assistance to Uninsured Patients. IU Health Bloomington is committed to ensuring its patients are compliant with all provisions of the Patient Protection & Affordable Care Act. To that end, IU Health Bloomington 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 Bloomington 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 Bloomington 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 Bloomington will broadly communicate this Policy as part of its general outreach efforts. 5. IU Health Bloomington 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 InformationIU Health Bloomington Hospital is located in Monroe County, a county located in south central Indiana. Monroe County includes ZIP codes within the towns of Bloomington, Ellettsville and Unionville. Based on the most recent Census Bureau (2019) statistics, Monroe County's population is 148,431 and approximately 50.3% were female and 49.7% male. The county's population estimates by race are 83.4% White, 3.6% Black, 7.0% Asian, 0.3% American Indian or Alaska Native and 2.6% persons reporting two or more races. In the county, in addition to the above categorizations, 3.5% reported Hispanic or Latino heritage. Monroe County has relatively high levels of educational attainment, as compared to other Indiana counties. Almost half (45.6%) of the population has a bachelor's degree or graduate/professional degree, while 92.2% of the population has obtained a high school degree.
Schedule H, Part VI, Line 5 - Promotion of Community HealthIU Health Bloomington 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 Bloomington Community Health offers a wide variety of programs and services to the community. From work with the local school systems, to programs that help those living with HIV/AIDS and Alzheimer's disease, our goal is to help our community live healthier.
Schedule H, Part VI, Line 6 - Affiliated Health Care SystemIU Health Bloomington is part of the IU Health Statewide System. Indiana University Health (IU Health) is Indiana's most comprehensive healthcare system. With hospitals, physician offices and allied services, IU Health provides access to a full range of specialty and primary care services for adults and children. A unique partnership with Indiana University (IU) School of Medicine-one of the nation's leading medical schools-gives patients access to groundbreaking research and innovative treatments to complement high-quality care. National Recognition - Eight hospitals are 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-high performing . Geriatrics-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 (#5), IU Health Arnett (#8) and IU Health Bloomington (#8) hospitals. 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 $50 million over six 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 the understanding of these diseases and lead to important new therapies for patients. The three target research areas represent research strengths at IU School of Medicine, key strategic service lines for IU Health, and important medical needs in a time of an aging population and rising healthcare costs: - 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 (NCI) 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 more than $700 million 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 in their communities 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 educational 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 Indiana University Health Foundation, were awarded to the following in the South Central Region: Family Vitality Initiative development and implementation, IU Health South Central Region, $230,000 over two years. By bringing together existing healthcare providers, social workers and researchers, this integrated program will take a holistic approach to addressing substance-related healthcare issues, especially among the most vulnerable populations of women and children. The South Central Region has seen alarming increases in the numbers of infants who test positive for opiates at birth, opioid-related encounters in each emergency department, and mothers struggling with addiction including smoking. The IU Health Community Health Grants seek to improve community health by supporting collaboration among IU Health Regional Hospital Boards and Community Health Committees, and local resources and programs. The Community Health Grants are awarded to programs most likely to improve access to health services, enhance the health of the community, advance medical or healthcare knowledge, and relieve or reduce the burden of government or other community efforts. Grantees must also build capacity for addressing these community health issues going forward. Goodwill Foundation of Central and Southern Indiana 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. Community Partnerships IU Health believes in the power of investing in community partnerships and what that means for t

