INDIANA UNIVERSITY HEALTH ARNETT INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA UNIVERSITY HEALTH ARNETT INC (EIN 26-3162145)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201343189349300224
- Schema version
- 2012v2.1
- Note
- A later return for the same period supersedes this one.
- 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 C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T08:09:01-06:00 | 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 | 263162145 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA UNIVERSITY HEALTH ARNETT INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % BROC BUDDE | InCareOfName |
| Name Control | INDI | NameControl |
| Phone | 3179624575 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN STREET SUITE 800 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CARA L BREIDSTER | Name |
| Title | CFO | Title |
| Date Signed | 2013-11-11 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JENNIFER D RHODERICK | Name |
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ALFONSO W GATMAITAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN ST STE 800 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 399570160 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.IUHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2008 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | Improve the health of our patients and community through innovation and excellence in care, education, research and service. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2405 | TotalNbrEmployees |
| Total Nbr Volunteers | 164 | TotalNbrVolunteers |
| Total Gross UBI | 333112 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 115881 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2494696 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 33748 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 311723769 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 395173565 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 156519 | InvestmentIncomePriorYear |
| Investment Income Current Year | 69977 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2590791 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2739758 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 316965775 | TotalRevenuePriorYear |
| Total Revenue Current Year | 398017048 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 124579 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 188086 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 167655583 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 181126436 | 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 | 171440078 | OtherExpensePriorYear |
| Other Expenses Current Year | 199784690 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 339220240 | TotalExpensesPriorYear |
| Total Expenses Current Year | 381099212 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -22254465 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 16917836 | RevenuesLessExpensesCY |
| Total Assets BOY | 244621436 | TotalAssetsBOY |
| Total Assets EOY | 250745644 | TotalAssetsEOY |
| Total Liabilities BOY | 304193051 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 293399423 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -59571615 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -42653779 | NetAssetsOrFundBalancesEOY |
| Mission Description | Improve the health of our patients and community through innovation and excellence in care, education, research and service. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 318104491 | Expense |
| Grants | 188086 | Grants |
| Revenue | 395173565 | Revenue |
| Description | Indiana 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. | Description |
| Total Program Service Expense | 318104491 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | 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 | false | 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 | true | GrantsToOrganizations |
| Grants To Individuals | false | 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 |
| Number Forms Transmitted With1096 | 91 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 2405 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| 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 | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | 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 | true | 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 | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| 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 | BROC BUDDE | NamePerson |
| Telephone Number | 3179624575 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 N MERIDIAN STREET SUITE 800 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 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 | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| VICTOR L LECHTENBERG PHD | ||||||||||
| CHAIRMAN | 5.0 | 0.0 | X | X | 10500 | 0 | 0 | |||
| ANDREW K EDWARDS MD | ||||||||||
| VICE CHAIRMAN/STAFF PHYSICIAN | 55.0 | 0.0 | X | 362406 | 0 | 55915 | ||||
| SCOTT M BLACK | ||||||||||
| DIRECTOR (01/01 - 08/10) | 5.0 | 55.0 | X | 0 | 237931 | 49830 | ||||
| THOMAS V EASTERDAY | ||||||||||
| DIRECTOR | 5.0 | 0.0 | X | 8250 | 0 | 0 | ||||
| DANIEL F EVANS JR | ||||||||||
| DIRECTOR | 5.0 | 55.0 | X | 0 | 1415834 | 865442 | ||||
| STEPHEN L HENSON MD | ||||||||||
| DIRECTOR/STAFF PHYSICIAN | 55.0 | 0.0 | X | 600307 | 0 | 54247 | ||||
| MICHAEL B LOCKWOOD MD | ||||||||||
| DIR/STAFF PHYS (01/01 - 08/05) | 55.0 | 0.0 | X | 323537 | 0 | 58383 | ||||
| CHRISTOPHER A MANSFIELD MD | ||||||||||
| DIR/STAFF PHYS (12/06 - 12/31) | 55.0 | 0.0 | X | 331726 | 0 | 52423 | ||||
| RANDALL R MITCHELL | ||||||||||
| DIRECTOR | 5.0 | 2.0 | X | 12000 | 2700 | 0 | ||||
| LARRY W PAMPEL DDS | ||||||||||
| DIRECTOR | 5.0 | 2.0 | X | 12000 | 2700 | 0 | ||||
| KENNETH S STONE MD | ||||||||||
| DIR/STAFF PHYS (01/01 - 08/05) | 5.0 | 55.0 | X | 0 | 843667 | 43585 | ||||
| REV KATE L WALKER | ||||||||||
| DIRECTOR (08/10 - 12/31) | 5.0 | 0.0 | X | 750 | 0 | 0 | ||||
| ALFONSO W GATMAITAN | ||||||||||
| CEO | 55.0 | 0.0 | X | 541289 | 0 | 124748 | ||||
| JEROME P KELLY | ||||||||||
| SECRETARY | 5.0 | 55.0 | X | 0 | 227794 | 46364 | ||||
| JEFFREY R NAGY | ||||||||||
| TREASURER/CFO (01/01 - 04/10) | 25.0 | 0.0 | X | 53656 | 0 | 2683 | ||||
| LORI A LUTHER | ||||||||||
| INTERIM CFO (04/11 - 06/24) | 55.0 | 55.0 | X | 111260 | 136511 | 17057 | ||||
