STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

INDIANA UNIVERSITY HEALTH NORTH HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
INDIANA UNIVERSITY HEALTH NORTH HOSPITAL INC (EIN 35-1932442)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-12
IRS object ID
201523169349302302
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-12T10:28:05-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4000AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351932442EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIANA UNIVERSITY HEALTH NORTH HOSPITALBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% BROC L BUDDEInCareOfNm
Business Name ControlINDIBusinessNameControlTxt
Phone3179624575PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN STREET SUITE 800AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRANDALL C YUSTPersonNm
Person TitleCOO/CFOPersonTitleTxt
Signature2015-11-12SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER D RHODERICKPreparerPersonNm
PTINP00395735PTIN
Phone3176817000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJONATHAN R GOBLEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN ST STE 800AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$239,100,513GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://IUHEALTH.ORG/NORTH/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionImprove the health of our communities, support the educational commitment of Indiana University Health, Inc., nurture the indvidual spirit, and celebrate the experiences of life.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee1230TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$524,524TotalGrossUBIAmt
PY Contributions Grants$37,164PYContributionsGrantsAmt
CY Contributions Grants$132,365CYContributionsGrantsAmt
PY Program Service Revenue$211,425,997PYProgramServiceRevenueAmt
CY Program Service Revenue$234,559,304CYProgramServiceRevenueAmt
PY Investment Income$888,614PYInvestmentIncomeAmt
CY Investment Income$737,751CYInvestmentIncomeAmt
PY Other Revenue$3,361,237PYOtherRevenueAmt
CY Other Revenue$3,504,507CYOtherRevenueAmt
PY Total Revenue$215,713,012PYTotalRevenueAmt
CY Total Revenue$238,933,927CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$74,115,000PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$62,436,004CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$212,815CYTotalFundraisingExpenseAmt
PY Other Expenses$112,604,740PYOtherExpensesAmt
CY Other Expenses$121,152,819CYOtherExpensesAmt
PY Total Expenses$186,719,740PYTotalExpensesAmt
CY Total Expenses$183,588,823CYTotalExpensesAmt
PY Revenues Less Expenses$28,993,272PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$55,345,104CYRevenuesLessExpensesAmt
Total Assets BOY$189,963,944TotalAssetsBOYAmt
Total Assets EOY$349,971,805TotalAssetsEOYAmt
Total Liabilities BOY$151,009,276TotalLiabilitiesBOYAmt
Total Liabilities EOY$255,672,033TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,954,668NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$94,299,772NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionImprove the health of our communities, support the educational commitment/efforts of Indiana University Health, Inc. ("IU Health"), nurture the individual spirit, and celebrate the experiences of life.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$159,801,264ExpenseAmt
Grant$0GrantAmt
Revenue$234,559,304RevenueAmt
DescIndiana University Health North Hospital, Inc. ("IU Health North Hospital") has provided leading family-centered care to Carmel and Hamilton County residents since 2005. As a full-service hospital for adults and children with an attached medical office building, IU Health North Hospital brings together physician offices, 189 inpatient beds, and operating rooms in a state-of-the-art facility where compassionate caregivers provide superior patient treatment without regard to a patient's ability to pay. All patient rooms are private to optimize comfort for each individual and their family, and our wealth of services for adults and children ranges from cardiovascular and orthopedic care to maternity and cancer care. As part of our commitment to fostering the health of our communities, we are proud to also offer the peace of mind that comes with the service and support of Riley Hospital for Children's nationally recognized programs. Throughout our facility, you will be introduced to the innovative technology, the outstanding amenities and extraordinary service culture that make up the atmosphere of total healing of a patient's mind, body and spirit. However, that only scratches the surface of what makes IU Health North Hospital unique. Through rich community involvement, we have taken seriously IU Health's pledge to enrich the lives of those we serve with a variety of free screenings and seminars aimed at giving you the tools needed to live a healthier, more active life.Desc
Total Program Service Expenses$159,801,264TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document98IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1230EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBROC L BUDDEPersonNm
Phone3179624575PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN STREET SUITE 800AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHARLES E SCHALLIOL
CHAIRMAN5.00.0Yes (X)Yes (X)$25,500$0$0
JONATHAN R GOBLE
DIRECTOR/PRESIDENT & CEO55.055.0Yes (X)Yes (X)$121,352$431,656$128,528
JOHN D GOLDENBERG MD
DIRETOR/PHYSICIAN8.00.0Yes (X)$26,025$0$0
MICHAEL N TSANGARIS MD
DIRECTOR/PHYSICIAN10.055.0Yes (X)$51,300$23,057$943
JAMES R CUMMING MD
DIRECTOR5.00.0Yes (X)$10,500$0$0
DANIEL F EVANS JR
DIRECTOR5.055.0Yes (X)$0$8,074,963$31,654
ROBERT E EVARD MD
DIRECTOR5.055.0Yes (X)$9,750$258,023$37,981
ADAM M HORST
DIRECTOR5.055.0Yes (X)$0$267,286$21,968
MICHAEL L KUBACKI
DIRECTOR5.00.0Yes (X)$6,000$0$0
DERICA W RICE
DIRECTOR5.00.0Yes (X)$3,750$0$0
GLENN SCOLNIK
DIRECTOR5.00.0Yes (X)$12,000$0$0
STEVEN L WANTZ
DIRECTOR5.055.0Yes (X)$0$519,581$118,538
JEROME P KELLY
SECRETARY5.055.0Yes (X)$0$239,508$29,443
RANDALL C YUST
TREASURER/COO/CFO55.00.0Yes (X)$259,037$0$31,517
PAUL M CALKINS MD
VP & CMO55.00.0$350,831$0$34,521Yes (X)
SUZANNE M DELBOCCIO RN
VP & CNO55.00.0$205,149$0$20,578Yes (X)
ANGELA S THOMPSON
VP, HR & SUPPORT SERVICES55.00.0$160,567$0$26,427Yes (X)
SHELDON G WEISS MD
PHYSICIAN STRATEGY OFFICER55.00.0$233,365$0$7,539Yes (X)
LINDA S DECKER RN
TRANSFORMATION OFFICER55.055.0$161,461$9,285$15,763Yes (X)
JANE E BARRETT
DIRECTOR, PHARMACY55.00.0$159,750$0$16,553Yes (X)
MARK A MCLEAN
DIRECTOR, OPERATIONS55.00.0$157,845$0$24,376Yes (X)
JANIS L WATTS
DIRECTOR, CLINICAL OPERATIONS55.00.0$137,167$0$15,028Yes (X)
CAROL D KARP
FORMER TREASURER0.055.0$0$125,045$18,515Yes (X)
NORMAN G TABLER JR
FORMER SECRETARY0.00.0$0$220,071$11,670Yes (X)
CHARLES M SHUFFLEBARGER MD
FORMER PRESIDENT0.055.0$0$286,047$17,032Yes (X)
JILL A JESSE
DIRECTOR, SURGICAL SERVICES55.00.0$117,121$0$9,086Yes (X)
PAMELA V LOWE
DIRECTOR, QUALITY55.00.0$136,840$0$30,208Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,345,310TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$10,454,522TotReportableCompRltdOrgAmt
Total Other Compensation$647,868TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K31IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
IU HEALTH CARE ASSOCIATES INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204MEDICAL$5,326,049
UNIVERSITY PEDIATRIC ASSOCIATES IN
PO BOX 1026INDIANAPOLISIN46206MEDICAL$3,240,353
ARAMARK HEALTHCARE TECHNOLOGIES
10510 TWIN LAKES PARKWAYCHARLOTTENC28269CLINICAL ENGINEERING$2,816,076
IRRIGATION PLUS
22918 MULE BARN RDSHERIDANIN46069LANDSCAPING$1,115,083
SODEXO INC AFFILIATES
4880 PAYSPHERE CIRCLECHICAGOIL60674FACILITIES$994,956
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Fundraising$24,430FundraisingAmt
Government Grants$14,548GovernmentGrantsAmt
All Other Contributions$93,387AllOtherContributionsAmt
Total Contributions$132,365TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$231,192,813$231,192,813
SHARED SERVICES541990$2,192,578$2,192,578
ELECTRONIC HEALTH RECORDS INCENTIVE900099$712,731$712,731
RENT FROM RELATED 501(C)(3) ORGS.532000$461,182$461,182
FieldValueIRS element (for citing)
Total Program Service Revenue$234,559,304TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$88,715TotalRevenueColumnAmt
Exclusion$88,715ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$71,341RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$71,341RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,341TotalRevenueColumnAmt
Exclusion$71,341ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$761,632OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$112,596OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$649,036OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$649,036TotalRevenueColumnAmt
Exclusion$649,036ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$65,544FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$24,430ContriRptFundraisingEventAmt
Fundraising Direct Expenses$53,990FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,554TotalRevenueColumnAmt
Exclusion$11,554ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA/FOOD SERVICE721110$2,369,105$524,524$1,844,581
TELEPHONE517000$111,958$111,958
EDUCATION900099$47,547$47,547

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$893,002TotalRevenueColumnAmt
Exclusion$893,002ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,421,612OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$238,933,927TotalRevenueColumnAmt
Related Or Exempt Func Income$234,559,304RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$524,524UnrelatedBusinessRevenueAmt
Exclusion$3,717,734ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,367,941TotalAmt
Program Services$1,149,864ProgramServicesAmt
Management And General$218,077ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$48,726,620TotalAmt
Program Services$40,958,625ProgramServicesAmt
Management And General$7,641,646ManagementAndGeneralAmt
Fundraising$126,349FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,776,517TotalAmt
Program Services$1,472,974ProgramServicesAmt
Management And General$298,883ManagementAndGeneralAmt
Fundraising$4,660FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,520,111TotalAmt
Program Services$6,606,483ProgramServicesAmt
Management And General$902,015ManagementAndGeneralAmt
Fundraising$11,613FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,044,815TotalAmt
Program Services$2,551,335ProgramServicesAmt
Management And General$484,670ManagementAndGeneralAmt
Fundraising$8,810FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$172,763TotalAmt
Management And General$172,763ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,609TotalAmt
Management And General$23,609ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$7,284TotalAmt
Management And General$7,284ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$30,602,898TotalAmt
Program Services$28,790,618ProgramServicesAmt
Management And General$1,808,537ManagementAndGeneralAmt
Fundraising$3,743FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$700,837TotalAmt
Program Services$695,464ProgramServicesAmt
Management And General$5,188ManagementAndGeneralAmt
Fundraising$185FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,827,455TotalAmt
Program Services$3,455,062ProgramServicesAmt
Management And General$372,182ManagementAndGeneralAmt
Fundraising$211FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$332,519TotalAmt
Program Services$303,586ProgramServicesAmt
Management And General$28,933ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,237,240TotalAmt
Program Services$1,611,195ProgramServicesAmt
Management And General$6,626,045ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$43,055TotalAmt
Program Services$25,087ProgramServicesAmt
Management And General$16,444ManagementAndGeneralAmt
Fundraising$1,524FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,293TotalAmt
Program Services$2,767ProgramServicesAmt
Management And General$6,526ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,664,160TotalAmt
Program Services$14,662,470ProgramServicesAmt
Management And General$1,690ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,037,454TotalAmt
Program Services$9,860,040ProgramServicesAmt
Management And General$1,177,414ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,173,212TotalAmt
Program Services$528,143ProgramServicesAmt
Management And General$645,069ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DRUGS AND MEDICAL SUPPLIES$28,126,799$28,126,799
HOSPITAL ASSESSMENT FEE$13,754,830$13,754,830
BAD DEBT$4,979,859$4,979,859
INSTITUTIONAL DUES/LICENSES$83,929$83,929

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,375,623TotalAmt
Program Services$182,134ProgramServicesAmt
Management And General$3,137,769ManagementAndGeneralAmt
Fundraising$55,720FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$183,588,823TotalAmt
Program Services$159,801,264ProgramServicesAmt
Management And General$23,574,744ManagementAndGeneralAmt
Fundraising$212,815FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,320BOYAmt
EOY$10,977EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$170,034,416EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,015,886BOYAmt
EOY$30,484,903EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,003,974BOYAmt
EOY$794,500EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,331,271BOYAmt
EOY$2,232,872EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,100,005BOYAmt
EOY$1,133,525EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$270,029,108LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$124,748,496LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$152,497,488BOYAmt
EOY$145,280,612EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$189,963,944BOYAmt
EOY$349,971,805EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,293,076BOYAmt