Schedule I IRS990ScheduleI

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Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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Address Line1320 W 8th St Suite 116AddressLine1Txt
CityBloomingtonCityNm
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ZIP47404ZIPCd
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Recipient EIN351720795RecipientEIN
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Cash Grant$471,925CashGrantAmt
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
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Supplemental Information Detail SupplementalInformationDetail

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Form And Line ReferenceSch. I, Part I, Line 2 - Org.'s Proced. for Monit. the Use of Grant FundsFormAndLineReferenceDesc
ExplanationAlthough IU Health Bloomington 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

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 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
JAMES J LAUGHLIN MD
DIRECTOR$359,608$0$56,141$0$6,858$0$18,075$0$0$0$440,682$0$0$0
MATTHEW D BAILEY
FORMER OFFICER$0$0$0$0$0$290,903$0$0$0$0$0$290,903$0$290,903
MICHAEL L CRAIG
VP & CFO$0$239,653$0$35,745$0$2,274$0$18,084$0$17,004$0$312,760$0$0
KENNETH E MARSHALL MD
FORMER KEY EMPLOYEE$199,232$0$5,586$0$3,350$0$12,658$0$34,239$0$255,065$0$0$0
BRIAN T SHOCKNEY
Director/President$0$468,991$0$159,543$0$34,201$0$99,076$0$26,918$0$788,729$0$0
LARRY R BAILEY
Former Key Employee$237,104$0$31,407$0$4,776$0$17,845$0$16,727$0$307,859$0$0$0
WENDY S HERNANDEZ
FORMER KEY EMPLOYEE$181,645$6,416$30,402$1,074$909$32$12,701$449$22,119$781$247,776$8,752$0$0
David L Beachy DO
Director$232,102$0$26,938$0$6,858$0$17,422$0$16,960$0$300,280$0$0$0
Hojjat M Shamloo MD
Director$425,705$0$204,132$0$21,322$0$18,075$0$31,405$0$700,639$0$0$0
John S Strobel MD
Director$579,375$0$59,345$0$79,247$0$18,075$0$25,343$0$761,385$0$0$0
Daniel A Handel MD
VP & CMO$448,902$0$40,012$0$19,540$0$18,075$0$29,679$0$556,208$0$0$0
Cynthia Herrington
VP & CNO$183,513$0$23,552$0$12,521$0$10,519$0$18,887$0$248,992$0$0$0
Derek B Fields
FORMER KEY EMPLOYEE$173,295$0$20,505$0$5,112$0$8,144$0$17,815$0$224,871$0$0$0
Blake A Dye
Director$0$525,258$0$0$0$9,594$0$11,200$0$21,558$0$567,610$0$0
Alan W Biggs
COO$250,466$0$500$0$621$0$10,287$0$21,095$0$282,969$0$0$0
Bret J Spier MD
Physician$451,189$0$413,619$0$19,510$0$11,200$0$28,583$0$924,101$0$0$0
Fred Y Wu MD
Physician$499,400$0$319,792$0$0$0$11,200$0$1,649$0$832,041$0$0$0
David J Licini MD
Physician$604,865$0$211,969$0$540$0$11,200$0$820$0$829,394$0$0$0
Timothy MSteiner MD
Physician$678,555$0$68,530$0$18,310$0$11,200$0$27,637$0$804,232$0$0$0
Jonathan W Surdam MD
Physician$666,815$0$62,309$0$17,310$0$13,352$0$26,865$0$786,651$0$0$0
Bruce R Wade
VP Human Resources (SCR)$0$175,440$0$24,161$0$20,366$0$8,403$0$29,235$0$257,605$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a - Listed BenefitsTax gross-ups were provided to one director and one director/officer listed on IU Health's 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's Bloomington's Regional President is employed by IU Health. IU Health, IU Health Bloomington 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 - SeveranceMatthew D. Bailey entered into a severance agreement with IU Health during 2018. Severance of $290,903 that was received during 2019 is included in column B(III), other reportable compensation. Deferred severance of $308,429 was disclosed in 2018 in column C, retirement and other deferred compensation.
Schedule J, Part I, Line 4b - Supplemental Nonqualified Retirement PlanBrian T. Shockney participates 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. Brian T. Shockney has an amount included in column c, deferred compensation, representing the current year unvested contributions made under the supplemental retirement plan. No amounts were actually paid to this executive during the year.
