INDIANA UNIVERSITY HEALTH BEDFORD INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA UNIVERSITY HEALTH BEDFORD INC (EIN 23-7042323)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201323189349301857
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T09:02:19-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237042323 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA UNIVERSITY HEALTH BEDFORD INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % ANITA HAMILTON | InCareOfName |
| Name Control | INDI | NameControl |
| Phone | 8122751200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 WEST 16TH STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | BEDFORD | City |
| State | IN | State |
| ZIP Code | 47421 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Charles Shelter | Name |
| Title | CFO | Title |
| Date Signed | 2013-11-13 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IU HEALTH BEDFORD HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Bradford Dykes | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 West 16th Street | AddressLine1 |
| City | Bedford | City |
| State | IN | State |
| ZIP Code | 47421 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 61633757 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | iuhealthbedford.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | Improving Lives with High Quality Compassionate Care | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 573 | TotalNbrEmployees |
| Total Nbr Volunteers | 46 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 80619 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 76822 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 52205071 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 60965926 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 25431 | InvestmentIncomePriorYear |
| Investment Income Current Year | 157326 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 187454 | OtherRevenuePriorYear |
| Other Revenue Current Year | 368126 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 52498575 | TotalRevenuePriorYear |
| Total Revenue Current Year | 61568200 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1796 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 6029 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31652423 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32441130 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 18786683 | OtherExpensePriorYear |
| Other Expenses Current Year | 22443804 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 50440902 | TotalExpensesPriorYear |
| Total Expenses Current Year | 54890963 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2057673 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6677237 | RevenuesLessExpensesCY |
| Total Assets BOY | 34329615 | TotalAssetsBOY |
| Total Assets EOY | 38991803 | TotalAssetsEOY |
| Total Liabilities BOY | 13007526 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10992477 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 21322089 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 27999326 | NetAssetsOrFundBalancesEOY |
| Mission Description | As an Indiana University Health Partner, our mission is to improve the health of our patients and community by providing high quality, compassionate, customer focused healthcare services, and to support the education and research initiatives of the Indiana University Health System. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 7791042 | Expense |
| Grants | 0 | Grants |
| Revenue | 12303936 | Revenue |
| Description | Inpatient Care We had 1,262 admissions resulting in 4,893 patient days in 2012. We also had 601 swing bed days. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 27200119 | Expense |
| Grants | 6029 | Grants |
| Revenue | 42872771 | Revenue |
| Description | Outpatient Care IU Health Bedford had 87,382 Outpatient Registrations resulting in 836 Observation Days, 765 Outpatient surgeries, 175,691 Outpatient Laboratory tests, 21,203 Radiology tests, 4,581 Cat Scans, 14,452 Emergency Room visits, 21,927 Outpatient Physical Therapies and 4,479 Respiratory Therapy visits. We also had 2,905 Ambulance Runs. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8408225 | Expense |
| Grants | 0 | Grants |
| Revenue | 5942104 | Revenue |
| Description | Physician Group The IU Health Bedford Physician Group consists of approximately 18 Physicians and 5 Nurse Practitioners. It is designed to have a service area that covers Lawrence, Monroe, Martin, Greene, Jackson, Washington and Orange Counties. The Physicians and Nurse Practitioners had 54,630 Office visits in 2012. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 43399386 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 96 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 573 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ANITA HAMILTON | NamePerson |
| Telephone Number | 8122785281 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 West 16th Street | AddressLine1 |
| City | Bedford | City |
| State | IN | State |
| ZIP Code | 47421 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Harley Brown | |||||||||
| Director & Chairman | 3.0 | 0.0 | X | X | 6600 | 0 | 0 | ||
| Helen Nash | |||||||||
| Director & Vice Chairman | 3.0 | 0.0 | X | X | 3300 | 0 | 0 | ||
| Randy Hawkins | |||||||||
| Director & Secretary | 3.0 | 0.0 | X | X | 3210 | 0 | 0 | ||
| James T Oswalt | |||||||||
| Director | 3.0 | 0.0 | X | X | 2940 | 0 | 0 | ||
| Jack Kenworthy | |||||||||
| Director & Treasurer | 3.0 | 0.0 | X | X | 2670 | 0 | 0 | ||
| James T Bellush | |||||||||
| Director | 3.0 | 0.0 | X | X | 2940 | 0 | 0 | ||
| Jamie Blackwell | |||||||||
| Director-Starting January 2012 | 3.0 | 0.0 | X | 2490 | 0 | 0 | |||
| Neil C Pickett | |||||||||
| Director | 3.0 | 55.0 | X | 0 | 251127 | 50801 | |||
| Gene Robbins | |||||||||
| Director | 3.0 | 0.0 | X | 0 | 14190 | 0 | |||
