INDIANA UNIVERSITY HEALTH ARNETT INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: INDIANA UNIVERSITY HEALTH ARNETT INC (EIN 26-3162145)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201923189349314362
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T17:55:05-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE SUITE 4000	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	263162145	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA UNIVERSITY HEALTH ARNETT INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% CRAIG J JONES	InCareOfNm
Business Name Control	INDI	BusinessNameControlTxt
Phone	3179634842	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	950 N MERIDIAN STREET Suite 300	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TODD A WILLIAMS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3179634842	PhoneNum
Signature	2019-11-15	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER D RHODERICK	PreparerPersonNm
PTIN	P00395735	PTIN
Phone	3176817000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	162.1.129.128	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	35198520193185000023	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	E86E71EDF6F7DFE9336F32ED7F8459C58967F52A	AtSubmissionCreationDeviceId
At Submission Filing Device Id	EDBC7A9300E18FC3AE89303A319F5354A19FC7EF	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DANIEL E NEUFELDER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	950 N MERIDIAN ST STE 300	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$493,358,781	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SEE SCHEDULE O	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2008	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	Improve the health of our patients and community through innovation and excellence in care, education, research and service.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	2646	TotalEmployeeCnt
Total Volunteers	201	TotalVolunteersCnt
Total Gross UBI	$660,280	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$145,239	PYContributionsGrantsAmt
CY Contributions Grants	$14,370	CYContributionsGrantsAmt
PY Program Service Revenue	$458,401,787	PYProgramServiceRevenueAmt
CY Program Service Revenue	$485,176,268	CYProgramServiceRevenueAmt
PY Investment Income	$611,680	PYInvestmentIncomeAmt
CY Investment Income	$3,226,930	CYInvestmentIncomeAmt
PY Other Revenue	$3,139,873	PYOtherRevenueAmt
CY Other Revenue	$2,825,770	CYOtherRevenueAmt
PY Total Revenue	$462,298,579	PYTotalRevenueAmt
CY Total Revenue	$491,243,338	CYTotalRevenueAmt
PY Grants And Similar Paid	$267,337	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$429,174	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$209,226,000	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$216,276,004	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$235,675,305	PYOtherExpensesAmt
CY Other Expenses	$247,496,476	CYOtherExpensesAmt
PY Total Expenses	$445,168,642	PYTotalExpensesAmt
CY Total Expenses	$464,201,654	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,129,937	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,041,684	CYRevenuesLessExpensesAmt
Total Assets BOY	$424,436,656	TotalAssetsBOYAmt
Total Assets EOY	$460,062,267	TotalAssetsEOYAmt
Total Liabilities BOY	$260,323,663	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$269,170,267	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$164,112,993	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$190,892,000	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY THROUGH INNOVATION AND EXCELLENCE IN CARE, EDUCATION, RESEARCH AND SERVICE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$422,494,768	ExpenseAmt
Grant	$429,174	GrantAmt
Revenue	$474,373,031	RevenueAmt
Desc	Indiana University Health Arnett, Inc. ("IU Health Arnett") is an integrated health care system that offers a comprehensive range of services to care for its patients without regard to their ability to pay. IU Health Arnett, located in Lafayette, Indiana, is a 191-bed full-service hospital that includes an adjacent outpatient surgery center. With six technologically advanced surgical suites, IU Health Arnett can accommodate complex surgeries, such as open heart, neurosurgical procedures and minimally invasive da Vinci surgery. IU Health Arnett Physicians has more than 250 employed physicians and healthcare providers with an unwavering commitment to better healthcare for the people of west central Indiana. As part of its commitment to the community, IU Health Arnett offers the following programs to benefit residents of the greater Lafayette area: - Walking Groups - Read to Succeed - Health and Safety Fair - Strong Schools - Farmers Market at 4H Fair - Car Seat Safety Checks - Day of Service - Meals on Wheels - Kindergarten Countdown Camps	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$5,152,817	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$5,785,533	RevenueAmt
Desc	Our network of pharmacies offers the convenience of one-stop shopping. We provide expert care and help patients make the best use of their medications.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,966,959	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,331,273	RevenueAmt
Desc	IU Health Arnett provides services to related tax-exempt organizations.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$1,493,270	$0	$1,676,629	INCOME (LOSS) FROM PASS-THROUGH ENTITIES
$8,730	$0	$9,802	RENT FROM RELATED 501(C)(3) ORGANIZATIONS

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,502,000	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$1,686,431	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$432,116,544	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	95	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2646	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CRAIG J JONES	PersonNm
Phone	3179634842	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	950 N MERIDIAN STREET SUITE 300	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46204	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
VICTOR L LECHTENBERG
CHAIRMAN (WCR)	5.0	4.0	Yes (X)	Yes (X)	$6,201	$0	$0
CHRISTOPHER A MANSFIELD MD
VICE CHAIR(WCR)/PHY. DIV. DIR.	51.0	4.0	Yes (X)	Yes (X)	$491,534	$0	$43,345
ROGER G BANGS MD
DIRECTOR (WCR)/PHY. DIV. DIR.	51.0	4.0	Yes (X)		$675,375	$0	$25,357
KENNETH E MARNOCHA MD
DIRECTOR (WCR)/PHY. DIV. DIR.	51.0	4.0	Yes (X)		$639,572	$0	$35,805
RUBAN NIRMALAN MD
DIRECTOR (WCR)/STAFF PHYSICIAN	51.0	4.0	Yes (X)		$758,707	$0	$43,168
DANIEL F EVANS JR
DIRECTOR (WCR) (Partial Year)	5.0	50.0	Yes (X)		$0	$269,477	$27,379
GARY D HENRIOTT
DIRECTOR (WCR)	5.0	4.0	Yes (X)		$6,750	$0	$0
RANDALL R MITCHELL
DIRECTOR (WCR)	5.0	4.0	Yes (X)		$9,750	$2,700	$0
SHAN SHERIDAN
DIRECTOR (WCR)	5.0	4.0	Yes (X)		$9,000	$0	$0
ESMERELDA CRUZ
DIRECTOR (WCR) (Partial Year)	5.0	4.0	Yes (X)		$0	$0	$0
RANDY W PRICE
DIRECTOR (WCR)	5.0	4.0	Yes (X)		$6,000	$0	$0
REV KATE L WALKER
DIRECTOR (WCR)	5.0	4.0	Yes (X)		$12,750	$0	$0
DONALD E CLAYTON MD
PRESIDENT(WCR & IUHA)(Part Yr)	35.0	20.0		Yes (X)	$136,639	$304,574	$27,856
DEREK E EMPIE
SECRETARY (WCR)	35.0	20.0		Yes (X)	$0	$226,820	$40,289
CARA L BREIDSTER
TREASURER/CFO(WCR)(Partial Yr)	35.0	20.0		Yes (X)	$0	$313,895	$36,365
Jamie S Sego
INT. CFO/TRSR(WCR)(PARTIAL YR)	35.0	20.0		Yes (X)	$0	$147,527	$32,088
TODD A WILLIAMS
CFO/TREASURER(WCR)(PARTIAL YR)	35.0	20.0		Yes (X)	$0	$149,277	$7,893
DANIEL E NEUFELDER
PRESIDENT(WCR & IUHA)(Part Yr)	35.0	20.0		Yes (X)	$0	$293,897	$81,261
JEFFREY C ZEH
COO (WCR)	35.0	20.0			$307,882	$0	$14,711	Yes (X)
JEFFREY P BROWN MD
CMO (WCR)	35.0	20.0			$201,783	$0	$23,648	Yes (X)
KYLE L ALLEN
CHIEF PRACT. OFFICER (Part Yr)	35.0	20.0			$250,575	$0	$20,074	Yes (X)
JAMES H PARSONS
CHIEF PRACT. OFFICER (Part Yr)	35.0	20.0			$161,021	$0	$36,536	Yes (X)
Brian M Weirich
CNO (WCR)	35.0	20.0			$223,927	$0	$34,306	Yes (X)
JOSEPH E HUBBARD MD
PHY. DEPT. CHAIRPERSON	55.0	0.0			$1,050,620	$0	$42,897		Yes (X)
PETER A SEYMOUR MD
PHY. DIVISION DIRECTOR	55.0	0.0			$748,501	$0	$43,342		Yes (X)
Stanton M Regan
Physician - CAH	55.0	0.0			$901,232	$0	$44,784		Yes (X)
Cheng Du
Physician - CAH	55.0	0.0			$878,293	$0	$41,013		Yes (X)
Naveed Ahmad
PHY. DEPT. CHAIRPERSON	55.0	0.0			$775,855	$0	$42,624		Yes (X)
ANDREW K EDWARDS MD
FORMER VICE CHAIR	55.0	0.0			$396,892	$0	$37,786			Yes (X)
ALFONSO W GATMAITAN
FORMER PRESIDENT	0.0	55.0			$0	$3,058,805	$1,037,833			Yes (X)
JAMES P BIEN MD
Former Key Employee	55.0	0.0			$365,405	$0	$40,822			Yes (X)
Brian T Shockney
Former Key Employee	0.0	55.0			$0	$497,381	$80,275			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,014,264	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,264,353	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,941,457	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	302	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WURSTER CONSTRUCTION CO INC
8463 Castlewood Dr 100	INDIANAPOLIS	IN	46250	CONSTRUCTION	$2,645,521
TRIMEDX LLC
5451 LAKEVIEW PKWY S DR	INDIANAPOLIS	IN	46268	CLINICAL ENGINEERING	$2,579,129
KETTELHUT CONSTRUCTION
740 SAGAMORE PARKWAY SOUTH	LAFAYETTE	IN	47905	Construction	$1,530,208
INDIANA HAND SHOULDER CENTER
8501 HARCOURT ROAD	INDIANAPOLIS	IN	46260	MEDICAL	$1,339,159
BRIGHT SHEET METAL
4212 W 71ST STREET	INDIANAPOLIS	IN	46268	CONTRACTOR	$1,302,282

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	32	CntrctRcvdGreaterThan100KCnt
Government Grants	$13,508	GovernmentGrantsAmt
All Other Contributions	$862	AllOtherContributionsAmt
Total Contributions	$14,370	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$474,373,031	$474,373,031
SHARED SERVICES	541900	$3,331,273	$3,331,273
PHARMACY	446110	$5,785,533	$5,331,576	$453,957
INCOME (LOSS) FROM PASS-THROUGH ENTITIES	900099	$1,676,629	$1,470,306	$206,323
RENT FROM RELATED 501(C)(3) ORGS.	532000	$9,802	$9,802

Field	Value	IRS element (for citing)
Total Program Service Revenue	$485,176,268	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,107,363	TotalRevenueColumnAmt
Exclusion	$3,107,363	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$337	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$337	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$337	TotalRevenueColumnAmt
Exclusion	$337	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,235,010	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,115,443	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$119,567	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$119,567	TotalRevenueColumnAmt
Exclusion	$119,567	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA/FOOD SERVICE	722320	$731,927	$731,927
GIFT SHOP	453220	$146,478	$146,478
VENDING	900099	$9,245	$9,245

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,937,783	TotalRevenueColumnAmt
Exclusion	$1,937,783	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,825,433	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$491,243,338	TotalRevenueColumnAmt
Related Or Exempt Func Income	$484,515,988	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$660,280	UnrelatedBusinessRevenueAmt
Exclusion	$6,052,700	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$429,174	TotalAmt
Program Services	$429,174	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,183,043	TotalAmt
Program Services	$4,076,686	ProgramServicesAmt
Management And General	$106,357	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$983,282	TotalAmt
Program Services	$958,281	ProgramServicesAmt
Management And General	$25,001	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$173,257,600	TotalAmt
Program Services	$168,852,381	ProgramServicesAmt
Management And General	$4,405,219	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,802,198	TotalAmt
Program Services	$8,578,395	ProgramServicesAmt
Management And General	$223,803	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,028,361	TotalAmt
Program Services	$17,569,975	ProgramServicesAmt
Management And General	$458,386	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$11,021,520	TotalAmt
Program Services	$10,741,289	ProgramServicesAmt
Management And General	$280,231	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$10,425	TotalAmt
Management And General	$10,425	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,920	TotalAmt
Program Services	$10,920	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$6,416	TotalAmt
Management And General	$6,416	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$14,304	TotalAmt
Management And General	$14,304	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$82,989,848	TotalAmt
Program Services	$71,112,278	ProgramServicesAmt
Management And General	$11,877,570	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$66,188	TotalAmt
Program Services	$66,124	ProgramServicesAmt
Management And General	$64	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,566,349	TotalAmt
Program Services	$3,187,822	ProgramServicesAmt
Management And General	$378,527	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$945,693	TotalAmt
Program Services	$941,952	ProgramServicesAmt
Management And General	$3,741	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,134,657	TotalAmt
