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INDIANA UNIVERSITY HEALTH ARNETT INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
INDIANA UNIVERSITY HEALTH ARNETT INC (EIN 26-3162145)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201433219349304933
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-17T11:33:20-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4000AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN263162145EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIANA UNIVERSITY HEALTH ARNETT INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% BROC BUDDEInCareOfNm
Business Name ControlINDIBusinessNameControlTxt
Phone3179624575PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN STREET SUITE 800AddressLine1
Address Line2SuiteAddressLine2
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARA L BREIDSTERPersonNm
Person TitleCFOPersonTitleTxt
Signature2014-11-14SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER D RHODERICKPreparerPersonNm
PTINP00395735PTIN
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALFONSO W GATMAITANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN ST STE 800AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$418,418,068GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://IUHEALTH.ORG/ARNETT/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionImprove the health of our patients and community through innovation and excellence in care, education, research and service.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee2437TotalEmployeeCnt
Total Volunteers165TotalVolunteersCnt
Total Gross UBI$1,876,247TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$243,805NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$33,748PYContributionsGrantsAmt
CY Contributions Grants$23,762CYContributionsGrantsAmt
PY Program Service Revenue$395,173,565PYProgramServiceRevenueAmt
CY Program Service Revenue$403,986,214CYProgramServiceRevenueAmt
PY Investment Income$69,977PYInvestmentIncomeAmt
CY Investment Income$2,580,614CYInvestmentIncomeAmt
PY Other Revenue$2,739,758PYOtherRevenueAmt
CY Other Revenue$2,750,007CYOtherRevenueAmt
PY Total Revenue$398,017,048PYTotalRevenueAmt
CY Total Revenue$409,340,597CYTotalRevenueAmt
PY Grants And Similar Paid$188,086PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$501,354CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$181,126,436PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$185,476,433CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$199,784,690PYOtherExpensesAmt
CY Other Expenses$192,067,387CYOtherExpensesAmt
PY Total Expenses$381,099,212PYTotalExpensesAmt
CY Total Expenses$378,045,174CYTotalExpensesAmt
PY Revenues Less Expenses$16,917,836PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$31,295,423CYRevenuesLessExpensesAmt
Total Assets BOY$250,745,644TotalAssetsBOYAmt
Total Assets EOY$253,519,309TotalAssetsEOYAmt
Total Liabilities BOY$293,399,423TotalLiabilitiesBOYAmt
Total Liabilities EOY$264,877,665TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$42,653,779NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$11,358,356NetAssetsOrFundBalancesEOYAmt
MissionImprove the health of our patients and community through innovation and excellence in care, education, research and service.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$326,884,631ExpenseAmt
Grant$501,354GrantAmt
Revenue$403,986,214RevenueAmt
DescIndiana University Health Arnett, Inc. ("IU Health Arnett") offers a variety of services to care for its patients during every phase of life without regard to ability to pay. As an integrated health care system, IU Health Arnett strives to be the preeminent leader in clinical care, education, research and service in the region by providing its patients with access to primary care practitioners, specialists, numerous outpatient facilities, and a 191-bed full-service hospital united together under one umbrella.Desc
Total Program Service Expenses$326,884,631TotalProgramServiceExpensesAmt
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 ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
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 EntityYes (true)DisregardedEntityInd
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 Document113IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2437EmployeeCnt
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 ContributionsfalseQuidProQuoContributionsInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBROC BUDDEPersonNm
Phone3179624575PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN STREET SUITE 800AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
VICTOR L LECHTENBERG
CHAIRMAN5.00.0Yes (X)$6,750$0$0
ANDREW K EDWARDS MD
VICE CHAIRMAN/STAFF PHYSICIAN60.00.0Yes (X)$415,591$0$56,532
ROGER D BANGS MD
DIRECTOR/PHYS. (PARTIAL YEAR)60.00.0Yes (X)$585,856$0$56,500
THOMAS V EASTERDAY
DIRECTOR5.00.0Yes (X)$7,500$0$0
DANIEL F EVANS JR
DIRECTOR5.055.0Yes (X)$0$1,468,119$562,967
STEPHEN L HENSON MD
DIRECTOR/PHYS. (PARTIAL YEAR)60.00.0Yes (X)$593,296$0$56,369
CHRISTOPHER A MANSFIELD MD
DIRECTOR/STAFF PHYSICIAN60.00.0Yes (X)$401,942$0$52,067
RANDALL R MITCHELL
DIRECTOR5.02.0Yes (X)$9,000$4,500$0
LARRY W PAMPEL DDS
DIRECTOR5.02.0Yes (X)$6,750$4,500$0
REV KATE L WALKER
DIRECTOR5.00.0Yes (X)$0$0$0
ALFONSO W GATMAITAN
CEO55.00.0$536,410$0$130,026Yes (X)
JEROME P KELLY
SECRETARY5.050.0$0$265,291$47,374Yes (X)
CARA L BREIDSTER
TREASURER/CFO54.06.0$256,458$28,496$65,032Yes (X)
BRIAN T SHOCKNEY
COO55.00.0$253,185$0$62,051Yes (X)
DONALD E CLAYTON MD
CMD/PHYSICIAN55.00.0$449,321$0$63,257Yes (X)
JOSHUA B FLEMING RN
VP & CNE55.00.0$174,121$0$45,435Yes (X)
KYLE L ALLEN
CPO55.00.0$225,721$2,070$41,996Yes (X)
JAMES BIEN MD
VP, QUALITY & SAFETY55.00.0$315,357$0$61,486Yes (X)
HAROLD D GEORGE JR
ADMIN. DIRECTOR55.00.0$193,312$0$40,508Yes (X)
THERESA K LEFFEW RN
ADMIN. DIRECTOR55.00.0$153,954$0$24,164Yes (X)
JOSEPH E HUBBARD MD
STAFF PHYSICIAN55.00.0$796,120$0$28,631Yes (X)
RYAN D LOYD MD
STAFF PHYSICIAN55.00.0$707,330$0$60,712Yes (X)
RICHARD C BERG MD
STAFF PHYSICIAN55.00.0$664,862$0$60,213Yes (X)
CHENG DU MD
STAFF PHYSICIAN55.00.0$757,248$0$63,680Yes (X)
PETER A SEYMOUR MD
STAFF PHYSICIAN55.00.0$663,457$0$63,100Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,173,541TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,772,976TotReportableCompRltdOrgAmt
Total Other Compensation$1,642,100TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K230IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
THE CORNERSTONE COMPANIES INC
3755 E 82ND STREET SUITE 270INDIANAPOLISIN46240CONSTRUCTION$4,645,932
TRIMEDX INC
5451 LAKEVIEW PKWY S DRINDIANAPOLISIN46268CLINICAL ENGINEERING$2,617,741
SODEXO INC AFFILIATES
4880 PAYSPHERE CIRCLECHICAGOIL60674VARIOUS MANAGEMENT$1,814,925
HORIZON MEDICAL GROUP INC
1345 UNITY PLACE SUITE 345LAFAYETTEIN47905MEDICAL$1,665,508
INDIANA HAND SHOULDER CENTER
8501 HARCOURT ROADINDIANAPOLISIN46260MEDICAL$680,379
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K33CntrctRcvdGreaterThan100KCnt
Government Grants$10,331GovernmentGrantsAmt
All Other Contributions$13,431AllOtherContributionsAmt
Total Contributions$23,762TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621110$396,647,800$396,647,800
EHRC INCENTIVE900099$2,132,652$2,132,652
PHARMACY446110$2,884,682$1,755,894$1,128,788
INCOME (LOSS) FROM PARTNERSHIPS900099$1,352,412$604,953$747,459
SHARED SERVICES541700$682,178$682,178