EOY$18,491,491EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$562,598BOYAmt
EOY$2,048,025EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$175,772BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$131,977,830BOYAmt
EOY$235,132,517EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$151,009,276BOYAmt
EOY$255,672,033EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,954,668BOYAmt
EOY$94,299,772EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,954,668BOYAmt
EOY$94,299,772EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$189,963,944BOYAmt
EOY$349,971,805EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$55,345,104ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$7,284OtherActivitiesAmt
Total Lobbying Expenditures$7,284TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1i - Other ActivitiesFormAndLineReferenceDesc
ExplanationIU Health North Hospital paid institutional membership dues to the American Hospital Association ("AHA") and Indiana Hospital Association ("IHA") during 2014 in the amount of $26,861 and $17,314, respectively. Each membership organization notified IU Health North Hospital that a portion of the dues it paid were used for lobbying purposes. The AHA used 23.65%, or $6,353 of the 2014 membership dues paid by IU Health North Hospital, for lobbying expenditures. The IHA used 5.38%, or $931 of the 2014 membership dues paid by IU Health North Hospital, for lobbying expenditures. The total membership dues paid to these organizations by IU Health North Hospital during 2014 that were attributable to lobbying expenditures was $7,284.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$158,062,582OtherCostOrOtherBasisAmt
Depreciation$36,000,192DepreciationAmt
Book Value$122,062,390BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$380,333OtherCostOrOtherBasisAmt
Depreciation$347,687DepreciationAmt
Book Value$32,646BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,222,176OtherCostOrOtherBasisAmt
Depreciation$81,103,553DepreciationAmt
Book Value$18,118,623BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,364,017OtherCostOrOtherBasisAmt
Depreciation$7,297,064DepreciationAmt
Book Value$5,066,953BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$145,280,612TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES (NET)$226,913,932
DUE TO THIRD-PARTY PAYORS$7,717,803
SELF-INSURANCE LIABILITIES$252,560
ACCRUED LOAN GUARANTEES$247,738
ALL OTHER LIABILITIES$484
FieldValueIRS element (for citing)
Total Liability$235,132,517TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 - FIN 48 (ASC 740) FootnoteFormAndLineReferenceDesc
ExplanationIU Health North Hospital is a subsidiary in the consolidated financial statements of IU Health. IU Health adopted FIN 48 in 2007. No disclosures were required in 2014 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$53,500GrossReceiptsEvent1Amt
Charitable Contri Event1$24,430CharitableContriEvent1Amt
Gross Revenue Event1$29,070GrossRevenueEvent1Amt
Rent Facility Costs Event1$8,256RentFacilityCostsEvent1Amt
Food And Beverage Event1$17,558FoodAndBeverageEvent1Amt
Entertainment Event1$10,100EntertainmentEvent1Amt
Other Direct Expenses Event1$6,976OtherDirectExpensesEvent1Amt
Event2GOLF OUTINGEvent2Nm
Gross Receipts Event2$36,474GrossReceiptsEvent2Amt
Gross Revenue Event2$36,474GrossRevenueEvent2Amt
Cash Prizes Event2$924CashPrizesEvent2Amt
Non Cash Prizes Event2$4,016NonCashPrizesEvent2Amt
Rent Facility Costs Event2$6,160RentFacilityCostsEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$89,974GrossReceiptsTotalAmt
Charitable Contributions Tot$24,430CharitableContributionsTotAmt
Gross Revenue Total Events$65,544GrossRevenueTotalEventsAmt
Cash Prizes Total Events$924CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$4,016NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$14,416RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$17,558FoodAndBeverageTotalEventsAmt
Entertainment Total Events$10,100EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$6,976OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$53,990DirectExpenseSummaryEventsAmt
Net Income Summary$11,554NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served5218PersonsServedCnt
Total Community Benefit Expns$2,950,359TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,950,359NetCommunityBenefitExpnsAmt
Total Expense0.01650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served11451PersonsServedCnt
Total Community Benefit Expns$23,897,541TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,334,921DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,562,620NetCommunityBenefitExpnsAmt
Total Expense0.04790TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served16669PersonsServedCnt
Total Community Benefit Expns$26,847,900TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,334,921DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,512,979NetCommunityBenefitExpnsAmt
Total Expense0.06440TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served57529PersonsServedCnt
Total Community Benefit Expns$296,665TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,134DirectOffsettingRevenueAmt
Net Community Benefit Expns$246,531NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served158PersonsServedCnt
Total Community Benefit Expns$482,138TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$482,138NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served3950PersonsServedCnt
Total Community Benefit Expns$97,042TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$97,042NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs34ActivitiesOrProgramsCnt
Persons Served61637PersonsServedCnt
Total Community Benefit Expns$875,845TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,134DirectOffsettingRevenueAmt
Net Community Benefit Expns$825,711NetCommunityBenefitExpnsAmt
Total Expense0.00460TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs34ActivitiesOrProgramsCnt
Persons Served78306PersonsServedCnt
Total Community Benefit Expns$27,723,745TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,385,055DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,338,690NetCommunityBenefitExpnsAmt
Total Expense0.06900TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served120PersonsServedCnt
Total Community Benefit Expns$6,727TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,005DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,722NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served4110PersonsServedCnt
Total Community Benefit Expns$9,120TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,120NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served4230PersonsServedCnt
Total Community Benefit Expns$15,847TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,005DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,842NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$1,437,187BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$26,680,931ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$35,604,137CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,923,206MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line111700 N MERIDIAN STAddressLine1Txt
CityCARMELCityNm
State AbbreviationINStateAbbreviationCd
ZIP46032ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTP://IUHEALTH.ORG/NORTH/WebsiteAddressTxt
State License14-004171-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1IU HEALTH NORTH HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLXFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLXFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 - Input from CommunityIn conducting its most recent CHNA, IU Health North Hospital took into account input from persons who represent the broad interests of the community it serves by hosting several community conversation focus groups. These focus groups included public health officials and community leaders to discuss the healthcare needs of the service area and what role IU Health could play in addressing the identified needs. To obtain a more complete picture of the factors that play into IU Health North Hospital's community's health, input from public health officials and community leaders in Hamilton County was gathered through two separate focus group sessions. The first was a two hour live group session at IU Health North Hospital, and the second was held via a phone conference call for those who were not able to meet in person. IU Health North Hospital facilitators mailed letters and made follow-up telephone calls inviting public health officials and community leaders to attend the focus group discussion, paying special attention to including organizations that represent the interest of low-income, minority, and uninsured individuals. The goal of soliciting these leaders' feedback was to gather insights into the quantitative data that may not be easily identified from the secondary statistical data alone. Attendees who participated in the focus group included: Mo Merhoff - President, Carmel Chamber of Commerce - Mr. Merhoff is representative of a community perspective toward healthy living. As President of the Chamber of Commerce, he lobbies for policies affecting the health and well-being of the community. Mark Hulett - EMS Division Chief, City of Carmel Fire Department - Mr. Hulett is representative of a community perspective regarding public health and safety. As the Carmel Fire Department's EMS Division Chief, he has great knowledge concerning public safety needs and resources. Joan Isaac - Hamilton County Area Director, United Way of Central Indiana - Ms. Issac is representative of a community perspective toward healthy living. As Director of the Hamilton County area United Way, she works for an organization that believes in helping people learn more, earn more, and lead safe and healthy lives, as well as creates programs to assist in those goals, especially for the underserved populations. Maggie Charnoski - Executive Director, Trinity Free Clinic - Ms. Charnoski is a Public Health Expert. As Executive Director at Trinity Free Clinic, she understands the issues and obstacles involved in public health, needs, and access to healthcare, as well as ways to improve access. Al Patterson - Department Director, Hamilton County Parks and Recreation - Mr. Patterson is representative of a community perspective toward healthy living. As Director of the Hamilton County Parks and Recreation Department, he is familiar with obesity prevention and the programs in place to help address this issue. Don Nicholls - Resource Development Specialist, Hamilton County Parks and Recreation - Mr. Nicholls is representative of a community perspective toward healthy living. As the Resources Development specialist for the Hamilton County Parks and Recreation Department, he is familiar with obesity prevention and programs in place to help address this issue. Pam Lowe - Director, Women's Services and Social Services, IU Health North Hospital - Ms. Lowe is representative of a community perspective toward healthy living. As Director of Women's services and Social Services for the IU Health North Hospital, she understands the needs in healthcare and ways to address them. Joy Davis - Senior Marketing Coordinator, IU Health North Hospital - Ms. Davis is representative of a community perspective toward healthy living. As Marketing Coordinator for the IU Health North Hospital, she understands the needs in healthcare and ways to address them. Barry McNulty - Administrator, Hamilton County Health Department - Mr. McNulty is a public health expert. As an administrator for the Hamilton County Health Department, he understands the issues and obstacles involved in public health and ways to improve them. Janice VanMetre - Director of Nursing, Hamilton County Health Department - Ms. VanMetre is a public health expert. As a Director of Nursing at the Hamilton County Health Department, Ms. VanMetre understands the issues and obstacles involved in public health and ways to improve them. Shannon Saul - Executive Director, KinderCare Learning Centers - Ms. Saul is representative of a community perspective regarding children's health. As a child-care provider at KinderCare, Ms. Saul is familiar with children's health issues and needs. Terry Krohn - Manager, KinderCare Learning Centers - Mr. Krohn is representative of a community perspective regarding children's health. As a child-care provider in the community, he is familiar with children's health issues and needs. Upon arrival to the focus group, participants were asked to list five health needs, which should be prioritized in their opinion, for the Hamilton County community served by IU Health North Hospital. These responses were collected and aggregated into a comprehensive list of identified needs to be further discussed later in the session and ranked for severity of need within the community. IU Health North Hospital facilitators then provided participants with a presentation featuring the mission of IU Health North Hospital, current outreach priorities, and local health data, including demographics, insurance information, poverty rates, county health rankings, causes of death, physical activity, chronic conditions, preventive behaviors, and community needs index. Upon completion of the data presentation, IU Health North Hospital facilitated a discussion on the comprehensive list of identified needs from earlier in the session. The objective of this method was intended to inspire candid discussions prior to a second identification of five prioritized health needs by each participant. The votes on the five prioritized health needs were tallied and final input from the group was encouraged during this process in order to validate the previously identified needs. Following additional discussion, participants were also asked to address what they thought the role of the IU Health North Hospital could be in meeting the local health needs.
