INDIANA UNIVERSITY HEALTH BLACKFORD HOSPITAL INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA UNIVERSITY HEALTH BLACKFORD HOSPITAL INC (EIN 01-0646166)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-13
- IRS object ID
- 202533179349302033
- Schema version
- 2024v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-13T14:13:31+00:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010646166 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Indiana University Health Blackford Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 3179634842 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN STREET 1200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael L Craig | PersonNm |
| Person Title | VP & CFO | PersonTitleTxt |
| Phone | 8123539171 | PhoneNum |
| Signature | 2025-11-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Change | Yes (X) | NameChangeInd |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFREY C BIRD MD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN STREET 1200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,184,952 | 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 | 2002 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | Lead the transformation of healthcare through quality, innovation & education, and make Indiana one of the nation's healthiest states. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 8 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $65,703 | PYContributionsGrantsAmt |
| CY Contributions Grants | $70,273 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,546,156 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $765,970 | CYProgramServiceRevenueAmt |
| PY Investment Income | $63,325 | PYInvestmentIncomeAmt |
| CY Investment Income | -$47,140 | CYInvestmentIncomeAmt |
| PY Other Revenue | $25,521 | PYOtherRevenueAmt |
| CY Other Revenue | $1,348,709 | CYOtherRevenueAmt |
| PY Total Revenue | $18,700,705 | PYTotalRevenueAmt |
| CY Total Revenue | $2,137,812 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $26,822 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,701,417 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,299,148 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,046,548 | PYOtherExpensesAmt |
| CY Other Expenses | $2,172,214 | CYOtherExpensesAmt |
| PY Total Expenses | $23,774,787 | PYTotalExpensesAmt |
| CY Total Expenses | $3,471,362 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,074,082 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,333,550 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,658,757 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,954,668 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,454,243 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,083,704 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,204,514 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,870,964 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Lead the transformation of healthcare through quality, innovation & education, and make Indiana one of the nation's healthiest states. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,026,583 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $721,396 | RevenueAmt |
| Desc | IU HEALTH BLACKFORD OPERATEs AS AN OUTPATIENT FACILITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $138,635 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $33,044 | RevenueAmt |
| Desc | RENT FROM RELATED 501(C)(3) ORGS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $48,374 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,530 | RevenueAmt |
| Desc | Pharmacy | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,213,592 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| 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 | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 8 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRAIG J JONES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3179634842 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN STREET SUITE 800 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| DANIEL E BORGENHEIMER | |||||||||
| DIRECTOR/CHAIR | 2.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| J STEVEN RHEA | |||||||||
| Director/Secretary/Treasurer | 2.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY C BIRD MD | |||||||||