Program Services	$12,130,948	ProgramServicesAmt
Management And General	$3,709	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$273,148	TotalAmt
Program Services	$246,272	ProgramServicesAmt
Management And General	$26,876	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$29,422	TotalAmt
Program Services	$24,015	ProgramServicesAmt
Management And General	$5,407	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$11,616,983	TotalAmt
Management And General	$11,616,983	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,872,473	TotalAmt
Program Services	$12,601,247	ProgramServicesAmt
Management And General	$271,226	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,780,711	TotalAmt
Program Services	$2,440,826	ProgramServicesAmt
Management And General	$2,339,885	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
DRUGS AND MEDICAL SUPPLIES	$73,487,844	$73,487,844
BAD DEBT	$30,982,743	$30,982,743
HOSPITAL ASSESSMENT FEE	$12,795,096	$12,795,096
INSTITUTIONAL DUES/LICENSES	$67,022	$67,022

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$846,234	TotalAmt
Program Services	$815,254	ProgramServicesAmt
Management And General	$30,980	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$464,201,654	TotalAmt
Program Services	$432,116,544	ProgramServicesAmt
Management And General	$32,085,110	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,215	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$156,206,147	BOYAmt
EOY	$181,275,193	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$58,884,059	BOYAmt
EOY	$61,964,566	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$834,574	BOYAmt
EOY	$1,016,387	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,270,768	BOYAmt
EOY	$5,150,335	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,853,679	BOYAmt
EOY	$2,955,617	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$320,219,492	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$115,351,169	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$197,802,231	BOYAmt
EOY	$204,868,323	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,563,983	BOYAmt
EOY	$2,831,846	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$424,436,656	BOYAmt
EOY	$460,062,267	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,725,295	BOYAmt
EOY	$51,896,442	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$218,598,368	BOYAmt
EOY	$217,273,825	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$260,323,663	BOYAmt
EOY	$269,170,267	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$164,112,993	BOYAmt
EOY	$190,892,000	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$164,112,993	BOYAmt
EOY	$190,892,000	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$424,436,656	BOYAmt
EOY	$460,062,267	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$27,041,684	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$262,677	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$14,304	OtherActivitiesAmt
Total Lobbying Expenditures	$14,304	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Lines 1i - Other Activities	FormAndLineReferenceDesc
Explanation	IU Health Arnett paid institutional membership dues to the American Hospital Association ("AHA"), Indiana Hospital Association ("IHA") and Greater Lafayette Commerce during 2018 in the amount of $48,885, $40,311 and $10,000, respectively. Each membership organization notified IU Health Arnett that a portion of the dues it paid were used for lobbying purposes. The AHA used 22.98%, or $11,234 of 2018 membership dues paid by IU Health Arnett, for lobbying expenditures. The IHA used 7.12%, or $2,870 of the 2018 membership dues paid by IU Health Arnett, for lobbying expenditures. Greater Lafayette Commerce used 2.00%, or $200 of 2018 membership dues paid by IU Health Arnett, for lobbying expenditures. The total membership dues paid to these organizations by IU Health Arnett during 2018 that were attributable to lobbying expenditures was $14,304.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,661,768	OtherCostOrOtherBasisAmt
Book Value	$3,661,768	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$210,721,735	OtherCostOrOtherBasisAmt
Depreciation	$47,520,005	DepreciationAmt
Book Value	$163,201,730	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,897	OtherCostOrOtherBasisAmt
Depreciation	$52,897	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$87,052,756	OtherCostOrOtherBasisAmt
Depreciation	$67,376,293	DepreciationAmt
Book Value	$19,676,463	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,730,336	OtherCostOrOtherBasisAmt
Depreciation	$401,974	DepreciationAmt
Book Value	$18,328,362	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$204,868,323	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLES (NET)	$214,585,191
DUE TO THIRD-PARTY PAYERS	$2,085,318
SELF-INSURANCE LIABILITIES	$603,316

Field	Value	IRS element (for citing)
Total Liability	$217,273,825	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 - FIN 48 (ASC 740) Footnote	FormAndLineReferenceDesc
Explanation	IU Health Arnett is a subsidiary in Indiana University Health, Inc.'s ("IU Health") 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 CATEGORIZE CERTAIN FRINGE BENEFIT EXPENSES AS A SOURCE OF UNRELATED BUSINESS INCOME SUBJECT TO TAX, 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. REGULATIONS NECESSARY TO IMPLEMENT CERTAIN ASPECTS OF TCJA ARE EXPECTED TO BE PROMULGATED BY THE IRS IN 2019. AS OF AND FOR THE YEAR ENDED DECEMBER 31, 2018, INDIANA UNIVERSITY HEALTH HAS MADE REASONABLE ESTIMATES OF THE PROVISION FOR INCOME TAXES, THE COMPENSATION EXCISE TAX, AND THE EFFECTS, IF ANY, ON EXISTING DEFERRED TAX BALANCES BASED ON ACCOUNTING GUIDANCE INCLUDED IN ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES. INDIANA UNIVERSITY HEALTH WILL CONTINUE TO REFINE ITS CALCULATIONS IN FUTURE PERIODS, AS ADDITIONAL REGULATIONS AND GUIDANCE ARE ISSUED BY THE IRS. DEFERRED INCOME TAXES, WHICH AS OF DECEMBER 31, 2018 AND 2017, 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 AMOUNT USED FOR INCOME TAX PURPOSES. AS OF DECEMBER 31, 2018 AND 2017, THE INDIANA UNIVERSITY HEALTH SYSTEM HAD GROSS DEFERRED TAX ASSETS OF $119,965,000 AND $93,794,000, RESPECTIVELY, PRIMARILY RELATING TO NET OPERATING LOSS CARRYOVERS. MANAGEMENT DETERMINED THAT A FULL VALUATION ALLOWANCE AT BOTH DECEMBER 31, 2018 AND 2017 WAS NECESSARY TO REDUCE THE DEFERRED TAX ASSETS TO THE AMOUNT THAT WOULD MORE LIKELY THAN NOT BE REALIZED. ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, REQUIRES A VALUATION ALLOWANCE TO REDUCE THE DEFERRED TAX ASSETS REPORTED IF, BASED ON THE WEIGHT OF THE EVIDENCE, IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. THE CHANGE IN VALUATION ALLOWANCE FOR THE CURRENT YEAR IS $26,171,000. AT DECEMBER 31, 2018, THE INDIANA UNIVERSITY HEALTH SYSTEM HAS AVAILABLE NET OPERATING LOSS CARRYFORWARDS OF $482,349,000. NET OPERATING LOSSES GENERATED FROM 1999 THROUGH 2017 WILL EXPIRE BETWEEN 2019 AND 2037. NET OPERATING LOSSES GENERATED DURING 2018 DO NOT EXPIRE. CERTAIN SUBSIDIARIES OF IU HEALTH ARE TAXABLE ENTITIES. THE TAX EXPENSE AND LIABILITIES OF THESE SUBSIDIARIES ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	3827	PersonsServedCnt
Total Community Benefit Expns	$7,498,225	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,498,225	NetCommunityBenefitExpnsAmt
Total Expense	0.01730	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	6007	PersonsServedCnt
Total Community Benefit Expns	$67,637,404	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,390,564	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,246,840	NetCommunityBenefitExpnsAmt
Total Expense	0.04900	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	9834	PersonsServedCnt
Total Community Benefit Expns	$75,135,629	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,390,564	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,745,065	NetCommunityBenefitExpnsAmt
Total Expense	0.06630	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	15054	PersonsServedCnt
Total Community Benefit Expns	$4,077,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,991,685	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	464	PersonsServedCnt
Total Community Benefit Expns	$1,526,616	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$612,613	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$914,003	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	34	PersonsServedCnt
Total Community Benefit Expns	$227,859	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$227,859	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	200	PersonsServedCnt
Total Community Benefit Expns	$633,033	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$94,904	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$538,129	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	15752	PersonsServedCnt
Total Community Benefit Expns	$6,464,974	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$793,298	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,671,676	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	25586	PersonsServedCnt
Total Community Benefit Expns	$81,600,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,183,862	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,416,741	NetCommunityBenefitExpnsAmt
Total Expense	0.07930	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,702	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,702	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,702	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,702	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,510,959	BadDebtExpenseAmt
Reimbursed By Medicare	$73,016,650	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$89,175,518	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$16,158,868	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	IU HEALTH ARNETT HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5165 MCCARTY LANE	AddressLine1Txt
City	LAFAYETTE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47905	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SEE PART V, SECTION C	WebsiteAddressTxt
State License	19-011506-1	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	IU HEALTH ARNETT HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section A, Line 1 Primary Website Address	https://iuhealth.org/find-locations/iu-health-arnett-hospital
Schedule H, Part V, Section B, Line 3e Prioritized Health Needs	IU HEALTH ARNETT'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 ARNETT: - Access to Health Care Services - Drug and Substance Abuse - Health Care and Social Services for Seniors - Mental Health - Obesity and Diabetes - Smoking - Social Determinants of Health
Schedule H, Part V, Section B, Line 5 Input from Community	In conducting its most recent Community Health Needs Assessment ("CHNA") IU Health Arnett Hospital took into account input from persons who represent the broad interests of the communities it serves. Primary data were gathered in three ways: Community Meetings, Key Stakeholder Interviews, and a Community Survey. For purposes of this CHNA, IU Health Arnett Hospitals community is defined as Benton, Carroll, and Tippecanoe counties, Indiana. These three counties accounted for over 67 percent of the hospitals inpatient cases in 2016. Community Meetings Tippecanoe County On May 8, 2018, a meeting of community representatives was held at IU Health Arnett Hospital in Lafayette, the county seat of Tippecanoe County. The meeting was attended by 22 community members invited by IU Health because they represent important community organizations and sectors such as: local health departments, non-profit organizations, local businesses, health care providers, local policymakers, parks and recreation departments, and schools. Through this meeting, IU Health sought a breadth of perspectives on the communitys health needs. The specific organizations represented at the meeting are listed below. - City of Lafayette - Food Finders Food Bank - Hanna Community Center - Heartford House Child Advocacy Center - Henriott Group, Inc. - IU Health - IU Health Arnett Hospital - IU Health West Central Region - LTHC Homeless Services - Lafayette Family YMCA - North Central Health Services - Purdue Extension - Riggs Community Health Center - Sycamore Springs - Tippecanoe Arts Federation - Tippecanoe County CASA - Tippecanoe County - Tippecanoe Health Department - United Way of Greater Lafayette - YWCA Greater Lafayette - YWCA Foundation 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 Tippecanoe County, those indicators were (in alphabetical order): - Cancer incidence and mortality - Diabetes - Physical inactivity and access to exercise opportunities - Physically and mentally unhealthy days - Preventable hospital stays - Sexually transmitted diseases - Smoking, including during pregnancy - Supply of primary care physicians and mental health providers 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: opioid abuse, the number of uninsured, childhood trauma, and suicide. Obesity was added as a factor that contributes to