Schedule H, Part V, Section B, Line 6a - CHNA Conducted with Other Hosp.IU Health North Hospital conducted its CHNA in conjunction and collaboration with IU Health Saxony Hospital. IU Health North Hospital and IU Health Saxony Hospital are both located in Hamilton County and serve a community with similar and overlapping health needs.
Schedule H, Part V, Section B, Line 7a - CHNA WebsiteA copy of IU Health North Hospital's CHNA is available on its website at the following URL: http://iuhealth.org/about-iu-health/in-the-community/
Schedule H, Part V, Section B, Line 10a - Implementation Strategy WebsiteA copy of IU Health North Hospital's CHNA implementation strategy is available on its website at the following URL: http://iuhealth.org/about-iu-health/in-the-community/
Schedule H, Part V, Section B, Line 11 - Addressing Identified NeedsIU Health North Hospital prioritized and determined which of the community health needs identified in its most recently conducted CHNA was most critical for it to address by using the Hanlon Method of prioritization. This method prioritizes identified needs based upon the prevalence and severity of the need and the effectiveness of interventions available to address the needs. Based upon the Hanlon Method of prioritization, IU Health North Hospital selected the following five needs to be addressed: - Access to Healthcare - Obesity Prevention - PreK-12 Education - Behavioral Health - Women's Health and Family Planning Access to Healthcare IU Health North Hospital's implementation strategy to address the identified need of access to healthcare includes the following: - Establish a partnership with Trinity Free Clinic - Staff an acute clinic at Trinity and fund a Patient Advocate position - Provide financial support to Trinity for programming - Participate in the Hamilton County Resource Fair & Access to Healthcare Initiative - Create and distribute flyers to educate Hamilton County residents on the appropriate use of the emergency room - Partner with Our Lady of Mt. Carmel to provide a health seminar to an established group - Partner with Our Lady of Mt. Carmel to provide health seminars for seniors - Increase amount of health presentations and health screenings at community events - Explore transportation option for Sheridan residents to receive screening at Pumpkin Patch - Increase access to IU Health financial assistance program and other government-sponsored programs Obesity Prevention IU Health North Hospital's implementation strategy to address the identified need of obesity prevention includes the following: - Participate in Day of Service (focus on trails) - Host the annual Pumpkin patch event - Host a diabetes education seminar for the community at an area church - Coordinate a walking group and encourage health lifestyles - Provide health/exercise fitness packages for students at three Hamilton County elementary classrooms - Provide exercise activities and information at Sheridan Elementary for KCD camp students - Provide walking group exercises for Smoky Row Elementary kids PreK-12 Education IU Health North Hospital's implementation strategy to address the identified need of PreK-12 Education includes the following: - Participate in Kindergarten Countdown 4-week summer camp at Sheridan Elementary - Coordinate an IU Health Physicians office to participate in the ReadUP Program Behavioral Health IU Health North Hospital's implementation strategy to address the identified need of behavioral health includes the following: - Financially support the American Foundation for Suicide Prevention for a program in need - Financially support Chauncie's Place for a program in need - Include Mental Health article with identified Hamilton County Behavioral Health resources in Strength in Wellness community newsletter (July) Women's Health and Family Planning IU Health North Hospital's implementation strategy to address the identified need of Women's Health and Family Planning includes the following: - Offer free parenting support groups - Continue to provide Wellness Series program - Physician gave an educational seminar to a female golfing group about breast health and cancer prevention/early detection - Financially support local nonprofits including Stork's Nest, Casting for Recovery, and IWIN Foundation to address a women's health need - Provide car seats and safety information for new moms Also, based upon the Hanlon Method of prioritization, the following identified community health needs were not chosen as one of the needs to be addressed: - Preventative Healthcare and Wellness - Health Education and Literacy After completing a gap analysis, IU Health North Hospital determined that the severity of and lack of resources available to address the five needs chosen to be addressed outweighed the severity of and resources available to address the two needs not chosen.
Schedule H, Part V, Section B, Line 13b - Income Level Other than FPGIn addition to FPG, IU Health North Hospital may take into consideration a patient's income and/or ability to pay in calculation of a financial assistance award.
Schedule H, Part V, Section B, Line 13h - Other FAP FactorsIU Health North Hospital takes into consideration several other factors in determining patient eligibility for financial assistance. These factors include the following: 1. Alternate Sources of Assistance When technically feasible, a patient will be required to exhaust all other state and federal assistance programs prior to receiving an award from IU Health North Hospital's Financial Assistance Program. Patients who may be eligible for coverage under an applicable insurance policy, including, but not limited to, health, automobile, and homeowner's, must exhaust all insurance benefits prior to receiving an award from IU Health North Hospital's Financial Assistance Program. This includes patients covered under their own policy and those who may be entitled to benefits from a third-party policy. Patients may be asked to show proof that such a claim was properly submitted to their insurance provider at the request of IU Health. Eligible patients who receive medical care from IU Health North Hospital as a result of an injury proximately caused by a third party, and later receive a monetary settlement or award from said third party, may receive Financial Assistance for any outstanding balance not covered by the settlement or award to which IU Health North Hospital is entitled. Said patients may be asked to complete a financial assistance application. 2. Presumptive Financial Assistance Eligibility Patients who are deemed to be presumptively eligible for Financial Assistance will receive a Financial Adjustment to their final statement balance based on the patient's individual scoring criteria. Patients are considered to be presumptively eligible for Financial Assistance if the financial need has been determined by the following third parties: Eskenazi Health, formerly Wishard Memorial Hospital, Project Health, Indiana Children's Special Health Care Services, Medicaid, Out-of-State Medicaid, Healthy Indiana Plan, or Volunteers in Medicine. Patients are also considered to be presumptively eligible if they are pending Medicaid approval or have a hospital bill with a maximum balance to be determined by the Financial Assistance Committee and who meet certain risk segmentation scoring criteria. 3. Additional Considerations Financial Assistance may be granted to a deceased patient's account if said patient is found to have no estate. Additionally, IU Health North Hospital will deny or revoke Financial Assistance for any patient or guarantor who falsifies any portion of a Financial Assistance application.
Schedule H, Part V, Section B, Line 16a - FAP WebsiteA copy of IU Health North Hospital's FAP is available on the following website: http://iuhealth.org/patients/my-iu-health/billing-services/financial-assis tance/
Schedule H, Part V, Section B, Line 16b - FAP Application WebsiteA copy of IU Health North Hospital's FAP Application is available on the following website: http://iuhealth.org/patients/my-iu-health/billing-services/financial-assis tance/
Schedule H, Part V, Section B, Line 16i - Other Measures to PublicizeIU Health North Hospital takes several other measures to publicize its FAP within the community. These measures include the following: 1. Signs are posted in appropriate acute care settings such as the emergency department and registration areas describing the available assistance and directing eligible patients to the Financial Assistance Application. 2. IU Health North Hospital includes a plain language description of its FAP with all patient bills and statements of services. 3. IU Health Revenue Cycle Services representatives are available via telephone Monday through Friday, excluding major holidays, from 8 a.m. to 7 p.m. (Eastern Time) to address questions related to Financial Assistance. 4. IU Health Revenue Cycle Services educates its patient facing team members of its FAP and the process for referring patients to the Program.