| Dan Dusleag | |||||||||
| Pediatrician & Director | 40.0 | 0.0 | X | 179441 | 0 | 9620 | |||
| Hojjatt Shamloo | |||||||||
| Internist & Director | 40.0 | 0.0 | X | 394329 | 0 | 10557 | |||
| Bradford W Dykes | |||||||||
| CEO | 40.0 | 0.0 | X | X | 283558 | 0 | 40056 | ||
| Charles Shetler | |||||||||
| CFO | 40.0 | 0.0 | X | 165577 | 0 | 10516 | |||
| Brenda Davis | |||||||||
| VP Patient Services | 40.0 | 0.0 | 135172 | 0 | 4024 | X | |||
| Cindy Smale | |||||||||
| VP HR & Development | 40.0 | 0.0 | 117011 | 0 | 6241 | X | |||
| Rafi Siddiqi MD | |||||||||
| Surgeon | 40.0 | 0.0 | 350182 | 0 | 8836 | X | |||
| Tassawar Hussain MD | |||||||||
| Internist | 40.0 | 0.0 | 329420 | 0 | 0 | X | |||
| Eung Jun Cha MD | |||||||||
| Orthopedic Surgeon | 40.0 | 0.0 | 290172 | 0 | 8412 | X | |||
| Christopher Bennett MD | |||||||||
| Anesthesiologist | 40.0 | 0.0 | 258816 | 0 | 7649 | X | |||
| Alan Smith | |||||||||
| Pathologist | 40.0 | 0.0 | 267429 | 0 | 11247 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2795257 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 265317 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 167959 | TotalOtherCompensation |
| Number Individuals GT100 K | 28 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO Box 96485 | Chicago | IL | 606936485 | MRI Testing | 662640 |
| HMS MONITOR | |||||
| 2739 Momentum Place | Chicago | IL | 60689 | Computer System | 572039 |
| MAYO MEDICAL LABS | |||||
| PO Box 9146 | Minneapolis | MN | 554809146 | Lab Testing | 361658 |
| IU HEALTH SOUTHERN INDIANA PHYSICIA | |||||
| PO Box 1329 | Bloomington | IN | 47402 | Physicians | 329997 |
| INTEGRA IMAGING PARTNERS | |||||
| PO Box 86 | Bedford | IN | 47421 | Radiologist | 226845 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Related Organizations | 31371 | RelatedOrganizations |
| Government Grants | 41451 | GovernmentGrants |
| All Other Contributions | 4000 | AllOtherContributions |
| Noncash Contributions | 17232 | NoncashContributions |
| Total Contributions | 76822 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Revenue | 622110 | 59627929 | 59627929 |
| ELECTRONIC HEALTH RECORD | 900099 | 1212826 | 1212826 |
| Counseling Contract Revenue | 900099 | 57637 | 57637 |
| Physician Medicare Incentive | 900099 | 45718 | 45718 |
| Nurse Practitioner Services | 900099 | 20100 | 20100 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1716 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1716 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 60965926 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 222208 | TotalRevenueColumn |
| Exclusion | $222,208 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 141977 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 141977 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 141977 | TotalRevenueColumn |
| Exclusion | $141,977 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 675 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 65557 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -64882 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -64882 | TotalRevenueColumn |
| Exclusion | -$64,882 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| SHARED EMPLOYEES | 900099 | 102982 | 102982 | |
| CAFETERIA SALES | 722320 | 73264 | $73,264 | |
| REIMB FOR EXP (SPECIALTY CLINICS) | 900099 | 23344 | 23344 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26559 | TotalRevenueColumn |
| Related Or Exempt Function Income | 26559 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 226149 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61568200 | TotalRevenueColumn |
| Related Or Exempt Function Income | 61118811 | RelatedOrExemptFunctionIncome |
| Exclusion | $372,567 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6029 | Total |
| Program Services | 6029 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1380252 | Total |
| Management And General | 1380252 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24410582 | Total |
| Program Services | 19209797 | ProgramServices |
| Management And General | 5200785 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1548667 | Total |
| Program Services | 1191445 | ProgramServices |
| Management And General | 357222 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3374483 | Total |
| Program Services | 2409585 | ProgramServices |
| Management And General | 964898 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1727146 | Total |
| Program Services | 1312630 | ProgramServices |
| Management And General | 414516 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3256265 | Total |
| Program Services | 1685773 | ProgramServices |
| Management And General | 1570492 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15923 | Total |
| Management And General | 15923 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51328 | Total |
| Management And General | 51328 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1590339 | Total |
| Program Services | 1590339 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172773 | Total |
| Program Services | 172773 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1530466 | Total |
| Program Services | 1195327 | ProgramServices |
| Management And General | 335139 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1064437 | Total |
| Program Services | 863448 | ProgramServices |
| Management And General | 200989 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 772838 | Total |
| Program Services | 626909 | ProgramServices |
| Management And General | 145929 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35200 | Total |
| Program Services | 35200 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177102 | Total |
| Program Services | 98171 | ProgramServices |
| Management And General | 78931 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256025 | Total |
| Program Services | 207682 | ProgramServices |