| CARA L BREIDSTER | ||||||||||
| TREASURER/CFO (06/25 - 12/31) | 55.0 | 55.0 | X | 102971 | 144867 | 35756 | ||||
| BRIAN T SHOCKNEY | ||||||||||
| COO | 55.0 | 0.0 | 207463 | 0 | 51529 | X | ||||
| DONALD E CLAYTON MD | ||||||||||
| CMD/PHYSICIAN | 55.0 | 0.0 | 442064 | 0 | 56615 | X | ||||
| KYLE L ALLEN | ||||||||||
| CPO (10/08- 12/31) | 55.0 | 55.0 | 42366 | 174167 | 23719 | X | ||||
| JAMES BIEN MD | ||||||||||
| VP, QUALITY & SAFETY | 55.0 | 0.0 | 271566 | 0 | 61610 | X | ||||
| HAROLD D GEORGE JR | ||||||||||
| ADMIN. DIRECTOR | 55.0 | 0.0 | 167187 | 0 | 34202 | X | ||||
| JOSEPH E HUBBARD MD | ||||||||||
| STAFF PHYSICIAN | 55.0 | 0.0 | 789281 | 0 | 28274 | X | ||||
| RYAN D LOYD MD | ||||||||||
| STAFF PHYSICIAN | 55.0 | 0.0 | 728750 | 0 | 58543 | X | ||||
| ADIL KESKIN MD | ||||||||||
| STAFF PHYSICIAN | 55.0 | 0.0 | 638908 | 0 | 58873 | X | ||||
| CHENG DU MD | ||||||||||
| STAFF PHYSICIAN | 55.0 | 0.0 | 628244 | 0 | 64973 | X | ||||
| PETER A SEYMOUR MD | ||||||||||
| STAFF PHYSICIAN | 55.0 | 0.0 | 621905 | 0 | 54452 | X | ||||
| MICHAEL W SKEHAN MD | ||||||||||
| FORMER CEO | 0.0 | 40.0 | 0 | 290017 | 35844 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7008386 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3476188 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1935067 | TotalOtherCompensation |
| Number Individuals GT100 K | 235 | NumberIndividualsGT100K |
| Formers Listed | true | 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 |
|---|---|---|---|---|---|
| TURNER CONSTRUCTION COMPANY | |||||
| 9190 PRIORITY WAY WEST DR SUITE 2 | INDIANAPOLIS | IN | 46250 | CONSTRUCTION | 5184871 |
| TRIMEDX INC | |||||
| 5451 LAKEVIEW PKWY S DR | INDIANAPOLIS | IN | 46268 | CLINICAL ENGINEERING | 2564065 |
| SODEXO INC AFFILIATES | |||||
| 4880 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | VARIOUS MANAGEMENT | 2240059 |
| HORIZON MEDICAL GROUP INC | |||||
| 1345 UNITY PLACE SUITE 345 | LAFAYETTE | IN | 47905 | MEDICAL | 2157492 |
| THE CORNERSTONE COMPANIES INC | |||||
| 3755 E 82ND STREET SUITE 270 | INDIANAPOLIS | IN | 46240 | CONSTRUCTION | 1984744 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 33 | NumberOfContractorsGT100K |
| Government Grants | 10270 | GovernmentGrants |
| All Other Contributions | 23478 | AllOtherContributions |
| Total Contributions | 33748 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621111 | 390457432 | 390457432 | 0 | $0 |
| ELECTRONIC HEALTH RECORDS INCENTIVE | 900099 | 2303324 | 2303324 | ||
| PHARMACY | 446110 | 903532 | 778907 | 124625 | $0 |
| INCOME (LOSS) FROM PARTNERSHIPS | 900099 | 675241 | 466754 | 208487 | $0 |
| CLINICAL RESEARCH | 541700 | 466532 | 466532 | 0 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 367504 | TotalRevenueColumn |
| Related Or Exempt Function Income | 367504 | RelatedOrExemptFunctionIncome |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 395173565 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31626 | TotalRevenueColumn |
| Exclusion | $31,626 | 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 |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1591463 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1553112 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 38351 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 38351 | TotalRevenueColumn |
| Exclusion | $38,351 | 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 | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| CAFETERIA/FOOD SERVICE | 722320 | 1040081 | 0 | 0 | $1,040,081 |
| GIFT SHOP | 453220 | 149710 | 0 | 0 | $149,710 |
| VENDING | 900099 | 9668 | 0 | 0 | $9,668 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1540299 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,540,299 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2739758 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 398017048 | TotalRevenueColumn |
| Related Or Exempt Function Income | 394840453 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 333112 | UnrelatedBusinessRevenue |
| Exclusion | $2,809,735 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188086 | Total |
| Program Services | 188086 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 3825322 | Total |
| Program Services | 3337323 | ProgramServices |
| Management And General | 487999 | 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 | 143565379 | Total |
| Program Services | 125250630 | ProgramServices |
| Management And General | 18314749 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9066779 | Total |
| Program Services | 8185099 | ProgramServices |
| Management And General | 881680 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15877933 | Total |
| Program Services | 13852373 | ProgramServices |
| Management And General | 2025560 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8791023 | Total |
| Program Services | 7780264 | ProgramServices |
| Management And General | 1010759 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61190 | Total |
| Management And General | 61190 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251461 | Total |
| Management And General | 251461 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19176 | Total |
| Management And General | 19176 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9698 | Total |
| Management And General | 9698 | ManagementAndGeneral |
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 | 45729517 | Total |
| Program Services | 19146267 | ProgramServices |
| Management And General | 26583250 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 660825 | Total |
| Program Services | 17031 | ProgramServices |
| Management And General | 643794 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2902575 | Total |
| Program Services | 804748 | ProgramServices |
| Management And General | 2097827 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2444009 | Total |
| Program Services | 494834 | ProgramServices |
| Management And General | 1949175 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9830399 | Total |
| Program Services | 9507731 | ProgramServices |
| Management And General | 322668 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 408454 | Total |
| Program Services | 341723 | ProgramServices |
| Management And General | 66731 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7742 | Total |
| Program Services | 6893 | ProgramServices |