diabetes. During the meeting, a range of other topics was discussed, including: - Access to healthy food - Suicide (not related to overdoses) among the younger population - Teen pregnancy - Screen time - Purdue University students contributing to the poverty rate After discussing the needs identified through secondary data and adding others to the list, each participant was asked through a voting process to identify "three to five" they consider to be most significant. From this process, the group identified the following needs as most significant in Tippecanoe County: - Diabetes and obesity - Opioid abuse - Supply of primary care physicians - Supply of mental health providers The group decided it would be best to split the supply of primary care physicians and the supply of mental health providers into two distinct needs. Community Meetings Carroll County On April 16, 2018, a meeting of community representatives was held at Wabash & Erie Canal Conference Center in Delphi, the county seat of Carroll County. The meeting was attended by 12 community members invited by IU Health because they represent important community organizations and sectors such as: non-profit organizations, local business, health care providers, local policymakers, and schools. Through this meeting, IU Health sought a breadth of perspectives on the communitys health needs. The specific organizations represented at the meeting are listed below. - Carroll County Chamber of Commerce - Carroll County Council - Carroll White Rural Electric Membership Corporation (REMC) - Delphi Community Elementary School - Family Health Clinics (North Central Nursing Clinics) - IU Health Arnett Hospital - IU Health West Central Region - North Central Health Services 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 Carroll County, those indicators were (in alphabetical order): - Cancer incidence and mortality - Diabetes - Physical inactivity and access to exercise opportunities - Physically and mentally unhealthy days - Preventable hospital stays - Sexually transmitted diseases - Smoking, including during pregnancy - Supply of primary care physicians and mental health providers 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: opioid use, pharmacy care, and urgent/emergency care. During the meeting, a range of other topics was discussed, including: - Children/youth - Follow up care - Pharmacy access - Transportation After discussing the needs identified through secondary data and adding others to the list, each participant was asked through a voting process to identify "three to five" they consider to be most significant. From this process, the group identified the following needs as most significant for Carroll County: - Supply of primary care physicians and mental health providers - Physical inactivity and access to exercise opportunities - Opioid use - Urgent/Emergency Care - Physically and mentally unhealthy days - Pharmacy Care - Cancer Incidence and Mortality - Diabetes Key Stakeholder Interviews An interview was conducted with a representative from the Benton County Health Department, and the feedback was consistent with the input received during the Community Meetings. An interview was conducted with a representative of the Tippecanoe County Health Department. The interview was conducted to assure that appropriate and additional input was received from a governmental public health official. The individual that was interviewed for Tippecanoe County participated in the community meeting. Accordingly, the results of the community meeting were discussed and insights were sought regarding significant community health needs, why such needs are present, and how they can be addressed. The interview was guided by a structured protocol that focused on opinions regarding significant community health needs, describing why such needs are present, and seeking ideas for how to address them. The interviewee confirmed that the four needs identified by the community meeting participants were significant, adding that all four rank fairly evenly in terms of their prevalence and significance. These four needs were: - Diabetes and obesity - Opioid abuse - Supply of primary care physicians - Supply of mental health providers "Diabetes and obesity" was identified as particularly prevalent in low income populations who struggle to afford and access healthy foods. The shortage of primary care and mental health providers is "realis made more challenging because existing professionals typically only are available to patients during business hours. The supply of mental health providers contributes to opioid abuse, because those unable to access mental health services may be self-medicating. Homelessness also was described as a contributing factor to substance abuse. Many recovering or suffering from addiction have trouble finding stable housing, leading to continued drug abuse. Affordable housing for low income and Section 8 residents is needed. Many residents are uninsured or underinsured, leading to inadequate access to care. For underinsured individuals, many providers are out of network, presenting significant access barriers. Many community residents do not own cars. A lack of transportation options presents another barrier to accessing care. Bringing health services to people in their homes would be helpful. Due to inadequate access to primary care, many use emergency departments for basic health care service. This is particularly true for low income residents who, at the end of the month, exhaust their food, medication, and other basic-needs assistance. Programs that seek to improve the health of low income populations would enhance job retention, education levels, and housing stability. Maternal and child health services also are needed. Pregnant women in Tippecanoe County (and Indiana in general)
Schedule H, Part V, Section B, Line 7a CHNA Website	A copy of IU Health Arnett's CHNA is available on its website at the following URL: https://iuhealth.org/in-the-community
Schedule H, Part V, Section B, Line 10a Implementation Strategy Website	A copy of IU Health Arnett's CHNA implementation strategy is available on its website at the following URL: https://iuhealth.org/in-the-community
Schedule H, Part V, Section B, Line 11 Addressing Identified Needs	In conjunction with the CHNA, IU Health Arnetts Board adopted an implementation strategy in April 2019 related to the 2018 CHNA. IU Health Arnett prioritized and determined which of the community health needs identified in its most recently conducted CHNA were most critical for it to address. IU Health Arnett will address the following community health needs between 2019 and 2021: - Access to Healthcare Services - Drug and Substance Abuse (including Opioids and Alcohol) - Healthcare and Social Services for Seniors - Mental Health - Smoking 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 Arnetts implementation strategy to address the identified need of Access to Healthcare includes the following: - Provide scholarships for the behavioral health nurse practitioner program. - Support telemedicine virtual visits with primary care physicians and behavioral health specialists. - Expand virtual peer recovery coaches - Continue/expand quick response team (QRT)/paramedicine model. - Research technology "O Bar" for IU Health: A variety of physician recommended products, such as activity monitors, wireless blood pressure monitors and scales. - Provide recovery coach and certified recovery specialist training. - Support youth career events and organizations. - Execute IU Healths five-year recruitment plan. - Explore the option to become a National Health Service Corps Site. - Provide windshield tours for physician recruits. - Provide internships and onsite/offsite learning opportunities for future professionals. Behavioral Health (includes Drug & Substance Abuse and Mental Health) IU Health Arnetts implementation strategy to address the identified need of Behavioral Health includes the following: - Create support groups for parents, families and those struggling with behavioral health issues. - Support the Mental Health America Crisis Center. - Support local schools on North Central Health Services Youth Resilience grant project. - Support integrated care programs. - Support the creation of trained case management/client communication position at Willowstone Family Services. - Support Willowstone Active Parenting classes. - Provide health insurance navigation. - Provide behavioral health navigation services. - Provide trainings to hospital staff and community members (Question, Persuade, Refer (QPR) training, Mental Health First Aid, Applied Suicide Intervention Skills Training (ASIST), etc.). - Create/support awareness campaigns or events. - Increase youth education programs to prevent substance use. - Reduce written prescriptions of opioids. - Encourage proper storage and safe disposal of prescription medication through participation in drug take-back activities. - Expand Q-Source program. - Support opportunities for physician training and continuing education on substance use disorders (SUD). - Support community naloxone training. - Increase the number of trained peer recovery coaches and certified recovery specialists. - Support existing and research expansion of Quick Response Team (QRT)/community paramedicine programs. - Refer patients to local treatment facilities. - Accept primary care provider patients from local treatment facilities. - Increase health insurance navigation. - Create/support local support groups. - Increase programs that serve incarcerated mothers with substance use disorders (SUD). - Support tobacco cessation program. - Support recovery housing options. - Support Recovery Cafe model. - Collaborate with local initiatives. - Partner with local recovery houses to provide "soft skills" training and support. Healthcare and Social Services for Seniors IU Health Arnetts implementation strategy to address the identified need of Healthcare and Social Services for Seniors include the following: - Expand the medication assistance program. - Provide insurance navigation for seniors. - Support Food Finders Senior Shopping Day. - Continue Meals on Wheels program. - Support organizations that provide programming or services to seniors. - Participate in senior outreach activities (Senior Games, Lafayette Senior Expo, and Area IV walking groups). - Support Senior Wellness Center Activities (Tai Chi, etc.) - Support the "Stepping On" classes (fall prevention). Smoking IU Health Arnetts implementation strategy to address the identified need of Smoking includes the following: - Support community naloxone training. - Increase the number of trained peer recovery coaches and certified recovery specialists. - Support existing and research expansion of Quick Response Team (QRT)/community paramedicine programs. - Refer patients to local treatment facilities. - Accept primary care provider patients from local treatment facilities. - Increase health insurance navigation. - Create/support local support groups. - Increase programs that serve incarcerated mothers with substance use disorders (SUD). - Support tobacco cessation program. IU Health Arnett is unable to address those community health needs that do not relate directly to the Hospitals mission to deliver healthcare. These are needs that other governmental agencies and/or community organizations have the most appropriate expertise and resources to address. IU Health Arnett is unable to address the following community health needs identified in the 2018 Community Health Needs Assessment: Maternal and Child Health The Nurse Family Partnership provides in-home services to qualifying families. Healthy Communities of Clinton County Coalition offers numerous health services to new and expecting mothers. IU Health Arnett provides maternity services in the region, as well as post-partum and breastfeeding support groups for new mothers. As a system, IU Health is addressing maternal and child health by focusing on infant mortality, creating a system-wide collaborative to focus on this issue. Obesity and Diabetes IU Health Arnett focused on obesity prevention as one of the priority health needs from 2015-2018. The hospital supported many activities in the community. However, during the 2018 community health needs assessment, other needs arose as more necessary to address. There are other community resources that continue to address obesity and diabetes, including Healthy Active Tippecanoe. The hospital provides diabetes education programs. The local YMCA provides a Diabetes Prevention Program. Purdue Extension is another community resource that addresses obesity and diabetes. IU Health team members will continue to participate in the Healthy Active Tippecanoe, which addresses healthy eating and active living. Social Determinants of Health Many of the strategies will indirectly address various social determinants of health. IU Health team members often serve on agency boards or participate in local coalitions addressing the social determinants of health.