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$286,490TotalRevenueColumnAmt
Related Or Exempt Func Income$286,490RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$403,986,214TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,054TotalRevenueColumnAmt
Exclusion$23,054ExclusionAmt

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$11,635,031OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$9,077,471OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$2,557,560OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,557,560TotalRevenueColumnAmt
Exclusion$2,557,560ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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 ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA/FOOD SERVICE722320$815,324$815,324
GIFT SHOP453220$159,144$159,144
VENDING900099$10,441$10,441

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,765,098TotalRevenueColumnAmt
Exclusion$1,765,098ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,750,007OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$409,340,597TotalRevenueColumnAmt
Related Or Exempt Func Income$402,109,967RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,876,247UnrelatedBusinessRevenueAmt
Exclusion$5,330,621ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$501,354TotalAmt
Program Services$501,354ProgramServicesAmt

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$5,208,267TotalAmt
Program Services$4,758,029ProgramServicesAmt
Management And General$450,238ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$145,057,041TotalAmt
Program Services$132,517,338ProgramServicesAmt
Management And General$12,539,703ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,179,146TotalAmt
Program Services$8,713,047ProgramServicesAmt
Management And General$466,099ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,347,465TotalAmt
Program Services$15,107,916ProgramServicesAmt
Management And General$2,239,549ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,684,514TotalAmt
Program Services$7,797,000ProgramServicesAmt
Management And General$887,514ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$17,004TotalAmt
Program Services$1,339ProgramServicesAmt
Management And General$15,665ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,188TotalAmt
Management And General$2,188ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,990TotalAmt
Management And General$22,990ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$10,410TotalAmt
Management And General$10,410ManagementAndGeneralAmt

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$42,109,112TotalAmt
Program Services$17,423,309ProgramServicesAmt
Management And General$24,685,803ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$426,598TotalAmt
Program Services$59,329ProgramServicesAmt
Management And General$367,269ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,345,106TotalAmt
Program Services$603,787ProgramServicesAmt
Management And General$1,741,319ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,295,008TotalAmt
Program Services$589,632ProgramServicesAmt
Management And General$1,705,376ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,027,904TotalAmt
Program Services$8,842,618ProgramServicesAmt
Management And General$185,286ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$289,675TotalAmt
Program Services$216,436ProgramServicesAmt
Management And General$73,239ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,984TotalAmt
Program Services$5,329ProgramServicesAmt
Management And General$655ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,287,605TotalAmt
Program Services$13,917,069ProgramServicesAmt
Management And General$370,536ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,425,327TotalAmt
Program Services$12,494,345ProgramServicesAmt
Management And General$2,930,982ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,433,285TotalAmt
Program Services$1,407,805ProgramServicesAmt
Management And General$2,025,480ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUGS AND MEDICAL SUPPLIES$64,269,971$64,260,084$9,887
BAD DEBT$30,674,729$30,674,729
NONCAPITALIZED EQUIPMENT$263,320$190,767$72,553
INSTITUTIONAL DUES/LICENSES$314,053$309,000$5,053

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,847,118TotalAmt
Program Services$6,494,369ProgramServicesAmt
Management And General$352,749ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$378,045,174TotalAmt
Program Services$326,884,631ProgramServicesAmt
Management And General$51,160,543ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,465BOYAmt
EOY$15,465EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$41,453,853BOYAmt
EOY$46,194,785EOYAmt

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$949,171BOYAmt
EOY$613,824EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,001,543BOYAmt
EOY$4,046,440EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,122,647BOYAmt
EOY$2,482,018EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$270,111,454LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$70,841,214LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$202,011,813BOYAmt
EOY$199,270,240EOYAmt

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$1,191,152BOYAmt
EOY$896,537EOYAmt

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$250,745,644BOYAmt
EOY$253,519,309EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,220,040BOYAmt
EOY$34,551,185EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$17,544BOYAmt
EOY$9,657EOYAmt

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$15,472,749BOYAmt
EOY$2,610,493EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$242,689,090BOYAmt
EOY$227,706,330EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$293,399,423BOYAmt
EOY$264,877,665EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$42,653,779BOYAmt
EOY-$11,358,356EOYAmt

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-$42,653,779BOYAmt
EOY-$11,358,356EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$250,745,644BOYAmt
EOY$253,519,309EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$31,295,423ReconcilationRevenueExpnssAmt
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
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$10,410OtherActivitiesAmt
Total Lobbying Expenditures$10,410TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Lines 1i - Other ActivitiesFormAndLineReferenceDesc
ExplanationIndiana University Health Arnett, Inc. ("IU Health Arnett") paid institutional membership dues to the American Hospital Association ("AHA") and Indiana Hospital Association ("IHA") during 2013 in the amount of $38,025 and $24,549, respectively. Each membership organization notified IU Health Arnett that a portion of the dues it paid were used for lobbying purposes. The AHA used 23.98%, or $9,119 of 2013 membership dues paid by IU Health Arnett, for lobbying expenditures. The IHA used 5.26%, or $1,291 of the 2013 membership dues paid by IU Health Arnett, for lobbying expenditures. The total membership dues paid to these organizations by IU Health Arnett during 2013 that were attributable to lobbying expenditures was $10,410.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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,121,457OtherCostOrOtherBasisAmt
Book Value$4,121,457BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$185,420,083OtherCostOrOtherBasisAmt
Depreciation$20,591,557DepreciationAmt
Book Value$164,828,526BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,525,141OtherCostOrOtherBasisAmt
Depreciation$722,131DepreciationAmt
Book Value$2,803,010BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$76,477,634OtherCostOrOtherBasisAmt
Depreciation$49,445,286DepreciationAmt
Book Value$27,032,348BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$567,139OtherCostOrOtherBasisAmt
Depreciation$82,240DepreciationAmt
Book Value$484,899BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$199,270,240TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES (NET)$190,433,552
DUE TO THIRD-PARTY PAYORS$36,708,417
SELF-INSURANCE LIABILITIES$564,361
FieldValueIRS element (for citing)
Total Liability$227,706,330TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 - FIN 48 (ASC 740) FootnoteFormAndLineReferenceDesc
ExplanationIndiana University Health Arnett, Inc. 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.ExplanationTxt

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other650.DiscountedCareOtherPct
FieldValueIRS element (for citing)
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 Served9576PersonsServedCnt
Total Community Benefit Expns$12,152,609TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,152,609NetCommunityBenefitExpnsAmt
Total Expense0.03500TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served12847PersonsServedCnt
Total Community Benefit Expns$38,390,968TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,362,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,028,733NetCommunityBenefitExpnsAmt
Total Expense0.04330TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served22423PersonsServedCnt
Total Community Benefit Expns$50,543,577TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,362,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,181,342NetCommunityBenefitExpnsAmt
Total Expense0.07830TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served12792PersonsServedCnt
Total Community Benefit Expns$312,547TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,305DirectOffsettingRevenueAmt
Net Community Benefit Expns$305,242NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served590PersonsServedCnt
Total Community Benefit Expns$1,126,342TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,126,342NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served300PersonsServedCnt
Total Community Benefit Expns$131,138TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,648DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,490NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served2523PersonsServedCnt
Total Community Benefit Expns$301,741TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$301,741NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served16205PersonsServedCnt
Total Community Benefit Expns$1,871,768TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,953DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,839,815NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served38628PersonsServedCnt
Total Community Benefit Expns$52,415,345TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,394,188DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,021,157NetCommunityBenefitExpnsAmt
Total Expense0.08360TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$4,424TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,424NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$3,851TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,851NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served397PersonsServedCnt
Total Community Benefit Expns$11,809TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,809NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,121TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,121NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,847TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,847NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1482PersonsServedCnt
Total Community Benefit Expns$39,902TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$39,902NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served60PersonsServedCnt
Total Community Benefit Expns$1,687TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,687NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served1939PersonsServedCnt
Total Community Benefit Expns$72,641TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$72,641NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$9,217,756BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$67,620,580ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$89,200,244CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$21,579,664MedicareSurplusOrShortfallAmt