Schedule H, Part V, Section B, Line 22d - Other Determination of ChargesIU Health North Hospital limits the amounts charged for Emergency or other Medically Necessary Services provided to individuals eligible for assistance under its FAP to not more than amounts generally billed to individuals who have insurance coverage for such care. The basis for calculating the amount charged to all patients, including those who are eligible for Financial Assistance, is derived through the use of a chargemaster or physician fee schedule and are uniformly applied. All additional discounts required by insurance contract or IU Health North Hospital's FAP are applied to the chargemaster or physician fee schedule calculated amount. IU Health North Hospital does not use gross charges in the calculation of the amount to charge a Financial Assistance eligible patient.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
IU HEALTH NORTH PHYSICAL THERAPY
1402 CHASE CTCARMELIN46032DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH NORTH RADIOLOGY
200 W 103RD STINDIANAPOLISIN46290DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH NORTH RADIOLOGY AT FISHERS
10995 ALLISONVILLE RDFISHERSIN46038DIAGNOSTIC AND OTHER OUTPATIENT
IU HEALTH ZIONSVILLE PHYSICAL THERAPY
1650 W OAK STZIONSVILLEIN46077DIAGNOSTIC AND OTHER OUTPATIENT

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c - Other Factors Used in Determining Elig.IU Health North Hospital uses several factors other than Federal Poverty Guidelines ("FPGs") in determining eligibility for free or discounted care under its FAP. These factors include the following: 1. Indiana Residency Requirement IU Health North Hospital only makes Financial Assistance available to residents of the State of Indiana. IU Health North Hospital employs the same residency test as set forth in Indiana Code 6-3-1-12 to define as resident any individual who was domiciled in Indiana during the taxable year, or any individual who maintains a permanent place of residence in this state and spends more than one hundred eighty-three (183) days of the taxable year in Indiana. 2. Alternate Sources of Assistance When technically feasible, patients must exhaust all other state and federal assistance programs prior to receiving an award from IU Health North Hospital's Financial Assistance Program. Patients who may be eligible for coverage under an applicable insurance policy, including, but not limited to, health, automobile, and homeowner's, must exhaust all insurance benefits prior to receiving an award from IU Health North Hospital's Financial Assistance Program. This includes patients covered under their own policy and those who may be entitled to benefits from a third-party policy. Patients may be asked to show proof that such a claim was properly submitted to their insurance provider at the request of IU Health North Hospital. Eligible patients who receive medical care from IU Health North Hospital as a result of an injury proximately caused by a third party, and later receive a monetary settlement or award from said third party, may receive Financial Assistance for any outstanding balance not covered by the settlement or award to which IU Health North Hospital is entitled. Said patients may be asked to complete a financial assistance application. 3. Presumptive Financial Assistance Eligibility Patients who are deemed to be presumptively eligible for Financial Assistance will receive a Financial Adjustment to their final statement balance based on the patient's individual scoring criteria. Patients are considered to be presumptively eligible if the financial need has been determined by the following third parties: Eskenazi Health, formerly Wishard Memorial Hospital, Project Health, Indiana Children's Special Health Care Services, Medicaid, Out-of-State Medicaid, Healthy Indiana Plan, or Volunteers in Medicine. Patients may also be considered presumptively eligible if they are pending Medicaid approval or have a hospital bill with a maximum balance to be determined by the Financial Assistance Committee and who meet certain risk segmentation scoring criteria. 4. Additional Considerations Financial Assistance may be granted to a deceased patient's account if said patient is found to have no estate. IU Health North Hospital will deny or revoke Financial Assistance for any patient or guarantor who falsifies any portion of a Financial Assistance Application. A patient's income and/or ability to pay may be taken into consideration in the calculation of a financial assistance award. 5. Patient Assets IU Health North Hospital will consider patient Assets in the calculation of a patient's true financial burden. A patient's primary residence and one (1) motor vehicle will be exempted from consideration in most cases. IU Health North Hospital will apply the definitions set for in Indiana Administrative Code 405 IAC 2-3-15 to define a patient's primary residence and motor vehicle. A patient's primary residence is defined as the patient's principal place of residence. The patient's primary residence will be excluded from a patient's extraordinary asset calculation so long as the patient's equity is less than five-hundred thousand dollars ($500,000) and the home is not occupied by the patient's spouse or child under twenty-one (21) years of age. One (1) motor vehicle, regardless of its fair market value, may be excluded in limited circumstances defined in Indiana Administrative Code 405 IAC 2-3-15(d)(6). IU Health North Hospital reserves the right to adjust a patient's Federal Poverty Level ("FPL") if the patient demonstrates a claim or clear title to any extraordinary Asset not excluded from consideration under the above guidance. IU Health North Hospital will not seek the title to discovered Assets without the express authorization of the Financial Assistance Committee.
Schedule H, Part I, Line 6a - C.B. Report Prepared by a Related Org.IU Health North Hospital's community benefit and other investments, encompassing its total community investment, are included in the IU Health Community Benefit Report which is prepared on behalf of and includes IU Health and its related hospital entities in the State of Indiana. The IU Health Community Benefit Report is made available to the public on IU Health's website at http://iuhealth.org/communitybenefit/. The IU Health Community Benefit Report is also distributed to numerous key organizations throughout the State of Indiana in order to broadly share the IU Health Statewide System's community benefit efforts. It is also available by request through the Indiana State Department of Health or IU Health.
Schedule H, Part I, Line 7, Column (c) - Total Community Benefit ExpenseSchedule H, Part I, Line 7, Column (f), Percent of Total Expense, is based on column (e) Net Community Benefit Expense. The percent of total expense based on column (c) Total Community Benefit Expense, which excludes direct offsetting revenue, is 15.52%.
Schedule H, Part I, Line 7, Column (f) - Percent of Total ExpenseThe amount of bad debt expense subtracted for purposes of calculating the percentage of total expense on Line 7, column (f) is $4,979,859.
Schedule H, Part I, Line 7g - Subsidized Health ServicesIU Health North Hospital does not include any costs associated with physician clinics as subsidized health services.
Schedule H, Part II - Promotion of Health in Communities ServedIU Health North Hospital is part of the IU Health Statewide System. The IU Health Statewide System participates in a variety of community-building activities that address the social determinants of health in the communities it serves through investments in economic development efforts across the state, collaboration with like-minded organizations through coalitions that address key issues, and advocacy for improvements in the health status of vulnerable populations. This includes making contributions to community-building activities by providing investments and resources to local community initiatives that addressed economic development, community support and workforce development. Several examples include IU Health's support of the following organizations and initiatives that focus on some of the root causes of health issues, such as lack of education, employment and poverty: - Indianapolis Public Schools - Starfish Initiative - Early Learning Indiana - United Way Additionally, through the IU Health Statewide System's team member community benefit service program, "Strength That Cares", team members across the state make a difference in the lives of thousands of Hoosiers every year. For example, in 2014, almost 2,200 team members from IU Health worked together to create trails, install outdoor fitness equipment and beautify parks.
Schedule H, Part III, Line 2 - Bad Debt Expense MethodologyThe amount reported on line 2 as bad debt is reported at cost, as calculated using the cost to charge ratio methodology.
Schedule H, Part III, Line 4 - Bad Debt ExpenseIU Health North Hospital is a subsidiary in the consolidated financial statements of IU Health. IU Health's bad debt expense footnote is as follows: The provision for uncollected patient accounts, for all payors, is recognized when services are provided based upon management's assessment of historical and expected net collections, taking into consideration business and economic conditions, changes and trends in health care coverage and other collection indicators. Periodically, management assesses the adequacy of the allowance for uncollectible accounts based upon accounts receivable payor composition and aging, the significance of individual payors to outstanding accounts receivable balances, and historical write-off experience by payor category, as adjusted for collection indicators. The results of this review are then used to make any modifications to the provision for uncollected accounts and the allowance for uncollectible accounts. In addition, IU Health follows established guidelines for placing certain past due patient balances with collection agencies. Patient accounts that are uncollected, including those placed with collection agencies, are initially charged against the allowance for uncollectible accounts in accordance with collection policies of IU Health and, in certain cases, are reclassified to charity care if deemed to otherwise meet financial assistance policies of IU Health.
Schedule H, Part III, Line 8 - Medicare ShortfallThe amount reported on Schedule H, Part III, Line 6 is calculated, in accordance with the Form 990 instructions, using "allowable costs" from the IU Health North Hospital Medicare Cost Report. "Allowable costs" for Medicare Cost Report purposes, however, are not reflective of all costs associated with IU Health North Hospital's participation in Medicare programs. For example, the Medicare Cost Report excludes certain costs such as billed physician services, the costs of Medicare Parts C and D, fee schedule reimbursed services, and durable medical equipment services. Inclusion of all costs associated with IU Health North's participation in Medicare programs would significantly increase the Medicare shortfall reported on Schedule H, Part III, Line 7. IU Health North Hospital's Medicare shortfall is attributable to reimbursements that are less than the cost of providing patient care and services to Medicare beneficiaries and does not include any amounts that result from inefficiencies or poor management. IU Health North Hospital accepts all Medicare patients knowing that there may be shortfalls; therefore it has taken the position that any shortfall should be counted as part of its community benefit. Additionally, it is implied in Internal Revenue Service Revenue Ruling 69-545 that treating Medicare patients is a community benefit. Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with governmental health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community.