| Management And General | 48343 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2065918 | Total |
| Program Services | 1675828 | ProgramServices |
| Management And General | 390090 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 618643 | Total |
| Program Services | 530477 | ProgramServices |
| Management And General | 88166 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Med/Surg and Other Supplies | 5505109 | 5417066 | 88043 |
| BAD DEBT EXPENSE | 2216584 | 2216584 | |
| Medicaid Assessment Fee | 2195423 | 2195423 | |
| Misc General | 919431 | 758900 | 160531 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54890963 | Total |
| Program Services | 43399386 | ProgramServices |
| Management And General | 11491577 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7247564 | BOY |
| EOY | 13110998 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3756944 | BOY |
| EOY | 3214641 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7285299 | BOY |
| EOY | 6983985 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 384764 | BOY |
| EOY | 1468491 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 803205 | BOY |
| EOY | 616168 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 662792 | BOY |
| EOY | 548776 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 42467335 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 29438591 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14169047 | BOY |
| EOY | 13028744 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20000 | BOY |
| EOY | 20000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34329615 | BOY |
| EOY | 38991803 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3850246 | BOY |
| EOY | 3740595 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9157280 | BOY |
| EOY | 7251882 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13007526 | BOY |
| EOY | 10992477 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21222480 | BOY |
| EOY | 27901746 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99609 | BOY |
| EOY | 97580 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21322089 | BOY |
| EOY | 27999326 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34329615 | BOY |
| EOY | 38991803 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6677237 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 99609 | BeginningOfYearBalance |
| Other Expenditures | 2029 | OtherExpenditures |
| End Of Year Balance | 97580 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 79703 | BeginningOfYearBalance |
| Contributions | 20000 | Contributions |
| Other Expenditures | 94 | OtherExpenditures |
| End Of Year Balance | 99609 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 80832 | BeginningOfYearBalance |
| Other Expenditures | 1129 | OtherExpenditures |
| End Of Year Balance | 79703 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 76206 | BeginningOfYearBalance |
| Contributions | 4626 | Contributions |
| End Of Year Balance | 80832 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 78190 | BeginningOfYearBalance |
| Other Expenditures | 1984 | OtherExpenditures |
| End Of Year Balance | 76206 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 912711 | OtherCostOrOtherBasis |
| Book Value | 912711 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15811775 | OtherCostOrOtherBasis |
| Depreciation | 8078363 | Depreciation |
| Book Value | 7733412 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24645116 | OtherCostOrOtherBasis |
| Depreciation | 20622884 | Depreciation |
| Book Value | 4022232 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1097733 | OtherCostOrOtherBasis |
| Depreciation | 737344 | Depreciation |
| Book Value | 360389 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13028744 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Medicare/Medicaid | $4,240,445 |
| Professional Liability/Tail Coverage | $104,675 |
| Indiana University Health | $2,906,762 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7251882 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Restricted Funds | Schedule D, Part V | Hospice Donations are used for the needs of our cancer patients. Money is donated by the Medical Group to pay for Patient's prescriptions who cannot afford them. These are donations on the Hospital's books that are earmarked for the Foundation. Radiology Incentive money is money donated for seminars etc for Radiology employees. Restricted donations are monies that are donated to the Hospital for specific use only. |
| FIN 48 (ASC 740) Footnote from Financial Statements | Schedule D, Part X, Line 2 | Indiana University Health Bedford Hospital is a subsidiary in the consolidated financial statements of Indiana University Health. Indiana University Health adopted FIN 48 (ASC 740) in 2007. No disclosures were required under GAAP as Indiana University Health does not have any material tax contingencies that required disclosures in the footnotes. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1683 | PersonsServed |
| Total Community Benefit Expense | 1619839 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1619839 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03080 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3113 | PersonsServed |
| Total Community Benefit Expense | 7967146 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4819665 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3147481 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05980 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4796 | PersonsServed |
| Total Community Benefit Expense | 9586985 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4819665 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4767320 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09060 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 5355 | PersonsServed |
