STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

INDIANA HEALTH INFORMATION EXCHANGE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
INDIANA HEALTH INFORMATION EXCHANGE INC (EIN 36-4550324)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201903189349306185
Schema version
2018v3.1
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)
Return2019-11-14T12:22:00-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN352123203PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 40857AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462400857ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364550324EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN KANSKYPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone3176441720PhoneNum
Signature2019-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCASSE TATEPreparerPersonNm
PTINP01271193PTIN
Phone3175802000PhoneNum
Preparation2019-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.132.79.18IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-12IPDt
IP Tm11:28:58IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1FAB84C74029BE1BFF4F6B9DD48A2E7C6F814C9AAtSubmissionCreationDeviceId
At Submission Filing Device Id8742F3985EA151063956B046DE4E005049B9C75CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN KANSKYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1846 N SENATE AVENUE NO 300AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,876,242GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IHIE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionOUR MISSION IS TO USE INFORMATION TECHNOLOGY AND SHARED CLINICAL INFORMATION TO: - IMPROVE THE QUALITY, SAFETY, AND EFFICIENCY OF HEALTH CARE - CREATE UNPARALLELED RESEARCH CAPABILITIES FOR HEALTH RESEARCHERS- EXHIBIT A SUCCESSFUL MODEL OF HEALTH INFORMATION EXCHANGE FOR THE REST OF THE COUNTRYActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee91TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$36,000PYContributionsGrantsAmt
CY Contributions Grants$102,414CYContributionsGrantsAmt
PY Program Service Revenue$11,765,568PYProgramServiceRevenueAmt
CY Program Service Revenue$12,699,832CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$73,996CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,801,568PYTotalRevenueAmt
CY Total Revenue$12,876,242CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,158,920PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,941,613CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,617,378PYOtherExpensesAmt
CY Other Expenses$5,829,242CYOtherExpensesAmt
PY Total Expenses$11,776,298PYTotalExpensesAmt
CY Total Expenses$13,770,855CYTotalExpensesAmt
PY Revenues Less Expenses$25,270PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$894,613CYRevenuesLessExpensesAmt
Total Assets BOY$8,119,659TotalAssetsBOYAmt
Total Assets EOY$7,103,580TotalAssetsEOYAmt
Total Liabilities BOY$3,405,103TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,283,637TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,714,556NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,819,943NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR MISSION IS TO USE INFORMATION TECHNOLOGY AND SHARED CLINICAL INFORMATION TO: - IMPROVE THE QUALITY, SAFETY, AND EFFICIENCY OF HEALTH CARE - CREATE UNPARALLELED RESEARCH CAPABILITIES FOR HEALTH RESEARCHERS- EXHIBIT A SUCCESSFUL MODEL OF HEALTH INFORMATION EXCHANGE FOR THE REST OF THE COUNTRYMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,492,990ExpenseAmt
DescRESULTS DELIVERY AND INPC ACCESS - PROVIDE PATIENTS ELECTRONIC MEDICAL INFORMATION AND TEST RESULTS TO INDIANA HOSPITALS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,910,922ExpenseAmt
DescPOPULATION HEALTH PATIENT ACCESS - TO PROVIDE NOTIFICATION AND MEASUREMENT OF TREATMENT OF PATIENTS - GOAL IS TO IMPROVE HEALTH CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$212,325ExpenseAmt
DescMEANINGFUL USE SUPPORT - TO PROVIDE MEANINGFUL USE SERVICES AND PRODUCTS TO INDIANA HOSPITALS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$10,616,237TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee91EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DENNIS MURPHY
CHAIRMAN2.00Yes (X)Yes (X)$0$2,337,137$335,025
DAVID JOHNSON
SECRETARY2.00Yes (X)Yes (X)$0$614,182$78,403
VIRGINIA CAINE
DIRECTOR2.00Yes (X)$0$305,780$5,842
DAVID COOK
DIRECTOR2.00Yes (X)$0$0$0
JOHN ELLIS
DIRECTOR2.00Yes (X)$0$0$0
MATTHEW GUTWEIN