| Management And General | 849 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15989926 | Total |
| Program Services | 14594080 | ProgramServices |
| Management And General | 1395846 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14721053 | Total |
| Program Services | 10462132 | ProgramServices |
| Management And General | 4258921 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3028463 | Total |
| Program Services | 1440989 | ProgramServices |
| Management And General | 1587474 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| DRUGS AND MEDICAL SUPPLIES | 60364589 | 60364589 | 0 | 0 |
| BAD DEBT | 28635272 | 28635272 | 0 | 0 |
| RECRUITMENT | 341886 | 3652 | 338234 | 0 |
| NONCAPITALIZED EQUIPMENT | 238466 | 167095 | 71371 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14139989 | Total |
| Program Services | 13523680 | ProgramServices |
| Management And General | 616309 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 381099212 | Total |
| Program Services | 318104491 | ProgramServices |
| Management And General | 62994721 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15465 | BOY |
| EOY | 15465 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | 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 | 38884622 | BOY |
| EOY | 41453853 | 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 | 725730 | BOY |
| EOY | 949171 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3004209 | BOY |
| EOY | 3001543 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2098912 | BOY |
| EOY | 2122647 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 264456859 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 62445046 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198535987 | BOY |
| EOY | 202011813 | 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 | 1356511 | BOY |
| EOY | 1191152 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 244621436 | BOY |
| EOY | 250745644 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30923918 | BOY |
| EOY | 35220040 | 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 | 15591 | BOY |
| EOY | 17544 | 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 | 20954971 | BOY |
| EOY | 15472749 | 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 | 252298571 | BOY |
| EOY | 242689090 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 304193051 | BOY |
| EOY | 293399423 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -59571615 | BOY |
| EOY | -42653779 | 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 | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -59571615 | BOY |
| EOY | -42653779 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 244621436 | BOY |
| EOY | 250745644 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 16917836 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 0 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 0 | ReconcilationDonatedServices |
| Reconcilation Invest Expenses | 0 | ReconcilationInvestExpenses |
| Reconcilation Prior Adjustment | 0 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $9,698 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 9698 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule C, Part II-B | Identifier |
| Return Reference | Line 1i - Other Activities | ReturnReference |
| Explanation | Indiana University Health Arnett, Inc. ("IU Health Arnett") paid institutional membership dues to the American Hospital Association ("AHA") and Indiana Hospital Association ("IHA") during 2012 in the amount of $35,687 and $16,901, respectively. Each membership organization notified IU Health Arnett that a portion of the dues it paid were used for lobbying purposes. The AHA used 24.60%, or $8,779 of 2012 membership dues paid by IU Health Arnett, for lobbying expenditures. The IHA used 5.44%, or $919 of the 2012 membership dues paid by IU Health Arnett, for lobbying expenditures. The total membership dues paid to these organizations by IU Health Arnett during 2012 that were attributable to lobbying expenditures was $9,698. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 502084 | OtherCostOrOtherBasis |
| Book Value | 502084 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 178043246 | OtherCostOrOtherBasis |
| Depreciation | 21987305 | Depreciation |
| Book Value | 156055941 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 3508688 | OtherCostOrOtherBasis |
| Depreciation | 349823 | Depreciation |
| Book Value | 3158865 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 65454472 | OtherCostOrOtherBasis |
| Depreciation | 39453534 | Depreciation |
| Book Value | 26000938 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 16948369 | OtherCostOrOtherBasis |
| Depreciation | 654384 | Depreciation |
| Book Value | 16293985 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 202011813 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY PAYABLES (NET) | $206,297,993 |
| DUE TO THIRD-PARTY PAYORS | $35,804,346 |
| SELF-INSURANCE LIABILITIES | $586,751 |
| ALL OTHER LIABILITIES | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 242689090 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule D, Part X - Other Liabilities | Identifier |
| Return Reference | Line 2 - FIN 48 (ASC 740) Footnote | ReturnReference |
| Explanation | Indiana 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 2012 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes. | Explanation |
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 |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 650. | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 21335 | PersonsServed |
| Total Community Benefit Expense | 11380897 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11380897 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03230 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 67395 | PersonsServed |
| Total Community Benefit Expense | 39041584 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27015721 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12025863 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03410 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 88730 | PersonsServed |
| Total Community Benefit Expense | 50422481 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27015721 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23406760 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06640 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 12 | NumberOfActivitiesOrPrograms |