| DIRECTOR/PRESIDENT (ECR) | 10.0 | 45.0 | Yes (X) | Yes (X) | $0 | $1,005,128 | $176,317 | ||
| PETER M VOSS MD | |||||||||
| DIRECTOR/VICE CHAIR | 10.0 | 45.0 | Yes (X) | Yes (X) | $0 | $544,772 | $67,799 | ||
| WILBUR R DAVIS | |||||||||
| DIRECTOR/VICE CHAIR | 2.0 | 4.0 | Yes (X) | Yes (X) | $0 | $3,000 | $0 | ||
| CHARLES R ROUTH MD | |||||||||
| DIRECTOR | 2.0 | 53.0 | Yes (X) | $0 | $296,767 | $62,572 | |||
| DEA BELL | |||||||||
| DIRECTOR | 2.0 | 4.0 | Yes (X) | $0 | $6,000 | $0 | |||
| DERRON L BISHOP PHD | |||||||||
| DIRECTOR | 2.0 | 4.0 | Yes (X) | $0 | $2,000 | $0 | |||
| DONALD J ENGEL | |||||||||
| DIRECTOR (PART YEAR) | 2.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| GEOFFREY S MEARNS | |||||||||
| DIRECTOR | 2.0 | 4.0 | Yes (X) | $0 | $0 | $0 | |||
| JOAN V CASTOR | |||||||||
| DIRECTOR | 2.0 | 53.0 | Yes (X) | $0 | $644,641 | $136,828 | |||
| KEVIN D WOODGETT | |||||||||
| DIRECTOR (PART YEAR) | 2.0 | 4.0 | Yes (X) | $0 | $4,000 | $0 | |||
| MICHAEL J FISHER | |||||||||
| DIRECTOR | 2.0 | 7.0 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK A CLEARY MD | |||||||||
| DIRECTOR | 2.0 | 4.0 | Yes (X) | $0 | $4,000 | $0 | |||
| TERRY W BAILEY | |||||||||
| DIRECTOR | 2.0 | 4.0 | Yes (X) | $0 | $6,000 | $0 | |||
| WILLIAM W HINKLE | |||||||||
| DIRECTOR | 2.0 | 4.0 | Yes (X) | $0 | $6,000 | $0 | |||
| JONATHAN W VANATOR | |||||||||
| CFO (ECR) (PART YEAR) | 10.0 | 45.0 | Yes (X) | $0 | $468,222 | $65,683 | |||
| MICHAEL L CRAIG | |||||||||
| CFO (Part Year) | 5.0 | 50.0 | Yes (X) | $0 | $375,821 | $65,857 | |||
| MICHELLE R ALTOBELLA | |||||||||
| VP-General Counsel, Asst Secretary (ECR) | 0.0 | 57.0 | Yes (X) | $0 | $274,361 | $53,284 | |||
| BRIAN REED | |||||||||
| VP-HUMAN RESOURCES (ECR) | 10.0 | 45.0 | $0 | $211,282 | $63,512 | Yes (X) | |||
| KREIGH COOK | |||||||||
| COO (ECR) | 15.0 | 35.0 | $0 | $307,676 | $43,866 | Yes (X) | |||
| MELISSA R HICKS | |||||||||
| VP & CNO (ECR) | 10.0 | 45.0 | $0 | $275,836 | $46,483 | Yes (X) | |||
| RYAN M JOHNSTON MD | |||||||||
| VP & CMO (ECR) | 10.0 | 45.0 | $0 | $446,201 | $79,162 | Yes (X) | |||
| HELEN A BORGENHEIMER MD | |||||||||
| FORMER Highest Compensated EMployee | 50.0 | 0 | $0 | $262,660 | $61,230 | Yes (X) | |||
| JAN B MCMILLAN | |||||||||
| FORMER Highest Compensated EMployee | 55.0 | 0.0 | $0 | $174,093 | $38,542 | Yes (X) | |||
| KEVIN W SCHREIBER MD | |||||||||
| FORMER HIGHEST COMPENSATED EMPLOYEE | 0.0 | 50.0 | $0 | $390,128 | $73,076 | Yes (X) | |||
| THOMAS D STEWART MD | |||||||||
| FORMER Highest compensated employee | 40.0 | 10.0 | $0 | $399,206 | $78,512 | Yes (X) | |||
| THOMAS M LEE MD | |||||||||
| FORMER Highest Compensated EMployee | 40.0 | 10.0 | $0 | $355,022 | $68,030 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,462,816 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,180,753 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Related Organizations | $37,202 | RelatedOrganizationsAmt |
| Government Grants | $33,071 | GovernmentGrantsAmt |
| Total Contributions | $70,273 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 622110 | $721,396 | $721,396 |
| Pharmacy | 446110 | $11,530 | $11,530 |
| Rent from Related 501(c)(3) Orgs. | 532000 | $33,044 | $33,044 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $765,970 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $84,977 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $84,977 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,977 | TotalRevenueColumnAmt |
| Exclusion | $84,977 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $47,140 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$47,140 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$47,140 | TotalRevenueColumnAmt |
| Exclusion | -$47,140 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | All Other Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,263,732 | TotalRevenueColumnAmt |
| Exclusion | $1,263,732 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,263,732 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,137,812 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $765,970 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,301,569 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $976,228 | TotalAmt |
| Program Services | $943,310 | ProgramServicesAmt |
| Management And General | $32,918 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,387 | TotalAmt |