Schedule H, Part V, Section B, Line 13b Income Level Other than FPG	In addition to FPG, IU Health Arnett may take into consideration a patients income and/or ability to pay in calculation of a financial assistance award.
Schedule H, Part V, Section B, Line 13h Other FAP Factors	IU Health Arnett takes into consideration several other factors in determining patient eligibility for financial assistance. These factors include the following: 1. IU Healths Individual Solutions Department Prior to seeking Financial Assistance under the FAP, all patients or their guarantors must consult with a member of IU Healths 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 Arnetts Financial Assistance Program. Patients who may be eligible for coverage under an applicable insurance policy, including, but not limited to, health, automobile, and homeowners, must exhaust all insurance benefits prior to receiving an award from IU Health Arnetts 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 Arnett. Eligible patients who receive medical care from IU Health Arnett 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 Arnett is entitled. In the event a Financial Assistance Award has already been granted in such circumstances, IU Health Arnett reserves the right to reverse the award in an amount equal to the amount IU Health Arnett would be entitled to receive had no Financial Assistance been awarded. 3. Alternate Methods of Eligibility Determination IU Health Arnett 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 patients individual scoring criteria. To ensure all patients potentially eligible for Financial Assistance under the FAP may receive Financial Assistance, IU Health Arnett 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 Childrens 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 patients account if said patient is found to have no estate. Additionally, IU Health Arnett 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 Arnett 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 Arnetts 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 Arnett processing said application. Uninsured Patients making payments toward their outstanding non-refundable deposit balance will have said payments applied to their oldest application on file, if applicable.
Schedule H, Part V, Section B, Line 16a FAP Website	A copy of IU Health Arnetts FAP is available on the following URL: https://iuhealth.org/pay-a-bill/financial-assistance
Schedule H, Part V, Section B, Line 16b FAP Application Website	A copy of IU Health Arnetts FAP Application is available on the following URL: https://iuhealth.org/pay-a-bill/financial-assistance
Schedule H, Part V, Section B, Line 16c FAP PLS Website	A plain language summary of the FAP, including translated copies, is available on the following website: https://iuhealth.org/pay-a-bill/financial-assistance
Schedule H, Part V, Section B, Line 16j Other Measures to Publicize	IU Health Arnett 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 Arnett 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 Arnett will broadly communicate this Policy as part of its general outreach efforts. 5. IU Health Arnett will educate its patient facing team members of the FAP and the process for referring patients to the Program.

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
DSI LAFAYETTE DIALYSIS
915 MEZZANINE DR	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT CARDIOLOGY
1116 N 16TH ST STE A	LAFAYETTE	IN	47904	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT FAMILY MEDICINE
2800 FERRY ST	LAFAYETTE	IN	47904	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT HOSP CANCER CARE CTR
420 N 26TH ST	LAFAYETTE	IN	47904	DIAGNOSITC AND OTHER OUTPATIENT
IU HEALTH ARNETT HOSP OUTPAT SURG CTR
1327 S 500 E	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT HOSPITAL SLEEP CENTER
3900 MCCARTY LANE STE 101	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT MEDICAL OFFICE - DELPHI
651 ARMORY ROAD	DELPHI	IN	46923	DIAGNOSITC AND OTHER OUTPATIENT
IU HEALTH ARNETT MED OFFICE - FRANKFORT
550 S HOKE AVE	FRANKFORT	IN	46041	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT MED OFFICE-MONTICELLO
810 S 6TH ST STE A	MONTICELLO	IN	47960	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT MED OFFICE - OTTERBEIN
407 N MEADOW ST	OTTERBEIN	IN	47970	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT MED OFFICES -FERRY ST
2600 FERRY ST	LAFAYETTE	IN	47904	DIAGNOSTIC AND OTHER OUTPATIENT
IUH ARNETT MED OFFICES - GREENBUSH ST
2600 GREENBUSH ST	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEATLH ARNETT MED OFF - LAFAYETTE
1 WALTER SCHOLER DR	LAFAYETTE	IN	47909	DIAGNOSTIC AND OTHER OUTPATIENT
IUH ARNETT MED OFFICES - W LAFAYETTE
253 SAGAMORE PKWY W	WEST LAFAYETTE	IN	47906	DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ARNETT NEPHROLOGY
915 MEZZANINE DR	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IUH ARNETT OCCUPATIONAL HEALTH SERVICES
2600 GREENBUSH ST	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
IUH ARNETT OUTPATIENT SURGERY CENTER
1327 VETERANS MEMORIAL PKWY E	LAFAYETTE	IN	47905	DIAGNOSITC AND OTHER OUTPATIENT
IU HEALTH ARNETT PAIN MEDICINE
415 N 26TH ST STE 202	LAFAYETTE	IN	47904	DIAGNOSITC AND OTHER OUTPATIENT
IUH ARNETT URGENT CARE - W LAFAYETTE
253 SAGAMORE PKWY W	WEST LAFAYETTE	IN	47906	DIAGNOSTIC AND OTHER OUTPATIENT
WELLBOUND OF LAFAYETTE
2 EXECUTIVE DR STE B	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT
ARNETT RETAIL PHARMACY
2600 GREENBUSH ST	LAFAYETTE	IN	47904	PHARMACY
IU HEALTH ARNETT MCCARTY PHARMACY
5165 MCCARTY LN RM AG320	LAFAYETTE	IN	47905	PHARMACY
IUH ARNETT MOB - ONSITE
5177 MCCARTY LANE	LAFAYETTE	IN	47905	DIAGNOSTIC AND OTHER OUTPATIENT

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c - Other Factors Used in Determining Elig.	IU Health Arnett 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 Arnett 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 parents or guardians federal income tax return. 2. IU Healths Individual Solutions Department Prior to seeking Financial Assistance under the FAP, all patients or their guarantors must consult with a member of IU Healths 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 Arnett 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 Arnetts Financial Assistance Program. Patients who may be eligible for coverage under an applicable insurance policy, including, but not limited to, health, automobile, and homeowners, must exhaust all insurance benefits prior to receiving an award from IU Health Arnetts 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 Arnett. Eligible patients who receive medical care from IU Health Arnett 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 Arnett is entitled. In the event a Financial Assistance Award has already been granted in such circumstances, IU Health Arnett reserves the right to reverse the award in an amount equal to the amount IU Health Arnett would be entitled to receive had no Financial Assistance been awarded. 6. Alternate Methods of Eligibility Determination IU Health Arnett 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 patients individual scoring criteria. To ensure all patients potentially eligible for Financial Assistance under the FAP may receive Financial Assistance, IU Health Arnett 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 Childrens 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 patients account if said patient is found to have no estate. Additionally, IU Health Arnett 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 Arnett 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 Arnett 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 Arnett 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 Arnetts 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 Arnett 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 Arnetts 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 Healths website at https://iuhealth.org/in-the-community. 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 Systems community benefit efforts. It is also available by request through the Indiana State Department of Health or IU Health.
Schedule H, Part I, Line 7, Column (f) - Bad Debt Expense	The amount of bad debt expense included on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentage of total expense on Line 7, column (f) is $30,982,743. BAD DEBT EXPENSE IS REPORTED AT COST BASED ON THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.
Schedule H, Part I, Line 7 - Total Community Benefit Expense	Percentage of Total Expenses listed on Schedule H, Part I, Line 7, Column (f) is calculated based on Net Community Benefit Expense. The Percentage of Total Expenses calculated based on Total Community Benefit Expense is 18.84%.