| Persons Served | 7232 | PersonsServed |
| Total Community Benefit Expense | 94883 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 94883 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 874 | PersonsServed |
| Total Community Benefit Expense | 944714 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4550 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 940164 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 12257 | PersonsServed |
| Total Community Benefit Expense | 308345 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 308345 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 22 | NumberOfActivitiesOrPrograms |
| Persons Served | 20363 | PersonsServed |
| Total Community Benefit Expense | 1347942 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4550 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1343392 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 22 | NumberOfActivitiesOrPrograms |
| Persons Served | 109093 | PersonsServed |
| Total Community Benefit Expense | 51770423 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27020271 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24750152 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07030 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 438 | PersonsServed |
| Total Community Building Expense | 23339 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 23339 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 27 | PersonsServed |
| Total Community Building Expense | 3951 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 3951 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 360 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 360 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 465 | PersonsServed |
| Total Community Building Expense | 27650 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 27650 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $9,157,560 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 63209558 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 86040032 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -22830474 | 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 ARNETT HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5165 MCCARTY LANE | AddressLine1 |
| City | LAFAYETTE | City |
| State | IN | State |
| ZIP Code | 47905 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.IUHEALTH.ORG/ARNETT/ | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IU HEALTH ARNETT HOSPITAL | 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 | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 650. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| 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 |
| 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 V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 25 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (25 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| IU HEALTH ARNETT - NORTH | ||||
| 2600 GREENBUSH STREET | LAFAYETTE | IN | 47904 | PHYSICIAN OFFICE URGENT CARE CENTER |
| IU HEALTH ARNETT IMAGING CENTER | ||||
| 2403 LOY DR | LAFAYETTE | IN | 47909 | DIAGNOSTIC CENTER |
| IU HEALTH ARNETT CANCER CARE CENTER | ||||
| 420 N 26TH STREET | LAFAYETTE | IN | 47904 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT - FERRY | ||||
| 2600 FERRY STREET | LAFAYETTE | IN | 47904 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT - SALEM | ||||
| 1500 SALEM STREET | LAFAYETTE | IN | 47904 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT CARDIOLOGY | ||||
| 1116 N 16TH STREET | LAFAYETTE | IN | 47904 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT HORIZON ONCOLOGY | ||||
| 1345 UNITY PL STE 345 | LAFAYETTE | IN | 47905 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT PHYSICIANS - WEST LAFAY | ||||
| 2995 SALISBURY STREET | WEST LAFAYETTE | IN | 47906 | PHYSICIAN OFFICE URGENT CARE CENTER |
| IU HEALTH ARNETT GYNECOLOGY | ||||
| 904 SOUTH ST | LAFAYETTE | IN | 47901 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT PHYSICIANS - FRANKFORT | ||||
| 550 S HOKE AVE | FRANKFORT | IN | 46041 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT OCCUPATIONAL HLTH SRVCS | ||||
| 810 S 6TH ST STE A | MONTICELLO | IN | 47960 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT PHYSICIANS | ||||
| 1 WALTER SCHOLER DR | LAFAYETTE | IN | 47909 | PHYSICIAN OFFICE URGENT CARE CENTER |
| IU HEALTH ARNETT PAIN MEDICINE | ||||
| 415 N 26TH STREET | LAFAYETTE | IN | 47904 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT NEPHROLOGY | ||||
| 915 MEZZANINE | LAFAYETTE | IN | 47905 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT OBSTETRICS & GYNECOLOGY | ||||
| 938 MEZZANINE | LAFAYETTE | IN | 47905 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT FAMILY MEDICINE - FERRY | ||||
| 2800 FERRY STREET | LAFAYETTE | IN | 47904 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT PHYSICIANS - CARROLL | ||||
| 104 S HOWARD DR | FLORA | IN | 46929 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT PHYSICIANS - MONTICELLO | ||||
| 720 S 6TH ST | MONTICELLO | IN | 47960 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT PHYSICIANS - DELPHI | ||||
| 651 ARMORY RD | DELPHI | IN | 46923 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT PHYSICIANS - OTTERBEIN | ||||
| 407 N MEADOW ST | OTTERBEIN | IN | 47970 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT PHYSICIANS - ROSSVILLE | ||||
| 14 S PLANK ST | ROSSVILLE | IN | 46065 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT REHABILITATION | ||||
| 2601 FERRY STREET | LAFAYETTE | IN | 47904 | REHABILITATION CLINIC |
| IU HEALTH ARNETT PHYSICIANS - FLORA | ||||
| 203 DIVISION ST | FLORA | IN | 46929 | PHYSICIAN OFFICE |
| IU HEALTH ARNETT OCCUPATIONAL HLTH SRVCS | ||||
| 3746 ROME DRIVE | LAFAYETTE | IN | 46905 | OCCUPATIONAL THERAPY |
| IU HEALTH ARNETT SLEEP LAB CASCADE CTR | ||||
| 3900 MCCARTHY LN STE 101 | LAFAYETTE | IN | 47905 | DIAGNOSTIC CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Schedule H, Part I - Financial Assistance | Line 3c | N/A |
| Schedule H, Part I - Financial Assistance | Line 6a - Community Benefit Report Prepared by Related Organization | 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 - Financial Assistance | Line 7g - Subsidized Health Services | Indiana University Health Arnett, Inc. does not include any costs associated with physician clinics as subsidized health services. |