| Program Services | $36,126 | ProgramServicesAmt |
| Management And General | $1,261 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,108 | TotalAmt |
| Program Services | $206,888 | ProgramServicesAmt |
| Management And General | $7,220 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,425 | TotalAmt |
| Program Services | $69,017 | ProgramServicesAmt |
| Management And General | $2,408 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384 | TotalAmt |
| Management And General | $384 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $658,424 | TotalAmt |
| Program Services | $613,620 | ProgramServicesAmt |
| Management And General | $44,804 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205 | TotalAmt |
| Management And General | $205 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,562 | TotalAmt |
| Program Services | $15,450 | ProgramServicesAmt |
| Management And General | $1,112 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,051 | TotalAmt |
| Program Services | $12,526 | ProgramServicesAmt |
| Management And General | $12,525 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,707 | TotalAmt |
| Program Services | $402,707 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,916 | TotalAmt |
| Program Services | $535,443 | ProgramServicesAmt |
| Management And General | $26,473 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,219 | TotalAmt |
| Management And General | $125,219 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Drugs and Medical Supplies | $314,093 | $314,093 | |
| All Other Expenses | $67,337 | $64,110 | $3,227 |
| Noncapitalized Equipment | $316 | $302 | $14 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,471,362 | TotalAmt |
| Program Services | $3,213,592 | ProgramServicesAmt |
| Management And General | $257,770 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,138 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $366,333 | BOYAmt |
| EOY | $0 | 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 |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,141 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,887 | BOYAmt |
| EOY | $40,266 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,576,496 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,662,094 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,207,258 | BOYAmt |
| EOY | $3,914,402 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
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 | $5,658,757 | BOYAmt |
| EOY | $3,954,668 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $377,274 | BOYAmt |
| EOY | $432,565 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,076,969 | BOYAmt |
| EOY | $1,651,139 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,454,243 | BOYAmt |
| EOY | $2,083,704 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,204,514 | BOYAmt |
| EOY | $1,870,964 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,204,514 | BOYAmt |
| EOY | $1,870,964 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,658,757 | BOYAmt |
| EOY | $3,954,668 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,333,550 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $384 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $384 | 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, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | IU Health Blackford Hospital paid institutional membership dues to Indiana Hospital Association ("IHA") during 2024 in the amount of $3,262, respectively. Each membership organization notified IU Health Blackford Hospital that a portion of the dues it paid were used for lobbying purposes. The IHA used 11.78%, or $384 of the 2024 membership dues paid by IU Health Blackford Hospital, for lobbying expenditures. The total membership dues paid to this organization by IU Health Blackford Hospital during 2024 that were attributable to lobbying expenditures was $384. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $190,324 | OtherCostOrOtherBasisAmt |
| Book Value | $190,324 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,997,446 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,472,614 | DepreciationAmt |
| Book Value | $3,524,832 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,103,735 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,904,749 | DepreciationAmt |
