INDIANA HEALTH INFORMATION EXCHANGE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA HEALTH INFORMATION EXCHANGE INC (EIN 36-4550324)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201643209349312134
- Schema version
- 2015v2.1
- 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 | 2016-11-15T15:14:00-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 352123203 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KSM BUSINESS SERVICES INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 40857 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462400857 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364550324 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA HEALTH INFORMATION EXCHANGE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 3176441720 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 846 N SENATE AVENUE NO 300 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN KANSKY | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 3176441720 | PhoneNum |
| Signature | 2016-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEITH T GAMBREL | PreparerPersonNm |
| PTIN | P00150740 | PTIN |
| Phone | 3175802000 | PhoneNum |
| Preparation | 2016-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN KANSKY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 846 N SENATE AVE | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,960,832 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.IHIE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO USE INFORMATION TECHNOLOGY AND SHARED CLINICAL INFORMATION TO: - IMPROVE THE QUALITY, SAFETY, AND EFFICIENCY OF HEALTH CARE - CREATE UNPARALLELED RESEARCH CAPABILITIES FOR HEALTH RESEARCHERS- EXHIBIT A SUCCESSFUL MODEL OF HEALTH INFORMATION EXCHANGE FOR THE REST OF THE COUNTRY | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 66 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,096,457 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,856,618 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,960,832 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $17,953,075 | PYTotalRevenueAmt |
| CY Total Revenue | $10,960,832 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,383,898 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,182,576 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,884,704 | PYOtherExpensesAmt |
| CY Other Expenses | $6,121,259 | CYOtherExpensesAmt |
| PY Total Expenses | $13,268,602 | PYTotalExpensesAmt |
| CY Total Expenses | $11,303,835 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,684,473 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$343,003 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,172,769 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,853,735 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,195,466 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,219,435 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,977,303 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,634,300 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO USE INFORMATION TECHNOLOGY AND SHARED CLINICAL INFORMATION TO: - IMPROVE THE QUALITY, SAFETY, AND EFFICIENCY OF HEALTH CARE - CREATE UNPARALLELED RESEARCH CAPABILITIES FOR HEALTH RESEARCHERS- EXHIBIT A SUCCESSFUL MODEL OF HEALTH INFORMATION EXCHANGE FOR THE REST OF THE COUNTRY | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,073,399 | ExpenseAmt |
| Desc | CLINICAL MESSAGING - PROVIDE PATIENTS ELECTRONIC MEDICAL INFORMATION AND TEST RESULTS TO INDIANA HOSPITALS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,558,328 | ExpenseAmt |