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 ARNETT HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line15165 MCCARTY LANEAddressLine1
CityLAFAYETTECity
StateINState
ZIP Code47905ZIPCode
FieldValueIRS element (for citing)
Website AddressHTTP://IUHEALTH.ORG/ARNETT/WebsiteAddressTxt
State License13-011506-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1IU HEALTH ARNETT HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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 FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://IUHEALTH.ORG/GETSTRONG/OwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care650.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
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
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3 - INPUT FROM COMMUNITYIndiana University Health Arnett, Inc. ("IU Health Arnett") operates one hospital location licensed as a single hospital by the Indiana State Department of Health. IU Health Arnett is located in Lafayette, Tippecanoe County, Indiana. In conducting its most recent CHNA, IU Health Arnett took into account input from persons who represent the broad interests of the communities 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 Arnett could play in addressing the identified needs. To obtain a more complete picture of the factors that play into the Tippecanoe County community's health, input from local health leaders was gathered through two separate focus group sessions. The first live group session lasted two hours and was held at IU Health Arnett Hospital and the second session was held via conference call. IU Health Arnett 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. Kathy Murray - Health and Human Sciences Educator, Purdue Extension of Tippecanoe County - Ms. Murray is a representative of education. As an educator for Purdue Extension, she is focused on improving educational opportunities for young adults. Laura Carson - Finance & Community Impact Director, United Way of Greater Lafayette - Ms. Carson is a representative of healthy living. As a director for United Way, she works for an organization that believes in helping people learn more, earn more, and lead safe and healthy lives, and creates programs to assist in those goals, especially for the underserved populations. Michael D. Bohlin - Local Health Officer, Tippecanoe County Health Department - Dr. Bohlin is a public health expert. As a local health officer, he is knowledgeable in public health needs in the community, including in low income and underserved populations. Ron Cripe - Local Health Administrator, Tippecanoe County Health Department - Mr. Cripe is a public health expert. As a local health administrator, he is knowledgeable in public health needs in the community, including in low income and underserved populations. James Taylor - Executive Director, United Way of Greater Lafayette - Mr. Taylor is a representative of healthy living. As Executive Director United Way, he works for an organization that believes in helping people learn more, earn more, and lead safe and healthy lives, and creates programs to assist in those goals, especially for the underserved populations. David Byers - Tippecanoe County Commissioner - Mr. Byers is a representative of healthy living. As county commissioner, he is knowledgeable in the community's needs and resources available to address those needs. Tom Murtaugh - Tippecanoe County Commissioner - Mr. Murtaugh is a representative of healthy living. As county commissioner, he is knowledgeable in the community's needs and resources available to address those needs. Rabbi Audrey Pollack - Rabbi of Temple Israel, West Lafayette - Rabbi Pollack is a representative of community needs. As a rabbi in the community, she is well-informed of the community's various needs and issues. Jennifer Flora - CEO, Mental Health America of Tippecanoe County - Ms. Flora is a representative of mental health issues and community awareness. As CEO, she is well-versed in the areas surrounding mental health and how it is affecting the community. Aadron Rausch - Director of Strategic Engagement, IU Health Arnett - Mr. Rausch is a representative of healthy living and community awareness and needs. As Director of Strategic Engagement, she is knowledgeable in the community market and the needs within the community. Sue Bergstrom - Nurse, Lafayette School Corporation - Ms. Bergstrom is a representative of children's health. As a school nurse in the community, she is familiar with school-age children's health issues and needs. Veronica Jalomo - Board Member, Hanna Community Center - Ms. Jalomo is a representative of children's health. As a child care provider in the community, Ms. Jalomo is familiar with children's health issues and needs. Carol Lancaster Deno - Nurse, West Lafayette Community School Corporation - Ms. Lancaster Deno is a representative of children's health. As a school nurse in the community, she is familiar with children's health issues and needs. Upon arrival to the focus group, participants were asked to list their believed five prioritized health needs for the IU Health Arnett community. 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 Arnett facilitators then provided participants with a presentation featuring the mission of IU Health, 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 Arnett 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 IU Health Arnett could be in meeting the local health needs. IU Health Arnett also solicited responses from the general public regarding the health of the IU Health Arnett community through an online survey. The survey consisted of approximately 15 multiple choice and open-ended questions that assessed the community members' feedback regarding healthcare issues and barriers to access. A link was made available on the hospital's Web site via an electronic survey tool from April 2012 through June 2012. A paper version was distributed to local community centers, health clinics, community health fairs and events, as well as within some hospital patient waiting areas. Additionally, an estimated 25,000 surveys were e-mailed, direct-mailed, or sent via newsletter. In addition to disseminating directly to the general public of the community, the survey was also sent via e-mail to participants in the needs assessment focus groups to provide an opportunity for these community leaders to pass on to their local community members. Respondent Demographics 9 respondents participated in the survey. All of the participants were from the PSA (Tippecanoe County). All but one participant (89%) was Caucasian (white), and the majority of respondents were 18-40 (77%) years of age, with only two respondents above the age of 60. The educational attainment of the sample was relatively high for the nine individuals who reported it, with more than 66% of respondents indicating they had completed either a college undergraduate (44%) or graduate degree (22%). One respondent indicated completing vocational or technical schooling, and another respondent reported completing some high school or a high school degree/GED only. A majority of survey participants reported a household income of over $44,701 (78%), with the majority of participants indicating an income of $44,701-$67,050 (56%). Only two respondents (22%) reported a household income lower than $44,701. Survey respondents were also asked to report their insurance status. Of the nine respondents who reported their insurance status, the majority had commercial/private insurance (67%). Two individuals also reported either being uninsured or self-pay (22%), and one respondent was covered by Medicaid.
SCHEDULE H, PART V, SECTION B, LINE 7 - ADDRESSING IDENTIFIED NEEDSIU Health Arnett's entire community service area extends into seven counties: Tippecanoe, Clinton, White, Carroll, Benton, Fountain, Montgomery, and Jasper. Social and economic factors may contribute to the poor lifestyle choices that are prevalent in the community, such as substance abuse, poor diet, and lack of physical activity. Top Community Health Needs The needs listed below specify the health issues identified by the assessment as priority needs across the entire community served by the hospital. These problems affect most of the community service area counties, but particularly apply to the PSA of Tippecanoe County. Access to healthcare Mental health Obesity and lack of physical activity Substance abuse Senior health IU Health Arnett has chosen not to address the following community health needs: Tobacco & Substance Abuse This need is currently being met and addressed in our community through the Tobacco Free Partnership of Tippecanoe County. IU Health Arnett collaborates with the Tobacco Free Partnership of Tippecanoe County as needed and provides educational material to patients seeking information. Senior Health To promote senior health, IU Health Arnett actively collaborates with the Area IV Council on Aging and Community Action Programs and Healthy Active Tippecanoe programs. These programs include Senior Fairs and Health Fairs. Mental Health This need is currently being met and addressed in our community through Mental Health America Lafayette and Sycamore Springs.