| Schedule H, Part I - Financial Assistance | Line 7, Column (f) - Bad Debt Expense | The 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 $28,635,272. The bad debt expense of $9,157,560 on Schedule H, Part III, Line 2 is reported at cost. |
| Schedule H, Part I - Financial Assistance | Line 7 - Total Community Benefit Expense | Percentage 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 14.69%. |
| Schedule H, Part II - Community Building Activities | Promotion of Health in Communities Served | IU Health Arnett 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 nearly $2 million to community-building activities in 2012, serving over 52,600 people statewide. Locally, IU Health Arnett Hospital invested over $27,000 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) Habitat for Humanity. 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. In 2012, team members: - Built 25 Habitat for Humanity home panels throughout Indiana. Three of those homes were given to victims of the Henryville, Ind., tornado. - Impacted the lives of just over 400 at-risk children by serving as camp or reading buddies in IU Health's Kindergarten Countdown program to prepare at-risk children for their first day of kindergarten. |
| Schedule H, Part III - Bad Debt, Medicare, & Collection Practices | Line 4 - Bad Debt Expense | Indiana 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 - Bad Debt, Medicare, & Collection Practices | Line 8 - Medicare Shortfall | The 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 - Bad Debt, Medicare, & Collection Practices | Line 9b - Written Debt Collection Policy and Financial Assistance | If a patient cannot satisfy standard payment expectations, financial assistance screening for alternative sources of balance resolution are completed. Those resolutions may include: a discount on charges; Medicaid enrollment, interest-free loan or application for charity care. If a patient does not apply for charity care but meets the charity care guidelines established by Indiana University Health Arnett, Inc. ("IU Health Arnett"), IU Health Arnett will waive charges and treat the costs of services as charity care. |
| Schedule H, Part VI - Supplement Information | Line 2 - Needs Assessment | Communities 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 - Supplemental Information | Line 3 - Patient Education of Eligibility for Assistance | 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 - Supplemental Information | Line 4 - Community Information | Indiana 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 177,513 persons with approximately 49% being female and 51% male. The county's population estimates by race are 86.6% White, 7.8% Hispanic or Latino, 6.5% Asian, 4.6% 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 (90.5%). As of 2011, 35.8% of the population had a bachelor's degree or higher. |
| Schedule H, Part VI - Supplemental Information | Line 5 - Promotion of Community Health | Indiana University Health Arnett, Inc. ("IU Health Arnett") is an affiliate of Indiana University Health, Inc. ("IU Health"), a tax-exempt hospital, whose Board of Directors is composed of members, of which substantially all are independent community members. IU Health Arnett also extends medical staff privileges to all qualified physicians in the community. Additionally, IU Health Arnett invests in the community to improve the quality of the health of the community members. IU Health Arnett is committed to providing our youth with a preeminent facility to learn from top physicians and other clinical staff. Several community benefit highlights are described below. IU Health Arnett Hospital hosted a Health and Safety Fair attended by approximately 400 local residents. Participants took advantage of free bike helmet giveaways, and approximately 100 people received free child identification bands. Eighty people benefited from complimentary blood pressure and cholesterol screenings with 33 people identified as high risk and referred for further evaluation. Additionally, Child Passenger Safety Technicians at IU Health Arnett Hospital in Lafayette offered free inspections of infant and child car seats. During the 30-minute checkups, technicians ensured that seats were appropriate and correctly installed for their child's age, size and weight, making recommendations for poor-fitting seats. IU Health Arnett Hospital completed 1,039 free car seat checks in 2012. This resulted in approximately 520 hours of team members' time to help ensure children are properly secured when traveling in cars. In June 2012, IU Health Arnett donated $2,500 to the American Cancer Society's ("ACS") Relay for Life in Tippecanoe County. Team IU Health Arnett included approximately 100 members and raised more than $500. IU Health Arnett's donation of $2,500 was used to carry out the ACS' mission of eliminating cancer as a major health problem. The hospital also donated more than $100,000 to non-profit community organizations in 2012. Some of the groups included the Lafayette Medical Education Foundation, the United Way of Greater Lafayette, the Indiana Blood Center Bone Marrow Registry, and the American Heart Association. |
| Schedule H, Part VI - Supplemental Information | Line 6 - Affiliated Health Care System | Indiana University Health Arnett, Inc. is part of the Indiana University Health, Inc. ("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 healthcare system. A unique partnership with Indiana University School of Medicine, one of the nation's leading medical schools, gives patients access to innovative treatments and therapies. IU Health is comprised of hospitals, physicians and allied services dedicated to providing preeminent care throughout Indiana and beyond. IU 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 2012. 