Schedule J, Part I, Line 7 - Non-Fixed PaymentsAmounts disclosed in Column B(ii) include incentives for certain executives. As part of IU Health Bloomington's executive compensation plan, annual goals are set for each member of the senior leadership group with each members' annual incentive determined upon the degree of successful completion of his or her set goals. Any incentive payouts are made in the form of a lump sum payment and do not affect the executive's base pay. Alternatively, the executive may elect to defer any or all of the incentive compensation through IU Health Bloomington's 457(f) plan, subject to any plan restrictions. Any incentive amounts for the President must receive approval from the Compensation Committee. All other incentive amounts must receive approval from the President and the Compensation Committee.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI, Section A, Line 2 - Family or Business RelationshipsCertain officers, directors or key employees of Indiana University Health Bloomington, Inc. 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: Indiana University Southern Indiana Physicians, Inc. Type of Relationship: Business Director or Officer: Brian T. Shockney, Joyce B. Poling and Michael L. Craig The above related for-profit organization board was dissolved on March 7, 2019 prior to the entity's conversion to a single-member LLC on June 30, 2019. Part VII, Section B, Attach 2 - Comp of five highest paid ind. con FA Wilhelm Construction Company, Inc. 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 $80,407,819 being reported includes both goods and services paid.
Part VI, Section A, Lines 6, 7a and 7b Members or StockholdersLine 6: The sole member of IU Health Bloomington is IU Health, a 501(c)(3) tax-exempt organization. Line 7A: The Board of Directors shall consist of thirteen (13) members. To be eligible for Board membership, a Director candidate shall satisfy the selection criteria and personal characteristics as may be established by IU Health from time to time. It is preferred that at least three (3) of the Directors are physician members, but it is not required. The composition of the Board of Directors shall be consistent with the following criteria: i. Two (2) members shall be representatives of Indiana University Health Bedford, Inc.; ii. Two (2) members shall be representatives of Indiana University Health Paoli, Inc.; iii. Two (2) members shall be representatives of Indiana University Health Morgan, Inc.; iv. Five (5) members shall be representatives of Indiana University Health Bloomington, Inc.; and v. Two (2) members shall be the President of the IU Health South Central Region and an IU Health executive leadership representative. Line 7B: The following matters require the approval of IU Health, as the Member, before becoming effective: (a) Authorize the establishment or acquisition of any subsidiaries, affiliates or joint venture arrangements or acquisitions of all or substantially all of the assets of any other business or entity; (b) Recommend and ratify or amend and operating and capital budgets of the Corporation; (c) Authorize any unbudgeted operating or capital budget items or deviations, including any issuance or guarantee of any unbudgeted debt, greater than the budgeted amount of $100,000 for any individual item or $300,000 per fiscal year in the aggregate; (d) Authorize the incurrence of debt by the Corporation in accordance with policies and procedures issued by IU Health, including to serve as a guarantor, surety or co-obligor; (e) Authorize any merger, consolidation, reorganization, sale or transfer of all or substantially all of the Corporation's assets or a subsidiary organization of the Corporation; (f) Authorize any voluntary declaration of bankruptcy, plan of dissolution, any liquidating distribution of assets or other action related to the dissolution or liquidation of the Corporation or a subsidiary organization of the Corporation; (g) Approve any management agreement for the management of all or a substantial part of the Corporation's operations; (h) Approve, upon recommendation of the Nominating Committee, the members of the Board of Directors of the Corporation; (i) Recommend and ratify any strategic plans and amendments thereto, which will be aligned with IU Health; (j) Approve any action to terminate acute care services or close the hospital operated by the Corporation (the "Hospital"); and (k) Approve any amendments to the Articles of Incorporation and Bylaws of the Corporation or a subsidiary organization of the Corporation.
Part VI, Section B, Line 11b Review of Form 990The VP & 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 PoliciesIU Health Bloomington is part of the IU Health system. As the sole member and controlling parent of IU Health Bloomington, IU Health and its Board of Directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health Bloomington'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 PolicyIU Health Bloomington 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 CompThe President of IU Health Bloomington, who is also the Regional President, is employed by IU Health. IU Health's process for determining compensation is as follows: (1) The Board of Directors ("Board") has established a Talent Management and Executive Compensation Committee ("TMECC"), the purpose of which includes reviewing and making recommendations regarding executive (Senior Vice Presidents and above) pay and benefits (collectively referred to as "compensation") on an annual basis. The TMECC is made up of members of the Board that are neither physicians nor employees and do not otherwise have a conflict of interest regarding any of IU Health's compensation arrangements. The TMECC reviews an executive's entire compensation package including base salary, short-term and long-term incentives, health and welfare benefits, qualified and nonqualified retirement plans, as well as any additional fringe benefits. As deemed appropriate, the Committee on Finance, which is also made up of members of the Board, may also review executive compensation and benefits. (2) The TMECC engages an independent compensation consulting firm on an annual basis to conduct a compensation analysis for its executive group, which consists of employees at the level of senior vice president and above. The current compensation advisor is 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, IU Health Bloomington and other related entities have a process in place to determine the compensation for the 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 DisclosureIU Health Bloomington's Articles of Incorporation are available for public inspection through the Indiana Secretary of State's website. IU Health Bloomington's conflict of interest procedures are described on Form 990, Schedule O. IU Health Bloomington 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 Bloomington's Form 990.
