2014-11-17T10:27:22-06:00 2013-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2013-01-01 351925641 INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC % BROC BUDDE INDI 3179624575 950 N MERIDIAN STREET SUITE 800 Suite INDIANAPOLIS IN 46204 LORI A LUTHER TREASURER 2014-11-14 JENNIFER D RHODERICK P00395735 2013 2015-11-30 17:44:51Z MICHAEL E HALEY 2401 UNIVERSITY AVENUE MUNCIE IN 47303 39601159 false X HTTP://IUHEALTH.ORG/BALL-MEMORIAL/PHYSICIANS/ X 1994 IN Improve the health of our patients and the community through innovation and excellence in care, education, research and service. 11 3 416 0 497846 -242524 0 0 31234171 36713069 -9037 -9517 2309825 2888090 33534959 39591642 0 0 0 0 33991693 41418501 0 0 0 15737071 16785678 49728764 58204179 -16193805 -18612537 8048719 9077500 7504101 8658981 544618 418519 Improve the health of our patients and the community through innovation and excellence in care, education, research and service. false false 51117076 0 36713069 Indiana University Health Ball Memorial Physicians, Inc. ("IU Health Ball Memorial Physicians") is composed of primary care and specialty physicians committed to providing high quality patient-centered care, placing the highest priority on the needs of the patient and their families, without regard to the patient's ability to pay. IU Health Ball Memorial Physicians has multiple convenient locations throughout East Central Indiana, many of which include an on-site pharmacy, imaging, and physical therapy services. 51117076 true false false false false false false false false true true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 23 0 true 416 true true true false false false false false false false false false X 11 3 true false false false true true true true true false false true true true true true true false true false IN X BROC BUDDE 3179624575 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 MICHAEL E HALEY CHAIRMAN/PRESIDENT 2.0 55.0 X X 0 697569 51259 JEFFREY C BIRD MD CHAIRMAN/PRESIDENT/CME 2.0 55.0 X X 0 279546 43243 LORI A LUTHER DIRECTOR/TREASURER 2.0 55.0 X X 0 239195 18139 CAROL E SEALS DIRECTOR/TREASURER (PART. YR.) 2.0 55.0 X X 0 157667 9536 CHARLES R ROUTH MD DIRECTOR/EXEC. MEDICAL DIR. 55.0 0.0 X 285664 500 29548 RYAN M JOHNSTON MD DIRECTOR/MEDICAL DIRECTOR 55.0 0.0 X 234133 250 40979 STEVEN J LANSING MD DIRECTOR/ANESTHES. (PART. YR.) 55.0 0.0 X 422445 0 29624 DANIEL C LOPICCOLO MD DIRECTOR/STAFF PHY. (PART YR.) 55.0 0.0 X 412225 0 37395 PAUL B STEWART MD DIRECTOR/STAFF PHY. (PART YR.) 55.0 0.0 X 488545 0 32950 DAVID C GOBBLE DIRECTOR 2.0 0.0 X 0 0 0 RANDALL B HOWARD DIRECTOR 2.0 0.0 X 0 0 0 DAVID W HEETER DIRECTOR (PARTIAL YEAR) 2.0 0.0 X 0 0 0 MICHAEL O LUNSFORD DIRECTOR (PARTIAL YEAR) 2.0 0.0 X 0 0 0 MICHELLE R ALTOBELLA SECRETARY (PARTIAL YEAR) 2.0 55.0 X 0 161062 36333 ANDREW J CROOK MD ANESTHESIOLOGIST 55.0 0.0 X 622149 0 33330 BRACKEN J DEWITT MD ANESTHESIOLOGIST 55.0 0.0 X 608429 0 8765 ROBBIE DOVE III MD ANESTHESIOLOGIST 55.0 0.0 X 595959 0 13931 JOSEPH B LANDWEHR JR MEDICAL DIRECTOR 55.0 0.0 X 589204 0 35418 JOHN S CHIARA MD ANESTHESIOLOGIST 55.0 0.0 X 582939 0 30542 HAROLD L BERFIEND FORMER TREASURER 0.0 55.0 X 0 330605 42416 4841692 1866394 493408 98 true true false IU HEALTH BALL MEMORIAL HOSPITAL I 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 MEDICAL 2673494 INDIANA UNIVERSITY HEALTH INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 ADMINISTRATIVE 1764527 LINDE HEALTHCARE STAFFING INC PO BOX 915241 DALLAS TX 75391 TEMPORARY STAFFING 434590 PST SERVICES INC PO BOX 742526 ATLANTA GA 30374 COLLECTIONS 365231 IU HEALTH CARE ASSOCIATES INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 MEDICAL 362933 7 0 NET PATIENT SERVICE REVENUE 621110 34601053 34601053 0 0 SHARED SERVICES 541900 1194991 1194991 PHARMACY 446110 497846 497846 RENT FROM RELATED 501(C)(3) ORGS. 532000 400 400 ALL OTHER PROGRAM SERVICE REVENUE 900099 418779 418779 36713069 0 0 0 8834 8834 0 8834 8834 9517 -9517 -9517 -9517 0 0 0 ALL OTHER REVENUE 900099 2879256 2879256 2879256 39591642 36215223 497846 2878573 X 0 0 0 0 2013508 1867235 146273 0 33898505 31435917 2462588 815398 756163 59235 2924386 2711941 212445 1766704 1638360 128344 0 0 6391 6391 0 0 