Schedule H, Part II - Promotion of Health in Communities Served	IU HEALTH PARTICIPATES IN A VARIETY OF COMMUNITY-BUILDING ACTIVITIES THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES IT SERVES. IU HEALTH AND ITS RELATED HOSPITAL ENTITIES ACROSS THE STATE OF INDIANA ("IU HEALTH STATEWIDE SYSTEM") INVEST IN ECONOMIC DEVELOPMENT EFFORTS ACROSS THE STATE, COLLABORATE WITH LIKE-MINDED ORGANIZATIONS THROUGH COALITIONS THAT ADDRESS KEY ISSUES, AND ADVOCATE FOR IMPROVEMENTS IN THE HEALTH STATUS OF VULNERABLE POPULATIONS. THIS INCLUDES MAKING CONTRIBUTIONS TO COMMUNITY-BUILDING ACTIVITIES BY PROVIDING INVESTMENTS AND RESOURCES TO LOCAL COMMUNITY INITIATIVES THAT ADDRESSED ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT AND WORKFORCE DEVELOPMENT. 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: - Riggs Community Health Center - Starfish Initiative - Teach for America - United Way of Greater Lafayette ADDITIONALLY, THROUGH THE IU HEALTH STATEWIDE SYSTEM'S TEAM MEMBER COMMUNITY BENEFIT SERVICE PROGRAM 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 Methodology	The 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 - EST. BAD DEBT ATTR. TO PATIENTS UNDER FAP AN UNINSURED PATIENT AND/OR GUARANTOR WHO WAS ADMITTED THROUGH AN ELIGIBLE FACILITY'S EMERGENCY DEPARTMENT VIA A DIRECT ADMISSION FROM A PHYSICIAN'S OFFICE, OR TRANSFER FROM ANOTHER HOSPITAL FACILITY, AND WHOSE HOUSEHOLD INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY LEVEL MAY BE ELIGIBLE FOR FULL CHARITY ASSISTANCE AFTER THE SUCCESSFUL COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION AND SATISFACTION OF HIS/HER NON-REFUNDABLE DEPOSIT. TO CAPTURE ALL PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE IU HEALTH FINANCIAL ASSISTANCE POLICY, IU HEALTH WILL DEEM PATIENTS/GUARANTORS TO BE PRESUMPTIVELY ELIGIBLE FOR FINANCIAL ASSISTANCE IF THEY ARE FOUND TO BE ELIGIBLE FOR ONE OF THE FOLLOWING PROGRAMS, RECEIVED EMERGENCY OR DIRECT ADMIT CARE, AND SATISFIED THE REQUIRED CO-PAY/DEDUCTIBLE: 1. INDIANA CHILDREN'S SPECIAL HEALTH CARE SERVICES 2. MEDICAID 3. HEALTHY INDIANA PLAN 4. PATIENTS WHO ARE AWARDED HOSPITAL PRESUMPTIVE ELIGIBILITY 5. ENROLLED IN A STATE AND/OR FEDERAL PROGRAM THAT VERIFIES THE PATIENT'S GROSS HOUSEHOLD INCOME IS LESS THAN OR EQUAL TO 200% OF THE FEDERAL POVERTY LEVEL (FPL). IU HEALTH ALSO CONDUCTS A QUARTERLY REVIEW OF ALL ACCOUNTS PLACED WITH A COLLECTION AGENCY PARTNER FOR A PERIOD OF NO LESS THAN ONE HUNDRED AND TWENTY (120) DAYS AFTER THE ACCOUNT IS ELIGIBLE FOR AN EXTRAORDINARY COLLECTION ACTIONS. SAID ACCOUNTS MAY BE ELIGIBLE FOR ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY BASED ON THE PATIENT'S INDIVIDUAL SCORING CRITERIA AND ARE NOT INCLUDED IN BAD DEBT. DUE TO THIS COMPREHENSIVE METHODOLOGY, IU HEALTH DOES NOT BELIEVE ANY AMOUNT OF BAD DEBT IS ATTRIBUTABLE TO PATIENTS WHO MAY BE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY AND NO PORTION OF BAD DEBT IS INCLUDED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 - Bad Debt Expense	IU HEALTH'S CONSOLIDATED FINANCIAL STATEMENTS, FOOTNOTE 4, ADDRESSES BAD DEBT EXPENSE AS FOLLOWS: THE INDIANA UNIVERSITY HEALTH SYSTEM DOES NOT REQUIRE COLLATERAL OR OTHER SECURITY FROM ITS PATIENTS, SUBSTANTIALLY ALL OF WHOM ARE RESIDENTS OF THE STATE, FOR THE DELIVERY OF HEALTH CARE SERVICES. HOWEVER, CONSISTENT WITH INDUSTRY PRACTICE, THE INDIANA UNIVERSITY HEALTH SYSTEM ROUTINELY OBTAINS ASSIGNMENT OF (OR IS OTHERWISE ENTITLED TO RECEIVE) PATIENTS' BENEFITS PAYABLE UNDER THEIR HEALTH INSURANCE PROGRAMS, PLANS OR POLICIES (E.G., MEDICARE, MEDICAID, MANAGED CARE PAYERS, AND COMMERCIAL INSURANCE POLICIES). THE INDIANA UNIVERSITY HEALTH SYSTEM USES A PORTFOLIO APPROACH TO ACCOUNT FOR CATEGORIES OF PATIENT CONTRACTS AS A COLLECTIVE GROUP, RATHER THAN RECOGNIZING REVENUE ON AN INDIVIDUAL CONTRACT BASIS. THE PORTFOLIOS CONSIST OF MAJOR PAYER CLASSES FOR INPATIENT REVENUE AND OUTPATIENT REVENUE. BASED ON THE HISTORICAL COLLECTION TRENDS AND OTHER ANALYSIS, THE INDIANA UNIVERSITY HEALTH SYSTEM BELIEVES THAT REVENUE RECOGNIZED BY UTILIZING THE PORTFOLIO APPROACH APPROXIMATES THE REVENUE THAT WOULD HAVE BEEN RECOGNIZED IF AN INDIVIDUAL CONTRACT APPROACH WERE USED. IN SUPPORT OF ITS MISSION, THE INDIANA UNIVERSITY HEALTH SYSTEM PROVIDES CARE TO UNINSURED AND UNDERINSURED PATIENTS. THE INDIANA UNIVERSITY HEALTH SYSTEM PROVIDES CHARITY CARE TO PATIENTS WHO LACK FINANCIAL RESOURCES AND ARE DEEMED TO BE MEDICALLY INDIGENT. UNDER ITS FINANCIAL ASSISTANCE POLICY, THE INDIANA UNIVERSITY HEALTH SYSTEM PROVIDES MEDICALLY NECESSARY CARE TO UNINSURED PATIENTS WITH INADEQUATE FINANCIAL RESOURCES AT CHARITABLE DISCOUNTS EQUIVALENT TO THE AMOUNTS GENERALLY BILLED, AND IT PROVIDES ELIGIBILITY FOR FULL CHARITY FOR EMERGENT ENCOUNTERS FOR UNINSURED PATIENTS WHO EARN LESS THAN 200% OF THE FEDERAL POVERTY LEVEL AND WHO MEET APPLICATION CRITERIA. PATIENTS WHOSE LIABILITY IS DEEMED CATASTROPHIC RELATIVE TO THEIR ANNUAL HOUSEHOLD INCOME ARE ALSO ELIGIBLE FOR REDUCED CHARGES. SINCE THE INDIANA UNIVERSITY HEALTH SYSTEM DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THE DISCOUNTED AMOUNTS ARE NOT REPORTED AS PATIENT SERVICE REVENUE. THE INDIANA UNIVERSITY HEALTH SYSTEM USES PRESUMPTIVE ELIGIBILITY SCREENING PROCEDURES FOR FREE CARE AND RECOGNIZES NET PATIENT SERVICE REVENUE ON SERVICES PROVIDED TO SELF-PAY PATIENTS AT THE DISCOUNTED RATE AT THE TIME SERVICES ARE RENDERED. THE ESTIMATED COST OF CHARITY CARE, USING THE CONSOLIDATED COST TO CHARGE RATIO, WAS $94,886,000 AND $85,295,000 IN 2018 AND 2017, RESPECTIVELY.
Schedule H, Part III, Line 8 - Medicare Shortfall	The amount reported on Schedule H, Part III, Line 6 is calculated, in accordance with the Form 990 instructions, using "allowable costs" from the IU Health Arnett Medicare Cost Report. "Allowable costs" for Medicare Cost Report purposes, however, are not reflective of all costs associated with IU Health Arnett'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 Arnett's participation in Medicare programs would significantly increase the Medicare shortfall reported on Schedule H, Part III, Line 7. IU Health West Arnett'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 Arnett 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 Policy	IU Health Arnetts 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 applications 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 patients physician, family members, legal counsel, community or religious groups, social services or hospital personnel may request a FAP Application to be mailed to a patients primary mailing address free of charge. IU Health 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 patients and/or guarantors 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 Arnett 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 patients Financial Assistance Application and eligibility determination are specific to each individual date(s) of service and related encounters. 3. Extraordinary Collection Actions IU Health Arnett may refer delinquent patient accounts to a third-party collection agency after utilizing reasonable efforts to determine a patients eligibility for assistance under the FAP. IU Health 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 patients or their guarantors 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 patients or their guarantors 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 patients or their guarantors property, foreclosing on a patients or their guarantors real property attaching or seizing a patients or their guarantors bank account or other personal property, commencing a civil action against a patient or their guarantor, causing a patient or guarantors arrest, causing a patient and/or guarantor to be subject to a writ of body attachment, and garnishing a patient or guarantors wages. When it is necessary to engage in such action, IU Health Arnett 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. IU Health 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 Arnett in excess of their patient responsibility will be alerted to the overpayment as promptly after discovery as is reasonable given the nature of the overpayment. Patients with an outstanding account balance on a separate account not eligible for assistance under the FAP will have their refund applied to the outstanding balance. Patients without an outstanding account balance described above will be issued a refund check for their overpayment as soon as technically feasible.
Schedule H, Part VI, Line 2 - Needs Assessment	COMMUNITIES ARE MULTIFACETED AND SO ARE THEIR HEALTH NEEDS. IU HEALTH ARNETT 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 ARNETT ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). FOR THE 2018 CHNA, IU HEALTH ARNETT CONDUCTED THE COMMUNITY SURVEY DATA COLLECTION IN COLLABORATION WITH INDIANA UNIVERSITY, UNIVERSITY OF EVANSVILLE AND AN INDIANA HOSPITAL COLLABORATIVE, INCLUDING COMMUNITY HEALTH NETWORK, FRANCISCAN ALLIANCE, ST. VINCENT HEALTH AND OTHER HOSPITAL PARTNERS. AFTER COMPLETION OF THE CHNA, IU HEALTH ARNETT REVIEWED SECONDARY DATA, FINDINGS FROM OTHER COMMUNITY HEALTH ASSESSMENTS OF AREAS SERVED BY THE HOSPITAL, INPUT OBTAINED FROM INDIVIDUALS WHO PARTICIPATED IN COMMUNITY MEETINGS, INPUT OBTAINED FROM KEY STAKEHOLDERS, AND A COMMUNITY SURVEY TO IDENTIFY AND ANALYZE THE NEEDS IDENTIFIED BY EACH SOURCE. THE TOP HEALTH NEEDS OF THE IU HEALTH ARNETT COMMUNITY ARE THOSE THAT ARE SUPPORTED BY MULTIPLE DATA SOURCES. ADDITIONALLY, THE EFFECTIVENESS OF AN INTERVENTION FOR EACH NEED AND IU HEALTH'S ABILITY TO IMPACT POSITIVE CHANGE WAS EVALUATED.
Schedule H, Part VI, Line 3 - Patient Education of Elgibility for Assis.	IU Health Arnett 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 Arnett has established a FAP to provide Financial Assistance to Uninsured Patients. IU Health Arnett is committed to ensuring its patients are compliant with all provisions of the Patient Protection & Affordable Care Act. To that end, IU Health Arnett 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 Arnett 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 Arnett 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 Arnett will broadly communicate this Policy as part of its general outreach efforts. 5. IU Health Arnett will educate its patient facing team members of the FAP and the process for referring patients to the Program.
Schedule H, Part VI, Line 4 - Community Information	IU Health Arnett is primarily located in Tippecanoe County but also has medical offices and serves patients in Benton, Carroll, Clinton, and White counties. Tippecanoe County includes ZIP codes within the towns of Battle Ground, Clarks Hill, Dayton, Lafayette, Romney, West Lafayette and West Point. Based on the most recent Census Bureau (2018 estimate) statistics, Tippecanoe Countys population is 193,048 persons with approximately 49% being female and 51% male. The countys population estimates by race are 75.4% White, 8.5% Hispanic or Latino, 8.6% Asian, 5.7% Black, 0.4% American Indian or Alaska Native, and 2.2% persons reporting two or more races. Tippecanoe County has relatively moderate levels of educational attainment. Among residents ages 25 and up, 91.3% ended their formal education with a high school diploma or equivalent. Among residents ages 25 and up, 36.9% earned a bachelor's degree or higher.