DIRECTOR2.00Yes (X)$0$404,218$41,066
NED LAMKIN
DIRECTOR2.00Yes (X)$0$0$0
BRYAN MILLS
DIRECTOR2.00Yes (X)$0$1,396,682$689,755
JAY HESS
DIRECTOR2.00Yes (X)$0$1,441,239$167,742
JONATHAN NALLI
TREASURER2.00Yes (X)Yes (X)$0$1,323,620$46,045
PARDEEP KUMAR
DIRECTOR2.00Yes (X)$0$0$0
BRIAN TABOR
DIRECTOR2.00Yes (X)$0$573,931$94,236
KRISTINA BOX
DIRECTOR2.00Yes (X)$0$218,119$0
JIM CALLAGHAN
DIRECTOR2.00Yes (X)$0$1,095,078$71,783
PETER EMBI
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$638,888$30,500
CRAIG SAMITT
DIRECTOR2.00Yes (X)$0$0$0
PRAKASH PATEL
DIRECTOR2.00Yes (X)$0$0$0
JOHN KANSKY
PRESIDENT & CEO40.00Yes (X)$259,682$0$23,768
KEITH KELLEY
CHIEF OPERATING OFFICER40.00$207,734$0$23,563Yes (X)
CHARLES CHRISTIAN
VP, TECHNOLOGY & ENGAGEMEN40.00$173,182$0$23,184Yes (X)
VALITA FREDLAND
FORMER VP, GENERAL COUNSEL AND PR40.00$153,246$0$7,109Yes (X)
BRIAN LAWSON
VP, SOLUTIONS ENGINEERING40.00$148,496$0$17,981Yes (X)
SANDRA BECK
DIRECTOR OF CONTINUOUS IMP40.00$126,346$0$16,520Yes (X)
JAIRO BALLESTEROS
SOLUTION ENGINEERING DIRECTOR40.00$123,860$0$7,505Yes (X)
CHERIE ANN EPLION
BUSINESS DEVELOPMENT DIRECTOR40.00$119,120$0$2,549Yes (X)
LAURA E DANIELSON
VP, BUSINESS DEVELOPMENT40.00$118,963$0$8,183Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,430,629TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$10,348,874TotReportableCompRltdOrgAmt
Total Other Compensation$1,690,759TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
IBM CORPORATION
1 NEW ORCHARD RDARMONKNY10504DATA CENTER SERVICES$1,631,822
REGENSTRIEF INSTITUTE
410 WEST 10TH STREET STE 2000INDIANAPOLISIN46202HEALTH INFORMATION TECHNOLOGY CONSULTING$745,751
AT&T
PO BOX 5019CAROL STREAMIL60197TECHNOLOGY COMMUNICATION$279,894
ENVISTA LLC
PO BOX 7047 GROUP QINDIANAPOLISIN46207DATA CENTER SERVICES$262,830
DIAMETER HEALTH INC
10 EXECUTIVE DRIVEFARMINGTONCT06032TECHNOLOGY SOFTWARE LICENSE$262,688
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Government Grants$102,414GovernmentGrantsAmt
Total Contributions$102,414TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLINICAL MESSAGING519100$10,146,124$10,146,124
PROGRAM REVENUE519100$2,553,708$2,553,708
FieldValueIRS element (for citing)
Total Program Service Revenue$12,699,832TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,996TotalRevenueColumnAmt
Exclusion$73,996ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,876,242TotalRevenueColumnAmt
Related Or Exempt Func Income$12,699,832RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$73,996ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$871,468TotalAmt
Program Services$588,018ProgramServicesAmt
Management And General$283,450ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,769,655TotalAmt
Program Services$4,610,766ProgramServicesAmt
Management And General$1,158,889ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$784,521TotalAmt
Program Services$637,053ProgramServicesAmt
Management And General$147,468ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$515,969TotalAmt
Program Services$419,311ProgramServicesAmt
Management And General$96,658ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$29,593TotalAmt
Management And General$29,593ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$191,847TotalAmt
Management And General$191,847ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$36,000TotalAmt
Management And General$36,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,376TotalAmt
Management And General$2,376ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$49,144TotalAmt
Management And General$49,144ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$49,199TotalAmt
Management And General$49,199ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,273,326TotalAmt
Program Services$983,954ProgramServicesAmt
Management And General$289,372ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$214,603TotalAmt
Management And General$214,603ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$121,649TotalAmt
Management And General$121,649ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,298TotalAmt
Management And General$2,298ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$71,092TotalAmt
Management And General$71,092ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$62,206TotalAmt
Management And General$62,206ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT LABOR$3,377,135$3,377,135
TRAINING & RECRUITING$141,623$141,623
DUES & SUBSCRIPTIONS$63,075$63,075
TELEPHONE$53,939$53,939