0 6508415 3280497 3227918 2727 2091 636 335503 227764 107739 61717 61423 294 0 2091799 1924898 166901 6649 5880 769 0 0 2833 2791 42 0 612954 227323 385631 1011939 857166 154773 BAD DEBT 4167745 4167745 DRUGS AND MEDICAL SUPPLIES 1804503 1804503 NONCAPITALIZED EQUIPMENT 3854 3854 INSTITUTIONAL DUES/LICENSES 1250 1250 167399 140275 27124 58204179 51117076 7087103 0 5935 5935 12689 0 0 0 5243159 5822144 0 0 0 0 403517 541760 0 97762 138688 523633 1357467 677999 660340 679468 0 0 0 0 0 0 1584391 1221018 0 185780 8048719 9077500 6212647 7206350 0 0 1090 0 0 0 0 0 0 0 34538 17960 0 0 1255826 1434671 7504101 8658981 X 544618 232739 0 185780 0 0 544618 418519 8048719 9077500 X -18612537 18486438 X false true X true false X 0 0 0 0 0 0 12163237 17366111 24705238 30645172 36215223 121094981 114394 44447 2889986 2879256 5928083 0 0 12277631 17410558 24705238 33535158 39094479 127023064 0 1211016 1350530 984697 766511 4312754 1211016 1350530 984697 766511 4312754 122710310 103351 14246 8838 8834 135269 0 0 103351 14246 8838 8834 135269 0 0 12277631 17513909 24719484 33543996 39103313 127158333 0.96502 0.96040 0.00106 0.00136 X 185780 185780 0.00000 0.00000 1.00000 false true true 13300 10714 2586 172470 51397 121073 1076350 615888 460462 95347 95347 679468 0 INTERCOMPANY PAYABLES (NET) 768817 PENSION AND OTHER RETIREMENT LIAB. 665854 1434671 Schedule D, Part V, Line 4 - Intended Uses of Org.'s Endowment Funds Temporarily restricted net assets are generally restricted for indigent and other patient care services, medical education and research programs, and medical supplies and equipment. Schedule D, Part X, Line 2 - FIN 48 (ASC 740) Footnote Indiana University Health Ball Memorial Physicians, Inc. ("IU Health Ball Memorial Physicians") is a subsidiary in the consolidated financial statements of Indiana University Health, Inc. ("IU Health"). IU Health adopted FIN 48 in 2007. No disclosures were required in 2013 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes. true true false false false false false true false MICHAEL E HALEY CHAIRMAN/PRESIDENT 0 485608 0 105447 0 106514 0 21020 0 30239 0 748828 0 0 JEFFREY C BIRD MD CHAIRMAN/PRESIDENT/CME 0 277740 0 0 0 1806 0 10200 0 33043 0 322789 0 0 LORI A LUTHER DIRECTOR/TREASURER 0 223515 0 12939 0 2741 0 6027 0 12112 0 257334 0 0 CAROL E SEALS DIRECTOR/TREASURER (PART. YR.) 0 82782 0 0 0 74885 0 3394 0 6142 0 167203 0 0 CHARLES R ROUTH MD DIRECTOR/EXEC. MEDICAL DIR. 214964 500 51417 0 19283 0 998 0 28550 0 315212 500 0 0 RYAN M JOHNSTON MD DIRECTOR/MEDICAL DIRECTOR 233713 250 0 0 420 0 11991 0 28988 0 275112 250 0 0 STEVEN J LANSING MD DIRECTOR/ANESTHES. (PART. YR.) 203846 0 200464 0 18135 0 3684 0 25940 0 452069 0 0 0 DANIEL C LOPICCOLO MD DIRECTOR/STAFF PHY. (PART YR.) 402007 0 9252 0 966 0 5053 0 32342 0 449620 0 0 0 PAUL B STEWART MD DIRECTOR/STAFF PHY. (PART YR.) 468309 0 2608 0 17628 0 6375 0 26575 0 521495 0 0 0 MICHELLE R ALTOBELLA SECRETARY (PARTIAL YEAR) 0 159027 0 0 0 2035 0 6772 0 29561 0 197395 0 0 ANDREW J CROOK MD ANESTHESIOLOGIST 258311 0 347969 0 15869 0 5721 0 27609 0 655479 0 0 0 BRACKEN J DEWITT MD ANESTHESIOLOGIST 296301 0 311919 0 209 0 4893 0 3872 0 617194 0 0 0 ROBBIE DOVE III MD ANESTHESIOLOGIST 273029 0 321743 0 1187 0 4579 0 9352 0 609890 0 0 0 JOSEPH B LANDWEHR JR MEDICAL DIRECTOR 513574 0 75000 0 630 0 5813 0 29605 0 624622 0 0 0 JOHN S CHIARA MD ANESTHESIOLOGIST 356112 0 226606 0 221 0 4149 0 26393 0 613481 0 0 0 HAROLD L BERFIEND FORMER TREASURER 0 257957 0 43342 0 29306 0 21374 0 21042 0 373021 0 0 Schedule J, Part I, Line 3 - Comp. of the Org.'s CEO/Executive Director Michael E. Haley, the President of Indiana University Health Ball Memorial Hospital, Inc. ("IU Health Ball Memorial Hospital") and Indiana University Health Ball Memorial Physicians, Inc. ("IU Health Ball Memorial Physicians"), is compensated as an employee of Indiana University Health, Inc. ("IU Health") for his services performed at IU Health Ball Memorial Hospital. IU Health has a process in place to determine the compensation of IU Health Ball Memorial Hospital' CEO. This process includes the use of a written employment contract, the terms of which are determined based upon a compensation survey/study