SCHEDULE H, PART V, SECTION B, LINE 14G - OTHER MEASURES TO PUBLICIZEIndiana University Health Arnett, Inc. ("IU Health Arnett") goes to great lengths to ensure patients know that it treats all patients regardless of their ability to pay. Although a complete copy of the financial assistance policy is not attached to each patient statement, a plain language summary is included instead. Additionally, on the back of each patient statement is a telephone number that allows patients to ask any questions about the policy and request financial assistance.
FieldValueIRS element (for citing)
Facility25FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
IU HEALTH ARNETT - NORTH
2600 GREENBUSH STREETLAFAYETTEIN47904PHYSICIAN OFFICE / URGENT CARE CENTER
IU HEALTH ARNETT IMAGING CENTER
2403 LOY DRLAFAYETTEIN47909DIAGNOSTIC CENTER
IU HEALTH ARNETT CANCER CARE CENTER
420 N 26TH STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT - FERRY
2600 FERRY STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT - SALEM
1500 SALEM STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT CARDIOLOGY
1116 N 16TH STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT HORIZON ONCOLOGY
1345 UNITY PL STE 345LAFAYETTEIN47905PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - WEST LAFAY
2995 SALISBURY STREETWEST LAFAYETTEIN47906PHYSICIAN OFFICE / URGENT CARE CENTER
IU HEALTH ARNETT GYNECOLOGY
904 SOUTH STLAFAYETTEIN47901PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - FRANKFORT
550 S HOKE AVEFRANKFORTIN46041PHYSICIAN OFFICE
IU HEALTH ARNETT OCCUPATIONAL HLTH SRVCS
810 S 6TH ST STE AMONTICELLOIN47960PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS
1 WALTER SCHOLER DRLAFAYETTEIN47909PHYSICIAN OFFICE / URGENT CARE CENTER
IU HEALTH ARNETT PAIN MEDICINE
415 N 26TH STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT NEPHROLOGY
915 MEZZANINELAFAYETTEIN47905PHYSICIAN OFFICE
IU HEALTH ARNETT OBSTETRICS & GYNECOLOGY
938 MEZZANINELAFAYETTEIN47905PHYSICIAN OFFICE
IU HEALTH ARNETT FAMILY MEDICINE - FERRY
2800 FERRY STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - CARROLL
104 S HOWARD DRFLORAIN46929PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - MONTICELLO
720 S 6TH STMONTICELLOIN47960PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - DELPHI
651 ARMORY RDDELPHIIN46923PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - OTTERBEIN
407 N MEADOW STOTTERBEININ47970PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - ROSSVILLE
14 S PLANK STROSSVILLEIN46065PHYSICIAN OFFICE
IU HEALTH ARNETT REHABILITATION
2601 FERRY STREETLAFAYETTEIN47904REHABILITATION CLINIC
IU HEALTH ARNETT PHYSICIANS - FLORA
203 DIVISION STFLORAIN46929PHYSICIAN OFFICE
IU HEALTH ARNETT OCCUPATIONAL HLTH SRVCS
3746 ROME DRIVELAFAYETTEIN46905OCCUPATIONAL THERAPY
IU HEALTH ARNETT SLEEP LAB CASCADE CTR
3900 MCCARTHY LN STE 101LAFAYETTEIN47905DIAGNOSTIC CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c - Other Factors Used in Determining Elig.N/A
Schedule H, Part I, Line 6a - C.B. Report Prepared by a Related Org.Indiana University Health Arnett, Inc.'s ("IU Health Arnett") community benefits and investments are included in the Indiana University Health ("IU Health") Community Benefit Report which is made available to the public on its website at www.iuhealth.org/getstrong. The Community Benefit report is also distributed to numerous key organizations throughout the State of Indiana to broadly share IU Health's community benefit efforts and investments statewide, and is available by request through the Indiana State Department of Health or IU Health.
Schedule H, Part I, Line 7g - Subsidized Health ServicesIndiana University Health Arnett, Inc. does not include any costs associated with physician clinics as subsidized health services.
Schedule H, Part I, Line 7, Column (f) - Bad Debt ExpenseThe amount of bad debt expense included on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentage of total expense is $30,674,729. The bad debt expense of $9,217,756 on Schedule H, Part III, Line 2 is reported at cost.
Schedule H, Part I, Line 7 - Total Community Benefit ExpensePercentage of Total Expenses listed on Schedule H, Part I, Line 7, Column (f) is calculated based on Net Community Benefit Expense. The Percentage of Total Expenses calculated based on Total Community Benefit Expense is 15.09%.
Schedule H, Part II - Promotion of Health in Communities ServedIU Health Arnett Hospital participated in a variety of community-building activities that address the underlying quality of life in the communities it serves. IU Health as a statewide healthcare system invested in economic development efforts across the state collaborated with like-minded organizations through coalitions that address key issues, and advocated for improvements in the health status of vulnerable populations. IU Health contributed more than $1.3 million to community-building activities in 2013, serving over 37,600 people statewide. Locally, IU Health Arnett Hospital invested over $72,000 in community-building activities by providing investments and resources to local community initiatives that addressed economic development, community health improvement and workforce development. A few examples of outreach activities: 1) participating in our local United Way's Read to Succeed child mentoring program and 2) Get Strong Walking Groups. Additionally, through IU Health's team member community benefit service program, Strength That Cares, team members across the state made a difference in the lives of thousands of Hoosiers. On a local level, throughout 2013, more than 40 IU Health Arnett employees volunteered their time with the parks department to improve walking trails, landscape, place signage and general clean up at both Armstrong and Trailhead Parks in Tippecanoe County for the annual IU Health Day of Service. Throughout 2013, IU Health Arnett employees volunteered at local schools through United Way's Read to Succeed program. Employees donated more than 290 volunteer hours throughout the year, improving reading skills for at least 240 children in the classrooms they served.
Schedule H, Part III, Line 4 - Bad Debt ExpenseIndiana University Health Arnett, Inc. ("IU Health Arnett") is included in the consolidated audit report prepared for Indiana University Health, Inc. ("IU Health"). The provision for uncollected patient accounts is based upon management's assessment of historical and expected net collections considering 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, and historical write-off experience by payor category, as adjusted for collection indicators. The results of the review are then used to make any modifications to the provision for uncollected patient accounts and the allowance for uncollectible accounts. In addition, the IU Health System 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 the IU Health System and, in certain cases, are reclassified to charity care if deemed to otherwise meet charity care and financial assistance policies of the IU Health System. The bad debt expense reported on Line 2 is calculated under the cost to charge ratio methodology. IU Health Arnett provides health care services through various programs that are designed, among other matters, to enhance the health of the community and improve the health of low-income patients. In addition, IU Health Arnett provides services intended to benefit the poor and underserved, including those persons who cannot afford health insurance because of inadequate resources or are uninsured or underinsured.
Schedule H, Part III, Line 8 - Medicare ShortfallThe Medicare shortfall reported on Schedule H, Part III, Line 7 is calculated, in accordance with the Form 990 instructions, using "allowable costs" from Indiana University Health Arnett, Inc.'s ("IU Health Arnett") Medicare Cost Report. "Allowable costs" for Medicare Cost Report purposes are not reflective of all costs associated with IU Health Arnett's participation in Medicare programs. For example, the Medicare Cost Report excludes certain costs such as billed physician services, the costs of Medicare Parts C and D, fee schedule reimbursed services, and durable medical equipment services. Inclusion of all costs associated with IU Health Arnett's participation in Medicare programs would significantly increase the Medicare shortfall reported on Schedule H, Part III, Line 7. IU Health Arnett's Medicare shortfall is attributable to reimbursements that are less than the cost of providing patient care and services to Medicare beneficiaries and does not include any amounts that result from inefficiencies or poor management. IU Health Arnett accepts all Medicare patients knowing that there may be shortfalls; therefore it has taken the position that the 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 PolicyIf a patient cannot satisfy standard payment expectations, a financial assistance screening process for alternative sources of balance resolution is completed. Those resolutions may include: a discount on charges; Medicaid enrollment, interest-free loan or application for financial assistance. If a patient does not apply for financial assistance but meets the financial assistance guidelines established by Indiana University Health Arnett, Inc. ("IU Health Arnett"), IU Health Arnett will waive charges and treat the cost of services as financial assistance.