Schedule O, Part VII, Section B, Attachment 2 - Comp. of the Five HighestFA Wilhelm Construction Company, Inc. 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 $80,407,819 being reported includes both goods and services paid.
Part XI, Line 9 - Other Changes in Net Assets or Fund BalancesDuring 2019, IU Health Bloomington recorded the following other changes in net assets or fund balances: Additional Paid in Capital to IU Health SIP, Inc. (01/01/2019 - 06/30/2019) - $(39,079,255) Net Assets Transferred on 07/01/2019 from IU Health SIP, LLC - $11,135,715 I/C Equity Transfer (Settlement of Debt) - $(7,860) Equity Transfer (Settlement of Debt) - HealthLinc, Inc. - $(2,842) Transfer SIP interest from related parties to IUH Bloomington - $300 Total - $(27,953,941)
FORM 990 PART IX LINE 11GDESCRIPTION:PROF. FEES/SHARED SERVICES TOTAL FEES:XXX-XX-XXXX

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Bloomington Endoscopy Center LLC
950 N Meridian St Ste 800IndianapolisIN46204352117943HealthcareIN$3,801,280$6,241,999IUHB
IU Health Southern Indiana Physicians L
950 N Meridian St Ste 800IndianapolisIN46204351913875HealthcareIN$64,869,383$55,047,911IUHB
Orthopedics of South Central Indiana LL
950 N Meridian St Ste 800IndianapolisIN46204753089189HealthcareIN-$2,687,442$1,132,240IUHSIP
IU Health Bedford Physicians LLC
950 N Meridian St Ste 800IndianapolisIN46204461036643HealthcareIN-$5,005,539$2,576,889IUHSIP
IU Health Morgan Physicians LLC
950 N Meridian St Ste 800IndianapolisIN46204461509294HealthcareIN-$1,523,809$1,060,165IUHSIP
Southern Indiana Pediatrics LLC
950 N Meridian St Ste 800IndianapolisIN46204351948555HealthcareIN-$8,878,816$6,289,944IUHSIP

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Clarian Transplant Institute Inc
950 N Meridian St Ste 800IndianapolisIN46204134350599HealthcareIN501(c)(3)10IUHYes (true)
Indiana University Health Inc
950 N Meridian St Ste 300IndianapolisIN46204351955872HealthcareIN501(c)(3)3NAfalse
IU Health Arnett Inc
950 N Meridian St Ste 300IndianapolisIN46204263162145HealthcareIN501(c)(3)3IUHYes (true)
IU Health Ball Memorial Hospital Inc
950 N Meridian St Ste 300IndianapolisIN46204350867958HealthcareIN501(c)(3)3IUHYes (true)
IU Health Ball Memorial Physicians Inc
950 N Meridian St Ste 300IndianapolisIN46204351925641HealthcareIN501(c)(3)10IUHBMHYes (true)
IU Health Bedford Inc
950 N Meridian St Ste 300IndianapolisIN46204237042323HealthcareIN501(c)(3)3IUHYes (true)
IU Health Blackford Hospital Inc
950 N Meridian St Ste 300IndianapolisIN46204010646166HealthcareIN501(c)(3)3IUHBMHYes (true)
IU Health BMH Foundation Inc
950 N Meridian St Ste 800IndianapolisIN46204311111784FundraisingIN501(c)(3)12 IIUHBMHYes (true)
IU Health Care Associates Inc
950 N Meridian St Ste 300IndianapolisIN46204351747218HealthcareIN501(c)(3)10IUHYes (true)
IU Health Frankfort Inc
950 N Meridian St Ste 300IndianapolisIN46204815174295HealthcareIN501(c)(3)3IUHYes (true)
IU Health Jay Inc
950 N Meridian St Ste 300IndianapolisIN46204822736786HealthcareIN501(c)(3)3IUHYes (true)
IU Health Morgan Inc
950 N Meridian St Ste 800IndianapolisIN46204273533027HealthcareIN501(c)(3)10IUHYes (true)
IU Health North Hospital Inc