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. Garden on the Go: Year-round mobile produce delivery program, that aims to increase access to affordable, fresh fruits & vegetables for the city's most disadvantaged neighbors. Garden on the Go reported 18,998 transactions to thousands of community members in underserved neighborhoods across Marion County in 2012. For just $7, Garden on the Go shoppers can purchase one pound of green beans, one pound of bananas, one pound of tomatoes, three pounds of potatoes, a bunch of greens, a head of lettuce, a couple of apples and a couple of oranges. In 2012, Garden on the Go received the Indiana State Health Commissioner Award for Excellence in Public Health. The award is given to programs that contribute to promoting, protecting and providing for the health of the people of Indiana. Indy Urban Acres: 8-acre organic urban farm that supplies low-income Hoosiers with healthy fruits and vegetables. Produce grown at this site is given to Gleaners Food Bank. In 2012, 1,000 people benefited from Indy Urban Acres produce. The amount of fruits and vegetables generated by the farm and donated to Gleaners totaled 35,619 pounds. To learn about gardening and the importance of good nutrition, 1,000 children from the Indy Parks summer program visited Indy Urban Acres in 2012. The food pantry at IPS #14 serves 40-50 families each week. The produce from Indy Urban Acres helps provide fresh fruits and vegetables and expand the pantry's food supply, making it possible to better serve everyone who visits each week. Food pantry patrons enjoy sharing their recipes of dishes that use fresh produce. Power over Pounds: IU Health Arnett provides a program called Power over Pounds to their community to help parents and caregivers make better nutritional choices and motivate their children (ages 5-15) to engage in healthier behaviors. Each session is four weeks long and is free to all participants. Power over Pounds is designed to help families overcome some of the barriers that exist in our society regarding healthy behaviors. 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 treats all patients regardless of their ability to pay. IU Health 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. Injury Prevention IU Health strives to create safe communities by helping to reduce preventable injuries such as bicycle, motor vehicle, and fall related injuries, as injuries are the leading cause of death for people 1 - 44 years old. The CDC reports 160,000 people die and 50 million people are injured each year, costing over $80 billion in medical costs. IU Health works to provide the necessary to tools, such as helmets and education to communities of need to prevent injuries for youth and adults. In 2012 IU Health partnered with CICOA Aging & In-Home Solutions and other area agencies on aging to conduct Safe at Home, a half-day event to assist older adults in making their homes safe and accessible for daily living. Program Highlights and Impact include: 1) Five hundred IU Health and other community volunteers made simple home modifications, such as installing bathroom grab bars, building ramps and repairing stairs to help decrease risk of accidents in the home. 2) During the October event, 128 seniors in seven IU Health communities across Indiana benefited from Safe at Home. 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 As one of IU Health Arnett and IU Health's signature programs and a collaboration with United Way, Kindergarten Countdown helps hundreds of soon-to-be kindergartners improve their readiness for school. In addition to providing health screenings and vaccinations to students, the program offers assistance to parents in registering their kindergartners for school. Kindergarten Countdown summer camps are designed to provide at-risk youngsters the basic skills they need to succeed in their first year of school. With support from IU Health, Kindergarten Countdown has expanded to 10 communities across Indiana. Program Highlights and Impact include: 1) Kindergarten Countdown improved the school readiness of 400 children in 2012 and 2) Campers achieved a 19 percent increase in Get Ready to Read scores from baseline testing conducted at the beginning of camp. Community Revitalization As an opportunity to give back to the community, more than 2,200 IU Health team member volunteers across the state built Habitat for Humanity home panels during the system-wide "Day of Service" in May 2012. As a result, 25 homes were built, impacting the lives of 100 people in Indiana. Four of the homes were given to victims of the devastating 2012 tornado in Henryville, Ind. Additionally, IU Health recognizes that it can extend its impact farther by strategically supporting the efforts of community partners who share IU Health's mission of improving the health and well-being of our neighbors and our neighborhoods. In 2012, IU Health directly invested in partners to carry out such diverse activitie |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|---|---|
| UNITED WAY OF GREATER LAFAYETTE | ||||||||||
| 1114 E STATE ST | LAFAYETTE | IN | 47905 | 350891621 | 501(C)(3) | 58142 | 0 | N/A | N/A | GENERAL SUPPORT |
| RIGGS COMMUNITY HEALTH CENTER INC | ||||||||||
| 1716 HARTFORD ST | LAFAYETTE | IN | 47904 | 351965865 | 501(C)(3) | 52000 | 0 | N/A | N/A | RESIDENCY SUPPORT |
| AMERICAN HEART ASSOCIATION INC | ||||||||||
| PO BOX 4002902 | DES MOINES | IA | 50340 | 135613797 | 501(C)(3) | 32500 | 0 | N/A | N/A | GENERAL SUPPORT |
| LAFAYETTE MEDICAL EDUCATION FOUNDATION INC | ||||||||||
| PO BOX 4083 | LAFAYETTE | IN | 47909 | 351314750 | 501(C)(3) | 10000 | 0 | N/A | N/A | MEDICAL EDUCATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule I, Part I - General Information on Grants and Assistance | Identifier |
| Return Reference | Line 2 - Organization's Procedures for Monitoring the Use of Grant Funds | ReturnReference |
| Explanation | Although 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | 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 (22 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDREW K EDWARDS MD | ||||||||||||||
| VICE CHAIRMAN/STAFF PHYSICIAN | 362028 | 0 | 0 | 0 | 378 | 0 | 26490 | 0 | 29425 | 0 | 418321 | 0 | 0 | 0 |
| SCOTT M BLACK | ||||||||||||||
| DIRECTOR (01/01 - 08/10) | 0 | 227675 | 0 | 0 | 0 | 10256 | 0 | 21020 | 0 | 28810 | 0 | 287761 | 0 | 0 |
| DANIEL F EVANS JR | ||||||||||||||
| DIRECTOR | 0 | 1043576 | 0 | 313408 | 0 | 58850 | 0 | 838555 | 0 | 26887 | 0 | 2281276 | 0 | 0 |
| STEPHEN L HENSON MD | ||||||||||||||
| DIRECTOR/STAFF PHYSICIAN | 594973 | 0 | 0 | 0 | 5334 | 0 | 33000 | 0 | 21247 | 0 | 654554 | 0 | 0 | 0 |
| MICHAEL B LOCKWOOD MD | ||||||||||||||
| DIR/STAFF PHYS (01/01 - 08/05) | 321731 | 0 | 0 | 0 | 1806 | 0 | 33000 | 0 | 25383 | 0 | 381920 | 0 | 0 | 0 |
| CHRISTOPHER A MANSFIELD MD | ||||||||||||||
| DIR/STAFF PHYS (12/06 - 12/31) | 331390 | 0 | 0 | 0 | 336 | 0 | 26490 | 0 | 25933 | 0 | 384149 | 0 | 0 | 0 |
| KENNETH S STONE MD | ||||||||||||||