Schedule H, Part VI, Line 2 - Needs AssessmentCommunities are multifaceted and so are their health needs. Indiana University Health Arnett, Inc. ("IU Health Arnett") understands that the health of individuals and communities are shaped by various social and environmental factors, along with health behaviors and additional influences. IU Health Arnett assesses the health care needs of the communities it serves by utilizing the detailed community needs assessments undertaken by organizations such as the Tippecanoe County Health Department, the Indiana State Department of Health, the Centers for Disease Control and Prevention and the United Way of Central Indiana.
Schedule H, Part VI, Line 3 - Patient Education of Eligibility for Assist.Indiana University Health Arnett, Inc. ("IU Health Arnett") goes to great lengths to ensure patients know that IU Health Arnett treats all patients regardless of their ability to pay. IU Health Arnett shares financial assistance information with patients during the admission process, billing process and online. Helping patients understand that financial support for their care is a part of IU Health Arnett's commitment to its mission. IU Health Arnett's financial assistance policy exists to serve those in need by providing financial relief to patients who ask for assistance after care has been provided. During the admissions process, opportunities for financial assistance are discussed with patients who are identified as uninsured, or requests assistance information. The patient is also provided with an Admissions Packet that provides information regarding IU Health Arnett's financial assistance program. Financial counselors are onsite to assist financial concerns or questions during the patient's stay. Patient Financial Services - Customer Service representatives can 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 demographics. A summary of the financial assistance policy is printed on the back of each patient statement. The financial assistance application is mailed to all uninsured IU Health Arnett patients at the conclusion of their treatment along with a summary of the incurred charges. Additionally, on the back of each patient statement is a phone number that will allow patients the ability to request financial assistance. Uninsured patients are also made aware of this process at the time of registration. The IU Health Statewide System website (iuhealth.org) has a page dedicated to financial assistance and offers an online application and phone numbers for customer service representatives to assist with the application process. IU Health Arnett has an expansive financial assistance program, which aligns with IU Health Arnett's policy and utilizes the federal poverty guidelines to determine eligibility, making access to quality care within a patient's reach. The IU Health Arnett Financial Assistance policy provides the following support to patients that qualify. - Free care for those earning up to 200 percent of federal poverty guidelines; - Discounted care on a sliding scale for families earning from 200 to 400 percent of federal poverty guidelines; and - Discounted care on a sliding scale for uninsured families earning from 400 to 650 percent of federal poverty guidelines, and - Financial assistance to patients whose health insurance coverage, if any, does not provide full coverage for all of their medical expenses and whose medical expenses would make them indigent if they were forced to pay full charges. Patients are guided through their course of care with particular sensitivity, reviewing changing circumstances and allowing for financial assistance at any point during the relationship and billing process with the patient. For those inpatients that may qualify for the Medicaid program and have not applied, IU Health Arnett financial counselors will assist patients with the Medicaid application. If a patient does not apply for financial assistance, but meets the financial assistance guidelines established by IU Health Arnett, IU Health Arnett will waive charges and treat the cost of services as financial assistance.
Schedule H, Part VI, Line 4 - Community InformationIndiana University Health Arnett, Inc. ("IU Health Arnett") is primarily located in Tippecanoe County but also has medical offices and serves patients in Benton, Carroll, Clinton, and White counties. Tippecanoe County includes ZIP codes within the towns of Battle Ground, Clarks Hill, Dayton, Lafayette, Romney, West Lafayette and West Point. Based on the most recent Census Bureau (2012) statistics, Tippecanoe County's population is 180,184 persons with approximately 49% being female and 51% male. The county's population estimates by race are 78.9% White, 7.9% Hispanic or Latino, 6.8% Asian, 4.7% Black, 0.4% American Indian or Alaska Native, and 1.9% persons reporting two or more races. Tippecanoe County has relatively moderate levels of educational attainment. The level of education most of the population has achieved is a high school degree (90.6%). As of 2013, 35.7% of the population had a bachelor's degree or higher. IU Health Arnett Hospital has a varied mix of pay for inpatient services with 51% Medicare, 32% commercial, 11% Medicaid, 5% self-pay and 1% government or other. Outpatient services follow a similar pattern with 43% commercial, 32% Medicare, 13% Medicaid, 8% self-pay and 4% other. Discharge information for the hospital shows the majority of patients coming from Tippecanoe County at 57.9%, Clinton - 8%, Carroll - 7.5%, White - 7.1% and Other 19.5%.
Schedule H, Part VI, Line 5 - Promotion of Community HealthIU Health Arnett is an affiliate of IU Health, a tax-exempt hospital, whose Board of Directors is composed of members, of which substantially all are independent community members. Additionally, IU Health Arnett invests in the community to improve the quality of the health of the community members. Several community benefit highlights are described below. In order to provide educational information and promote health and safety to the local communities it serves, IU Health Arnett hosted its second annual Health & Safety Fair on May 18, 2013. Over 800 people attended the Health & Safety Fair, which focused on providing education to children and their families about their health and well-being. Dozens of community organizations provided educational booths including a smoke trailer to learn how to escape from a smoky house, blood pressure and cholesterol screenings, balance screenings, free bike helmets, hands-on CPR and AED training for families and free car seat safety checks. Community partners also provided information about services for cancer patients, calling 911 and a system that helps locate lost children with disabilities. 75 blood pressure and cholesterol screenings were administered and 41 new car seats were given away. As a part of Indiana University Health's mission to improve the health of the community, a free walking program was developed in 2013. IU Health Arnett with support from the YMCA and Lafayette Parks & Recreation Department collaborated to provide the community with health and fitness experts to motivate the group to "get strong" by providing a fun and safe way to increase physical activity. The goal was to dedicate 30 minutes of activity that could help achieve numerous health benefits such as improved blood pressure and cholesterol level. Once a month, each of the IU Health supported walking sites hosted a gathering with a special guest speaker who demonstrated more ways to help participants get strong. Each week individuals had the option of having their body mass index and blood pressure screened, as a way to track how the walking was impacting their health. Over the course of the four-month program, 49 people registered for the group with 20 percent of participants improving their distance walked. Four people improved their blood pressure from the beginning of the program to the end. Six people reduced their body mass index. The hospital also donated more than $500,000 to non-profit community organizations in 2013. Some of the groups included the Riggs Community Health Center, Lafayette Medical Education Foundation, the United Way of Greater Lafayette and the American Heart Association.