950 N Meridian St Ste 300IndianapolisIN46204351932442HealthcareIN501(c)(3)3IUHYes (true)
IU Health Paoli Inc
950 N Meridian St Ste 300IndianapolisIN46204352090919HealthcareIN501(c)(3)3IUHBYes (true)
IU Health Plans NFP Inc
950 N Meridian St Ste 800IndianapolisIN46204463803873InsuranceIN501(c)(4)N/AIUHYes (true)
IU Health Tipton Hospital Inc
950 N Meridian St Ste 300IndianapolisIN46204262772226HealthcareIN501(c)(3)3IUHYes (true)
IU Health West Hospital Inc
950 N Meridian St Ste 300IndianapolisIN46204351814660HealthcareIN501(c)(3)3IUHYes (true)
IU Health White Memorial Hospital Inc
950 N Meridian St Ste 300IndianapolisIN46204273532963HealthcareIN501(c)(3)3IUHYes (true)
IUHLP Liquidation Inc
950 N Meridian St Ste 800IndianapolisIN46204351125434HealthcareIN501(c)(3)10IUHYes (true)
IUHLP-P Liquidation Inc
950 N Meridian St Ste 800IndianapolisIN46204311070868HealthcareIN501(c)(3)10IUHLPYes (true)
MDwise Marketplace Inc
950 N Meridian St Ste 800IndianapolisIN46204465270582InsuranceIN501(c)(4)N/AIUHYes (true)
MDwise Network Inc
950 N Meridian St Ste 800IndianapolisIN46204472619552InsuranceIN501(c)(4)N/AIUHYes (true)
Indiana University Health Foundation Inc
1633 N Capitol Ave Ste 1200IndianapolisIN46202356043086FundraisingIN501(c)(3)12 IIUHYes (true)
Methodist Health Group Inc
950 N Meridian St Ste 800IndianapolisIN46204350876390HealthcareIN501(c)(3)12 III-FINAfalse
Methodist Occup Health Centers Inc
950 N Meridian St Ste 300IndianapolisIN46204351844176HealthcareIN501(c)(3)3IUHYes (true)
Riley Cheer Guild Inc
705 Riley Hospital DrIndianapolisIN46202356018517FundraisingIN501(c)(3)12 III-FINAfalse
University Family Physicians Inc
950 N Meridian St Ste 800IndianapolisIN46204237427350HealthcareIN501(c)(3)10IUHCAYes (true)
IU Medical Group Foundation Inc
340 W 10th St No FS5100IndianapolisIN46202201093251FundraisingIN501(c)(3)12 IINAfalse
Indiana Health Info Exchange Inc
846 N Senate AveIndianapolisIN46202364550324HealthcareIN501(c)(3)12 INAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDirect Controlling NADirectControllingNACd
BOSC LLC
569 Brookwood Village Ste 901BirminghamAL35244270275794HealthcareINNA
BSC LLC
569 Brookwood Village Ste 901BirminghamAL35244352072586HealthcareINNA
BOSC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204454147343HealthcareINNA
BSC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204452314634HealthcareINNA
CHV Fund I LLC
950 N Meridian St Ste 800IndianapolisIN46204262523206Venture CapitalINNA
CHV Fund II Mgt LLC
950 N Meridian St Ste 800IndianapolisIN46204371717823Venture CapitalINNA
CHV Fund II LLC
950 N Meridian St Ste 800IndianapolisIN46204800902337Venture CapitalINNA
CHV Fund Mgmt LLC
950 N Meridian St Ste 800IndianapolisIN46204262523151Venture CapitalINNA
IEC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204454148032HealthcareINNA
IN Endo Centers LLC
569 Brookwood Village Ste 901BirminghamAL35244208398421HealthcareINNA
ROC Surgery LLC
569 Brookwood Village Ste 901BirminghamAL35244271497960HealthcareINNA
ROCS Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204454148369HealthcareINNA
Sen St Surg Ctr LLC
569 Brookwood Village Ste 901BirminghamAL35244421709357HealthcareINNA