| DIR/STAFF PHYS (01/01 - 08/05) | 0 | 841861 | 0 | 0 | 0 | 1806 | 0 | 28197 | 0 | 15388 | 0 | 887252 | 0 | 0 |
| ALFONSO W GATMAITAN | ||||||||||||||
| CEO | 400023 | 0 | 126016 | 0 | 15250 | 0 | 94031 | 0 | 30717 | 0 | 666037 | 0 | 0 | 0 |
| JEROME P KELLY | ||||||||||||||
| SECRETARY | 0 | 223896 | 0 | 0 | 0 | 3898 | 0 | 21020 | 0 | 25344 | 0 | 274158 | 0 | 0 |
| LORI A LUTHER | ||||||||||||||
| INTERIM CFO (04/11 - 06/24) | 89595 | 117949 | 10000 | 0 | 11665 | 18562 | 5971 | 2515 | 4859 | 3712 | 122090 | 142738 | 0 | 0 |
| CARA L BREIDSTER | ||||||||||||||
| TREASURER/CFO (06/25 - 12/31) | 92327 | 144447 | 0 | 0 | 10644 | 420 | 5335 | 2477 | 10232 | 17712 | 118538 | 165056 | 0 | 0 |
| BRIAN T SHOCKNEY | ||||||||||||||
| COO | 205218 | 0 | 0 | 0 | 2245 | 0 | 26199 | 0 | 25330 | 0 | 258992 | 0 | 0 | 0 |
| DONALD E CLAYTON MD | ||||||||||||||
| CMD/PHYSICIAN | 439292 | 0 | 0 | 0 | 2772 | 0 | 33000 | 0 | 23615 | 0 | 498679 | 0 | 0 | 0 |
| KYLE L ALLEN | ||||||||||||||
| CPO (10/08- 12/31) | 41831 | 159631 | 0 | 0 | 535 | 14536 | 2135 | 12294 | 1968 | 7322 | 46469 | 193783 | 0 | 0 |
| JAMES BIEN MD | ||||||||||||||
| VP, QUALITY & SAFETY | 257808 | 0 | 0 | 0 | 13758 | 0 | 33000 | 0 | 28610 | 0 | 333176 | 0 | 0 | 0 |
| HAROLD D GEORGE JR | ||||||||||||||
| ADMIN. DIRECTOR | 165087 | 0 | 0 | 0 | 2100 | 0 | 17688 | 0 | 16514 | 0 | 201389 | 0 | 0 | 0 |
| JOSEPH E HUBBARD MD | ||||||||||||||
| STAFF PHYSICIAN | 788903 | 0 | 0 | 0 | 378 | 0 | 26490 | 0 | 1784 | 0 | 817555 | 0 | 0 | 0 |
| RYAN D LOYD MD | ||||||||||||||
| STAFF PHYSICIAN | 728330 | 0 | 0 | 0 | 420 | 0 | 33000 | 0 | 25543 | 0 | 787293 | 0 | 0 | 0 |
| ADIL KESKIN MD | ||||||||||||||
| STAFF PHYSICIAN | 638278 | 0 | 0 | 0 | 630 | 0 | 33000 | 0 | 25873 | 0 | 697781 | 0 | 0 | 0 |
| CHENG DU MD | ||||||||||||||
| STAFF PHYSICIAN | 627614 | 0 | 0 | 0 | 630 | 0 | 33000 | 0 | 31973 | 0 | 693217 | 0 | 0 | 0 |
| PETER A SEYMOUR MD | ||||||||||||||
| STAFF PHYSICIAN | 621485 | 0 | 0 | 0 | 420 | 0 | 26490 | 0 | 27962 | 0 | 676357 | 0 | 0 | 0 |
| MICHAEL W SKEHAN MD | ||||||||||||||
| FORMER CEO | 0 | 263500 | 0 | 0 | 0 | 26517 | 0 | 18755 | 0 | 17089 | 0 | 325861 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Schedule J, Part I - Questions Regarding Compensation | Line 3 - Compensation of the Organization's CEO/Executive Director | Alfonso 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 - Questions Regarding Compensation | Line 4b - Supplemental Nonqualified Retirement Plan | Daniel 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 - Questions Regarding Compensation | Line 7 - Non-Fixed Payments | Amounts disclosed in Column B(ii) include a long-term and short-term incentive for certain executives and short-term incentive for other employees. Although these plans are based on a fixed formula that has been approved by the Board of Directors based upon certain qualitative and quantitative factors and goals, all discretionary incentive plans must be approved by the Board of Directors prior to any incentive payout. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part VI, Section A - Governing Body and Management | Line 2 - Family or Business Relationships | Scott M. Black and Cara L. Breidster served on the board of managers of Beltway Surgery Center, LLC and ROC Surgery, LLC. No additional compensation was provided. |
| Part VI, Section A - Governing Body and Management | Lines 6, 7a and 7b - Members or Stockholders | Line 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 - Governing Body and Management | Line 11b - Form 990 Provided to Governing Body | Indiana 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 - Policies | Lines 12, 13, 14, and 16b | Indiana 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 - Policies | Line 12c - Conflict of Interest Policy | Indiana 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 - Policies | Line 15 - Process for Determining Compensation | The 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 - Disclosure | Line 19 - Public Disclosure | Indiana 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 VII, Section A - Governing Body and Management | Line 1a, Column (B) - Average hours per week | During different parts of 2012, Lori A. Luther devoted 55 hours per week as the Interim CFO/Chief Practice Officer ("CPO") of Indiana University Health Arnett, Inc. and COO of Indiana University Health Ball Memorial Hospital, Inc. During different parts of 2012, Cara L. Breidster devoted 55 hours per week as the VP, Finance/Controller of Indiana University Health, Inc. and Treasurer/CFO of Indiana University Health Arnett, Inc. and CFO of IU Health White Memorial Hospital, Inc. During different parts of 2012, Kyle L. Allen devoted 55 hours per week as the VP, Primary Care of Indiana University Health Care Associates, Inc. and CPO of Indiana University Health Arnett, Inc. |
| Part IX - Statement of Functional Expenses | Line 11g - Other Fees for Services | Line 11g includes amounts paid for the following: Shared Services/Professional Fees - $45,729,517 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| ARNETT CLINIC LLC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 352030653 | HEALTHCARE | IN | 119107971 | 0 | IUHA |
| CAH PHYSICIANS LLC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 262769447 | HEALTHCARE | IN | 0 | 0 | IUHA |
| CLARIAN-ARNETT OCCUP HEALTH CTRS LLC | |||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 271973115 | HEALTHCARE | IN | 2759831 | 0 | IUHA |
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 | LAFAYETTE | IN | 47904 | 356079797 | FUNDRAISING | IN | 501(C)(3) | 11 I | IUHA | 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) | 9 | IUHBMH | true |
| IU HEALTH BEDFORD INC | ||||||||||
| 2900 W 16TH ST | BEDFORD | IN | 47421 | 237042323 | HEALTHCARE | IN | 501(C)(3) | 3 | IUH | 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 | IUHB | 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 RESEACH 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 |
| IU HEALTH WHITE MEMORIAL FOUNDATION | ||||||||||
| PO BOX 952 | MONTICELLO | IN | 47960 | 351671806 | FUNDRAISING | IN | 501(C)(3) | 11 III-O | IUHWMH | true |
| UNIVERSITY FAMILY PHYSICIANS INC | ||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 237427350 | HEALTHCARE | IN | 501(C)(3) | 9 | IUHCA | 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 |