Schedule H, Part VI, Line 6 - Affiliated Health Care SystemIU Health Arnett is a part of the IU Health statewide healthcare system which continues to broaden its reach and positive impact throughout the state of Indiana. IU Health is Indiana's most comprehensive academic medical center and consists of IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children at IU Health, IU Health West Hospital, IU Health North Hospital, IU Health Ball Memorial, IU Health Blackford Hospital, IU Health Bloomington Hospital, IU Health Paoli Hospital, IU Health Bedford Hospital, IU Health Tipton Hospital, IU Health La Porte Hospital, IU Health Starke Hospital, IU Health Morgan, IU Health White, and IU Health Goshen Hospital. Although each IU Health hospital prepares and submits its own community benefits plan relative to the local community, IU Health Arnett 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. After taking a careful look into IU Health's communities we serve, and by utilizing the detailed community needs assessments undertaken by public health officials and community partners, IU Health identified the following community health needs for 2013. Obesity Prevention To improve the lifestyle of Indiana residents, IU Health has utilized best practice methods to attack obesity in our communities. IU Health is working to improve access to nutritious foods and physical activity in low-income neighborhoods, in addition to providing traditional health education and public advocacy efforts. With these initiatives, IU Health strives to prevent chronic diseases such as obesity and diabetes and increase the awareness of the importance of making healthy choices, since thirty-six percent of Hoosier adults are overweight and 29.5% are obese, costing the nations billions of dollars each year to treat these chronic health conditions. Get Strong Walking Group As part of IU Health Arnett's mission to reduce area obesity rates, the free Get Walking groups were launched in 2013. IU Health Arnett hosted two walking groups every Monday from July through October. The groups met at Armstrong Park and Riehle Plaza in Lafayette and West Lafayette. The walking groups were developed to educate community members on the benefits of walking, in an encouraging atmosphere. The program was supported by the Lafayette Parks & Recreation Department as well as The Lafayette YMCA who provided certified walking instructors. IU Health Arnett physicians and Wellness Coordinators volunteered their time to provide additional resources and health screenings to participants. Twenty-eight members participated throughout the course of the program, with six improving their BMI rates and four showing reduced blood pressure after completion of the program. Day of Service In conjunction with the 2013 IU Health Day of Service, IU Health Arnett collaborated locally with the Lafayette Parks & Recreation department. More than 40 IU Health Arnett employees volunteered their time to improve walking trails, landscape, place signage and general cleanup at both Armstrong and Trailhead Parks in Tippecanoe County. Helping to improve local parks is a simple way for IU Health Arnett to encourage the local community to get out and be active! Access to Affordable 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 Arnett treats all patients regardless of their ability to pay. IU Health Arnett is also working to raise awareness and working 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. K-12 Education Education plays a crucial role in health outcomes. Level of education has an impact not only on personal health, but it has multigenerational implications as well. Children with a solid educational foundation and parents who are involved in their education are more likely to embrace healthy lifestyles and habits and succeed generally in life. Additionally, research from The National Center for Public Policy and Higher Education shows that greater educational attainment is associated with health-promoting behaviors, such as increased consumption of fruits and vegetables and other aspects of healthy eating; engaging in physical activity and refraining from smoking. Realizing that educational disparities appear early, IU Health is committed to enhancing childhood education to improve health and lifelong quality of life. Kindergarten Countdown Kindergarten Countdown is a free, four-week summer camp, sponsored by IU Health Arnett. The United Way of Greater Lafayette and IU Health Arnett piloted this program at Miller Elementary during the summer of 2011. Kindergarten Countdown is designed to prepare children with little to no preschool experience for their new roles as kindergarten students. The camp is taught by licensed, experienced teachers and takes place in a school setting. Students attend school for half a day to adjust to the routines and procedures of kindergarten to help them transition into school. IU Health Arnett supports Kindergarten Countdown as a community initiative to strengthen K-12 education. Since launching the program, IU Health Arnett has provided volunteers, school supplies and books to approximately 200 area children who participate in the program each year. Read to Succeed As part of its commitment to education and the community, IU Health Arnett continues to provide volunteers for the Read to Succeed program. This program is a partnership between three public school corporations, Greater Lafayette Commerce and the United Way of Greater Lafayette. The program's goal is to ensure that every third-grader leaves third grade reading at grade level or better. This age is the point when students shift from learning to read toward reading to learn. Without these skills, students get further behind each year, and they are dramatically more likely to drop out of school. This program was developed to help children in the community succeed. IU Health Arnett encourages employees to volunteer for this program weekly throughout the school year. Nearly 15 schools in the Lafayette area participated in 2013, and more than 4,000 local children benefited from the program.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
UNITED WAY OF GREATER LAFAYETTE
1114 E STATE STLAFAYETTEIN47905350891621501(C)(3)$70,000N/AN/AGENERAL SUPPORT
RIGGS COMMUNITY HEALTH CENTER INC
1716 HARTFORD STLAFAYETTEIN47904351965865501(C)(3)$164,000N/AN/ARESIDENCY SUPPORT
AMERICAN HEART ASSOCIATION INC
PO BOX 4002902DES MOINESIA50340135613797501(C)(3)$15,000N/AN/AGENERAL SUPPORT
LAFAYETTE MEDICAL EDUCATION FOUNDATION INC
PO BOX 4083LAFAYETTEIN47909351314750501(C)(3)$10,000N/AN/AMEDICAL EDUCATION
PURDUE FOUNDATION
403 W WOOD STLAFAYETTEIN47907310958507501(C)(3)$150,000N/AN/AMed. Edu. Facility
INDIANA UNIVERSITY HEALTH ARNETT FNDTN
950 N MERIDIAN STINDIANAPOLISIN46204356079797501(C)(3)$50,000N/AN/AMedical Education
INDIANA UNIVERSITY FOUNDATION
PO BOX 500BLOOMINGTONIN47402356018940501(C)(3)$15,000N/AN/AScholarship
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 - Org.'s Proc. for Mon. the Use of Grant FundsFormAndLineReferenceDesc
ExplanationAlthough Indiana University Health Arnett, Inc. does not monitor the use of grant funds once distributed, through due diligence the organization has reasonably confirmed that the entities to which the contributions are made are highly reputable in the community and use the funds for the purposes intended.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
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 PaymentsYes (true)AnyNonFixedPaymentsInd
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
ANDREW K EDWARDS MD
VICE CHAIRMAN/STAFF PHYSICIAN$412,341$0$2,830$0$420$0$26,880$0$29,652$0$472,123$0$0$0
ROGER D BANGS MD
DIRECTOR/PHYS. (PARTIAL YEAR)$564,359$0$7,406$0$14,091$0$33,500$0$23,000$0$642,356$0$0$0
DANIEL F EVANS JR
DIRECTOR$0$1,054,492$0$301,421$0$112,206$0$533,606$0$29,361$0$2,031,086$0$0
STEPHEN L HENSON MD
DIRECTOR/PHYS. (PARTIAL YEAR)$587,051$0$911$0$5,334$0$33,597$0$22,772$0$649,665$0$0$0
CHRISTOPHER A MANSFIELD MD
DIRECTOR/STAFF PHYSICIAN$397,230$0$4,334$0$378$0$26,880$0$25,187$0$454,009$0$0$0
ALFONSO W GATMAITAN
CEO$408,328$0$115,007$0$13,075$0$96,951$0$33,075$0$666,436$0$0$0
JEROME P KELLY
SECRETARY$0$238,449$0$25,513$0$1,329$0$20,950$0$26,424$0$312,665$0$0
CARA L BREIDSTER
TREASURER/CFO$217,319$24,147$29,132$3,237$10,007$1,112$30,150$3,350$28,379$3,153$314,987$34,999$0$0
BRIAN T SHOCKNEY
COO$211,058$0$31,204$0$10,923$0$33,500$0$28,551$0$315,236$0$0$0
DONALD E CLAYTON MD
CMD/PHYSICIAN$397,139$0$24,410$0$27,772$0$33,500$0$29,757$0$512,578$0$0$0
JOSHUA B FLEMING RN
VP & CNE$148,601$0$23,892$0$1,628$0$16,249$0$29,186$0$219,556$0$0$0
KYLE L ALLEN
CPO$212,104$0$6,551$2,070$7,066$0$28,052$0$13,944$0$267,717$2,070$0$0
JAMES BIEN MD
VP, QUALITY & SAFETY$243,602$0$40,243$0$31,512$0$33,500$0$27,986$0$376,843$0$0$0