| Book Value | $198,986 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $284,991 | OtherCostOrOtherBasisAmt |
| Depreciation | $284,731 | DepreciationAmt |
| Book Value | $260 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,914,402 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | $0 |
| SELF-INSURANCE LIABILITIES | $0 |
| DUE TO THIRD-PARTY PAYERS | $1,300,528 |
| Intercompany Payables (Net) | $350,611 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,651,139 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
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 Blackford is a subsidiary in Indiana University Health, Inc.'s ("IU Health") Consolidated Audited Financial Statements. The Internal Revenue Service has determined that Indiana University Health and certain of its affiliated entities are tax-exempt organizations as defined in Section 501(c)(3) of the Internal Revenue Code (IRC). Indiana University Health and its tax-exempt affiliates are, however, subject to federal and state income taxes on unrelated business income under the provisions of IRC Section 511. Deferred income taxes which, as of December 31, 2024, and 2023, have no net carrying value, reflect the net tax effect of temporary differences between the carrying amounts of assets and liabilities for financial reporting and the amounts used for income tax purposes. As of December 31, 2024, and 2023, the Indiana University Health System had gross deferred tax assets of $110,705,348, and $141,386,173, respectively, relating to net operating loss carryovers. Indiana University Health Blackford, Inc.'s portion of the December 31, 2024, and 2023 deferred tax assets is $0 and $0 respectively. Management determined that a full valuation allowance at December 31, 2024 and 2023 was necessary to reduce the deferred tax assets to the amount that would more likely than not be realized. Based on the weight of the evidence, if it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance to reduce the deferred tax assets is recorded. The decrease in the gross deferred tax asset and the valuation allowance for the current year is $30,681,000. At December 31, 2024, Indiana University Health System has available net operating loss carryforwards of $445,118,000, Indiana University Health Blackford, Inc.'s portion is $0. Net operating losses generated from 2005 through 2017 will expire between 2025 and 2037. Net operating losses generated after 2017 do not expire. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY C BIRD MD | ||||||||||||||
| DIRECTOR/PRESIDENT (ECR) | $0 | $615,805 | $0 | $259,543 | $0 | $129,780 | $0 | $123,960 | $0 | $52,357 | $0 | $1,181,445 | $0 | $103,503 |
| PETER M VOSS MD | ||||||||||||||
| DIRECTOR/VICE CHAIR | $0 | $448,576 | $0 | $92,632 | $0 | $3,564 | $0 | $15,124 | $0 | $52,675 | $0 | $612,571 | $0 | $0 |
| JOAN V CASTOR | ||||||||||||||
| DIRECTOR | $0 | $383,981 | $0 | $200,279 | $0 | $60,381 | $0 | $82,880 | $0 | $53,948 | $0 | $781,469 | $0 | $0 |
| CHARLES R ROUTH MD | ||||||||||||||
| DIRECTOR | $0 | $177,352 | $0 | $112,557 | $0 | $6,858 | $0 | $11,923 | $0 | $50,649 | $0 | $359,339 | $0 | $0 |
| MICHELLE R ALTOBELLA | ||||||||||||||
| VP-General Counsel, Asst Secretary (ECR) | $0 | $237,733 | $0 | $35,399 | $0 | $1,229 | $0 | $11,328 | $0 | $41,956 | $0 | $327,645 | $0 | $0 |
| MICHAEL L CRAIG | ||||||||||||||
| CFO (Part Year) | $0 | $329,178 | $0 | $43,079 | $0 | $3,564 | $0 | $13,500 | $0 | $52,357 | $0 | $441,678 | $0 | $0 |
| JONATHAN W VANATOR | ||||||||||||||
| CFO (ECR) (PART YEAR) | $0 | $335,594 | $0 | $131,818 | $0 | $810 | $0 | $11,803 | $0 | $53,880 | $0 | $533,905 | $0 | $0 |
| KREIGH COOK | ||||||||||||||
| COO (ECR) | $0 | $279,864 | $0 | $27,326 | $0 | $486 | $0 | $12,505 | $0 | $31,361 | $0 | $351,542 | $0 | $0 |
| MELISSA R HICKS | ||||||||||||||
| VP & CNO (ECR) | $0 | $243,839 | $0 | $31,515 | $0 | $482 | $0 | $11,225 | $0 | $35,258 | $0 | $322,319 | $0 | $0 |
| RYAN M JOHNSTON MD | ||||||||||||||
| VP & CMO (ECR) | $0 | $392,288 | $0 | $52,671 | $0 | $1,242 | $0 | $13,800 | $0 | $65,362 | $0 | $525,363 | $0 | $0 |
| BRIAN REED | ||||||||||||||
| VP-HUMAN RESOURCES (ECR) | $0 | $183,135 | $0 | $27,779 | $0 | $368 | $0 | $8,888 | $0 | $54,624 | $0 | $274,794 | $0 | $0 |
| HELEN A BORGENHEIMER MD | ||||||||||||||