Schedule H, Part III, Line 9b - Written Debt Collection PolicyIU Health North Hospital's FAP and Bad Debt Referral Policy describe the collection practices applicable to patients, including those who may qualify for financial assistance. 1. Financial Assistance Application Patients or their guarantors wishing to apply for Financial Assistance must submit a Financial Assistance Application within twenty-one (21) days of receiving their first billing statement from IU Health North Hospital. Individuals other than the patient, such as the patient's physician, family members, community or religious groups, social services or hospital personnel may request a Financial Assistance Application to be mailed to a patient's primary mailing address free of charge. IU Health North Hospital keeps all applications and supporting documentation confidential. 2. Eligibility Determination IU Health North Hospital informs patients or guarantors of the results of their application by providing the patient or guarantor with a Financial Assistance Determination within ninety (90) days of receiving a completed Application and all requested documentation. If a patient or guarantor is granted less than full assistance and the patient or guarantor provides additional information for reconsideration, Revenue Cycle Services may amend a prior Financial Assistance Determination. If a patient or guarantor seeks to appeal the Financial Assistance Determination further, a written request may be submitted, along with the supporting documentation, to the Financial Assistance Committee for additional review/reconsideration. All decisions of the Financial Assistance Committee are final. A patient's Financial Assistance Application and eligibility determination will remain in effect for three-hundred-sixty-five (365) days from the date of receipt of a completed application. 3. Extraordinary Collection Actions IU Health North Hospital only implements its "Bad Debt Referral Policy" or other Extraordinary Collection Action after it has made reasonable efforts to determine whether the patient account is eligible for assistance under its FAP. When it is necessary to engage in such action, IU Health North Hospital, and its contracted third parties, will engage in fair, respectful and transparent collections activities. Patients or guarantors who have not applied for Financial Assistance and whose accounts have been engaged in Extraordinary Collection Actions may request Financial Assistance, complete an Application with requested documentation, and be considered for a reduction in their bill if it is within the two-hundred-forty (240) days of receiving their first billing statement. IU Health North Hospital may also suspend collection activity on an account while an Application is being processed and considered. IU Health North Hospital and its collection agencies will not provide assistance after an account has entered into legal proceedings without first obtaining written consent from its Financial Assistance Committee. The award of Financial Assistance may be subject to successful completion of a payment plan. In the event a patient or guarantor who is receiving Financial Assistance fails to complete the terms of their payment plan, IU Health North Hospital reserves the right to submit the unadjusted account balance, less any amount previously paid by the patient, to an Extraordinary Collection Action.
Schedule H, Part VI, Line 2 - Needs AssessmentCommunities are multifaceted and so are their health needs. IU Health North Hospital understands that the health of individuals and communities are shaped by various social and environmental factors, along with health behaviors and additional influences. IU Health North Hospital assesses the health care needs of the communities it serves by conducting a CHNA. This assessment includes collaboration with other community organizations such as the Hamilton County Health Department, the Indiana State Department of Health, the Centers for Disease Control and Prevention and the United Way of Central Indiana. After completion of the CHNA, IU Health North Hospital reviewed the information gathered from community leader focus groups, community input surveys and statistical data. The needs identified were analyzed and ranked using the Hanlon method of prioritization to determine the prevalence and severity of community health needs and which ones were most critical. Additionally, the effectiveness of an intervention for each need and IU Health North Hospital's ability to impact positive change was evaluated.
Schedule H, Part VI, Line 3 - Patient Education of Eligibility for Assist.IU Health North Hospital is committed to serving the healthcare needs of all of its patients regardless of their ability to pay for such services. To assist in meeting those needs, IU Health North Hospital has adopted a Financial Assistance Policy that provides Financial Assistance to eligible patients receiving Emergency or Medically-Necessary Services. This policy was developed and is utilized to determine a patient's financial ability to pay for services. IU Health North Hospital goes to great lengths to publicize its financial assistance policy and ensure that patients know they will be treated regardless of their ability to pay. IU Health North Hospital shares financial assistance information with patients throughout their entire episode of care and beyond including the admissions process, billing process, and online. 1. Admissions Process IU Health North Hospital educates all patient facing team members on its Financial Assistance Policy and the process for referring patients to the program. During the admissions process, opportunities for financial assistance are discussed with patients who are identified as self-pay (uninsured) or if they request assistance information. The patient is also provided with an Admissions Packet that outlines information regarding IU Health North Hospital's financial assistance program. Financial counselors are onsite to assist with financial concerns or questions during the patient's stay. Patient Financial Services Customer Service representatives are also available after the patient's stay to help patients apply for financial assistance, understand their bills, explain what they can expect during the billing process, accept payment (if needed), update their insurance or payor information, and update their address or other demographic information. 2. Billing Process IU Health North Hospital includes a plain language summary of its Financial Assistance Policy with all patient bills and statements of services. The plain language summary includes contact information allowing patients the ability to request financial assistance. Additionally, a Financial Assistance Application is mailed to all IU Health North Hospital patients with a patient balance due after insurance. IU Health Revenue Cycle Services representatives are available via telephone Monday through Friday, excluding major holidays, from 8 a.m. to 7 p.m. (Eastern Time) to address questions related to Financial Assistance. Customer Service team members will also mail paper applications to a patient at their request. 3. Online IU Health North Hospital's Financial Assistance Policy and Financial Assistance Application is available on its website at http://iuhealth.org/patients/my-iu-health/billing-services/financial-assis tance/. The website also includes contact information for customer service representatives to assist with the application process.
Schedule H, Part VI, Line 4 - Community InformationIU Health North Hospital is located in Hamilton County, Indiana, a county located in central Indiana. Its service area counties include Marion, Hamilton, Boone, Hendricks, Hancock, Madison, and Tipton counties. Hamilton County includes ZIP codes within the towns of Arcadia, Atlanta, Carmel, Cicero, Fishers, Noblesville, Sheridan, and Westfield. Based on the most recent Census Bureau (2010) statistics, Hamilton County's population is 274,569 persons with approximately 51% being female and 49% male. The county's population estimates by race are 86.1% White, 3.8% Black, 3.6% Hispanic or Latino, 5.0% Asian, 0.2% American Indiana or Alaska Native, and 1.6% persons reporting two or more races. Hamilton County has relatively high level of educational attainment. A high school degree is the level of education 17% of Hamilton County residents had achieved in 2010. An additional 18% of Hamilton County residents had some college, but no degree. As of 2010, 42% of the Hamilton County population had an associate's or bachelor's degree, and 18% held a graduate or professional degree. 67% of the IU Health North Hospital inpatient discharge population resides in Hamilton or Marion County. 71% of community discharges were for patients with commercial insurance, 15% were for patients with Medicare, 8% were for patients with Medicaid, 4% were for self-pay (uninsured patients), and 2% was for other.
Schedule H, Part VI, Line 5 - Promotion of Community HealthDuring 2014, IU Health North Hospital's promotion of community health included the following highlights: - IU Health North Hospital joined forces with other health systems in Hamilton County to create the Partnership for a Healthy Hamilton County. The mission of the partnership is to collaborate across all sectors of the community to advocate for and implement strategies that help to improve the health of residents where they live, work, play, and learn. - IU Health North Hospital supported and participated in the annual Hamilton County Resource Fair by providing free screenings and health resources to those in need in the county. - IU Health North Hospital also continued its partnership with Trinity Free Clinic, a health clinic that serves insured and underinsured residents of Hamilton County, by providing financial support and volunteers. - During its annual day of service, nearly 200 IU Health North Hospital team members volunteered to beautify a local park. At Coxhall Gardens Park, team members worked with several master gardeners and Parks Department staff to install three bicycle racks and a bicycle maintenance station; plant 1,294 annuals, 158 perennials, 95 shrubs, and four trees in the park's new ABC Garden; spread 3,240 cubic feet of mulch; and set 56 informational and handicap parking signs at numerous sites throughout the park.
Schedule H, Part VI, Line 6 - Affiliated Health Care SystemIU Health North Hospital is part of the IU Health Statewide System. The IU Health Statewide System is Indiana's most comprehensive healthcare system. A unique partnership with the IU School of Medicine, one of the nation's leading medical schools, gives patients access to innovative treatments and therapies. IU Health is comprised of hospitals, physicians and allied services dedicated to providing preeminent care throughout Indiana and beyond. National Recognition - Six hospitals designated as Magnet by the American Nurses Credentialing Center recognizing excellence in nursing care. - Named to the 2013-2014 U.S. News & World Report's Best Hospitals Honor Roll, their highest distinction. - Eleven adult clinical programs ranked among the top 50 national programs in U.S. News & World Report - Ten pediatric clinical programs ranked among the top 50 national programs in the U.S. News & World Report Education and Research As an academic health center, IU Health works in partnership with the IU School of Medicine to train physicians, blending breakthrough research and treatments with the highest quality of patient care. Research conducted by IU School of Medicine faculty gives IU Health physicians and patients access to the most leading-edge and comprehensive treatment options. Collaborative Strategic Research Initiative Conceived by IU Health and the IU School of Medicine in 2012, the Strategic Research Initiative aims to enhance the institutions' joint capabilities in fundamental scientific investigation, translational research and clinical trials targeting innovative treatments for disease. The two organizations committed to invest $150 million over five years to this new research collaboration. Established in 2013, the Center for Innovation and Implementation Science is partially supported by the Strategic Research Initiative. The new center, launched by the IU School of Medicine and the Indiana Clinical and Translational Sciences Institute, focuses on increasing efficacy and reducing costs at IU Health. With oversight of four specialized research and discovery units managed by IU School of Medicine researchers, the center will address problems with the potential to reduce costs or generate new revenue estimated at $5 million per year or more. IU Health Statewide System IU Health is a part of the IU Health Statewide System which continues to broaden its reach and positive impact throughout the state of Indiana. IU Health is Indiana's most comprehensive academic health center and consists of IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health, and IU Health Saxony Hospital. Other hospitals in the IU Health Statewide System include the following: - IU Health Arnett Hospital - IU Health Ball Memorial Hospital - IU Health Bedford Hospital - IU Health Blackford Hospital - IU Health Bloomington Hospital - IU Health Goshen Hospital - IU Health La Porte Hospital - IU Health Morgan Hospital - IU Health North Hospital - IU Health Paoli Hospital - IU Health Starke Hospital - IU Health Tipton Hospital - IU Health West Hospital - IU Health White Memorial Hospital Although each hospital in the IU Health Statewide System prepares and submits its own community benefits plan relative to the local community, the IU Health Statewide System considers its community benefit plan as part of an overall vision for strengthening Indiana's overall health. A comprehensive community outreach strategy and community benefit plan is in place that encompasses the academic medical center downtown Indianapolis, suburban Indianapolis and statewide entities around priority areas that focus on health improvement efforts statewide. IU Health is keenly aware of the positive impact it can have on the communities of need in the state of Indiana by focusing on the most pressing needs in a systematic and strategic way. Some ways we address our community health priorities as a system include: IU Health Day of Service The annual IU Health Day of Service is a high-impact, one-day event aimed at engaging IU Health team members in activities that address an identified community need. Tackling the issue of obesity in the communities IU Health serves, the sixth annual Day of Service in 2014 focused on leaving behind key physical assets to help meet a statewide need for more venues for physical activity and recreation. During the 2014 Day of Service: - More than 6,700 volunteer hours were dedicated by IU Health team members - IU Health team members gave their time to improve walking trails and park assets, which serve more than 63,000 residents across the state. - Over a dozen community parks were enhanced. - A new community-envisioned pocket park was created. - A community garden was improved with educational information. - Third grade classes at three schools were provided with free bikes, helmets, and locks. Additionally, the students were led through a bicycle safety course. - 125,000 pounds of debris were removed from 107 abandoned properties; 98 tons of mulch, 7 trees, and 3,424 flowers were planted to boost aesthetic appeal. Kindergarten Countdown As one of IU Health's signature programs and collaboration with United Way, Kindergarten Countdown helps hundreds of soon-to-be kindergartners improve their readiness for school. In addition to providing health screenings and vaccinations to students, the program offers assistance to parents in registering their kindergartners for school. Kindergarten Countdown summer camps are designed to provide at-risk youngsters the basic skills they need to succeed in their first year of school. From "Get Ready to Read" pre- and post-tests, campers in the IU Health camps achieved a 21 percent average increase in scores from the beginning of the four-week camp to the end. The program also creates positive impact by increasing awareness of kindergarten readiness, improving parent engagement and strengthening relationships between volunteers and team members at hospitals, schools and community organizations. IU Health recognizes that in some cases we don't have all the expertise or resources to address the needs of the community and other organizations are better suited to tackle some of the specific needs of the community. IU Health, therefore, provided financial support to like-minded non-profit organizations that are working to improve the health of the community in our identified priorities of need. Clinical Research Clinical trials are conducted at the following IU Health locations: Academic Health Center (IU Health Methodist Hospital, IU Health University Hospital, and Riley Hospital for Children at IU Health), IU Health Arnett Hospital, IU Health Bloomington Hospital, IU Health La Porte Hospital, IU Health North Hospital, IU Health Saxony Hospital and IU Health West Hospital. Methodist Research Institute ("MRI") The Biorepository at MRI, under IRB approval, collects human biological materials (blood, bone, tissue, urine) vital for medical research to provide the best way to study a variety of diseases and their potential treatments. Basic science researchers at MRI publish the results of their innovative grant-supported research in prestigious peer-reviewed journals. Their work has been recognized both nationally and internationally as they participate in system-wide collaborative efforts within IU Health as well as with the IU School of Medicine. Community Health Initiatives With investments in high-quality and impactful initiatives to address community health needs statewide; IU Health is helping Indiana residents improve their health and their quality of life. In 2014, IU Health impacted many people statewide through presentations, health risk screenings, health education programs, and additional health educational opportunities made available to the community, especially to our community members in the greatest need of such services. Examples of the types of programming and investment we make in community outreach areas include: Access to Healthcare One of the first steps to improved health outcomes is having access to healthcare resources. To show its commitment to providing affordable healthcare access, IU Health treats all patients regardless of their ability to pay. IU Health is also working to raise awareness and works to identify individuals within our communities that have barriers to care and connect these individuals with better access and consistency of healthcare resources to meet their needs. Some ways that these IU Health hospitals address Access to Healthcare include: - Public Assistance Enrollment - Veggies and Vaccines - Indiana University Student Outreach Clinic - Indianapolis Public Schools Student Athlete Physicals - Fishers Fire Department QR Code Magnet Program for Immediate Access to Patient Medical Records - Partnership for a Healthy Hamilton County Obesity Prevention To improve the lifestyle of Indiana residents, IU Health has utilized innovative and best practice

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JONATHAN R GOBLE
DIRECTOR/PRESIDENT & CEO$120,771$325,943$0$99,596$581$6,117$4,967$95,993$8,170$19,398$134,489$547,047$0$0
DANIEL F EVANS JR
DIRECTOR$0$1,110,823$0$245,134$0$6,719,006$0$13,000$0$18,654$0$8,106,617$0$5,432,189
ROBERT E EVARD MD
DIRECTOR$9,750$218,023$0$40,000$0$0$0$16,900$0$21,081$9,750$296,004$0$0
ADAM M HORST
DIRECTOR$0$249,300$0$0$0$17,986$0$13,000$0$8,968$0$289,254$0$0
STEVEN L WANTZ
DIRECTOR$0$421,812$0$91,559$0$6,210$0$90,881$0$27,657$0$638,119$0$0
JEROME P KELLY
SECRETARY$0$237,528$0$0$0$1,980$0$9,792$0$19,651$0$268,951$0$0
RANDALL C YUST
TREASURER/COO/CFO$255,473$0$0$0$3,564$0$10,400$0$21,117$0$290,554$0$0$0
PAUL M CALKINS MD
VP & CMO$331,029$0$0$0$19,802$0$10,400$0$24,121$0$385,352$0$0$0
SUZANNE M DELBOCCIO RN
VP & CNO$203,241$0$0$0$1,908$0$8,396$0$12,182$0$225,727$0$0$0
ANGELA S THOMPSON
VP, HR & SUPPORT SERVICES$160,030$0$0$0$537$0$3,466$0$22,961$0$186,994$0$0$0
SHELDON G WEISS MD
PHYSICIAN STRATEGY OFFICER$233,020$0$0$0$345$0$6,336$0$1,203$0$240,904$0$0$0
LINDA S DECKER RN
TRANSFORMATION OFFICER$159,708$9,091$0$0$1,753$194$5,316$93$9,396$958$176,173$10,336$0$0
JANE E BARRETT
DIRECTOR, PHARMACY$158,460$0$0$0$1,290$0$6,549$0$10,004$0$176,303$0$0$0
MARK A MCLEAN
DIRECTOR, OPERATIONS$157,395$0$0$0$450$0$5,730$0$18,646$0$182,221$0$0$0
JANIS L WATTS
DIRECTOR, CLINICAL OPERATIONS$131,867$0$0$0$5,300$0$5,577$0$9,451$0$152,195$0$0$0
CAROL D KARP
FORMER TREASURER$0$110,700$0$0$0$14,345$0$5,171$0$13,344$0$143,560$0$0
NORMAN G TABLER JR
FORMER SECRETARY$0$0$0$0$0$220,071$0$0$0$11,670$0$231,741$0$220,071
CHARLES M SHUFFLEBARGER MD
FORMER PRESIDENT$0$283,901$0$2,146$0$0$0$16,900$0$132$0$303,079$0$0
JILL A JESSE
DIRECTOR, SURGICAL SERVICES$45,136$0$0$0$71,985$0$1,161$0$7,925$0$126,207$0$0$0
PAMELA V LOWE
DIRECTOR, QUALITY$134,970$0$0$0$1,870$0$3,637$0$26,571$0$167,048$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 - Comp. of the Org.'s CEO/Executive DirectorIU Health North Hospital's President & CEO was employed during different portions of the year by IU Health North Hospital and IU Health. His compensation during both portions of the year was determined by IU Health. IU Health's process for determining compensation includes the use of a compensation survey/study conducted by an independent compensation consultant with review and approval by the Committee on Personnel and Compensation and the Board of Directors. Please see Schedule O for additional details.
Schedule J, Part I, Line 4a - Severance PaymentsNorman G. Tabler, Jr. received severance of $186,657 from IU Health during 2014. This amount is included in column b (iii), other reportable compensation. Jill A. Jesse received severance of $71,178 from IU Health North during 2014. This amount is included in column b (iii), other reportable compensation.
Schedule J, Part I, Line 4b - Supplemental Nonqualified Retirement PlanDaniel F. Evans, Jr., Steven L. Wantz, and Jonathan R. Goble participate in an IU Health supplemental executive retirement plan, provisions of which are designed to retain its critical employees. The plan provides for an additional retirement benefit for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, the benefit may be forfeited or reduced. Daniel F. Evans, Jr. has $6,645,085 included in column b(iii), other reportable compensation, representing the current year vested amounts received under the supplemental executive retirement plan. Steven L. Wantz and Jonathan R. Goble each have an amount included in column c, deferred compensation, representing the current year unvested contributions made under the supplemental executive retirement plan. No amounts were actually paid to these executives during the year.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI, Section A, Line 1b - Number of Voting Members that are Indep.IU Health North Hospital is part of a multi-entity hospital system controlled by IU Health, a 501(c)(3) tax-exempt organization whose board is comprised of voting members, of which substantially all are independent community members.
Part VI, Section A, Line 2 - Family or Business RelationshipsRandall C. Yust and Charles M. Shufflebarger, M.D. served on the board of directors of IUH Assurance SPC, Ltd. and IU Health Risk Retention Group, Inc. No additional compensation was provided to these individuals for their service. Daniel F. Evans, Jr. and Michael L. Kubacki served on the board of directors of Lakeland Financial Corporation. Additionally, Michael L. Kubacki was an officer of Lakeland Financial Corporation.
Part VI, Section A, Lines 6, 7a and 7b - Members or StockholdersLine 6: The sole member of IU Health North Hospital is IU Health, a 501(c)(3) tax-exempt organization. Line 7A: The Board of Directors of the IU Health North Hospital shall consist of up to twelve (12) voting members appointed by the IU Health, including up to five (5) directors who are members of the Medical Staff in good standing. Line 7B: The Board of Directors shall not, without the prior approval of the IU Health: - Authorize any merger, consolidation, reorganization, sale or transfer of all or substantially all of the assets of IU Health North Hospital; - Authorize any plan of dissolution of IU Health North Hospital, any liquidating distribution of the IU Health North Hospital's assets or other action related to the dissolution or liquidation of IU Health North Hospital; - Authorize any voluntary declaration of bankruptcy of IU Health North Hospital; - Amend, repeal, revise or adopt changes to the organizational documents of IU Health North Hospital; - Authorize the consolidation of any entity with, or acquisition of any entity by, IU Health North Hospital; - Authorize any agreement to act as primary obligor, or to serve as a guarantor, surety or co-obligor with respect to the indebtedness of any other party, to borrow amounts from third-party lenders or to loan money to any person or entity; - Authorize any pledge of, or grant any security interest or mortgage in, or otherwise encumber, any tangible assets in excess of an appropriate monetary threshold, other than in the ordinary course of business or pursuant to an approved budget or strategic plan; - Approve any management agreement for the management of all or a substantial part of IU Health North Hospital's operations; or - Authorize the establishment or acquisition by IU Health North Hospital of any subsidiaries, affiliates or joint venture arrangements or the acquisition by IU Health North Hospital of the stock or other equity interest or substantially all the assets of any other business or entity.