conducted by an independent compensation consultant with review and approval by IU Health's compensation committee and board of directors. Schedule J, Part I, Line 4a - Severance or Change-of-Control Payments Carol E. Seals received 2013 severance of $74,574 from Indiana University Health Ball Memorial Hospital, Inc. Schedule J, Part I, Line 4b - Supplemental Nonqualified Retirement Plan Michael E. Haley participates in a supplemental executive retirement plan of Indiana University Health, Inc., 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. Michael E. Haley has an amount included in column c, deferred compensation, representing the current year increase in the accrued benefit and/or current contributions. No amount was actually paid to these executives during the year. Schedule J, Part I, Line 7 - Non-Fixed Payments Amounts disclosed in Column B(ii) include a long-term and short-term incentive for certain executives and short-term incentive for other employees. Although these plans are based on a fixed formula that has been approved by the Board of Directors based upon certain qualitative and quantitative factors and goals, all discretionary incentive plans must be approved by the Board of Directors prior to any incentive payout. Part VI, Section A, Line 1b - Number of Voting Members that are Indepen. Indiana University Health Ball Memorial Physicians, Inc. is part of a multi-entity hospital system controlled by Indiana University Health, Inc., 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 Relationships Jeffrey C. Bird, M.D., Charles R. Routh, M.D., and Lori Luther served on the board of managers of Cardinal Health Alliance, LLC. Additionally, Michelle R. Altobella served as an officer of Cardinal Health Alliance, LLC. No additional compensation was provided to these individuals for their service. Jeffrey C. Bird, M.D. and Lori A. Luther served on the board of managers of Cardinal Health Initiatives, LLC. Additionally, Lori A. Luther served as an officer of Cardinal Health Initiatives, LLC. No additional compensation was provided to these individuals for their service. Charles R. Routh, M.D. and Lori A. Luther served on the board of managers of East Central Radiology, LLC. No additional compensation was provided to these individuals for their service. Part VI, Section A, Lines 6, 7a and 7b - Members or Stockholders Line 6: Indiana University Health Ball Memorial Physicians, Inc. ("IU Health Ball Memorial Physicians") has one class of membership and the sole member is Indiana University Health Ball Memorial Hospital, Inc. ("IU Health Ball Memorial Hospital"). Line 7a: IU Health Ball Memorial Hospital elects directors annually to serve three-year terms on the board of IU Health Ball Memorial Physicians. Line 7b: The Corporate Member, IU Health Ball Memorial Hospital, reserves the power to alter, amend, repeal, and supplement the governing documents, elect or remove, with or without cause, members of the Board of Directors; appoint or remove, with or without cause, the President; approve or remove, with or without cause, all persons elected or appointed as officers; approve the annual operating and capital budgets; and establish the conditions under which corporate member approval shall be required for the sale, assignment, transfer, mortgage, pledge, or other disposal of any asset. Part VI, Section A, Line 11b - Form 990 Provided to Governing Body Indiana University Health Ball Memorial Physicians, Inc. has established the following process for the review of the Form 990 and related schedules before it is filed: The Treasurer reviewed and approved the Form 990 and related schedules. After the review and approval from the Treasurer, a complete final copy, as filed with the Internal Revenue Service, of the Form 990 and related schedules was made available to each board member on a secure intranet site prior to the return being filed. Each member was informed of the availability of the Tax Department to answer any questions. Part VI, Section B, Lines 12, 13, 14, and 16b - Polices Indiana University Health Ball Memorial Physicians, Inc. ("IU Health Ball Memorial Physicians") is part of the Indiana University Health, Inc. ("IU