| Desc | CLINICAL QUALITY - TO PROVIDE MEASUREMENT OF CLINICS TREATMENT OF PATIENTS - GOAL IS TO IMPROVE HEALTH CARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,066,843 | ExpenseAmt |
| Desc | MEANINGFUL USE SUPPORT- TO PROVIDE MEANINGFUL USE SERVICES AND PRODUCTS TO INDIANA HOSPITALS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $9,698,570 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 66 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| 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 | JOHN KANSKY PRESIDENT AND CEO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176441720 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 846 N SENATE AVENUE SUITE 110 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WILLIAM TIERNEY | ||||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $300,726 | $50,161 | ||
| DAVID JOHNSON | ||||||||
| SECRETARY/TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $577,403 | $60,190 | ||
| ROBERT BRODY | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $4,815,346 | -$45,485 | |||
| VIRGINIA CAINE | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $284,765 | $3,798 | |||
| WILLIAM CAST | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID COOK | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE DEVEYDT | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN ELLIS | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL EVANS | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $3,453,323 | $40,689 | |||
| MATTHEW GUTWEIN | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $350,229 | $42,707 | |||
| DOUG LEONARD | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $808,213 | $121,110 | |||
| NED LAMKIN | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| TERESA LOVINS | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BRYAN MILLS | ||||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $1,185,136 | $127,327 | ||
| JEROME ADAMS | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $192,353 | $0 | |||
| JAY HESS | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $638,994 | $172,361 | |||
| JONATHAN NALLI | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $1,451,152 | $44,794 | |||
| JOHN KANSKY | ||||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $210,196 | $0 | $20,099 | |||
| KEITH KELLEY | ||||||||
| VP SOULUTION DELIVERY | 40.00 | $198,535 | $0 | $19,632 | Yes (X) | |||
| ERIC THIEME - THROUGH AUG 2015 | ||||||||
| VP AND GENERAL COUNSEL | 40.00 | $123,810 | $0 | $11,414 | Yes (X) | |||
| DEBRA HEMLER | ||||||||
| DIRECTOR, SALES & ENGAGEMENT | 40.00 | $147,340 | $0 | $5,926 | Yes (X) | |||
| SUSANT KOELATHAMPADI | ||||||||
| PRODUCT OWNER | 40.00 | $122,950 | $0 | $16,397 | Yes (X) | |||
| PAULA BARRICKMAN | ||||||||
| DIRECTOR, SCRUM & OPERATIONS IMPROVEMENT | 40.00 | $119,338 | $0 | $11,475 | Yes (X) | |||
| CHARLES CHRISTIAN | ||||||||
| VP, TECHNOLOGY & ENGAGEMENT | 40.00 | $118,167 | $0 | $7,411 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,040,336 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,057,640 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $710,006 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AT&T | |||||
| PO BOX 5019 | CAROL STREAM | IL | 60197 | COMMUNICATION SERVICES | $2,625,631 |
| REGENSTRIEF INSTITUTE | |||||
| 410 WEST 10TH STREET STE 2000 | INDIANAPOLIS | IN | 46202 | HEALTHCARE RESEARCH | $941,264 |
| AMERICAN DIGITAL CORPORATION | |||||
| 25 NORTHWEST POINT BLVD SUITE 200 | ELK GROVE VILLAGE | IL | 60007 | DATA CENTER AND SERVICES | $348,505 |
| CORETECH REVOLUTION | |||||
| 5225 EXPLORATION DRIVE | INDIANAPOLIS | IN | 46241 | HEALTHCARE TECHNOLOGY SOLUTIONS | $170,104 |
| MACCOUNTING LLC | |||||