| FORMER Highest Compensated EMployee | $0 | $171,543 | $0 | $84,259 | $0 | $6,858 | $0 | $8,787 | $0 | $52,443 | $0 | $323,890 | $0 | $0 |
| JAN B MCMILLAN | ||||||||||||||
| FORMER Highest Compensated EMployee | $0 | $153,037 | $0 | $20,366 | $0 | $690 | $0 | $7,137 | $0 | $31,405 | $0 | $212,635 | $0 | $0 |
| THOMAS M LEE MD | ||||||||||||||
| FORMER Highest Compensated EMployee | $0 | $184,755 | $0 | $159,143 | $0 | $11,124 | $0 | $13,800 | $0 | $54,230 | $0 | $423,052 | $0 | $0 |
| KEVIN W SCHREIBER MD | ||||||||||||||
| FORMER HIGHEST COMPENSATED EMPLOYEE | $0 | $368,661 | $0 | $20,657 | $0 | $810 | $0 | $13,800 | $0 | $59,276 | $0 | $463,204 | $0 | $0 |
| THOMAS D STEWART MD | ||||||||||||||
| FORMER Highest compensated employee | $0 | $256,494 | $0 | $135,854 | $0 | $6,858 | $0 | $12,331 | $0 | $66,181 | $0 | $477,718 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | IU HEALTH BLACKFORD'S REGIONAL PRESIDENT IS EMPLOYED BY IU HEALTH, INC. IU HEALTH, IU HEALTH BALL AND OTHER RELATED ORGANIZATIONS HAVE A PROCESS IN PLACE FOR DETERMINING THE COMPENSATION FOR THE OFFICERS AND KEY EMPLOYEES. IU HEALTH HUMAN RESOURCES USES MARKET DATA FROM MULTIPLE COMPENSATION EXPERTS/VENDORS WHO UTILIZE A VARIETY OF METHODS AND PROCEDURES TO OBTAIN COMPENSATION RANGES FOR COMPARABLE OFFICERS AND EMPLOYEE POSITONS. THIS MARKET DATA AND MULTIPLE OTHER FACTORS (INCLUDE MARKET PAY BENCHMARKS, INTERNAL EQUITY, CANDIDATE/EMPLOYEE QUALIFICATIONS AND PERFORMANCE, AND OTHER BUSINESS NEEDS) ARE USED TO RECOMMEND COMPENSATION RANGES FOR ITS OFFICERS AND OTHER EMPLOYEES, WHICH ARE THEN USED AS A GUIDE FOR SETTING REASONABLE COMPENSATION BY MANAGEMENT. PLEASE SEE SCHEDULE O FOR ADDITIONAL DETAILS. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | JEFFREY C. BIRD, M.D. AND JOAN V. CASTOR 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 SERVICES THROUGH NORMAL RETIREMENT OR OTHER KEY DATES. IF THE EXECUTIVE LEAVES PRIOR TO RETIREMENT OR OTHER KEY DATES, THE BENEFIT MAY BE FORFEITED OR REDUCED. EACH OF THE EXECUTIVES LISTED ABOVE HAVE AN AMOUNT INCLUDED IN COLUMN C, DEFERRED COMPENSATION, REPRESENTING THE CURRENT YEAR UNVESTED CONTRIBUTIONS MADE UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THESE AMOUNTS WERE NOT PAID TO THE EXECUTIVES DURING THE YEAR. THE FOLLOWING EXECUTIVES HAVE AN AMOUNT INCLUDED IN COLUMN B (III), OTHER REPORTABLE COMPENSATION, REPRESENTING THE CURRENT YEAR VESTED AMOUNTS RECEIVED UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: JOAN V. CASTOR: $56,550 |
| Schedule J, Part I, Line 7 Non-fixed payments | AMOUNTS DISCLOSED IN COLUMN B(II) INCLUDE A LONG TERM INCENTIVE FOR CERTAIN EXECUTIVES. ALTHOUGH THESE PLANS ARE BASED ON A FIXED FORMULA THAT HAS BEEN APPROVED BY THE BOARD OF DIRECTORS BASED UPON CERTAIN QUALITATIVE AND QUANTITATIVE FACTORS AND GOALS, ALL DISCRETIONARY INCENTIVE PLANS MUST BE APPROVED BY THE COMMITTEE ON PERSONNEL AND COMPENSATION AND BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Line J - Web Site | https://iuhealth.org/find-locations/iu-health-primary-care-400-pilgrim-blvd-hartford-city |
| SECTION B, LINES 12, 13, 14, AND 16B - POLICIES | IU HEALTH BLACKFORD HOSPITAL IS PART OF THE IU HEALTH SYSTEM. IU HEALTH BLACKFORD HOSPITAL'S SOLE MEMBER IS IU HEALTH BALL MEMORIAL HOSPITAL. IU HEALTH BALL MEMORIAL HOSPITAL'S SOLE MEMBER IS IU HEALTH, INC. IU HEALTH, INC. AND ITS BOARD OF DIRECTORS HAVE MANDATED THAT CERTAIN POLICIES BE FOLLOWED TO ENSURE GREATER STANDARDIZATION THROUGHOUT THE SYSTEM. THUS, IU HEALTH BLACKFORD HOSPITAL'S BOARD OF DIRECTORS WAS NOT REQUIRED TO SEPARATELY ADOPT A CONFLICT OF INTEREST, WHISTLEBLOWER, DOCUMENT RETENTION AND DESTRUCTION AND JOINT VENTURE POLICIES BECAUSE IU HEALTH'S BOARD OF DIRECTORS HAD ALREADY ADOPTED AND REQUIRED THESE POLICIES TO BE FOLLOWED BY ITS SUBSIDIARIES. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | IU HEALTH BLACKFORD HOSPITAL HAS ONE CLASS OF MEMBERSHIP AND THE SOLE MEMBER IS IU HEALTH BALL MEMORIAL HOSPITAL, A WHOLLY OWNED SUBSIDIARY OF IU HEALTH. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | the Board of Directors shall consist of such number of members not fewer than nine (9) nor more than twenty-three (23) in number as shall from time to time be fixed by resolution of IUH Ball. To be eligible for Board membership, a Director candidate shall satisfy the selection. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Notwithstanding any other provisions of the Articles of Incorporation, the following matters require the approval of IU Health Ball Memorial Hospital prior to implementation: - Approve the Governing Documents of the Hospital. - Appoint, upon the recommendation of the Board of the Hospital, or remove, with or without cause, the members of the Board of Directors of the Hospital. Removal does not require a recommendation of the Hospital's Board. - Approve the incurrence of debt of the Hospital within limits delegated to the Board of Directors from time to time by IU Health Ball Memorial Hospital - Approve and recommend the formation of legal entities, the sale, transfer or substantial change in use of all or substantially all of the assets of the Hospital or the divestiture, dissolution, closure, merger, consolidation or change in the Corporate Member of the Hospital. - Approve the transfer or encumbrance of the assets of the Hospital, except in the ordinary course of business. - Subject to approval by IU Health, approve the capital and operating budgets for Hospital. - Approve the mission and vision statements for the Hospital. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE CFO REVIEWED AND APPROVED THE FORM 990. FOLLOWING THE CFO'S REVIEW AND APPROVAL, A COMPLETE COPY OF THE FORM 990 WAS MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO ITS FILING. EACH MEMBER WAS ALSO INFORMED OF THE AVAILABILITY OF IU HEALTH'S TAX DEPARTMENT TO ANSWER ANY QUESTIONS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | IU Health Blackford Hospital follows IU Health's Conflict of Interest Policy. IU Health's Conflict of Interest Policy includes the following provisions: All IU Health employees, associates, colleagues and contracted personnel, including employed physicians and paid medical directors ("IU Health Representatives") are covered by and subject to its Conflict-of-Interest Policy. IU Health regularly and consistently monitors and enforces compliance with the policy through the following procedures: (a) On an annual basis, each IU Health Representative at the level of Manager or above, together with every other person designated by the Corporate Compliance Department ("Department"), must complete, sign and submit a Conflict-of-Interest Questionnaire ("Questionnaire") to the Department. Governing board members, committee members, corporate officers, medical staff and researchers must comply with the administrative requirements noted in the respective policies and procedures relative to those areas. (b) An IU Health Representative must supplement a Questionnaire in writing, if after completion of the original Questionnaire, a situation arises, or may reasonably be expected to arise, that would change any answer or information on the original Questionnaire if the situation had existed or been anticipated at the time of completion of the original Questionnaire. (c) If a fully and properly completed Questionnaire reveals facts or other information that might reasonably indicate a Conflict of Interest or violation of the policy, the IU Health Representative completing the questionnaire must secure approval by his/her supervisor, evidenced in writing. (d) The Department will review each Questionnaire and determine whether a Conflict of Interest exists and, if so, whether and how it should or may be eliminated, avoided or managed in order to comply with the spirit of the policy and with the best interests of IU Health and its patients. In making the determination, the Corporate Compliance Department may consult with the IU Health Representative's supervisor and other appropriate individuals and groups. (e) The scope of the policy is not limited to those who are required to complete Questionnaires. If an IU Health Representative is involved in a situation or relationship that would constitute a violation of the policy in the absence of disclosure and approval as described above, then the IU Health Representative must disclose the matter to his/her supervisor, secure his/her supervisor's approval in writing, and disclose the matter to the Department. Otherwise, the IU Health Representative is in violation of the policy and subject to corrective action, up to and including termination. (f) The Chief Compliance Officer, in consultation with onsite Compliance personnel, may from time to time appoint standing or ad hoc committees to assist in resolving issues that arise under provisions of the policy. |