Part VI, Section A, Line 11b - Review of Form 990The COO/CFO and Audit Committee reviewed and approved the Form 990. Following their 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.
Part VI, Section B, Lines 12, 13, 14, and 16b - PoliciesIU Health North Hospital is part of the IU Health system. As the sole member and controlling parent of IU Health North Hospital, IU Health and its Board of Directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health North 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.
Part VI, Section B, Line 12c - Conflict of Interest PolicyIU Health North 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.
Part VI, Section B, Line 15 - Process for Determining CompensationIU Health North Hospital's President & CEO was employed during different portions of the year by IU Health North Hospital and IU Health. His compensation during both portions of the year was determined by IU Health. IU Health's process for determining compensation is as follows: (1) The Board of Directors has established a Committee on Personnel and Compensation. The individuals on this Committee are made up of individuals who are on the Board and who do not have a conflict of interest with IU Health. There are no physicians or employees on this Committee. This Committee develops and reviews annually the executive compensation philosophy, market analysis as to comparability and reasonableness. One of the purposes of this Committee is to review, approve and make recommendations regarding executive compensation and benefits to the IU Health Board. As deemed appropriate, this Committee also reviews the same detail with the Committee on Finance. The Committee on Finance is represented by certain members of the Board as well. (2) Each year the Committee on Personnel and Compensation engages an outside compensation consulting firm to conduct a compensation and benefits study for all senior vice presidents and above. The current compensation advisor is the Hay Group. Hay Group performs an independent compensation survey. The relevant comparability data includes: compensation and benefit levels paid by similarly situated organizations (both governmental and tax exempt) for functionally comparable positions as well as the availability of similar services in the geographic area. The Committee reviews the entire compensation package including: base compensation, short term and long term incentive plans, basic health and welfare benefits, qualified and nonqualified plans as well as any additional fringe benefits. Further, Hay Group will provide recommendations based upon the reasonable compensation information as it relates to salary increases, bonuses and benefits that are consistent with the compensation philosophy of the Committee. A separate analysis using the same methodology is done for the Chief Executive Officer. (3) The Committee reviews the salary survey and, if appropriate, makes recommendations on increases in salary and any changes in bonuses or benefits. The Committee's goal is to ensure that the total compensation and benefits package is reasonable based upon the independent data provided by Hay Group. The Committee votes on any changes in compensation or benefits. This review, discussion and vote are documented in the minutes for the meeting. There are no executives present during the final discussion and approval of compensation. (4) The Board reviews the report prepared by the Hay Group as well as the recommendations of the Committee on Personnel and Compensation as to changes in compensation approved by the Committee. As requested, the Committee on Finance also provides its review of recommendations on changes in executive compensation and benefits. This review, discussion and vote are documented in the minutes. (5) The Board then reviews the recommendations provided by the Committee on Personnel and Compensation and votes on the changes as well. No additional compensation or benefits are paid to the executives until the changes have been approved by the Committee and the Board. The discussion and approval are documented in the minutes of the meeting. There are no executives present during the final discussion and approval of compensation. The General Counsel prepares a formal written opinion reviewing the compensation and benefits approval process, comparing that process to the Intermediate Sanctions Test of IRC Section 4958 and, if the facts warrant, provides comments regarding the compensation and benefits approval process as this relates to meeting the requirements for a rebuttable presumption of reasonableness as provided in the Intermediate Sanctions Test. (6) After the end of each year, the Committee and Board also reviews the achievements of the executive group as it relates to the long-term and short-term shared and individual goals developed by the executive and the Board. These achievements may also be reviewed with the Committee on Finance. The Board, at its discretion, may approve bonus payments based upon the achievement of the goals and the compensation survey. The discussion and vote of the Committee and Board is documented in the minutes for each such meeting. The bonuses are not paid until approval is made by the Board. (7) The Committee on Personnel and Compensation and Audit Committee also review the required Form 990 disclosures related to executive compensation and benefits as well as compensation practices and approval processes prior to the filing of the Form 990 return with the Internal Revenue Service. IU Health North Hospital has a process in place to determine the compensation for the other officers and key employees. IU Health North Hospital uses an independent compensation consultant who utilizes a variety of methods and procedures to obtain compensation ranges for comparable officer and employee positions. The independent compensation consultant provides IU Health North Hospital with recommended compensation ranges for its officers and other employees, which are then used as a guide for setting reasonable compensation by management. Management decisions with regard to determining compensation are subject to the review and approval of the Compensation Committee and Board of Directors.
Part VI, Section C, Line 19 - Public DisclosureIU Health North Hospital's Articles of Incorporation are available to the public through the Indiana Secretary of State's web-site. IU Health North Hospital's conflict of interest policy is described on Form 990, Schedule O. IU Health North Hospital is a consolidated subsidiary in the consolidated financial statements for IU Health. The consolidated financial statements for IU Health are available to the public through its bond filings.
Part VII, Section A, Line 1a, Column (B) - Average hours per weekJonathan R. Goble was an employee of IU Health North Hospital during a portion of 2014 in which he devoted an average of 55 hours per week. He was also an employee of IU Health during a portion of 2014 in which he devoted an average of 55 hours per week. Michael N. Tsangaris, M.D. was an employee of Indiana University Health Care Associates, Inc. during a portion of 2014 in which he devoted an average of 55 hours per week. Linda S. Decker, R.N. was an employee of IU Health North Hospital during a portion of 2014 in which she devoted an average of 55 hours per week. She was also an employee of IU Health during a portion of 2014 in which she devoted 55 hours per week.
FORM 990 PART IX LINE 11GDESCRIPTION:SHARED SERVICES/PROF. FEES TOTAL FEES:30602898

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (44 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Clarian Transplant Institute Inc
950 N Meridian St Ste 800IndianapolisIN46204134350599HealthcareIN501(c)(3)9IUHYes (true)
Goshen Health System Inc
200 High Park AveGoshenIN46527351974765HealthcareIN501(c)(3)11 IIUHYes (true)
Goshen Hospital Association Inc
200 High Park AveGoshenIN46527356001540HealthcareIN501(c)(3)3GHSYes (true)
HealthLINC Incorporated
950 N Meridian St Ste 800IndianapolisIN46204263571507HealthcareIN501(c)(3)9IUHBYes (true)
Indiana Health Info Exchange Inc
846 N Senate AveIndianapolisIN46202364550324HealthcareIN501(c)(3)11 INAfalse
Indiana Radiology Partners Inc
950 N Meridian St Ste 800IndianapolisIN46204201017034HealthcareIN501(c)(3)3IUHYes (true)
Indiana University Health Inc
950 N Meridian St Ste 800IndianapolisIN46204351955872HealthcareIN501(c)(3)3NAfalse
IU Health Arnett Foundation Inc
950 N Meridian St Ste 800IndianapolisIN46204356079797FundraisingIN501(c)(3)11 IIUHAYes (true)
IU Health Arnett Inc
950 N Meridian St Ste 800IndianapolisIN46204263162145HealthcareIN501(c)(3)3IUHYes (true)
IU Health Ball Memorial Hospital Inc
950 N Meridian St Ste 800IndianapolisIN46204350867958HealthcareIN501(c)(3)3IUHYes (true)
IU Health Ball Memorial Physicians Inc
950 N Meridian St Ste 800IndianapolisIN46204351925641HealthcareIN501(c)(3)9IUHBMHYes (true)
IU Health Bedford Inc
950 N Meridian St Ste 800IndianapolisIN46204237042323HealthcareIN501(c)(3)3IUHYes (true)
IU Health Blackford Hospital Inc
950 N Meridian St Ste 800IndianapolisIN46204010646166HealthcareIN501(c)(3)3IUHBMHYes (true)
IU Health Bloomington Inc