| 6053 N COLLEGE AVE | INDIANAPOLIS | IN | 46220 | BUSINESS SERVICES | $166,650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CLINICAL MESSAGING | 519100 | $9,431,620 | $9,431,620 |
| PROGRAM REVENUE | 519100 | $1,275,212 | $1,275,212 |
| ANALYTICAL SERVICES | 519100 | $254,000 | $254,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,960,832 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,960,832 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,960,832 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,731 | TotalAmt |
| Program Services | $198,535 | ProgramServicesAmt |
| Management And General | $210,196 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,913,895 | TotalAmt |
| Program Services | $3,683,781 | ProgramServicesAmt |
| Management And General | $230,114 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,366 | TotalAmt |
| Program Services | $452,092 | ProgramServicesAmt |
| Management And General | $51,274 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,584 | TotalAmt |
| Program Services | $320,262 | ProgramServicesAmt |
| Management And General | $36,322 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,584 | TotalAmt |
| Program Services | $176,776 | ProgramServicesAmt |
| Management And General | $73,808 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,477 | TotalAmt |
| Management And General | $223,477 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,115 | TotalAmt |
| Program Services | $36,115 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,956 | TotalAmt |
| Program Services | $27,607 | ProgramServicesAmt |
| Management And General | $21,349 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,629 | TotalAmt |
| Program Services | $1,151 | ProgramServicesAmt |
| Management And General | $224,478 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,168 | TotalAmt |
| Management And General | $168,168 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,636 | TotalAmt |
| Program Services | $65,462 | ProgramServicesAmt |
| Management And General | $10,174 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,310 | TotalAmt |
| Program Services | $279,222 | ProgramServicesAmt |
| Management And General | $254,088 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,700 | TotalAmt |
| Management And General | $52,700 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACT LABOR | $3,148,277 | $3,148,277 | |
| PROGRAM SERVICE EXPENSE | $1,309,290 | $1,309,290 | |
| LOSS ON DISPOSAL OF ASS | $49,117 | $49,117 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,303,835 | TotalAmt |
| Program Services | $9,698,570 | ProgramServicesAmt |
| Management And General | $1,605,265 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,053,347 | BOYAmt |
| EOY | $1,916,765 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,344,446 | BOYAmt |
| EOY | $1,911,320 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,765,871 | BOYAmt |
| EOY | $1,467,897 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,165 | BOYAmt |
| EOY | $208,006 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,164,931 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,923,217 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $626,991 | BOYAmt |
| EOY | $241,714 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,167 | BOYAmt |
| EOY | $95,251 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,782 | BOYAmt |
| EOY | $12,782 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,172,769 | BOYAmt |
| EOY | $5,853,735 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,136,739 | BOYAmt |
| EOY | $479,495 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,058,727 | BOYAmt |