| Form 990, Part VI, Line 19 Required documents available to the public | IU Health Blackford Hospital's Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health Blackford Hospital's conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health Blackford Hospital is a subsidiary in IU Health's Consolidated Audited Financial Statements. IU Health's Consolidated Audited Financial Statements are available for public inspection through its bond filings and as an attachment to IU Health's Form 990. |
| Form 990, Part IX, Line 11g Other Fees | Professional fees - Total Expense: 1872, Program Service Expense: 1746, Management and General Expenses: 126, Fundraising Expenses: ; Consulting - Total Expense: 1468, Program Service Expense: 1369, Management and General Expenses: 99, Fundraising Expenses: ; Intercompany fees - Total Expense: 447462, Program Service Expense: 416820, Management and General Expenses: 30642, Fundraising Expenses: ; Contract service - Total Expense: 195416, Program Service Expense: 182298, Management and General Expenses: 13118, Fundraising Expenses: ; Other Fees - Total Expense: 12206, Program Service Expense: 11387, Management and General Expenses: 819, Fundraising Expenses: ; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 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 | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| INDIANA HEALTH INFO EXCHANGE INC | |||||||||||
| 846 N SENATE AVE | INDIANAPOLIS | IN | 46202 | 364550324 | HEALTHCARE | IN | 501(c)(3) | Type I | NA | false | |
| IU HEALTH INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 351955872 | HEALTHCARE | IN | 501(c)(3) | 3 | NA | false | Suite 300 |
| IU HEALTH ARNETT INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 263162145 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| IU HEALTH BALL MEMORIAL HOSPITAL INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 350867958 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| IU HEALTH JAY INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 822736786 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| IU HEALTH BEDFORD INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 237042323 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| IU HEALTH BLOOMINGTON INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 351720796 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| IU HEALTH CARE ASSOCIATES INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 351747218 | HEALTHCARE | IN | 501(c)(3) | 10 | IUH | Yes (true) | Suite 300 |
| IU HEALTH FOUNDATION INC | |||||||||||
| 1633 N CAPITOL AVE | INDIANAPOLIS | IN | 46202 | 356043086 | FUNDRAISING | IN | 501(c)(3) | Type I | IUH | Yes (true) | SUITE 1200 |
| IU HEALTH FRANKFORT INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 815174295 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| METHODIST HEALTH GROUP INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 350876390 | HEALTHCARE | IN | 501(c)(3) | Type III-FI | NA | false | Suite 800 |
| IU HEALTH MORGAN INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 273533027 | HEALTHCARE | IN | 501(c)(3) | 10 | IUH | Yes (true) | Suite 800 |
| IU HEALTH NORTH HOSPITAL INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 351932442 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| IU HEALTH PAOLI INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 352090919 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| IU HEALTH PLANS NFP INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 463803873 | INSURANCE | IN | 501(c)(4) | IUH | Yes (true) | Suite 800 | |
| IU HEALTH TIPTON HOSPITAL INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 262772226 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| IU HEALTH WEST HOSPITAL INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 351814660 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| IU HEALTH WHITE MEMORIAL HOSPITAL INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 273532963 | HEALTHCARE | IN | 501(c)(3) | 3 | IUH | Yes (true) | Suite 300 |
| IU MEDICAL GROUP FOUNDATION INC | |||||||||||
| 340 W 10TH ST NO FS5100 | INDIANAPOLIS | IN | 46202 | 201093251 | FUNDRAISING | IN | 501(c)(3) | Type I | NA | false | |