| Total Community Benefit Expense | 244461 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2815 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 241646 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 185 | PersonsServed |
| Total Community Benefit Expense | 9687 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9687 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 336506 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 336506 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 108 | PersonsServed |
| Total Community Benefit Expense | 6717 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6717 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 24 | NumberOfActivitiesOrPrograms |
| Persons Served | 5648 | PersonsServed |
| Total Community Benefit Expense | 597371 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2815 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 594556 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 24 | NumberOfActivitiesOrPrograms |
| Persons Served | 10444 | PersonsServed |
| Total Community Benefit Expense | 10184356 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4822480 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5361876 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09740 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 105 | PersonsServed |
| Total Community Building Expense | 24397 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 24397 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 19 | PersonsServed |
| Total Community Building Expense | 14216 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14216 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 6 | PersonsServed |
| Total Community Building Expense | 1565 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1565 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 130 | PersonsServed |
| Total Community Building Expense | 40178 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 40178 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $751,201 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 16918317 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16144497 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 773820 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IU Health Bedford Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 West 16th Street | AddressLine1 |
| City | Bedford | City |
| State | IN | State |
| ZIP Code | 47421 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | iuhealthbedford.org | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IU Health Bedford Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part I, Line 6a | IU Health Bedford's Community Benefit information is included in IU Health's (Parent Company) Community Benefit Report. |
| Part I, Line 7, column (f) | Bad Debt expense of $2,216,584 was excluded from total expenses in the calculation of the percent of total expense. |
| Part I, Line 7 | We used the Cost to Charge Ratio as our costing methodology. |
| Part II - Community Building Activities | We support Community Building Activities by involvement with the Economic Development Committee, the Local Chamber of Commerce and the Indiana State Department of Health Licensure Council. We also offer career education and job shadowing for local students. |
| Part III, Line 4 | Historically, we book a reserve for Bad Debt based on a matrix of our accounts receivable; when an account is written off as Bad Debt it is booked against that reserve. We used the Cost to Charge ratio as our costing methodology. |
| Part III, Line 8 | Medicare Shortfalls and Surplus Many of our Medicare beneficiaries are poor and would have qualified for the Hospital's Charity Care Program in addition to Medicare. If these patients had been treated as Charity Care, the cost of medical care would have been a Community Benefit. Our Medicare Cost report is used to determine Medicare surplus or shortfall. We had a small surplus this year. |
| Part III, Line 9b | Debt Collection Policy The first statement lists detail by revenue code, the total balance due and the discounted amount due if paid within 30 days of statement date. The first statement for uninsured patients will also reflect the uninsured discount, according to policy. Statements will be aged by the last payment date on the account. Patients with Medicare will receive 3 statements after the initial detail statement. Non-Medicare patients will receive 2 additional statements after the initial detail statement. Accounts not paid in full that receive the 4th statement for Medicare Patients, 3rd statement Non-Medicare will be referred to a Collection Agency. When a patient establishes a payment plan, the statement process is changed to a monthly reminder of payment now due. A 10 day extension from the due date will be granted to allow for mailing and processing time, before a payment is considered delinquent. Multiple missed payments will result in the account being referred to a Collection Agency. We have a separate Financial Assistance Policy. |
| Part V, Section B, Line 12h | Credit Scoring |