| EOY | $1,739,940 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,195,466 | BOYAmt |
| EOY | $2,219,435 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,623,632 | BOYAmt |
| EOY | $1,722,980 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,353,671 | BOYAmt |
| EOY | $1,911,320 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,977,303 | BOYAmt |
| EOY | $3,634,300 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,172,769 | BOYAmt |
| EOY | $5,853,735 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$343,003 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 12 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (12 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| INDIANA UNIVERSITY HEALTH INC | ||||
| 351955872 | 3 | Yes (1) | $0 | $0 |
| COMMUNITY HOSPITALS OF INDIANA INC | ||||
| 350983617 | 3 | Yes (1) | $0 | $0 |
| HEALTH & HOSPITAL CORPORATION | ||||
| 356065697 | 6 | Yes (1) | $0 | $0 |
| INDIANA STATE MEDICAL ASSOCIATION | ||||
| 350411650 | 9 | Yes (1) | $0 | $0 |
| INDIANA UNIVERSITY | ||||
| 356001673 | 6 | Yes (1) | $0 | $0 |
| THE INDIANAPOLIS MEDICAL SOCIETY | ||||
| 127566088 | 9 | Yes (1) | $0 | $0 |
| MARION COUNTY HEALTH DEPARTMENT | ||||
| 356065697 | 6 | Yes (1) | $0 | $0 |
| FRANCISCAN ALLIANCE INC | ||||
| 350913537 | 3 | Yes (1) | $0 | $0 |
| ST VINCENT HOSPITAL & HEALTH CARE CENTER INC | ||||
| 352052591 | 3 | Yes (1) | $0 | $0 |
| CENTRAL INDIANA CORPORATE PARTNERSHIP | ||||
| 352065459 | 9 | Yes (1) | $0 | $0 |
| INDIANA HOSPITAL ASSOCIATION INC | ||||
| 350988753 | 9 | Yes (1) | $0 | $0 |
| INDIANA STATE DEPARTMENT OF HEALTH | ||||
| 356000158 | 6 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 12 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (1) | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | Yes (1) | SupportedOrgSectionC456Ind |
| Supported Org Qualified | Yes (1) | SupportedOrgQualifiedInd |
| Suprt Exclusively Sec170c2 B | Yes (1) | SuprtExclusivelySec170c2BInd |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION A, LINE 2, SUPPORTING ORGANIZATIONS: | THE FOLLOWING GOVERNMENTAL ENTITIES ARE IHIE SUPPORTED ORGANIZATIONS: HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY D/B/A ESKENAZI HEALTH F/K/A WISHARD HEALTH SERVICES; INDIANA STATE DEPARTMENT OF HEALTH; INDIANA UNIVERSITY; AND MARION COUNTY HEALTH DEPARTMENT (THE "GOVERNMENT ENTITIES"). THE GOVERNMENT ENTITIES ARE EACH DESCRIBED IN INTERNAL REVENUE CODE ("CODE") SECTION 509(A)(1) BECAUSE EACH IS ALSO DESCRIBED IN CODE SECTION 170(B)(1)(A)(V). THE FOLLOWING ORGANIZATIONS DESCRIBED IN CODE SECTION 501(C)(6) ARE ALSO IHIE SUPPORTED ORGANIZATIONS: CENTRAL INDIANA CORPORATE PARTNERSHIP, INC.; INDIANA HOSPITAL ASSOCIATION, INC.; INDIANA STATE MEDICAL ASSOCIATION, INC.; AND INDIANAPOLIS MEDICAL SOCIETY, INC. (THE "501(C)(6) ENTITIES"). AS DESCRIBED BELOW, THE 501(C)(6) ENTITIES EACH SATISFY THE TEST IN CODE SECTION 509(A)(2) AND WOULD QUALIFY AS PUBLIC CHARITIES IF THEY WERE DESCRIBED IN CODE SECTION 501(C)(3). |
| PART IV, SECTION A, LINE 3B, SUPPORTING ORGANIZATIONS: | IHIE PERFORMED CALCULATIONS WITH RESPECT TO CENTRAL INDIANA CORPORATE PARTNERSHIP, INC; INDIANA STATE MEDICAL ASSOCIATION, INC.; INDIANAPOLIS MEDICAL SOCIETY, INC. AND INDIANA HOSPITAL ASSOCIATION. INC. TO VERIFY THAT THE PUBLIC SUPPORT TESTS UNDER CODE SECTION 509(A)(2) WERE SATISFIED. |