950 N Meridian St Ste 800IndianapolisIN46204351720796HealthcareIN501(c)(3)3IUHYes (true)
IU Health BMH Foundation Inc
950 N Meridian St Ste 800IndianapolisIN46204311111784FundraisingIN501(c)(3)11 IIUHBMHYes (true)
IU Health Care Associates Inc
950 N Meridian St Ste 800IndianapolisIN46204351747218HealthcareIN501(c)(3)9IUHYes (true)
IU Health Goshen Foundation Inc
200 High Park AveGoshenIN46527462565300FundraisingIN501(c)(3)11 IGHSYes (true)
IU Health LaPorte Hospital Inc
PO Box 250LaPorteIN46352351125434HealthcareIN501(c)(3)3IUHYes (true)
IU Health LaPorte Physicians Inc
PO Box 250LaPorteIN46352311070868HealthcareIN501(c)(3)3IUHLHYes (true)
IU Health Morgan Inc
950 N Meridian St Ste 800IndianapolisIN46204273533027HealthcareIN501(c)(3)3IUHYes (true)
IU Health Paoli Hosp Foundation Inc
950 N Meridian St Ste 800IndianapolisIN46204310992486FundraisingIN501(c)(3)9IUHPYes (true)
IU Health Paoli Inc
950 N Meridian St Ste 800IndianapolisIN46204352090919HealthcareIN501(c)(3)3IUHBYes (true)
IU Health Tipton Hospital Inc
950 N Meridian St Ste 800IndianapolisIN46204262772226HealthcareIN501(c)(3)3IUHYes (true)
IU Health West Hospital Inc
950 N Meridian St Ste 800IndianapolisIN46204351814660HealthcareIN501(c)(3)3IUHYes (true)
IU Health White Mem Hosp Fndtn Inc
PO Box 952MonticelloIN47960351671806FundraisingIN501(c)(3)11 III-FIIUHWMHYes (true)
IU Health White Memorial Hospital Inc
950 N Meridian St Ste 800IndianapolisIN46204273532963HealthcareIN501(c)(3)3IUHYes (true)
IU Medical Group Foundation Inc
340 W 10th St No FS5100IndianapolisIN46202201093251FundraisingIN501(c)(3)11 IINAfalse
LaPorte Hospital Foundation Inc
PO Box 250LaPorteIN46352310952775FundraisingIN501(c)(3)11 INAfalse
Methodist Health Foundation Inc
1800 N Capitol AveIndianapolisIN46202356043086FundraisingIN501(c)(3)11 IIUHYes (true)
Methodist Health Group Inc
950 N Meridian St Ste 800IndianapolisIN46204350876390HealthcareIN501(c)(3)11 III-FINAfalse
Methodist Medical Group Inc
950 N Meridian St Ste 800IndianapolisIN46204351945384HealthcareIN501(c)(3)3IUHYes (true)
Methodist Occup Health Centers Inc
950 N Meridian St Ste 800IndianapolisIN46204351844176HealthcareIN501(c)(3)3IUHYes (true)
Methodist Research Institute Inc
950 N Meridian St Ste 800IndianapolisIN46204352023710HealthcareIN501(c)(3)11 IIUHYes (true)
MH Healthcare Inc
950 N Meridian St Ste 800IndianapolisIN46204351766531HealthcareIN501(c)(3)3MMGYes (true)
Morgan Co Mem Hosp Foundation Inc
950 N Meridian St Ste 800IndianapolisIN46204352035162FundraisingIN501(c)(3)11 IIIUHMHYes (true)
Morgan Co Mem Hosp Guild Inc
950 N Meridian St Ste 800IndianapolisIN46204310886844FundraisingIN501(c)(3)11 III-FIIUHMHYes (true)
Morgan Health Services Inc
950 N Meridian St Ste 800IndianapolisIN46204351968564HealthcareIN501(c)(3)3IUHMHYes (true)
Rehabilitation Hospital of Indiana Inc
4141 Shore DrIndianapolisIN46254351786005HealthcareIN501(c)(3)3MHHYes (true)
RHI Foundation Inc
4141 Shore DrIndianapolisIN46254351932349FundraisingIN501(c)(3)11 IRHIYes (true)
The Cheer Guild of Riley Hos for Child
705 Riley Hospital DrIndianapolisIN46202356018517FundraisingIN501(c)(3)11 III-FINAfalse
University Family Physicians Inc
950 N Meridian St Ste 800IndianapolisIN46204237427350HealthcareIN501(c)(3)9IUHCAYes (true)
MDwise Marketplace Inc
1200 Madison AveIndianapolisIN46225465270582InsuranceIN501(c)(4)N/AIUHYes (true)
MDwise Network Inc
1200 Madison AveIndianapolisIN46225472619552InsuranceIN501(c)(4)N/AIUHYes (true)
Tipton Co Health Care Foundation Inc
950 N Meridian St Ste 800IndianapolisIN46204311231905FundraisingIN501(c)(3)11 IIUHTHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Ball Outpatient Sur Ctr LLC
569 Brookwood Village Ste 901BirminghamAL35209270275794HealthcareINBOSCHN/A$0$0false$0false0.00000
Beltway Surgery Centers LLC
569 Brookwood Village Ste 901BirminghamAL35209352072586HealthcareINBSCHN/A$0$0false$0false0.00000
Bloomington Endo Centers LLC
PO Box 1149BloomingtonIN47402352117943HealthcareINIUHBN/A$0$0false$0false0.00000
BOSC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204454147343HealthcareINIUHN/A$0$0false$0false0.00000
BSC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204452314634HealthcareINIUHN/A$0$0false$0false0.00000
Cardinal Health Init LLC
950 N Meridian St Ste 800IndianapolisIN46204300102702PurchasingINIUHBMHN/A$0$0false$0false0.00000
CHV Fund I LLC
950 N Meridian St Ste 800IndianapolisIN46204262523206Venture CapitalINIUHN/A$0$0false$0false0.00000
CHV Fund II Management LLC
950 N Meridian St Ste 800IndianapolisIN46204371717823Venture CapitalINCHVN/A$0$0false$0false0.00000
CHV Fund II LLC
950 N Meridian St Ste 800IndianapolisIN46204800902337Venture CapitalINIUHN/A$0$0false$0false0.00000
CHV Fund Management LLC
950 N Meridian St Ste 800IndianapolisIN46204262523151Venture CapitalINCHVN/A$0$0false$0false0.00000
Clarian Health Network LLC
950 N Meridian St Ste 800IndianapolisIN46204352055030HealthcareINIUHN/A$0$0false$0false0.00000
Eagle High Surg Center LLC
569 Brookwood Village Ste 901BirminghamAL35209352259204HealthcareINEHSCHN/A$0$0false$0false0.00000
EHSC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204454147879HealthcareINIUHN/A$0$0false$0false0.00000
Health Venture Management LLC
950 N Meridian St Ste 800IndianapolisIN46204205740218ManagementINIUHN/A$0$0false$0false0.00000
IEC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204454148032HealthcareINIUHN/A$0$0false$0false0.00000
Indiana Endoscopy Centers LLC
569 Brookwood Village Ste 901BirminghamAL35209208398421HealthcareINIECHN/A$0$0false$0false0.00000
IUH Saxony Surgery Ctr LLC
569 Brookwood Village Ste 901BirminghamAL35209275271091HealthcareINSSCHN/A$0$0false$0false0.00000
ROC Surgery LLC
569 Brookwood Village Ste 901BirminghamAL35209271497960HealthcareINROCSHN/A$0$0false$0false0.00000
ROCS Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204454148369HealthcareINIUHN/A$0$0false$0false0.00000
Senate St Surgery Center LLC
569 Brookwood Village Ste 901BirminghamAL35209421709357HealthcareINSSSCHN/A$0$0false$0false0.00000
SSC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204464472887HealthcareINIUHN/A$0$0false$0false0.00000
SSSC Holdings LLC
950 N Meridian St Ste 800IndianapolisIN46204454148167HealthcareINIUHN/A$0$0false$0false0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
BMH Medical Pavilion Association Inc
2525 W University AveMuncieIN47303351858408Condo ManagementINIUHBMHC$0$00.00000Yes (true)
Cardinal Health Ventures Inc
950 N Meridian St Ste 800IndianapolisIN46204351611424ManagementINIUHBMHC$0$00.00000Yes (true)
CHV Capital Inc
950 N Meridian St Ste 800IndianapolisIN46204260752507Venture CapitalINIUHC$0$00.00000Yes (true)
IU Health 457(B) Plan
1100 N Market StWilmingtonDE19890476948347InvestmentsINIUHT$0$00.00000Yes (true)
IU Health ACO Inc
950 N Meridian St Ste 800IndianapolisIN46204454421020HealthcareINIUHC$0$00.00000Yes (true)
IU Health Board Designated Trust
400 Howard StSan FranciscoCA94105306309021InvestmentsINIUHT$0$00.00000Yes (true)
IU Health NTGI S&P500 Fund CF
PO Box 804358ChicagoIL60680306298263InvestmentsINIUHT$0$00.00000Yes (true)
IU Health Plans Holding Company Inc
950 N Meridian St Ste 800IndianapolisIN46204463794815InsuranceINIUHC$0$00.00000Yes (true)
IU Health Plans NFP Inc
950 N Meridian St Ste 800IndianapolisIN46204463803873InsuranceINIUHPHCC$0$00.00000Yes (true)
IU Health Plans Inc
950 N Meridian St Ste 800IndianapolisIN46204262127080HMOINIUHC$0$00.00000Yes (true)
IU Health Risk Purchasing Group Inc
151 Meeting St Ste 301CharlestonSC29401260202446InsuranceINIUHC$0$00.00000Yes (true)
IU Health Risk Retention Group Inc
151 Meeting St Ste 301CharlestonSC29401201107674InsuranceSCIUHC$0$00.00000Yes (true)
IU Health Southern IN Physicians Inc
PO Box 1149BloomingtonIN47402351913875HealthcareINIUHBC$0$00.00000Yes (true)
IUH Assurance SPC Ltd
980395429InsuranceIUHC$0$00.00000Yes (true)PO BOX 69 94 SOLARIS AVECAMANA BAYGRAND CAYMANCJCJ
Occ-Health Revenue Systems Inc
950 N Meridian St Ste 800IndianapolisIN46204203308057Work Comp PPOINMOHCC$0$00.00000Yes (true)
Parkmor Drug Inc
1501 S Main StGoshenIN46526131394980Pharmacy SalesINGHSC$0$00.00000Yes (true)
PILR Inc
200 High Park AveGoshenIN46526204294750DevelopmentINGHSC$0$00.00000Yes (true)
Proteuo Fund LP
981075227InvestmentsIUHC$0$00.00000Yes (true)PO BOX 31106 89 NEXUS WAYCAMANA BAYGRAND CAYMANCJCJ
Radiation Oncology Resources Inc
200 High Park AveGoshenIN46526262008424HealthcareINGHSC$0$00.00000Yes (true)
SCANS Inc
950 N Meridian St Ste 800IndianapolisIN46204453080392HealthcareINCHVF1C$0$00.00000Yes (true)
Univ Hlth (Shanghai) Mgt Con Co Ltd
ManagementUHMCC$0$00.00000Yes (true)88 CENTURY AVESHANGHAICHCH
University Health Management Inc
950 N Meridian St Ste 800IndianapolisIN46204272891143ManagementINCHVC$0$00.00000Yes (true)
University Health Mgmt (China) Inc
950 N Meridian St Ste 800IndianapolisIN46204273891311ManagementINCHVC$0$00.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
IU HEALTH CARE ASSOCIATES INC
J$186,171FMV
IU HEALTH CARE ASSOCIATES INC
L$137,800FMV
IU HEALTH CARE ASSOCIATES INC
M$5,292,808FMV
METHODIST OCCUPATIONAL HEALTH CENTERS INC
M$106,564FMV
IU HEALTH TIPTON HOSPITAL INC
O$73,387FMV
IU HEALTH RISK RETENTION GROUP INC
R$637,464FMV
IUH ASSURANCE SPC LTD
R$400,234FMV