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 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BALL OUTPATIENT SURGERY CENTER LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 270275794 | HEALTHCARE | IN | BOSCH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| BELTWAY SURGERY CENTERS LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMIMGHAM | AL | 35244 | 352072586 | HEALTHCARE | IN | BSCH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| BLOOMINGTON ENDOSCOPY CENTERS LLC | ||||||||||||||
| PO BOX 1149 | BLOOMINGTON | IN | 47402 | 352117943 | HEALTHCARE | IN | IUHB | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| BMH OUTPATIENT SURGERY SERVICES LLC | ||||||||||||||
| 2401 W UNIVERSITY AVE | MUNCIE | IN | 47303 | 204567998 | HEALTHCARE | IN | IUHBMH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| BOSC HOLDINGS LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 454147343 | HEALTHCARE | IN | IUH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CARDINAL HEALTH INITIATIVES LLC | ||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 300102702 | PURCHASING | IN | IUHBMH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CHV FUND I LLC | ||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 262523206 | VENTURE CAPITAL | IN | IUH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CHV FUND MANAGEMENT LLC | ||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 262523151 | VENTURE CAPITAL | IN | CHV | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CLARIAN HEALTH NETWORK LLC | ||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 352055030 | HEALTHCARE | IN | IUH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| EAGLE HIGHLANDS SURGERY CENTER LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 352259204 | HEALTHCARE | IN | EHSCH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| EHSC HOLDINGS LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 454147879 | HEALTHCARE | IN | IUH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| HEALTH VENTURE MANAGEMENT LLC | ||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 205740218 | MANAGEMENT | IN | IUH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| IEC HOLDINGS LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 454148032 | HEALTHCARE | IN | IUH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| INDIANA ENDOSCOPY CENTERS LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 208398421 | HEALTHCARE | IN | IECH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| BSC HOLDINGS LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 452314634 | HEALTHCARE | IN | IUH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| MID-AMERICA SURGERY CENTER LLC | ||||||||||||||
| 2401 W UNIVERSITY AVE | MUNCIE | IN | 47303 | 352002953 | HEALTHCARE | IN | CDHV | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| ROC SURGERY LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 271497960 | HEALTHCARE | IN | ROCSH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| ROCS HOLDINGS LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 454148369 | HEALTHCARE | IN | IUH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| SENATE STREET SURGERY CENTER LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 421709357 | HEALTHCARE | IN | SSSCH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| SSSC HOLDINGS LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 454148167 | HEALTHCARE | IN | IUH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CARDINAL HEALTH ALLIANCE LLC | ||||||||||||||
| 2401 W UNIVERSITY AVE | MUNCIE | IN | 47303 | 351966281 | MANAGED CARE | IN | IUHBMH | N/A | 0 | 0 | false | $0 | false | 0.00000 |
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 | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BMH MEDICAL PAVILION ASSOCIATION INC | |||||||||||||||||
| 2525 W UNIVERSITY AVE | MUNCIE | IN | 47303 | 351858408 | CONDO MANAGEMENT | IN | IUHBMH | C | 0 | 0 | 0.00000 | true | |||||
| CARDINAL HEALTH VENTURES INC | |||||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 351611424 | MANAGEMENT | IN | IUHBMH | C | 0 | 0 | 0.00000 | true | |||||
| CHV CAPITAL INC | |||||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 260752507 | VENTURE CAPITAL | IN | IUH | C | 0 | 0 | 0.00000 | true | |||||
| IU HEALTH ACO INC | |||||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 454421020 | 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 ST STE 300 | INDIANAPOLIS | IN | 46202 | 262127080 | HMO | IN | IUH | C | 0 | 0 | 0.00000 | true | |||||
| IU HEALTH RISK PURCHASING GROUP INC | |||||||||||||||||
| 151 MEETING ST STE 301 | CHARLESTON | SC | 29401 | 260202446 | INSURANCE | IN | IUH | C | 0 | 0 | 0.00000 | true | |||||
| IU HEALTH RISK RETENTION GROUP INC | |||||||||||||||||
| 151 MEETING ST STE 301 | CHARLESTON | SC | 29401 | 201107674 | INSURANCE | SC | 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 | PO BOX 69 | SOLARIS AVE. | GRAND CAYMAN | CJ | CJ | |||||
| OCC-HEALTH REVENUE SYSTEMS INC | |||||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 203308057 | WORK COMP PPO | IN | MOHC | C | 0 | 0 | 0.00000 | true | |||||
| PARKMOR DRUG INC | |||||||||||||||||
| 1501 S MAIN ST | 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 ST STE 800 | INDIANAPOLIS | IN | 46204 | 453080392 | HEALTHCARE | IN | CHVF1 | C | 0 | 0 | 0.00000 | true | |||||
| UNIVERSITY HEALTH MANAGEMENT INC | |||||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 272891143 | MANAGEMENT | IN | CHV | C | 0 | 0 | 0.00000 | true | |||||
| UNIVERSITY HEALTH MGMT (CHINA) INC | |||||||||||||||||
| 950 N MERIDIAN ST STE 800 | INDIANAPOLIS | IN | 46204 | 273891311 | MANAGEMENT | IN | CHV | C | 0 | 0 | 0.00000 | true | |||||
| PROTEUO FUND LP | |||||||||||||||||
| 981075227 | IUH | C | 0 | 0 | 0.00000 | true | PO BOX 31106 | 89 NEXUS WAY | GRAND CAYMAN | CJ | 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 | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| 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 | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| IU HEALTH WHITE MEMORIAL HOSPITAL INC | ||
| K | 194372 | FMV |
| IU HEALTH WHITE MEMORIAL HOSPITAL INC | ||
| L | 243050 | FMV |
| INDIANA RADIOLOGY PARTNERS INC | ||
| M | 307347 | FMV |
| IU HEALTH CARE ASSOCIATES INC | ||
| M | 866025 | FMV |
| METHODIST OCCUPATIONAL HEALTH CENTERS INC | ||
| M | 319887 | FMV |
| IU HEALTH RISK RETENTION GROUP INC | ||
| R | 2477264 | FMV |
| IUH ASSURANCE LTD | ||
| R | 610058 | FMV |