| PART IV, SECTION A, LINE 3C, SUPPORTING ORGANIZATIONS: | IHIE'S ARTICLES OF INCORPORATION PROVIDE THAT IHIE SHALL OPERATE EXCLUSIVELY TO BENEFIT, PERFORM, AND CARRY OUT THE CHARITABLE, EDUCATIONAL, AND OTHER EXEMPT PURPOSES OF ITS SUPPORTED ORGANIZATIONS, AS SUCH PURPOSES ARE DESCRIBED IN CODE SECTIONS 170(C)(2)(B), 501(C)(3), 2055(A)(2), AND 2522(A)(2). IHIE'S BOARD OF DIRECTORS AND MANAGMENT ENSURE STRICT COMPLIANCE WITH THE FOREGOING THROUGH VIGILIANT OVERSIGHT AND CONSULTATION WITH EXPERIENCED LEGAL COUNSEL AND ADVISORS. |
| PART IV, SECTION B, LINE 1, TYPE I SUPPORTING ORGANIZATIONS: | IHIE'S BYLAWS PROVIDE THAT EACH SUPPORTED ORGANIZATION HAS THE RIGHT TO APPOINT ONE INDIVIDUAL TO IHIE'S BOARD OF DIRECTORS. IHIE'S ARTICLES OF INCORPORATION AND BYLAWS PROVIDE THAT AT ALL TIMES THE MAJORITY OF DIRECTORS SHALL BE APPOINTED BY THE SUPPORTING ORGANIZATIONS. |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $36,115 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $36,115 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION ENGAGES A REGISTERED LOBBYIST IN THE STATE OF INDIANA TO REPRESENT ITS INTERESTS AT THE STATE LEGISLATIVE AND EXECUTIVE BRANCHES. WHILE THE ORGANIZATION ENGAGES A LOBBYIST ON A MONTHLY BASIS, NOT ALL ACTIVITIES CONDUCTED ARE "LOBBYING" UNDER THE DEFINITION IN INTERNAL REVENUE CODE (IRC) SECTION 4911 BECAUSE NOT ALL SUCH ACTIVITIES CONSTITUTE "INFLUENCING LEGISLATION," AS DEFINED IN IRC SECTION 4911(D)(1); HOWEVER, THE ORGANIZATION IS REPORTING HEREIN THE ENTIRE EXPENDITURE, WHICH NEVERTHELESS REPRESENTS AN INSUBSTANTIAL PART OF THE ORGANIZATION'S OVERALL EXPENDITURES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $126,562 | OtherCostOrOtherBasisAmt |
| Depreciation | $91,852 | DepreciationAmt |
| Book Value | $34,710 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,038,369 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,831,365 | DepreciationAmt |
| Book Value | $207,004 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $241,714 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,960,832 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,960,832 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,960,832 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,303,835 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,303,835 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,303,835 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | IHIE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, IHIE HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2014. THE ORGANIZATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND IN THE STATE OF INDIANA. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM TIERNEY | ||||||||||||||
| VICE CHAIR | $0 | $250,726 | $0 | $50,000 | $0 | $0 | $0 | $39,075 | $0 | $11,086 | $0 | $350,887 | $0 | $0 |
| DAVID JOHNSON | ||||||||||||||
| SECRETARY/TREASURER | $0 | $477,283 | $0 | $100,000 | $0 | $120 | $0 | $0 | $0 | $60,190 | $0 | $637,593 | $0 | $0 |
| ROBERT BRODY | ||||||||||||||
| DIRECTOR | $0 | $980,949 | $0 | $425 | $0 | $3,833,972 | $0 | -$83,074 | $0 | $37,589 | $0 | $4,769,861 | $0 | $0 |
| VIRGINIA CAINE | ||||||||||||||
| DIRECTOR | $0 | $284,765 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $3,798 | $0 | $288,563 | $0 | $0 |
| DANIEL EVANS | ||||||||||||||
| DIRECTOR | $0 | $1,180,633 | $0 | $1,974,186 | $0 | $298,504 | $0 | $26,786 | $0 | $13,903 | $0 | $3,494,012 | $0 | $0 |
| MATTHEW GUTWEIN | ||||||||||||||
| DIRECTOR | $0 | $350,229 | $0 | $0 | $0 | $0 | $0 | $24,000 | $0 | $18,707 | $0 | $392,936 | $0 | $0 |
| DOUG LEONARD | ||||||||||||||
| DIRECTOR | $0 | $795,622 | $0 | $0 | $0 | $12,591 | $0 | $18,000 | $0 | $103,110 | $0 | $929,323 | $0 | $0 |
| BRYAN MILLS | ||||||||||||||
| CHAIR | $0 | $901,429 | $0 | $263,340 | $0 | $20,367 | $0 | $100,308 | $0 | $27,019 | $0 | $1,312,463 | $0 | $0 |
| JEROME ADAMS | ||||||||||||||