HAROLD D GEORGE JR
ADMIN. DIRECTOR$173,645$0$19,577$0$90$0$22,453$0$18,055$0$233,820$0$0$0
THERESA K LEFFEW RN
ADMIN. DIRECTOR$131,847$0$16,630$0$5,477$0$14,098$0$10,066$0$178,118$0$0$0
JOSEPH E HUBBARD MD
STAFF PHYSICIAN$785,821$0$9,921$0$378$0$26,880$0$1,751$0$824,751$0$0$0
RYAN D LOYD MD
STAFF PHYSICIAN$689,410$0$0$0$17,920$0$33,500$0$27,212$0$768,042$0$0$0
RICHARD C BERG MD
STAFF PHYSICIAN$642,414$0$4,318$0$18,130$0$33,500$0$26,713$0$725,075$0$0$0
CHENG DU MD
STAFF PHYSICIAN$734,244$0$4,874$0$18,130$0$33,500$0$30,180$0$820,928$0$0$0
PETER A SEYMOUR MD
STAFF PHYSICIAN$658,297$0$4,740$0$420$0$33,500$0$29,600$0$726,557$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 - Comp. of the Org.'s CEO/Executive DirectorAlfonso W. Gatmaitan, the CEO of Indiana University Health Arnett, Inc. ("IU Health Arnett"), is compensated as an employee of Indiana University Health, Inc. ("IU Health") for his services performed at IU Health Arnett. IU Health has a process in place to determine the compensation of IU Health Arnett's 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 4b - Supplemental Nonqualified Retirement PlanDaniel F. Evans, Jr. and Alfonso W. Gatmaitan participate in a supplemental executive retirement plan of Indiana University Health, Inc., the 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. and Alfonso W. Gatmaitan have 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 this executive during the year.
Schedule J, Part I, Line 7 - Non-Fixed PaymentsAmounts disclosed in Column B(ii) include a long-term and short-term incentive for certain executives and short-term incentive for other employees. Although these plans are based on a fixed formula that has been approved by the Board of Directors based upon certain qualitative and quantitative factors and goals, all discretionary incentive plans must be approved by the Board of Directors prior to any incentive payout.
Schedule J, Part III - Daniel F. Evans, Jr. - 2009 through 2013 Forms W-2cIndiana University Health, Inc. ("IU Health") issued 2009, 2010, 2011, 2012, and 2013 Forms W-2c to Daniel F. Evans, Jr. in order to include previously excluded premiums it paid on a life insurance policy, in which Daniel F. Evans, Jr. was the insured party and a family member was the beneficiary, as taxable compensation. Furthermore, IU Health amended its 2010, 2011, and 2012 Forms 990 to reflect the changes in Daniel F. Evans, Jr.'s taxable compensation.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI, Section A, Lines 6, 7a and 7b - Members or StockholdersLine 6: The sole member of Indiana University Health Arnett, Inc. ("IU Health Arnett") is Indiana University Health, Inc. ("IU Health"), a 501(c)(3) tax-exempt hospital. Line 7a: The control and management of the affairs of IU Health Arnett is vested in a board of up to twelve (12) voting directors whom are appointed by IU Health, as the sole member of the organization. Three (3) of the voting directors are nominated by the IU Health Arnett employed physicians. One (1) of the voting directors is nominated by active medical staff members. IU Health may only either accept director nominees from the IU Health Arnett employed physicians and active medical staff members or reject one or more of such nominees and request different nominees from the employed physicians and active medical staff members. Line 7b: The board of directors may not undertake certain actions without the prior approval of IU Health, as the sole member. Actions that require prior approval include the following: -Authorization of any merger, consolidation, reorganization, sale or transfer of all or substantially all of the assets of IU Health Arnett; -Authorization of any plan of dissolution of IU Health Arnett, any liquidating distribution of IU Health Arnett's assets or other action related to the dissolution or liquidation of IU Health Arnett; -Authorization of any voluntary declaration of bankruptcy of IU Health Arnett; -Amendment, repeal, revision or adoption of changes to the organization documents of IU Health Arnett; -Authorization of the consolidation of any entity with, or acquisition of any entity by IU Health Arnett; -Authorization of any agreement to act as a primary obligor, or to serve as a guarantor, surety or co-obligor with respect to the indebtedness of any other party, to borrow amounts from third-party lenders or to loan money to any person or entity; -Approval of strategic plans and amendments; -Authorization of any pledge of, or grant of any security interest or mortgage in, or otherwise encumber, any tangible assets in excess of an appropriate monetary threshold, other than in the ordinary course of business or pursuant to an approved budget or strategic plan; -Approval of any management agreement for the management of all or a substantial part of IU Health Arnett's operations; or -Authorization of the establishment or acquisition by IU Health Arnett of any subsidiaries, affiliates or joint venture arrangements or the acquisition by IU Health Arnett of the stock or other equity interest or substantially all the assets of any other business or entity.
Part VI, Section A, Line 11b - Form 990 Provided to Governing BodyIndiana University Health Arnett, Inc. ("IU Health Arnett") has established the following process for the review of the Form 990 and related schedules before it is filed: The Chief Financial Officer reviewed and approved the Form 990 and related schedules. After the review and approval from the Chief Financial Officer, a complete copy of the Form 990 and related schedules was presented and approved by the Audit Committee. After Audit Committee approval, a complete copy of the Form 990 and related schedules was made available to each board member on a secure intranet site. 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 - PoliciesIndiana University Health Arnett, Inc. ("IU Health Arnett") is part of the Indiana University Health, Inc. ("IU Health") system. As the sole member and controlling parent of IU Health Arnett, IU Health and its Board of Directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health Arnett'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 PolicyIndiana University Health Arnett, Inc. ("IU Health Arnett") has a Conflict of Interest Policy, the purpose of which is to protect IU Health Arnett's 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 CompensationThe CEO/Top Management Official for Indiana University Health Arnett, Inc. ("IU Health Arnett") is employed by Indiana University Health, Inc. ("IU Health"). IU Health has the following process for determining compensation: 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 Indiana University Health, Inc. ("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, Planning and Human Resources. The Committee on Finance, Planning and Human Resources 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 Finance, Planning and Human Resources Committee 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, Planning and Human Resources. The Board, at its discretion, may approve bonus payments based upon the achievement of the goals and the compensation survey. The discussion and vote of the Committee and Board is documented in the minutes for each such meeting. The bonuses are not paid until approval is made by the Board. 7. The Committee on Personnel and Compensation and Audit Committee also review the required Form 990 disclosures related to executive compensation and benefits as well as compensation practices and approval processes prior to the filing of the Form 990 return with the Internal Revenue Service. IU Health Arnett has a process in place to determine the compensation for the other officers and key employees. IU Health Arnett uses an independent compensation consultant who utilizes a variety of methods and procedures to obtain compensation ranges for comparable officer and employee positions. The independent compensation consultant provides IU Health Arnett with recommended compensation ranges for its officers and other employees, which are then used as a guide for setting reasonable compensation by management. Management decisions with regard to determining compensation are subject to the review and approval of the Executive Committee and Board of Directors.
Part VI, Section C, Line 19 - Public DisclosureIndiana University Health Arnett, Inc.'s ("IU Health Arnett") Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health Arnett's conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health Arnett is a consolidated subsidiary in the consolidated financial statements for Indiana University Health, Inc. ("IU Health"). The consolidated financial statements for IU Health are available to the public through its bond filings and attached to the Form 990
Part IX, Line 11g - Other Fees for ServicesLine 11g includes amounts paid for the following: Shared Services/Professional Fees - $42,109,112