Schedule H, Part VI, Line 5 - Promotion of Community Health	IU Health Arnett 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. IN 2018, IU HEALTH ARNETT HOSTED A COMMUNITY MEETING TO SOLICIT FEEDBACK FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. MORE THAN 30 COMMUNITY MEMBERS ATTENDED TO PROVIDE INPUT ABOUT PRIORITY HEALTH NEEDS AND AREAS IN WHICH IU HEALTH SHOULD FOCUS ITS COMMUNITY BENEFIT INVESTMENTS. IN ORDER TO HELP THE COMMUNITY WITH K-12 EDUCATION, IU HEALTH ARNETT PROVIDES VOLUNTEERS FOR THE UNITED WAY GREATER LAFAYETTE READ TO SUCCEED PROGRAM. THE PROGRAM'S GOAL IS TO ENSURE THAT EVERY THIRD-GRADER LEAVES THIRD GRADE READING AT GRADE LEVEL OR ABOVE. THIS AGE IS THE POINT WHEN STUDENTS SHIFT FROM LEARNING TO READ TOWARD READING TO LEARN. Additionally, to assist with accessing healthcare, IU Health Arnett provided free health screenings at many community events, including the Lafayette Senior Expo, the Area IV Senior Games and the 2018 Greater Lafayette Convoy of Hope. THE HOSPITAL ALSO DONATED MORE THAN $300,000 TO NON-PROFIT COMMUNITY ORGANIZATIONS IN 2018. SOME OF THE GROUPS INCLUDE THE PURDUE RESEARCH FOUNDATION,UNITED WAY OF GREATER LAFAYETTE AND THE LAFAYETTE FAMILY YMCA. IU HEALTH ARNETT HOSPITAL IS A SUBSIDIARY OF IU HEALTH. IU HEALTH AND ITS RELATED HOSPITAL ENTITIES ACROSS THE STATE OF INDIANA EXTEND MEDICAL PRIVILEGES TO ALL PHYSICIANS WHO MEET THE CREDENTIALING QUALIFICATIONS NECESSARY FOR APPOINTMENT TO ITS MEDICAL STAFF. IU HEALTH DOES NOT DENY APPOINTMENT ON THE BASIS OF GENDER, RACE, CREED, OR NATIONAL ORIGIN. IU HEALTH, IN CONJUNCTION WITH THE IU SCHOOL OF MEDICINE, TRAINS THE NEXT GENERATION OF PHYSICIANS IN AN EXCEPTIONAL ENVIRONMENT, BLENDING BREAKTHROUGH RESEARCH AND TREATMENTS WITH THE HIGHEST QUALITY OF PATIENT CARE.
Schedule H, Part VI, Line 6 - Affiliated Health Care System	IU Health Arnett is part of the IU Health Statewide System. The IU Health Statewide system is Indianas 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 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 designated as Magnet by the American Nurses Credentialing Center recognizing excellence in nursing care - Indiana University Health Medical Center is honored to be nationally ranked by U.S. News & World Report for the 21st year in a row. That means IU Health continues to be ranked among the best healthcare systems in the nation and the top healthcare system in Indiana. This ranking recognizes the exceptional care, unmatched expertise and continued excellence of our entire team of caregivers, while giving you confidence that you made the right choice in trusting IU Health with your care. - IU Health Medical Center was among the 4 percent of U.S. hospitals to earn a national ranking and has the most nationally ranked specialties in Indiana. - Nine out of ten specialty programs at Riley Hospital for Children at IU Health ranked among the top 50 childrens hospitals in the nation 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 2012, IU HEALTH COMMITTED TO A STRATEGIC RESEARCH INITIATIVE TO SUPPORT RATABLY FOR A FIVE-YEAR PERIOD ENDED DECEMBER 31, 2016, CERTAIN BASIC, CLINICAL, AND TRANSLATIONAL RESEARCH PROGRAMS OF THE IU SCHOOL OF MEDICINE. THE TOTAL COMMITMENT AGGREGATED $75,000,000. IN 2017, A NEW FIVE-YEAR TERM OF $55,000,000 WAS AGREED UPON EFFECTIVE JULY 1, 2017 THROUGH JUNE 30, 2022. FOR THE YEARS ENDED DECEMBER 31, 2018 AND 2017, THE INDIANA UNIVERSITY HEALTH SYSTEM EXPENSED $11,000,000 AND $5,000,000, RESPECTIVELY, UNDER THESE AGREEMENTS WITHIN SUPPLIES, DRUGS, PURCHASED SERVICES, AND OTHER EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS, OF WHICH $25,652,000 AND $32,875,000 WAS ACCRUED RELATED TO THESE AGREEMENTS WITHIN ACCOUNTS PAYABLE AND ACCRUED EXPENSES AT DECEMBER 31, 2018 AND 2017, RESPECTIVELY. The three target research areas represent research strengths at IU School of Medicine, key strategic service lines for IU Health, and important medical needs in a time of an aging population and rising healthcare costs: - Cancer: One of the initiative's primary goals is to enable the IU Health Melvin and Bren Simon Cancer Center to attain the National Cancer Institute's top status of "comprehensive," which would recognize it as one of the top-tier cancer centers in the nation. - Neuroscience: The neurosciences research program will tackle a broad range of brain injuries, neurodegenerative disorders and neurodevelopmental disorders. - Cardiovascular: The cardiovascular research initiative will develop 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 will provide 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 Indianas 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 Indianas 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 2018, IU Health provided more than $711 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. IN 2018, MORE THAN 2,848 IU HEALTH TEAM MEMBERS DEDICATED MORE THAN 9,694 VOLUNTEER HOURS IN THEIR COMMUNITIES. 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 2018, IU Health impacted many people statewide through presentations, health risk screenings, health education programs, and additional health educational opportunities made available to the community, especially to our community members in the greatest need of such services. The Indiana University Health Board of Directors also approved Community Health Improvement Grants. With these grants, nearly $750,000 will fund projects that address IU Health priorities - behavioral health/substance abuse, obesity, tobacco use, and infant mortality - as well as community-specific needs. The grants, administered by the Indiana University Health Foundation, were awarded to the following: - 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. - Hope Healthcare Services Program, IU Health West, $203,000 over two years. Hope Healthcare Services in Avon is the only entity in Hendricks County that provides primary medical and dental care to uninsured patients. It is staffed entirely by volunteer clinicians, many of them IU Health team members, and helps more than 900 patients a year out of nearly 15,000 uninsured adults in Hendricks County. This grant will fund the clinics first-ever employee, a nurse practitioner, allowing for consistent operating hours, and behavioral health services on-site and via tele-health. With this staffed clinic, they anticipate seeing more than 4,000 patients per year. - Perinatal Coordinator to address infant mortality, IU Health East Central Region, $124,000 over two years. This grant funds a new staff member who will focus on infants and children in Delaware, Blackford and Jay counties. This includes facilitating inter-professional collaboration, educating hospital staff, increasing collaboration with supporting agencies involved with bereavement, safe sleep, tobacco-free and addiction programs, and tracking outcomes in the areas of birthweight, birth defects and mortality. - Continuum of Mental Health Care Program, IU Health West Central Region, $85,247 for one year. In terms of mental illness and access to mental health care, Indiana ranks 48th out of 51 states. In its pilot year, this project will increase capacity to p

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
UNITED WAY OF GREATER LAFAYETTE
1114 E STATE ST	LAFAYETTE	IN	47905	350891621	501(C)(3)	$45,000	GENERAL SUPPORT
IU HEALTH FOUNDATION INC
1800 N CAPITOL AVE	INDIANAPOLIS	IN	46202	356043086	501(C)(3)	$51,491	EDUCATION FUND
PURDUE RESEARCH FOUNDATION
403 W WOOD ST	LAFAYETTE	IN	47907	310958507	501(C)(3)	$150,000	Med. Edu. Facility
WHITE COUNTY UNITED WAY INC
PO Box 580	Monticello	IN	46760	351137113	501(C)(3)	$15,000	General Support
YMCA of LAFAYETTE
1950 south 18th street	lafayette	IN	47905	350868213	501(C)(3)	$120,000	Community Campaign
MENTAL HEALTH AMERICA OF TIPPECANOE COUNTY
914 South St	Lafayette	IN	47901	383653969	501(c)(3)	$15,000	Safe2Talk
Healthy Communities of Clinton County
1458 OAK ST STE B	Frankfort	IN	46041	462835793	501(c)(3)	$7,700	General Support
Food Finders Food Bank Inc
50 Olympia Court	Lafayette	IN	47909	311020198	501(c)(3)	$10,000	BackPack Program

Field	Value	IRS element (for citing)
Total501c3 Org	8	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 - Org.'s Proc. for Mon. the Use of Grant Funds	FormAndLineReferenceDesc
Explanation	Although IU Health Arnett does not monitor the use of grant funds once distributed, through due diligence the organization has reasonably confirmed that the entities to which the contributions are made are highly reputable in the community and use the funds for the purposes intended.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER A MANSFIELD MD
VICE CHAIR(WCR)/PHY. DIV. DIR.	$452,940	$0	$20,054	$0	$18,540	$0	$13,700	$0	$29,645	$0	$534,879	$0	$0	$0
ROGER G BANGS MD
DIRECTOR (WCR)/PHY. DIV. DIR.	$647,700	$0	$7,353	$0	$20,322	$0	$13,700	$0	$11,657	$0	$700,732	$0	$0	$0
KENNETH E MARNOCHA MD
DIRECTOR (WCR)/PHY. DIV. DIR.	$613,321	$0	$4,687	$0	$21,564	$0	$13,700	$0	$22,105	$0	$675,377	$0	$0	$0
RUBAN NIRMALAN MD
DIRECTOR (WCR)/STAFF PHYSICIAN	$740,167	$0	$0	$0	$18,540	$0	$13,700	$0	$29,468	$0	$801,875	$0	$0	$0
DANIEL F EVANS JR
DIRECTOR (WCR) (Partial Year)	$0	$232,502	$0	$0	$0	$36,975	$0	$12,854	$0	$14,525	$0	$296,856	$0	$0
DONALD E CLAYTON MD
PRESIDENT(WCR & IUHA)(Part Yr)	$80,759	$180,015	$17,670	$39,387	$38,210	$85,172	$3,596	$8,016	$5,031	$11,213	$145,266	$323,803	$0	$0
DEREK E EMPIE
SECRETARY (WCR)	$0	$193,647	$0	$32,625	$0	$548	$0	$11,674	$0	$28,615	$0	$267,109	$0	$0
CARA L BREIDSTER
TREASURER/CFO(WCR)(Partial Yr)	$0	$272,747	$0	$37,215	$0	$3,933	$0	$13,532	$0	$22,833	$0	$350,260	$0	$0
JEFFREY C ZEH
COO (WCR)	$279,422	$0	$27,650	$0	$810	$0	$13,477	$0	$1,234	$0	$322,593	$0	$0	$0
JEFFREY P BROWN MD
CMO (WCR)	$105,980	$0	$23,546	$0	$72,257	$0	$11,253	$0	$12,395	$0	$225,431	$0	$0	$0
KYLE L ALLEN
CHIEF PRACT. OFFICER (Part Yr)	$197,510	$0	$18,277	$0	$34,788	$0	$11,895	$0	$8,179	$0	$270,649	$0	$0	$0
JOSEPH E HUBBARD MD
PHY. DEPT. CHAIRPERSON	$1,032,080	$0	$0	$0	$18,540	$0	$13,700	$0	$29,197	$0	$1,093,517	$0	$0	$0
PETER A SEYMOUR MD
PHY. DIVISION DIRECTOR	$729,300	$0	$391	$0	$18,810	$0	$13,700	$0	$29,642	$0	$791,843	$0	$0	$0
Stanton M Regan
Physician - CAH	$882,746	$0	$0	$0	$18,486	$0	$13,700	$0	$31,084	$0	$946,016	$0	$0	$0
Cheng Du
Physician - CAH	$859,051	$0	$0	$0	$19,242	$0	$11,134	$0	$29,879	$0	$919,306	$0	$0	$0
Naveed Ahmad
PHY. DEPT. CHAIRPERSON	$757,045	$0	$0	$0	$18,810	$0	$13,700	$0	$28,924	$0	$818,479	$0	$0	$0
ANDREW K EDWARDS MD
FORMER VICE CHAIR	$378,082	$0	$0	$0	$18,810	$0	$13,700	$0	$24,086	$0	$434,678	$0	$0	$0
JAMES P BIEN MD
Former Key Employee	$299,626	$0	$41,860	$0	$23,919	$0	$13,716	$0	$27,106	$0	$406,227	$0	$0	$0
ALFONSO W GATMAITAN
FORMER PRESIDENT	$0	$853,829	$0	$504,450	$0	$1,700,526	$0	$1,012,983	$0	$24,850	$0	$4,096,638	$0	$703,392
Jamie S Sego
INT. CFO/TRSR(WCR)(PARTIAL YR)	$0	$126,907	$0	$20,349	$0	$271	$0	$7,739	$0	$24,349	$0	$179,615	$0	$0
TODD A WILLIAMS
CFO/TREASURER(WCR)(PARTIAL YR)	$0	$64,437	$0	$40	$0	$84,800	$0	$2,192	$0	$5,701	$0	$157,170	$0	$0
DANIEL E NEUFELDER
PRESIDENT(WCR & IUHA)(Part Yr)	$0	$275,397	$0	$0	$0	$18,500	$0	$64,480	$0	$16,781	$0	$375,158	$0	$0
Brian T Shockney
Former Key Employee	$0	$367,593	$0	$73,069	$0	$56,719	$0	$54,201	$0	$26,074	$0	$577,656	$0	$0
JAMES H PARSONS
CHIEF PRACT. OFFICER (Part Yr)	$147,402	$0	$13,005	$0	$614	$0	$8,307	$0	$28,229	$0	$197,557	$0	$0	$0
Brian M Weirich
CNO (WCR)	$200,630	$0	$22,951	$0	$346	$0	$10,572	$0	$23,734	$0	$258,233	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1 - LISTED BENEFITS	TAX GROSS-UPS WERE PROVIDED TO CERTAIN INDIVIDUALS LISTED ON IU HEALTH ARNETT'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 Arnetts President is employed by IU Health. IU Healths process for determining compensation includes the use of a compensation survey/study conducted by an independent compensation consultant with review and approval by the Committee on Personnel and Compensation and the Board of Directors. Please see Schedule O for additional details. Schedule J, Part I, Line 4a - Severance ALFONSO W. GATMAITAN ENTERED INTO A SEVERANCE AGREEMENT WITH IU HEALTH DURING 2018. SEVERANCE OF $17,530 THAT WAS RECEIVED DURING 2018 IS INCLUDED IN COLUMN B(III), OTHER REPORTABLE COMPENSATION. DEFERRED SEVERANCE OF $999,283 INCLUDED IN COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION.