| DIRECTOR | $0 | $192,353 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $192,353 | $0 | $0 |
| JAY HESS | ||||||||||||||
| DIRECTOR | $0 | $638,994 | $0 | $0 | $0 | $0 | $0 | $152,020 | $0 | $20,341 | $0 | $811,355 | $0 | $0 |
| JONATHAN NALLI | ||||||||||||||
| DIRECTOR | $0 | $852,978 | $0 | $484,151 | $0 | $114,023 | $0 | $7,950 | $0 | $36,844 | $0 | $1,495,946 | $0 | $0 |
| JOHN KANSKY | ||||||||||||||
| PRESIDENT & CEO | $210,196 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,099 | $0 | $230,295 | $0 | $0 | $0 |
| KEITH KELLEY | ||||||||||||||
| VP SOULUTION DELIVERY | $183,535 | $0 | $15,000 | $0 | $0 | $0 | $0 | $0 | $19,632 | $0 | $218,167 | $0 | $0 | $0 |
| DEBRA HEMLER | ||||||||||||||
| DIRECTOR, SALES & ENGAGEMENT | $146,840 | $0 | $500 | $0 | $0 | $0 | $0 | $0 | $5,926 | $0 | $153,266 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS SUBMITTED TO THE EXECUTIVE & FINANACE COMMITTEE FOR REVIEW AND APPROVAL. THE RETURN IS THEN SUBMITTED TO THE BOARD BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS OF INDIANA HEALTH INFORMATION EXCHANGE, INC. (THE CORPORATION), HAS ADOPTED A CONFLICT OF INTEREST POLICY (THE "POLICY") THAT REQUIRES EACH DIRECTOR, OFFICER AND MEMBER OF A BOARD COMMITTEE (DEFINED IN THE POLICY) TO PROVIDE THE CORPORATION AN ANNUAL DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST THAT ARISE AS A RESULT OF AN INDIVIDUAL SERVING AS A DIRECTOR, OFFICER OR MEMBER OF A BOARD COMMITTEE. THE POLICY ALSO REQUIRES CERTAIN ACTIONS TO APPROVE OR RATIFY A CONTRACT OR OTHER TRANSACTION BETWEEN THE CORPORATION AND AN INTERESTED PERSON (DEFINED IN THE POLICY). TO HELP ENSURE REGULAR AND CONSISTENT COMPLIANCE WITH THE POLICY, THE CORPORATION'S MANAGEMENT HAS ADOPTED THIS CONFLICT OF INTEREST MONITORING AND COMPLIANCE PROCEDURE. RESPONSIBLE INDIVIDUAL: THE CORPORATION'S VP, GENERAL COUNSEL & COMPLIANCE OFFICER,(THE "COMPLIANCE OFFICER"). PROCEDURE: 1. THE COMPLIANCE OFFICER WILL ANNUALLY COLLECT A WRITTEN DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST FROM EACH DIRECTOR, OFFICER AND MEMBER OF A BOARD COMMITTEE. 2. THE COMPLIANCE OFFICER WILL PREPARE AND DISTRIBUTE TO EACH DIRECTOR, OFFICER AND MEMBER OF A BOARD COMMITTEE A LIST OF ALL ACTUAL AND POTENTIAL CONFLICTS DISCLOSED TO THE CORPORATION. 3. AT EACH MEETING OF THE BOARD OF DIRECTORS AND EACH BOARD COMMITTEE MEETING, THE COMPLIANCE OFFICER WILL BE RESPONSIBLE FOR MONITORING COMPLIANCE WITH AND ENFORCING THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CORPORATION'S BYLAWS PROVIDE THAT THE CORPORATION'S EXECUTIVE AND FINANCE COMMITTEE SHALL SERVE AS THE CORPORATION'S COMPENSATION COMMITTEE AND SHALL REVIEW AND, IF IN THE BEST INTEREST OF THE CORPORATION, APPROVE ALL COMPENSATION ARRANGEMENTS WITH KEY EMPLOYEES OF THE CORPORATION, PROVIDED, HOWEVER, THAT (1) EMPLOYMENT OF A PRESIDENT/CEO REQUIRES THE AFFIRMATIVE VOTE OF 2/3 OF THE CORPORATION'S DIRECTORS, (2) ANY COMPENSATION ARRANGEMENT IN EXCESS OF $100,000 AND LESS THAN $500,000 MUST BE APPROVED BY THE CORPORATION'S FINANCE AND AUDIT COMMITTEE AND (3) ANY COMPENSATION ARRANGEMENT IN EXCESS OF $500,000 MUST BE APPROVED BY 2/3 OF THE CORPORATION'S DIRECTORS. THE CORPORATION'S EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE CORPORATION AND TWO ADDITIONAL MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS ELECTED BY SUCH OFFICERS. THE PRESIDENT/CEO OF THE CORPORATION IS A NON VOTING, EX OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE. THE PRESIDENT/CEO HAS NO INVOLVEMENT IN THE PROCESS OF SETTING HIS OR HER OWN COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE CORPORATION'S FORM 990 AND FORM 1023 ARE AVAILABLE TO THE PUBLIC UPON REQUEST IN ACCORDANCE WITH APPLICABLE LAW. THE PUBLIC CAN ALSO ACCESS THE CORPORATION'S FORM 990 AT WWW.GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CORPORATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC THROUGH THE INDIANA SECRETARY OF STATE'S WEBSITE. THE CORPORATION'S BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS MAY BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST ON A CASE-BY-CASE BASIS. |