| Part VI, Line 2 - Needs Assessment | Our needs assessment covering 2011-2012 was done by Corporate. They collaborated with the following Organizations and Agencies: Bedford Parks Department, Bedford Public Library, DWA Healthcare Communications Group, Girls Club of Bedford, IU Health Bedford Hospital, Keach and Grove Insurance Agency, Office of the Mayor-Mitchell, Indiana, Parkview Intermediate School, Verite Healthcare Consulting, LLC and the General Public through an online survey. The Key conclusions were that Lawrence County has experienced no measurable population growth since 2000. Projections indicating a population that will be both decreasing and aging are troubling if accurate. Between 2000 and 2007 Lawrence County's median household income declined. Employment decreased 3.8% between 2001-2007. The percent of children in poverty increased from 13.3% in 2002 to 18.0% in 2007. Housing costs also presented a challenge for many in the community. Renters must work 77 hours per week in Lawrence County to afford a two-bedroom unit at the fair market rent. English remains the primary language spoken by residents in Lawrence County. The child abuse and neglect rate for children under 17 increased form 8.2% in 2002 to 9.6% in 2007. |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | Patients are educated and informed of the Financial Assistance Policy at time of service, through phone calls from the Patient Financial Staff, pamphlets and Community Outreach Events. We give the Patient a Financial Assistance application to fill out which contains demographic and financial information. If the application is not returned, we do a credit scoring and if their credit is 600 or below, the account is written off. We have a separate policy for Bad Debt collection that is followed once the determination is made that the Patient is not eligible for Financial Assistance. |
| Part VI, Line 4 - Community Information | IU Health Bedford serves Lawrence, Orange, Martin, Greene and Jackson counties. All counties represent 97% Caucasian individuals. The average median household income was $43,195. |
| Part VI, Line 5 - Promotion of Community Health | We have Community Health Fairs where we do diabetic and cholesterol screenings at a reduced cost. We also have pap and mammogram clinics. |
| Part VI, Line 6 - Affiliated Health Care System Roles | IU Health Bedford, Inc. is an affiliate of Indiana University Health, which includes Methodist Hospital, Indiana University Hospital and Riley Hospital for Children. Other Indiana University Health affiliates include: IU Heath La Porte Hospital, Inc. IU Health Starke Hospital IU Health Arnett, Inc. Rehabilitation Hospital of Indiana IU Health West Hospital Goshen Health System IU Health Blackford Hospital IU Health Tipton Hospital IU Health Ball Memorial Hospital IU Health North Hospital IU Health Methodist Hospital, Riley IU Health Bloomington, Inc. Midwest Proton Radiotherapy Institute IU Health Paoli, Inc. The immediate advantages of being an affiliate of Indiana University Health include centralized services which results in a reduction of duplicated services and lowers health care costs for our patients. |
| Part VI, Line 7 - State filing of community benefit report | Indiana |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | ASSISTANCE TO INDIVIDUALS | TypeOfGrant |
| Number Of Recipients | 73 | NumberOfRecipients |
| Amount Of Non Cash Assistance | 6029 | AmountOfNonCashAssistance |
| Description Of Non Cash Assistance | MEDICINES & SUPPLIES | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule I, Part I, Line 2 | Identifier |
| Return Reference | Description of Organization's Procedures for Monitoring the Use of Grants | ReturnReference |
| Explanation | Medicines and supplies are purchased for the indigent. Invoices are paid directly by IU Health Bedford, Inc., therefore monitoring is not required. Form 990, Schedule I, Part III, column (b) Actual invoices paid were examined and the number of individuals were counted to determine the number of recipients reported in column (b). | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Neil C Pickett | ||||||||||||||
| Director | 0 | 250469 | 0 | 400 | 0 | 258 | 0 | 19434 | 0 | 31367 | 0 | 301928 | 0 | 0 |
| Dan Dusleag | ||||||||||||||
| Pediatrician & Director | 179441 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9620 | 0 | 189061 | 0 | 0 | 0 |
| Hojjatt Shamloo | ||||||||||||||
| Internist & Director | 394329 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10557 | 0 | 404886 | 0 | 0 | 0 |
| Bradford W Dykes | ||||||||||||||
| CEO | 242071 | 0 | 39681 | 0 | 1806 | 0 | 19024 | 0 | 21032 | 0 | 323614 | 0 | 0 | 0 |
| Charles Shetler | ||||||||||||||
| CFO | 155285 | 0 | 10292 | 0 | 0 | 0 | 0 | 0 | 10516 | 0 | 176093 | 0 | 0 | 0 |
| Rafi Siddiqi MD | ||||||||||||||
| Surgeon | 350182 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8836 | 0 | 359018 | 0 | 0 | 0 |
| Tassawar Hussain MD | ||||||||||||||
| Internist | 329420 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 329420 | 0 | 0 | 0 |
| Eung Jun Cha MD | ||||||||||||||
| Orthopedic Surgeon | 290172 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 8412 | 0 | 298584 | 0 | 0 | 0 |
| Christopher Bennett MD | ||||||||||||||
| Anesthesiologist | 258816 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7649 | 0 | 266465 | 0 | 0 | 0 |
| Alan Smith | ||||||||||||||
| Pathologist | 267429 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11247 | 0 | 278676 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Schedule J, Part I, Line 3 | Compensation of the organization's CEO/Executive Director Bradford W. Dykes, the CEO of Indiana University Health Bedford, Inc. ("IU Health Bedford"), is compensated as an employee of Indiana University Health, Inc. ("IU Health") for his services performed at IU Health Bedford. IU Health has a process in place to determine the compensation of IU Health Bedford'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 7 | Criteria for Incentive Pay Effective 6/07 Incentive goals will be developed and reviewed annually for IU Health Bedford, Inc Executives. The percentage of pay-out is based on a set of goals to be accomplished during a budget year. The goals will be established by the Executive and his or her direct supervisor. The goals will be identified in written format. Predetermined financial criteria (operating margin and days cash on hand) will be met before any percent of the incentive compensation will be paid out. Pay-out will be distributed after the final audit of the financial statements. Pay-out will be in compliance with any legal or regulatory guidelines. The Executive Committee of the Board meets early spring each year to review Executive Compensation. The status of the VP's meeting their goals is discussed at that time and whether they will receive their incentive pay. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Classes of Members or Stockholders | Form 990, Part VI, Line 6 | Indiana University Health Bedford has one member which is Indiana University Health, Inc. |