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

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ARNETT CLINIC LLC
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CAH PHYSICIANS LLC
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CLARIAN-ARNETT OCCUP HEALTH CTRS LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204271973115HEALTHCAREIN$2,768,441$0IUHA

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GOSHEN HEALTH SYSTEM INC
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GOSHEN HOSPITAL ASSOCIATION INC
200 HIGH PARK AVEGOSHENIN46527356001540HEALTHCAREIN501(C)(3)3GHSYes (true)
HEALTHLINC INC
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INDIANA RADIOLOGY PARTNERS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204201017034HEALTHCAREIN501(C)(3)3IUHYes (true)
INDIANA UNIVERSITY HEALTH INC
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IU HEALTH ARNETT FOUNDATION INC
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IU HEALTH BALL MEMORIAL HOSPITAL INC
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IU HEALTH BALL MEMORIAL PHYSICIANS INC
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IU HEALTH BEDFORD INC
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IU HEALTH BLACKFORD HOSPITAL INC
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IU HEALTH BLOOMINGTON INC
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IU HEALTH BMH FOUNDATION INC
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IU HEALTH CARE ASSOCIATES INC
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IU HEALTH LAPORTE HOSPITAL INC
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IU HEALTH LAPORTE PHYSICIANS INC
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IU HEALTH MORGAN HOSPITAL INC
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IU HEALTH NORTH HOSPITAL INC
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IU HEALTH PAOLI HOSP FOUNDATION INC
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IU HEALTH PAOLI INC
PO BOX 499PAOLIIN47454352090919HEALTHCAREIN501(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 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
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 RESEACH 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
2209 JOHN R WOODEN DRMARTINSVILLEIN46151352035162FUNDRAISINGIN501(C)(3)11 IIIUHMHYes (true)
MORGAN CO MEM HOSP GUILD INC
2209 JOHN R WOODEN DRMARTINSVILLEIN46151310886844FUNDRAISINGIN501(C)(3)11 III-FIIUHMHYes (true)
MORGAN HEALTH SERVICES INC
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IU HEALTH WHITE MEMORIAL FOUNDATION
PO BOX 952MONTICELLOIN47960351671806FUNDRAISINGIN501(C)(3)11 III-OIUHWMHYes (true)
UNIVERSITY FAMILY PHYSICIANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204237427350HEALTHCAREIN501(C)(3)9IUHCAYes (true)
REHABILITATION HOSPITAL OF INDIANA INC
4141 SHORE DRINDIANAPOLISIN46254351786005HEALTHCAREIN501(C)(3)3MHHYes (true)
RHI FOUNDATION INC
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IU HEALTH GOSHEN FOUNDATION INC
200 HIGH PARK AVEGOSHENIN46527462565300FUNDRAISINGIN501(C)(3)11 IGHSYes (true)
LAPORTE HOSPITAL FOUNDATION INC
PO BOX 250LAPORTEIN46352310952775FUNDRAISINGIN501(C)(3)11 INAfalse
THE CHEER GUILD OF RILEY HOSP FOR CHILD
705 RILEY HOSPITAL DRINDIANAPOLISIN46202356018517FUNDRAISINGIN501(C)(3)11 III-FINAfalse
INDIANA HEALTH INFORMATION EXCHANGE INC
846 N SENATE AVEINDIANAPOLISIN46202364550324HEALTHCAREIN501(C)(3)11 INAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (19 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmt
BALL OUTPATIENT SURGERY CENTER LLC
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BELTWAY SURGERY CENTERS LLC
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BLOOMINGTON ENDOSCOPY CENTERS LLC
PO BOX 1149BLOOMINGTONIN47402352117943HEALTHCAREINIUHBfalse$0
BOSC HOLDINGS LLC
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CARDINAL HEALTH INITIATIVES LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204300102702PURCHASINGINIUHBMHfalse$0
CHV FUND I LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204262523206VENTURE CAPITALINIUHfalse$0
CHV FUND MANAGEMENT LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204262523151VENTURE CAPITALINCHVfalse$0
CLARIAN HEALTH NETWORK LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204352055030HEALTHCAREINIUHfalse$0
EAGLE HIGHLANDS SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244352259204HEALTHCAREINEHSCHfalse$0
EHSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454147879HEALTHCAREINIUHfalse$0
HEALTH VENTURE MANAGEMENT LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204205740218MANAGEMENTINIUHfalse$0
IEC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148032HEALTHCAREINIUHfalse$0
INDIANA ENDOSCOPY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244208398421HEALTHCAREINIECHfalse$0
BSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244452314634HEALTHCAREINIUHfalse$0
ROC SURGERY LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244271497960HEALTHCAREINROCSHfalse$0
ROCS HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148369HEALTHCAREINIUHfalse$0
SENATE STREET SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244421709357HEALTHCAREINSSSCHfalse$0
SSSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148167HEALTHCAREINIUHfalse$0
CARDINAL HEALTH ALLIANCE LLC
2401 W UNIVERSITY AVEMUNCIEIN47303351966281MANAGED CAREINIUHBMHfalse$0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (23 entries)

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BMH MEDICAL PAVILION ASSOCIATION INC
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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 ACO INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204454421020HEALTHCAREINIUHC$0$00.00000Yes (true)
IU HEALTH BOARD DESIGNATED TRUST
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IU HEALTH NTGI S&P500 FUND CF
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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)
IU HEALTH ASSURANCE LTD
980395429INSURANCEIUHC$0$00.00000Yes (true)PO BOX 69SOLARIS AVE.GRAND 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 SALEINGHSC$0$00.00000Yes (true)
PILR INC
200 HIGH PARK AVEGOSHENIN46526204294750DEVELOPMENTINGHSC$0$00.00000Yes (true)
RADIATION ONCOLOGY RESOURCES INC
200 HIGH PARK AVEGOSHENIN46526262008424HEALTHCAREINGHSC$0$00.00000Yes (true)
SCANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204453080392HEALTHCAREINCHVF1C$0$00.00000Yes (true)
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)
PROTEUO FUND LP
981075227InvestmentsIUHC$0$00.00000Yes (true)PO BOX 3110689 NEXUS WAYGRAND CAYMANCJCJ
IU HEALTH PLANS HOLDING COMPANY INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204463794815INSURANCEINIUHC$0$00.00000Yes (true)
IU HEALTH PLANS NFP INC
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UNIV HLTH (SHANGHAI) MGT CON CO LTD
MANAGEMENTUHMCC$0$00.00000Yes (true)CH
GUGGENHEIM HIGH-YIELD PLUS FUND SPC
INVESTMENTIUHC$0$00.00000Yes (true)PO BOX 309 UGLAND HOUSEGRAND CAYMANCJCJ
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 OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
IU HEALTH WHITE MEMORIAL HOSPITAL INC
O$143,255FMV
IU HEALTH WHITE MEMORIAL HOSPITAL INC
L$257,976FMV
INDIANA RADIOLOGY PARTNERS INC
M$122,100FMV
INDIANA UNIVERSITY HEALTH CARE ASSOC INC
M$1,279,772FMV
METHODIST OCCUPATIONAL HEALTH CENTER INC
M$340,663FMV
IU HEALTH RISK RETENTION GROUP INC
R$2,528,820FMV
IUH ASSURANCE LTD
R$644,141FMV