| FORM 990, PART XII, LINE 2C: | THE EXECUTIVE AND FINANACE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL INDIANA CORPORATE PARTNERSHIP INC | ||||||||||
| 111 MONUMENT CIRCLE STE 1800 | INDIANAPOLIS | IN | 46204 | 352065459 | PROMOTE GROWTH AND OPPORTUNITY IN CENTRAL INDIANA | IN | 501(C)(6) | N/A | 0 | |
| INDIANA UNIVERSITY HEALTH | ||||||||||
| 950 NORTH MERIDAN ST GATEWAY | INDIANAPOLIS | IN | 46204 | 351955872 | PROVISION OF HEALTHCARE SERVICES | IN | 501(C)(3) | N/A | 0 | 509(A)(1) |
| COMMUNITY HOSPITAL OF INDIANA INC | ||||||||||
| 1500 N RITTER AVE | INDIANAPOLIS | IN | 46219 | 350983617 | PROVISION OF HEALTHCARE SERVICES | IN | 501(C)(3) | N/A | 0 | 509(A)(1) |
| INDIANA STATE MEDICAL ASSOCIATION | ||||||||||
| 322 CANAL WALK | INDIANAPOLIS | IN | 46202 | 350411650 | EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CARE | IN | 501(C)(6) | N/A | 0 | |
| FRANCISCAN ALLIANCE | ||||||||||
| 1515 DRAGOON TRL | MISHAWAKA | IN | 46544 | 350913537 | PROVISION OF CHARITABLE HEALTHCARE | IN | 501(C)(3) | N/A | 0 | 509(A)(1) |
| ST VINCENT HOSPITAL & HEALTH CARE | ||||||||||
| 2001 W 86TH ST | INDIANAPOLIS | IN | 46260 | 352052591 | PROVISION OF HEALTHCARE SERVICES | IN | 501(C)(3) | N/A | 0 | 509(A)(1) |
| INDIANA HOSPITAL ASSOCIATION INC | ||||||||||
| ONE AMERICA SQUARE NO 1900 | INDIANAPOLIS | IN | 46282 | 350988753 | EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CARE | IN | 501(C)(6) | N/A | 0 | |
| HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY DBA ESKENAZI HEALTH | ||||||||||
| 1001 W TENTH STREET | INDIANAPOLIS | IN | 46202 | 356065597 | EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CARE | IN | GOVERNMENTAL UNIT | N/A | 0 | |
| INDIANA UNIVERSITY | ||||||||||
| 107 S INDIANA AVE | BLOOMINGTON | IN | 47405 | 356001673 | EDUCATION | IN | GOVERNMENTAL UNIT | N/A | 0 | |
| THE INDIANAPOLIS MEDICAL SOCIETY INC | ||||||||||
| 631 E NEW YORK ST | INDIANAPOLIS | IN | 46202 | 350791210 | EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CARE | IN | 501(C)(6) | N/A | 0 | |
| MARION COUNTY HEALTH DEPARTMENT | ||||||||||
| 3838 NORTH RURAL ST | INDIANAPOLIS | IN | 46205 | 356065697 | EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CARE | IN | GOVERNMENTAL UNIT | N/A | 0 | |
| INDIANA STATE DEPARTMENT OF HEALTH | ||||||||||
| 402 W WASHINGTON ST | INDIANAPOLIS | IN | 46202 | 356000158 | EXTEND MEDICAL KNOWLEDGE, ADVANCE MEDICAL SCIENCE, PROMOTE HEALTH CARE | IN | GOVERNMENTAL UNIT | N/A | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| INDIANA UNIVERSITY HEALTH | ||
| L | $2,530,345 | FMV |
| FRANCISCAN ALLIANCE | ||
| L | $1,469,852 | FMV |
| ST VINCENT HOSPITAL & HEALTH CARE CENTER INC | ||
| L | $1,524,294 | FMV |
| HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY DBA ESKENAZI HEALTH | ||
| L | $300,710 | FMV |
| COMMUNITY HOSPITAL OF INDIANA INC | ||
| L | $945,178 | FMV |
| CENTRAL INDIANA CORPORATE PARTNERSHIP INC | ||
| L | $0 | FMV |
| INDIANA STATE MEDICAL ASSOCIATION | ||
| L | $0 | FMV |
| THE INDIANAPOLIS MEDICAL SOCIETY INC | ||
| L | $0 | FMV |
| MARION COUNTY HEALTH DEPARTMENT | ||
| L | $0 | FMV |
| INDIANA STATE DEPARTMENT OF HEALTH | ||
| L | $0 | FMV |
| INDIANA UNIVERSITY | ||
| L | $0 | FMV |