| Description of Classes of Persons and the Nature of Their Rights | Form 990, Part VI, Line 7a | The Directors serving on the Board of Directors have the right to nominate prospective directors for six positions. The Physicians constituting the Corporation's Clinic Physician Group have the right to nominate the two Director positions. The Member shall nominate the three remaining prospective Directors of the Board. After viewing the nominations of the prospective Directors as set forth above, the Member shall elect the Board of Directors. The President and CEO is also appointed by the Member. |
| Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights | Form 990, Part VI, Line 7b | A) Adoption and amendment of the Articles and Bylaws of the Corporation B) Adoption, Interpretation and change of any statement of the Mission or Purposes of the Corporation, C) Adoption of any material changes in the services provided by the corporation; D) The appointment or removal of the Chief Executive Officer of the Corporation; E) Adoption, interpretation or change of the Strategic Plan of the corporation; F) Incurrence of debt or execution of any debt instrument that is not approved in the annual or operating budgets; G) Adoption and Change of the annual Operating and Capital Budgets; H) Acquisition, sale, lease, transfer or alienation of any corporation assets other than in the usual and regular course of the Corporation's business when such acquisition, sale, lease, transfer or alienation is outside the terms of the annual operating or capital budget previously approved by the Member. I) Participation of the Corporation in Healthcare Networks, Alliances or other Healthcare Delivery Systems; and (J) Adoption and change of any Managed Care or Third Party Payor contracts, whether new or renewal. |
| Describe the Process used by Management &/or Governing Body to Review 990 | Form 990, Part VI, Line 11b | Management will provide a copy of the return to the members of the Finance Committee of the Board and review the return with the Committee before the 990 is filed with the IRS. |
| Description of Process to Monitor Transactions for Conflicts of Interest | Form 990, Part VI, Line 12c | The IU Health Bedford, Inc. Bylaws requires each Director and Officer of the corporation to refrain from participation in any discussion, evaluation, or approval of a transaction involving the corporation in which the Director or Officer (or immediate family member) has a financial interest or professional interest which impairs the good faith discharge of his or her duty of loyalty. Annually each Director or Officer is required to execute a Standard of Conduct and Conflict of interest statement and certify to the Corporation that no conflict of interest exists which would substantially impair that Person's overall ability to fulfill his or her duty of loyalty to the Corporation. In addition to the annual Conflict of Interest Statement, each Director and Officer has a duty to disclose any potential conflict of interests arising from a transaction arrangement to be considered by the Board of Directors at any meeting where the transaction is discussed or voted upon. Disclosure of the material facts underlying the potential conflict of interest shall be submitted in writing to the Chairman and included in the minutes of the meeting. The Director or Officer submitting such a disclosure is required to leave the meeting while his or her disclosure is discussed. The remaining Directors must make a determination by a majority vote as to whether the material facts constitute a conflict of interest. Any Director or Officer who is determined to have a conflict of interest with regard to any transaction or arrangement shall not be entitled to attend any portion of a meeting in which the matter is discussed or voted upon. The Board may take disciplinary action with regard to a violation of the conflict of interest policy, including the removal of the Director or Officer. Senior Management and Department Directors are also required to sign an annual conflict of interest statement, disclosing any potential conflicts of interest. |
| Process for Determining Compensation for CEO | Form 990, Part VI, Line 15a | Our CEO is an Employee of Indiana University Health. We are billed monthly for his services. |
| Process for Determining Compensation for Other Officers or Key Employees | Form 990, Part VI, Line 15b | The evaluation of salaries for Executives and key employees occurs annually. Data is submitted to the Indiana Hospital Association Salary Survey in April and a comparison survey of other Indiana Hospitals is returned. CEO approves the salary amount. Information on compensation for the CEO is provided to the Board Executive Committee. |
| Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public | Form 990, Part VI, Line 19 | The organizing documents, financial statements and conflict of interest policy are made available to the public upon written request or by a requesting person. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IUH Bedford Occupational Services LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 West 16th Street | AddressLine1 |
| City | Bedford | City |
| State | IN | State |
| ZIP Code | 47421 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271563844 | EIN |
| Primary Activities | Occup Health | PrimaryActivities |
| Legal Domicile State | IN | LegalDomicileState |
| Total Income | 675449 | TotalIncome |
| EOY Assets | 134719 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IUH Bedford | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (37 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Clarian Transplant Institute Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 134350599 | Healthcare | IN | 501(c)(3) | 9 | IUH | true |