SSSC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204454148167HealthcareINIUH
Health Vntr Mgt LLC
950 N MERIDIAN ST STE 800IndianapolisIN46204205740218ManagementINNA
Egl Hld Sur Ctr LLC
569 Brookwood Village Ste 901BirminghamAL35244352259204HealthcareINNA
EHSC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204454147879HealthcareINNA
EWASC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204473087761HealthcareINNA
IUH EWA Sur Ctr LLC
569 Brookwood Village Ste 901BirminghamAL35244473102482HealthcareINNA
IUH Sax Sur Ctr LLC
569 Brookwood Village Ste 901BirminghamAL35244275271091HealthcareINNA
SSC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204464472887HealthcareINN/A
IUH FORT WAYNE LLC
950 N Meridian St Ste 800IndianapolisIN46204831224627HealthcareINNA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdForeign PostalForeignAddress/ForeignPostalCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
BMH Medical Pavilion Association Inc
2525 W University AveMuncieIN47303351858408Condo MgmtINNACYes (true)
CHV Capital Inc
950 N Meridian St Ste 800IndianapolisIN46204260752507Venture CapitalINNACYes (true)
IU Health 457(B) Plan
1100 N Market StWilmingtonDE19890476948347InvestmentsINNATYes (true)
IU Health ACO Inc
950 N Meridian St Ste 800IndianapolisIN46204454421020HealthcareINNACYes (true)
IU Health Board Designated Trust
400 Howard StSan FranciscoCA94105306309021InvestmentsINNATYes (true)
IU Health NTGI S&P500 Fund CF
PO Box 804358ChicagoIL60680306298263InvestmentsINNATYes (true)
IU Health Plans Holding Company Inc
950 N Meridian St Ste 800IndianapolisIN46204463794815InsuranceINNACYes (true)
IU Health Plans Inc
950 N Meridian St Ste 800IndianapolisIN46204262127080HMOINNACYes (true)
IU Health Risk Purchasing Group Inc
151 Meeting St Ste 301CharlestonSC29401260202446InsuranceINNACYes (true)
IU Health Risk Retention Group Inc
151 Meeting St Ste 301CharlestonSC29401201107674InsuranceSCNACYes (true)
IUH Assurance SPC Ltd
980395429InsuranceNACYes (true)PO BOX 69 94 SOLARIS AVECAMANA BAYGRAND CAYMANCJCJ
Proteuo Fund LP
981075227InvestmentsNACYes (true)PO BOX 31106 89 NEXUS WAYCAMANA BAYGRAND CAYMANCJCJ
SCANS Inc
950 N Meridian St Ste 800IndianapolisIN46204453080392HealthcareINNACYes (true)
IU Health Plans Insurance Company
950 N Meridian St Ste 800IndianapolisIN46204811097215InsuranceINNACYes (true)
Cardinal Health Ventures Inc
950 N Meridian St Ste 800IndianapolisIN46204351611424ManagementINNACYes (true)
Cerberus Residential Opportunity Institu
999999999InvestmentsNACYes (true)190 Elgin Avenue George TownGrand CaymanN/ACJCJN/A
IU Health Southern IN Physicians Inc
950 N Meridian St Ste 300IndianapolisIN46204351913875HealthcareINIUHBCYes (true)$67,253,427$01.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
IU HEALTH BEDFORD INC
L$5,762,514FMV
IU HEALTH PAOLI INC
L$2,755,870FMV
IU HEALTH PAOLI INC
O$134,979FMV
IU HEATLH RISK RETENTION GROUP INC
R$948,958FMV
IUH ASSURANCE SPC LTD
R$848,648FMV
IU HEALTH CARE ASSOCIATES INC
O$376,619FMV
IU HEALTH BEDFORD INC
O$63,888FMV
IU HEALTH BEDFORD INC
K$461,180FMV
IU HEALTH CARE ASSOCIATES INC
M$55,072FMV
IU HEALTH PAOLI INC
O$58,310FMV