| RILEY CHEER GUILD INC | |||||||||||
| 705 RILEY HOSPITAL DR | INDIANAPOLIS | IN | 46202 | 356018517 | FUNDRAISING | IN | 501(c)(3) | Type III-FI | NA | false | |
| UNIVERSITY FAMILY PHYSICIANS INC | |||||||||||
| 950 N MERIDIAN STREET | INDIANAPOLIS | IN | 46204 | 237427350 | HEALTHCARE | IN | 501(c)(3) | 10 | IUHCA | Yes (true) | Suite 800 |
| 16 Tech Community Corporation | |||||||||||
| 1220 Waterway Blvd | Indianapolis | IN | 46202 | 810853467 | Economic Development | IN | 501(c)(3) | Type I | NA | Yes (true) | |
| IU Health Ball Memorial Physicians Inc | |||||||||||
| 950 N Meridian St Ste 300 | Indianapolis | IN | 46204 | 351925641 | Healthcare | IN | 501(c)(3) | 3 | IUHBMH | Yes (true) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| 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 |
| 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 |
| BALL OUTPATIENT SUR CTR LLC | |||||||
| 569 Brookwood Village Ste 901 | BIRMINGHAM | AL | 35244 | 270275794 | HEALTHCARE | IN | NA |
| IU Health Southwest Fort Wayne Ambulatory Surgery Center LLC | |||||||
| 569 Brookwood Village Ste 901 | Birmingham | AL | 35244 | 842206388 | HEALTHCARE | IN | na |
| IU Health Fort Wayne SW ASC Holdings LLC | |||||||
| 950 N Meridian St Ste 800 | INDIANAPOLIS | IN | 46204 | 842214377 | HEALTHCARE | IN | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd | Address Line2USAddress/AddressLine2Txt | Address Line2ForeignAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CERBERUS RESIDENTIAL OPPORT INST LTD | ||||||||||||||||
| 190 ELGIN AVENUE | GEORGE TOWN | GRAND CAYMAN | CJ | INVESTMENTS | CJ | NA | C Corporation | Yes (true) | ||||||||
| IU HEALTH 457(B) PLAN | ||||||||||||||||
| INVESTMENTS | NA | Trust | Yes (true) | 1100 N MARKET ST | WILMINGTON | DE | 19890 | 476948347 | IN | |||||||
| IU HEALTH ACO INC | ||||||||||||||||
| HEALTHCARE | NA | C Corporation | Yes (true) | 950 N MERIDIAN ST | INDIANAPOLIS | IN | 46204 | 454421020 | IN | SUITE 800 | ||||||
| IU HEALTH BOARD DESIGNATED TRUST | ||||||||||||||||
| INVESTMENTS | NA | Trust | Yes (true) | 400 HOWARD ST | SAN FRANCISCO | CA | 94105 | 306309021 | IN | |||||||
| IU HEALTH PLANS INC | ||||||||||||||||
| HMO | NA | C Corporation | Yes (true) | 950 N MERIDIAN ST | INDIANAPOLIS | IN | 46204 | 262127080 | IN | SUITE 800 | ||||||
| IU HEALTH RISK PURCHASING GROUP INC | ||||||||||||||||
| INSURANCE | NA | C Corporation | Yes (true) | 151 MEETING ST | CHARLESTON | SC | 29401 | 260202446 | IN | SUITE 301 | ||||||
| IU HEALTH RISK RETENTION GROUP INC | ||||||||||||||||
| INSURANCE | NA | C Corporation | Yes (true) | 151 MEETING ST | CHARLESTON | SC | 29401 | 201107674 | SC | SUITE 301 | ||||||
| IUH ASSURANCE SPC LTD | ||||||||||||||||
| PO BOX 69 94 SOLARIS AVE | GRAND CAYMAN | CJ | INSURANCE | CJ | NA | C Corporation | Yes (true) | 980395429 | CAMANA BAY | |||||||
| PROTEUO FUND LP | ||||||||||||||||
| PO BOX 31106 89 NEXUS WAY | GRAND CAYMAN | CJ | INVESTMENTS | CJ | NA | C Corporation | Yes (true) | 981075227 | CAMANA BAY | |||||||
| BMH MEDICAL PAVILION ASSOCIATION INC | ||||||||||||||||
| CONDO MANAGEMENT | NA | C Corporation | Yes (true) | 2525 W UNIVERSITY AVE | MUNCIE | IN | 47303 | 351858408 | IN | |||||||
| University Surgeons Inc | ||||||||||||||||
| Physician Services | NA | C Corporation | Yes (true) | 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 202981280 | IN | |||||||
| Pediatric Surgical Associates Inc | ||||||||||||||||
| Physician Services | NA | C Corporation | Yes (true) | 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 352122922 | IN | |||||||
| Cardiothoracic Surgeons Inc | ||||||||||||||||
| Physician Services | NA | C Corporation | Yes (true) | 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351416173 | IN | |||||||
| University Vascular Surgery Inc | ||||||||||||||||
| Physician Services | NA | C Corporation | Yes (true) | 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351832370 | IN | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | 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 | false | 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 (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| IU Health Inc | ||
| J | $66,088 | FMV |
| IU Health Inc | ||
| M | $912,924 | FMV |
| IUH Assurance LTD | ||
| R | $58,044 | FMV |