| Goshen Health System Inc | ||||||||||
| 200 High Park Ave | Goshen | IN | 46527 | 351974765 | Healthcare | IN | 501(c)(3) | 11 I | IUH | true |
| Goshen Hospital Association Inc | ||||||||||
| 200 High Park Ave | Goshen | IN | 46527 | 356001540 | Healthcare | IN | 501(c)(3) | 3 | GHS | true |
| HealthLinc Inc | ||||||||||
| 714 S Rogers St | Bloomington | IN | 47402 | 263571507 | Healthcare | IN | 501(c)(3) | 9 | IUHB | true |
| Indiana Radiology Partners Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 201017034 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| Indiana University Health Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351955872 | Healthcare | IN | 501(c)(3) | 3 | NA | false |
| IU Health Arnett Foundation Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 356079797 | Fundraising | IN | 501(c)(3) | 11 I | IUHA | true |
| IU Health Arnett Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 263162145 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| IU Health Ball Memorial Hospital Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 350867958 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| IU Health Ball Memorial Physicians Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351925641 | Healthcare | IN | 501(c)(3) | 3 | IUHBMH | true |
| IU Health Blackford Hospital Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 010646166 | Healthcare | IN | 501(c)(3) | 3 | IUHBMH | true |
| IU Health Bloomington Inc | ||||||||||
| PO Box 1149 | Bloomington | IN | 47403 | 351720796 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| IU Health BMH Foundation Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 311111784 | Fundraising | IN | 501(c)(3) | 11 I | IUHBMH | true |
| IU Health Care Associates Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351747218 | Healthcare | IN | 501(c)(3) | 9 | IUH | true |
| IU Health LaPorte Hospital Inc | ||||||||||
| PO Box 250 | LaPorte | IN | 46352 | 351125434 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| IU Health LaPorte Physicians Inc | ||||||||||
| PO Box 250 | LaPorte | IN | 46352 | 311070868 | Healthcare | IN | 501(c)(3) | 3 | IUHLH | true |
| IU Health Morgan Hospital Inc | ||||||||||
| 2209 John R Wooden Dr | Martinsville | IN | 46151 | 273533027 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| IU Health North Hospital Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351932442 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| IU Health Paoli Hosp Foundation Inc | ||||||||||
| PO Box 499 | Paoli | IN | 47454 | 310992486 | Fundraising | IN | 501(c)(3) | 11 III-O | IUHP | true |
| IU Health Paoli Inc | ||||||||||
| PO Box 499 | Paoli | IN | 47454 | 352090919 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| IU Health Tipton Hospital Inc | ||||||||||
| 1000 S Main St | Tipton | IN | 46072 | 262772226 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| IU Health West Hospital Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351814660 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| IU Health White Memorial Hospital Inc | ||||||||||
| 720 S Sixth St | Monticello | IN | 47960 | 273532963 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| IU Medical Group Foundation Inc | ||||||||||
| 340 W 10th St No FS5100 | Indianapolis | IN | 46202 | 201093251 | Fundraising | IN | 501(c)(3) | 11 II | NA | false |
| Methodist Health Foundation Inc | ||||||||||
| 1800 N Capitol Ave | Indianapolis | IN | 46202 | 356043086 | Fundraising | IN | 501(c)(3) | 11 I | IUH | true |
| Methodist Health Group Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 350876390 | Healthcare | IN | 501(c)(3) | 11 III-FI | NA | false |
| Methodist Medical Group Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351945384 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| Methodist Occup Health Centers Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351844176 | Healthcare | IN | 501(c)(3) | 3 | IUH | true |
| Methodist Research Institute Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 352023710 | Healthcare | IN | 501(c)(3) | 11 I | IUH | true |
| MH Healthcare Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351766531 | Healthcare | IN | 501(c)(3) | 3 | MMG | true |
| Morgan Co Mem Hosp Foundation Inc | ||||||||||
| 2209 John R Wooden Dr | Martinsville | IN | 46151 | 352035162 | Fundraising | IN | 501(c)(3) | 11 II | IUHMH | true |
| Morgan Co Mem Hosp Guild Inc | ||||||||||
| 2209 John R Wooden Dr | Martinsville | IN | 46151 | 310886844 | Fundraising | IN | 501(c)(3) | 11 III-FI | IUHMH | true |
| Morgan Health Services Inc | ||||||||||
| 1949 Hospital Dr | Martinsville | IN | 46151 | 351968564 | Healthcare | IN | 501(c)(3) | 3 | IUHMH | true |
| Rehabilitation Hospital of Indiana Inc | ||||||||||
| 4141 Shore Dr | Indianapolis | IN | 46254 | 351786005 | Healthcare | IN | 501(c)(3) | 3 | MHH | true |
| RHI Foundation Inc | ||||||||||
| 4141 Shore Dr | Indianapolis | IN | 46254 | 351932349 | Fundraising | IN | 501(c)(3) | 11 I | RHI | true |
| University Family Physicians Inc | ||||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 237427350 | Healthcare | IN | 501(c)(3) | 9 | IUHCA | true |
| IU Health White Memorial Foundation Inc | ||||||||||
| PO Box 952 | Monticello | IN | 47960 | 351671806 | Fundraising | IN | 501(c)(3) | 11 III-O | IUHWMH | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (21 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Code VCodeVAmount |
|---|---|---|---|---|---|---|---|---|---|
| Ball Outpatient Surgery Center LLC | |||||||||
| 3000 Riverchase Galleria Suite 500 | Birmingham | AL | 35244 | 270275794 | Healthcare | IN | NA | N/A | $0 |
| Beltway Surgery Centers LLC | |||||||||
| 3000 Riverchase Galleria Suite 500 | Birmingham | AL | 35244 | 352072586 | Healthcare | IN | NA | N/A | |