Schedule J, Part I, Line 4b - Supplemental Nonqualified Retirement Plan	Alfonso W. Gatmaitan, Donald E. Clayton, M.D., DANIEL E. NEUFELDER, and Brian T. Shockney participate in an IU Health supplemental executive retirement plan, provisions of which are designed to retain its critical employees. The plan provides for an additional retirement benefit for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, the benefit may be forfeited or reduced. DANIEL E. NEUFELDER and Brian T. Shockney have 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 these executives during the year. The following executives have an amount included in column b(iii), other reportable compensation, representing the current year vested amounts received under the supplemental executive retirement plan: - ALFONSO W. GATMAITAN ($1,654,573) - DONALD E. CLAYTON, M.D. ($34,539)
Schedule J, Part I, Line 7 - Non-Fixed Payments	Amounts disclosed in Column B(ii) include a long-term and short-term incentive for certain executives and short-term incentive for other employees. Although these plans are based on a fixed formula that has been approved by the Board of Directors based upon certain qualitative and quantitative factors and goals, all discretionary incentive plans must be approved by the Board of Directors prior to any incentive payout.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
NANCY GATMAITAN
SPOUSE OF FORMER OFFICER, ALFONSO GATMAITAN	$14,917	COMPENSATION FOR SERVICES	false
Neufelder Consulting Services LLC
Officer, DANIEL E. NEUFELDER, is more than 35% owner	$142,377	Consulting SERVICES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV - Business Transactions Involving Interested Persons	FormAndLineReferenceDesc
Explanation	IU HEALTH ARNETT PAID $142,377 TO Neufelder Consulting Services LLC FOR CONSULTING SERVICES PROVIDED PRIOR TO DANIEL NEUFELDER BEING NAMED PRESIDENT OF THE ORGANIZATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Page 1, Line J Web Site:	https://iuhealth.org/find-locations/iu-health-arnett-hospital
Part VI, Section A, Lines 6, 7a and 7b Members or Stockholders	Line 6: The sole member of IU Health Arnett is IU Health, a 501(c)(3) tax-exempt hospital. Line 7a: The control and management of the affairs of IU Health Arnett is vested in a board of up to twelve (12) voting directors whom are appointed by IU Health, as the sole member of the organization. Three (3) of the voting directors are nominated by the IU Health Arnett employed physicians. One (1) of the voting directors is nominated by active medical staff members. IU Health may only either accept director nominees from the IU Health Arnett employed physicians and active medical staff members or reject one or more of such nominees and request different nominees from the employed physicians and active medical staff members. Line 7b: The board of directors may not undertake certain actions without the prior approval of IU Health, as the sole member. Actions that require prior approval include the following: -Authorization of any merger, consolidation, reorganization, sale or transfer of all or substantially all of the assets of IU Health Arnett; -Authorization of any plan of dissolution of IU Health Arnett, any liquidating distribution of IU Health Arnett's assets or other action related to the dissolution or liquidation of IU Health Arnett; -Authorization of any voluntary declaration of bankruptcy of IU Health Arnett; -Amendment, repeal, revision or adoption of changes to the organization documents of IU Health Arnett; -Authorization of the consolidation of any entity with, or acquisition of any entity by IU Health Arnett; -Authorization of any agreement to act as a primary obligor, or to serve as a guarantor, surety or co-obligor with respect to the indebtedness of any other party, to borrow amounts from third-party lenders or to loan money to any person or entity; -Approval of strategic plans and amendments; -Authorization of any pledge of, or grant of any security interest or mortgage in, or otherwise encumber, any tangible assets in excess of an appropriate monetary threshold, other than in the ordinary course of business or pursuant to an approved budget or strategic plan; -Approval of any management agreement for the management of all or a substantial part of IU Health Arnett's operations; or -Authorization of the establishment or acquisition by IU Health Arnett of any subsidiaries, affiliates or joint venture arrangements or the acquisition by IU Health Arnett of the stock or other equity interest or substantially all the assets of any other business or entity.
Part VI, Section B, Line 11b Review of Form 990	The CFO reviewed and approved the Form 990. Following the CFO's review and approval, a complete copy of the Form 990 was made available to each board member prior to its filing. Each member was also informed of the availability of IU Healths Tax Department to answer any questions.
Part VI, Section B, Lines 12, 13, 14, and 16b Policies	IU Health Arnett is part of the IU Health system. As the sole member and controlling parent of IU Health Arnett, IU Health and its Board of Directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health Arnetts Board of Directors was not required to separately adopt a conflict of interest, whistleblower, document retention and destruction and joint venture policies because IU Healths Board of Directors had already adopted and required these policies to be followed by its subsidiaries.
Part VI, Section B, Line 12c Conflict of Interest Policy	IU Health Arnett follows IU Healths Conflict of Interest Policy. IU Healths 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 Representatives 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 supervisors 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 15 Process for Determining Compen.	IU Health Arnetts President is employed by IU Health. IU Healths process for determining compensation is as follows: (1) The Board of Directors has established a Committee on Personnel and Compensation. The individuals on this Committee are made up of individuals who are on the Board and who do not have a conflict of interest with IU Health. There are no physicians or employees on this Committee. This Committee develops and reviews annually the executive compensation philosophy, market analysis as to comparability and reasonableness. One of the purposes of this Committee is to review, approve and make recommendations regarding executive compensation and benefits to the IU Health Board. As deemed appropriate, this Committee also reviews the same detail with the Committee on Finance. The Committee on Finance is represented by certain members of the Board as well. (2) Each year the Committee on Personnel and Compensation engages an outside compensation consulting firm to conduct a compensation and benefits study for all senior vice presidents and above. The current compensation advisor is SULLIVANCOTTER. SULLIVANCOTTER performs an independent compensation survey. The relevant comparability data includes: compensation and benefit 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. The Committee reviews the entire compensation package including: base compensation, short term and long term incentive plans, basic health and welfare benefits, qualified and nonqualified plans as well as any additional fringe benefits. Further, SULLIVANCOTTER will provide recommendations based upon the reasonable compensation information as it relates to salary increases, bonuses and benefits that are consistent with the compensation philosophy of the Committee. A separate analysis using the same methodology is done for the Chief Executive Officer. (3) The Committee reviews the salary survey and, if appropriate, makes recommendations on increases in salary and any changes in bonuses or benefits. The Committee's goal is to ensure that the total compensation and benefits package is reasonable based upon the independent data provided by SULLIVANCOTTER. The Committee votes on any changes in compensation or benefits. This review, discussion and vote are documented in the minutes for the meeting. There are no executives present during the final discussion and approval of compensation. (4) The Board reviews the report prepared by SULLIVANCOTTER as well as the recommendations of the Committee on Personnel and Compensation as to changes in compensation approved by the Committee. As requested, the Committee on Finance also provides its review of recommendations on changes in executive compensation and benefits. This review, discussion and vote are documented in the minutes. (5) The Board then reviews the recommendations provided by the Committee on Personnel and Compensation and votes on the changes as well. No additional compensation or benefits are paid to the executives until the changes have been approved by the Committee and the Board. The discussion and approval are documented in the minutes of the meeting. There are no executives present during the final discussion and approval of compensation. The General Counsel prepares a formal written opinion reviewing the compensation and benefits approval process, comparing that process to the Intermediate Sanctions Test of IRC Section 4958 and, if the facts warrant, provides comments regarding the compensation and benefits approval process as this 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 Committee and Board also reviews the achievements of the executive group as it relates to the long-term and short-term shared and individual goals developed by the executive 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 and the compensation survey. The discussion and vote of the Committee 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 Committee on Personnel and Compensation and Audit Committee also review the required Form 990 disclosures related to executive compensation and benefits as well as compensation practices and approval processes prior to the filing of the Form 990 return with the Internal Revenue Service. IU Health Arnett has a process in place to determine the compensation for the other officers and key employees. IU Health Arnett uses an independent compensation consultant who utilizes a variety of methods and procedures to obtain compensation ranges for comparable officer and employee positions. The independent compensation consultant provides IU Health Arnett with recommended compensation ranges for its officers and other employees, which are then used as a guide for setting reasonable compensation by management. Management decisions with regard to determining compensation are subject to the review and approval of the Executive Committee and Board of Directors.