Health") system. As the sole member and controlling parent of Indiana University Health Ball Memorial Hospital, Inc., the sole member and controlling parent of IU Health Ball Memorial Physicians, IU Health and its Board of Directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health Ball Memorial Physicians' 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 Policy Indiana University Health Ball Memorial Physicians, Inc. ("IU Health Ball Memorial Physicians") has a Conflict of Interest Policy, the purpose of which is to protect IU Health Ball Memorial Physicians' interests when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer, director, or employee. Each employee that is manager level or above, including officers and directors, is required to annually sign a statement which affirms that such person (1) has received a copy of the conflict of interest policy; (2) has read and understands the policy; (3) has agreed to comply with the policy; and (4) understands and acknowledges that the Corporation is a tax-exempt organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. If an interest is disclosed, the form requires that the discloser's supervisor sign the form to indicate his/her knowledge and approval of the interest. The form is then submitted to Corporate Compliance for review. If the disclosure is by the CEO/President, it is reviewed by the board chairman for approval. If the disclosure is by a member of the board of directors, the General Counsel/Chief Compliance Officer reviews the disclosures and determines whether to consent. Board members with a conflict of interest cannot participate in any decision related to that conflict. Breach of the conflict of interest policy, including failure to complete and update the questionnaire and failure to disclose an interest that should be disclosed, may subject an individual to disciplinary action, including dismissal. Part VI, Section B, Line 15 - Process for Determining Compensation Indiana University Health Ball Memorial Physicians, Inc. has a process in place to determine the compensation for its key employees. Indiana University Health Ball Memorial Physicians, Inc. 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 Indiana University Health Ball Memorial Physicians, Inc. 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 Board of Directors, Compensation Committee, and/or Corporate member. Part VI, Section C, Line 19 - Public Disclosure Indiana University Health Ball Memorial Physicians, Inc.'s ("IU Health Ball Memorial Physicians") Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health Ball Memorial Physicians' conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health Ball Memorial Physicians is a consolidated subsidiary in the consolidated financial statements for Indiana University Health, Inc. ("IU Health"). The consolidated financial statements for IU Health are available to the public through its bond filings. Part IX, Line 11g - Other Fees for Services Line 11g includes amounts paid for the following: Shared Services/Professional Fees: $6,508,415 Part XI, Line 9 - Other Changes in Net Assets or Fund Balances During 2013, Indiana University Health Ball Memorial Hospital, Inc. ("IU Health Ball Memorial Hospital"), made an equity transfer to Indiana University Health Ball Memorial Physicians, Inc. ("IU Health Ball Memorial Physicians"), a subsidiary of IU Health Ball Memorial Hospital, in the amount of $18,300,658. Throughout the existence of IU Health Ball Memorial Physicians, IU Health Ball Memorial Hospital has provided funds to support IU Health Ball Memorial Physicians' exempt purpose. Although there was never any intent for IU Health Ball Memorial Physicians to repay IU Health Ball Memorial Hospital, these amounts were recorded as intercompany balances rather than equity transfers. During 2013, IU Health Ball Memorial Hospital and IU Health Ball Memorial Physicians made adjustments to their books and records to reflect these intercompany balances as equity transfers for both book and tax purposes. Additionally, IU Health Ball Memorial Physicians recorded a change in reporting of restricted assets of $185,780. 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