| Bloomington Endoscopy Centers LLC | |||||||||
| PO Box 1149 | Bloomington | IN | 47402 | 352117943 | Healthcare | IN | NA | N/A | $0 |
| BMH Outpatient Surgery Services LLC | |||||||||
| 2401 West University Avenue | Muncie | IN | 47303 | 204567998 | Healthcare | IN | NA | N/A | |
| BOSC Holdings LLC | |||||||||
| 3000 Riverchase Galleria Suite 500 | Birmingham | AL | 35244 | 454147343 | Healthcare | IN | NA | N/A | |
| BSC Holdings LLC | |||||||||
| 3000 Riverchase Galleria Suite 500 | Birmingham | AL | 35244 | 452314634 | Healthcare | IN | NA | N/A | |
| Cardinal Health Alliance LLC | |||||||||
| 2401 W University Ave | Muncie | IN | 47303 | 351966281 | Managed Care | IN | NA | N/A | |
| Cardinal Health Initiatives LLC | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 300102702 | Purchasing | IN | NA | N/A | |
| CHV Fund I LLC | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 262523206 | Venture Capital | IN | NA | N/A | |
| CHV Fund Management LLC | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 262523151 | Venture Capital | IN | NA | N/A | |
| Clarian Health Network LLC | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 352055030 | Healthcare | IN | NA | N/A | |
| Eagle Highlands Surgery Center LLC | |||||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 352259204 | Healthcare | IN | NA | N/A | |
| EHSC Holdings LLC | |||||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | IN | 35244 | 454147879 | healthcare | IN | NA | N/A | |
| Health Venture Management LLC | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 205740218 | Management | IN | NA | N/A | |
| IEC Holdings LLC | |||||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 454148032 | Healthcare | IN | NA | N/A | |
| Indiana Endoscopy Centers LLC | |||||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 208398421 | Healthcare | IN | NA | N/A | |
| Mid-America Surgery Center LLC | |||||||||
| 2401 W University Ave | Muncie | IN | 47303 | 352002953 | Healthcare | IN | NA | N/A | |
| ROC Surgery LLC | |||||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 271497960 | Healthcare | IN | NA | N/A | |
| ROCS Holdings LLC | |||||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 454148369 | Healthcare | IN | NA | N/A | |
| Senate Street Surgery Center LLC | |||||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 421709357 | Healthcare | IN | NA | N/A | |
| SSSC Holdings LLC | |||||||||
| 3000 Riverchase Galleria Ste 500 | Birmingham | AL | 35244 | 454148167 | Healthcare | IN | NA | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (19 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BMH Medical Pavilion Association Inc | ||||||||||||||||
| 2525 West University Avenue | Muncie | IN | 47303 | 351858408 | Condo Management | IN | IUHBMH | C | 0 | 0 | 0.00000 | true | ||||
| Cardinal Health Ventures Inc | ||||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 351611424 | Management | IN | IUHBMH | C | 0 | 0 | 0.00000 | true | ||||
| CHV Capital Inc | ||||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 260752507 | Venture Capital | IN | IUH | C | 0 | 0 | 0.00000 | true | ||||
| IU Health ACO Inc | ||||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 454221020 | Healthcare | IN | IUH | C | 0 | 0 | 0.00000 | true | ||||
| IU Health Board Designated Trust | ||||||||||||||||
| 400 Howard St | San Francisco | CA | 94105 | 306309021 | Investments | IN | IUH | T | 0 | 0 | 0.00000 | true | ||||
| IU Health NTGI S&P500 Fund CF | ||||||||||||||||
| PO Box 804358 | Chicago | IL | 60680 | 306298263 | Investments | IN | IUH | T | 0 | 0 | 0.00000 | true | ||||
| IU Health Plans Inc | ||||||||||||||||
| 1776 Meridian Street Suite 300 | Indianapolis | IN | 46202 | 262127080 | HMO | IN | IUH | C | 0 | 0 | 0.00000 | true | ||||
| IU Health Risk Purchasing Group Inc | ||||||||||||||||
| 151 Meeting Street Suite 301 | Charleston | SC | 29401 | 260202446 | Insurance | IN | IUH | C | 0 | 0 | 0.00000 | true | ||||
| IU Health Risk Retention Group Inc | ||||||||||||||||
| 151 Meeting Street Suite 301 | Charleston | SC | 29401 | 201107674 | Insurance | IN | IUH | C | 0 | 0 | 0.00000 | true | ||||
| IU Health Southern IN Physicians Inc | ||||||||||||||||
| PO Box 1149 | Bloomington | IN | 47402 | 351913875 | Healthcare | IN | IUHB | C | 0 | 0 | 0.00000 | true | ||||
| IUH Assurance Ltd | ||||||||||||||||
| 980395429 | Insurance | IUH | C | 0 | 0 | 0.00000 | true | CJ | ||||||||
| Occ-Health Revenue Systems Inc | ||||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46402 | 203308057 | Work Comp PPO | IN | MOHC | C | 0 | 0 | 0.00000 | true | ||||
| Parkmor Drug Inc | ||||||||||||||||
| 1501 South Main Street | Goshen | IN | 46526 | 131394980 | Pharmacy Sales | IN | GHS | C | 0 | 0 | 0.00000 | true | ||||
| PILR Inc | ||||||||||||||||
| 200 High Park Ave | Goshen | IN | 46526 | 204294750 | Development | IN | GHS | C | 0 | 0 | 0.00000 | true | ||||
| Radiation Oncology Resources Inc | ||||||||||||||||
| 200 High Park Ave | Goshen | IN | 46526 | 262008424 | Healthcare | IN | GHS | C | 0 | 0 | 0.00000 | true | ||||
| SCANS Inc | ||||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 453080392 | Healthcare | IN | CHVF1 | C | 0 | 0 | 0.00000 | true | ||||
| University Health Management | ||||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 272891143 | Management | IN | CHV | C | 0 | 0 | 0.00000 | true | ||||
| University Health Mgmt (China) Inc | ||||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 273891311 | Management | IN | CHV | C | 0 | 0 | 0.00000 | true | ||||
| Proteuo Fund LP | ||||||||||||||||
| 981075227 | Investments | IUH | C | 0 | 0 | 0.00000 | true | CJ | PO Box 31106 89 Nexus Way | Grand Cayman | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| IU Health Southern Indiana Physicians | ||
| J | 71224 | Sq Footage&Time |
| IU Health Southern Indiana Physicians | ||
| O | 93603 | Employee wages |