Part VI, Section C, Line 19 Public Disclosure	IU Health Arnett's Articles of Incorporation are available for public inspection through the Indiana Secretary of State's website. IU Health Arnett's conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health Arnett is a consolidated subsidiary in the consolidated financial statements for IU Health. The consolidated financial statements for IU Health are available to the public through its bond filings and attached to the Form 990.
Form 990, Part VII - ACRONYM DESCRIPTION	THE ACRONYM FOR WEST CENTRAL REGION (WCR) IS USED THROUGHOUT FORM 990, MOST NOTABLY IN PART VII AND IN SCHEDULE J.
PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES	IU HEALTH ARNETT RECORDED THE FOLLOWING OTHER CHANGES IN NET ASSETS OR FUND BALANCES IN 2018: EQUITY TRANSFER (SETTLEMENT OF DEBT): (262,677)
FORM 990 PART IX LINE 11G	DESCRIPTION:SHARED SERVICES/PROF FEES TOTAL FEES:82989848

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ARNETT CLINIC LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	352030653	HEALTHCARE	IN	$310,088,287	$0	IUHA
CAH PHYSICIANS LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	262769447	HEALTHCARE	IN	$0	$0	IUHA
CLARIAN-ARNETT OCCUP HEALTH CTRS LLC
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	271973115	HEALTHCARE	IN	$748,643	$0	IUHA

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Clarian Transplant Institute Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	134350599	Healthcare	IN	501(c)(3)	10	IUH	Yes (true)
HealthLINC Incorporated
950 N Meridian St Ste 800	Indianapolis	IN	46204	263571507	Healthcare	IN	501(c)(3)	10	IUHB	Yes (true)
Indiana Health Info Exchange Inc
846 N Senate Ave	Indianapolis	IN	46202	364550324	Healthcare	IN	501(c)(3)	12 I	NA	false
Indiana University Health Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	351955872	Healthcare	IN	501(c)(3)	3	NA	false
IU Health Ball Memorial Hospital Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	350867958	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
IU Health Ball Memorial Physicians Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	351925641	Healthcare	IN	501(c)(3)	10	IUHBMH	Yes (true)
IU Health Bedford Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	237042323	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
IU Health Blackford Hospital Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	010646166	Healthcare	IN	501(c)(3)	3	IUHBMH	Yes (true)
IU Health Bloomington Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	351720796	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
IU Health BMH Foundation Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	311111784	Fundraising	IN	501(c)(3)	12 I	IUHBMH	Yes (true)
IU Health Care Associates Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	351747218	Healthcare	IN	501(c)(3)	10	IUH	Yes (true)
IU Health Frankfort Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	815174295	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
IU Health Jay Foundation Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	351809127	fundraising	IN	501(c)(3)	12 I	IUH	Yes (true)
IU Health Jay Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	822736786	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
IU Health Morgan Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	273533027	Healthcare	IN	501(c)(3)	10	IUH	Yes (true)
IU Health North Hospital Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	351932442	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
IU Health Paoli Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	352090919	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
IU Health Plans NFP Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	463803873	Insurance	IN	501(c)(4)	N/A	IUH	Yes (true)
IU Health Tipton Hospital Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	262772226	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
IU Health West Hospital Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	351814660	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
IU Health White Memorial Hospital Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	273532963	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
IU Medical Group Foundation Inc
340 W 10th St No FS5100	Indianapolis	IN	46202	201093251	Fundraising	IN	501(c)(3)	12 II	NA	false
IUHLP Liquidation Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	351125434	Healthcare	IN	501(c)(3)	10	IUH	Yes (true)
IUHLP-P Liquidation Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	311070868	Healthcare	IN	501(c)(3)	10	IUHLP	Yes (true)
LaPorte Hospital Foundation Inc
PO Box 250	LaPorte	IN	46352	310952775	Fundraising	IN	501(c)(3)	12 I	NA	false
MDwise Marketplace Inc
1200 Madison Ave	Indianapolis	IN	46225	465270582	Insurance	IN	501(c)(4)	N/A	IUH	Yes (true)
MDwise Network Inc
1200 Madison Ave	Indianapolis	IN	46225	472619552	Insurance	IN	501(c)(4)	N/A	IUH	Yes (true)
IU Health Foundation Inc
1800 N Capitol Ave	Indianapolis	IN	46202	356043086	Fundraising	IN	501(c)(3)	12 I	IUH	Yes (true)
Methodist Health Group Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	350876390	Healthcare	IN	501(c)(3)	12 III-FI	NA	false
Methodist Occup Health Centers Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	351844176	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
Rehabilitation Hospital of Indiana Inc
4141 Shore Dr	Indianapolis	IN	46254	351786005	Healthcare	IN	501(c)(3)	3	IUH	Yes (true)
RHI Foundation Inc
4141 Shore Dr	Indianapolis	IN	46254	351932349	Fundraising	IN	501(c)(3)	12 I	RHI	Yes (true)
The Cheer Guild of Riley Hos for Child
705 Riley Hospital Dr	Indianapolis	IN	46202	356018517	Fundraising	IN	501(c)(3)	12 III-FI	NA	false
University Family Physicians Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	237427350	Healthcare	IN	501(c)(3)	10	IUHCA	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Ball Outpatient Sur Ctr LLC
569 Brookwood Village Ste 901	Birmingham	AL	35244	270275794	Healthcare	IN	NA
Beltway Surgery Centers LLC
569 Brookwood Village Ste 901	Birmingham	AL	35244	352072586	Healthcare	IN	NA
BOSC Holdings LLC
950 N Meridian St Ste 800	Indianapolis	IN	46204	454147343	Healthcare	IN	NA
BSC Holdings LLC
950 N Meridian St Ste 800	Indianapolis	IN	46204	452314634	Healthcare	IN	NA
CHV Fund I LLC
950 N Meridian St Ste 800	Indianapolis	IN	46204	262523206	Venture CapitAL	IN	NA
CHV Fund II Management LLC
950 N Meridian St Ste 800	Indianapolis	IN	46204	371717823	Venture CapitAL	IN	NA
CHV Fund II LLC
950 N Meridian St Ste 800	Indianapolis	IN	46204	800902337	Venture CapitAL	IN	NA
CHV Fund Management LLC
950 N Meridian St Ste 800	Indianapolis	IN	46204	262523151	Venture CapitAL	IN	NA
Health Venture Management LLC
950 N Meridian St Ste 800	Indianapolis	IN	46204	205740218	Management	IN	NA
IEC Holdings LLC
950 N Meridian St Ste 800	Indianapolis	IN	46204	454148032	Healthcare	IN	NA
Indiana Endoscopy Centers LLC
569 Brookwood Village Ste 901	Birmingham	AL	35244	208398421	Healthcare	IN	NA
ROC Surgery LLC
569 Brookwood Village Ste 901	Birmingham	AL	35244	271497960	Healthcare	IN	NA
ROCS Holdings LLC
950 N Meridian St Ste 800	Indianapolis	IN	46204	454148369	Healthcare	IN	NA
Senate St Surgery Center LLC
569 Brookwood Village Ste 901	Birmingham	AL	35244	421709357	Healthcare	IN	NA
SSSC Holdings LLC
950 N Meridian St Ste 800	Indianapolis	IN	46204	454148167	Healthcare	IN	NA
IU HEALTH FORT WAYNE LLC
950 N Meridian St Ste 800	INDIANAPOLIS	IN	46204	831224627	Healthcare	IN	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
BMH Medical Pavilion Association Inc
2525 W University Ave	Muncie	IN	47303	351858408	Condo Management	IN	NA	C	Yes (true)
Cardinal Health Ventures Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	351611424	Management	IN	NA	C	Yes (true)
CHV Capital Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	260752507	Venture Capital	IN	NA	C	Yes (true)
IU Health 457(B) Plan
1100 N Market St	Wilmington	DE	19890	476948347	Investments	DE	NA	T	Yes (true)
IU Health ACO Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	454421020	Healthcare	IN	NA	C	Yes (true)
IU Health Board Designated Trust
400 Howard St	San Francisco	CA	94105	306309021	Investments	CA	NA	T	Yes (true)
IU Health NTGI S&P500 Fund CF
PO Box 804358	Chicago	IL	60680	306298263	Investments	IL	NA	T	Yes (true)
IU Health Plans Holding Company Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	463794815	Insurance	IN	NA	C	Yes (true)
IU Health Plans Insurance Company
950 N Meridian St Ste 800	Indianapolis	IN	46204	811097215	Insurance	IN	NA	C	Yes (true)
IU Health Plans Inc
950 N Meridian St Ste 800	Indianapolis	IN	46204	262127080	HMO	IN	NA	C	Yes (true)
IU Health Risk Purchasing Group Inc
151 Meeting St Ste 301	Charleston	SC	29401	260202446	Insurance	SC	NA	C	Yes (true)
IU Health Risk Retention Group Inc
151 Meeting St Ste 301	Charleston	SC	29401	201107674	Insurance	SC	NA	C	Yes (true)
IU Health Southern IN Physicians Inc
950 N Meridian St Ste 300	Indianapolis	IN	46204	351913875	Healthcare	IN	NA	C	Yes (true)
IUH Assurance SPC Ltd
				980395429	Insurance		NA	C	Yes (true)	PO BOX 69 94 SOLARIS AVE	CAMANA BAY	GRAND CAYMAN	CJ	CJ
Proteuo Fund LP
				981075227	Investments		NA	C	Yes (true)	PO BOX 31106 89 NEXUS WAY	CAMANA BAY	GRAND CAYMAN	CJ	CJ
SCANS Inc
950 N MERIDIAN ST STE 800	INDIANAPOLIS	IN	46204	453080392	Healthcare	IN	NA	C	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
IU HEALTH FOUNDATION INC
b	$51,491	FMV
IU HEALTH FRANKFORT INC
E	$180,128	FMV
IU HEALTH WHITE MEMORIAL HOSPITAL INC
K	$285,693	FMV
IU HEALTH FRANKFORT INC
L	$2,230,876	FMV
IU HEALTH WHITE MEMORIAL HOSPITAL INC
L	$1,954,454	FMV
IU HEALTH CARE ASSOCIATES INC
M	$2,854,032	FMV
METHODIST OCCUPATIONAL HEALTH CENTER INC
M	$308,043	FMV
IU HEALTH WHITE MEMORIAL HOSPITAL INC
O	$144,546	FMV
IU HEALTH ACO Inc
O	$1,428,659	FMV
IUH ASSURANCE SPC LTD
R	$901,334	FMV
IU HEALTH RISK RETENTION GROUP INC
R	$3,459,050	FMV