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$90,137TotalAmt
Management And General$90,137ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,770,855TotalAmt
Program Services$10,616,237ProgramServicesAmt
Management And General$3,154,618ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,543,640BOYAmt
EOY$859,994EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,015,683BOYAmt
EOY$3,030,971EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$984,919BOYAmt
EOY$191,255EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$966,826BOYAmt
EOY$2,485,657EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$394,463BOYAmt
EOY$421,472EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,046,394LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,950,705LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$144,739BOYAmt
EOY$95,689EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,884BOYAmt
EOY$2,036EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$66,505BOYAmt
EOY$16,506EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,119,659BOYAmt
EOY$7,103,580EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$784,615BOYAmt
EOY$865,473EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,620,488BOYAmt
EOY$2,418,164EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,405,103BOYAmt
EOY$3,283,637EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,729,637BOYAmt
EOY$3,319,943EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$984,919BOYAmt
EOY$500,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,714,556BOYAmt
EOY$3,819,943EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,119,659BOYAmt
EOY$7,103,580EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$894,613ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformationGrp (12 entries)

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

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

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

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$36,000DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$36,000TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$160,399OtherCostOrOtherBasisAmt
Depreciation$97,535DepreciationAmt
Book Value$62,864BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,885,995OtherCostOrOtherBasisAmt
Depreciation$1,853,170DepreciationAmt
Book Value$32,825BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$95,689TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$12,876,242TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$12,876,242RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$12,876,242TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,770,855TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,770,855ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,770,855TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationIHIE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC), THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE IRC. IN ADDITION, IHIE HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE IRC. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017. IHIE FILES U.S. FEDERAL AND STATE OF INDIANA INFORMATION RETURNS. IHIE IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2015.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DENNIS MURPHY
CHAIRMAN$0$1,466,991$0$839,573$0$30,573$0$311,270$0$23,755$0$2,672,162$0$0
DAVID JOHNSON
SECRETARY$0$498,420$0$115,000$0$762$0$24,300$0$54,103$0$692,585$0$0
VIRGINIA CAINE
DIRECTOR$0$305,780$0$0$0$0$0$0$0$5,842$0$311,622$0$0
MATTHEW GUTWEIN
DIRECTOR$0$404,218$0$0$0$0$0$23,524$0$17,542$0$445,284$0$0
BRYAN MILLS
DIRECTOR$0$1,128,978$0$247,500$0$20,204$0$655,048$0$34,707$0$2,086,437$0$0
JAY HESS
DIRECTOR$0$545,985$0$895,254$0$0$0$155,684$0$12,058$0$1,608,981$0$0
JONATHAN NALLI
TREASURER$0$873,298$0$310,979$0$139,343$0$15,125$0$30,920$0$1,369,665$0$0
BRIAN TABOR
DIRECTOR$0$573,931$0$0$0$0$0$86,618$0$7,618$0$668,167$0$0
KRISTINA BOX
DIRECTOR$0$218,119$0$0$0$0$0$0$0$0$0$218,119$0$0
JIM CALLAGHAN
DIRECTOR$0$734,700$0$0$0$360,378$0$43,000$0$28,783$0$1,166,861$0$0
PETER EMBI
VICE CHAIRMAN$0$585,824$0$37,000$0$16,064$0$27,500$0$3,000$0$669,388$0$0
JOHN KANSKY
PRESIDENT & CEO$201,182$0$58,500$0$0$0$9,601$0$14,167$0$283,450$0$0$0
KEITH KELLEY
CHIEF OPERATING OFFICER$188,373$0$19,361$0$0$0$9,396$0$14,167$0$231,297$0$0$0
CHARLES CHRISTIAN
VP, TECHNOLOGY & ENGAGEMEN$164,345$0$8,837$0$0$0$7,661$0$15,523$0$196,366$0$0$0
VALITA FREDLAND
FORMER VP, GENERAL COUNSEL AND PR$145,535$0$7,711$0$0$0$7,085$0$24$0$160,355$0$0$0
BRIAN LAWSON
VP, SOLUTIONS ENGINEERING$146,496$0$2,000$0$0$0$6,766$0$11,215$0$166,477$0$0$0

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

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

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

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

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INDIANA UNIVERSITY HEALTH
L$2,788,916FMV
FRANCISCAN ALLIANCE
L$1,880,982FMV
ST VINCENT HOSPITAL & HEALTH CARE CENTER INC
L$1,876,516FMV
HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY DBA ESKENAZI HEALTH
L$358,832FMV
COMMUNITY HOSPITAL OF INDIANA INC
L$999,183FMV
CENTRAL INDIANA CORPORATE PARTNERSHIP INC
L$0FMV
INDIANA STATE MEDICAL ASSOCIATION
L$0FMV
THE INDIANAPOLIS MEDICAL SOCIETY INC
L$0FMV
MARION COUNTY HEALTH DEPARTMENT
L$138,700FMV
INDIANA STATE DEPARTMENT OF HEALTH
L$0FMV
INDIANA UNIVERSITY
L$0FMV
INDIANA HOSPITAL ASSOCIATION INC
L$0FMV