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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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T08:09:01-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN263162145EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INDIANA UNIVERSITY HEALTH ARNETT INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BROC BUDDEInCareOfName
Name ControlINDINameControl
Phone3179624575Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameCARA L BREIDSTERName
TitleCFOTitle
Date Signed2013-11-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJENNIFER D RHODERICKName
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALFONSO W GATMAITANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN ST STE 800AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Gross Receipts399570160GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.IUHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionImprove the health of our patients and community through innovation and excellence in care, education, research and service.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees2405TotalNbrEmployees
Total Nbr Volunteers164TotalNbrVolunteers
Total Gross UBI333112TotalGrossUBI
Net Unrelated Business Txbl Income115881NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2494696ContributionsGrantsPriorYear
Contributions Grants Current Year33748ContributionsGrantsCurrentYear
Program Service Revenue Prior Year311723769ProgramServiceRevenuePriorYear
Program Service Revenue CY395173565ProgramServiceRevenueCY
Investment Income Prior Year156519InvestmentIncomePriorYear
Investment Income Current Year69977InvestmentIncomeCurrentYear
Other Revenue Prior Year2590791OtherRevenuePriorYear
Other Revenue Current Year2739758OtherRevenueCurrentYear
Total Revenue Prior Year316965775TotalRevenuePriorYear
Total Revenue Current Year398017048TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year124579GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY188086GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year167655583SalariesEtcPriorYear
Salaries Etc Current Year181126436SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year171440078OtherExpensePriorYear
Other Expenses Current Year199784690OtherExpensesCurrentYear
Total Expenses Prior Year339220240TotalExpensesPriorYear
Total Expenses Current Year381099212TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-22254465RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16917836RevenuesLessExpensesCY
Total Assets BOY244621436TotalAssetsBOY
Total Assets EOY250745644TotalAssetsEOY
Total Liabilities BOY304193051TotalLiabilitiesBOY
Total Liabilities EOY293399423TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-59571615NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-42653779NetAssetsOrFundBalancesEOY
Mission DescriptionImprove the health of our patients and community through innovation and excellence in care, education, research and service.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense318104491Expense
Grants188086Grants
Revenue395173565Revenue
DescriptionIndiana 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 Expense318104491TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109691NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2405NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBROC BUDDENamePerson
Telephone Number3179624575TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
VICTOR L LECHTENBERG PHD
CHAIRMAN5.00.0XX1050000
ANDREW K EDWARDS MD
VICE CHAIRMAN/STAFF PHYSICIAN55.00.0X362406055915
SCOTT M BLACK
DIRECTOR (01/01 - 08/10)5.055.0X023793149830
THOMAS V EASTERDAY
DIRECTOR5.00.0X825000
DANIEL F EVANS JR
DIRECTOR5.055.0X01415834865442
STEPHEN L HENSON MD
DIRECTOR/STAFF PHYSICIAN55.00.0X600307054247
MICHAEL B LOCKWOOD MD
DIR/STAFF PHYS (01/01 - 08/05)55.00.0X323537058383
CHRISTOPHER A MANSFIELD MD
DIR/STAFF PHYS (12/06 - 12/31)55.00.0X331726052423
RANDALL R MITCHELL
DIRECTOR5.02.0X1200027000
LARRY W PAMPEL DDS
DIRECTOR5.02.0X1200027000
KENNETH S STONE MD
DIR/STAFF PHYS (01/01 - 08/05)5.055.0X084366743585
REV KATE L WALKER
DIRECTOR (08/10 - 12/31)5.00.0X75000
ALFONSO W GATMAITAN
CEO55.00.0X5412890124748
JEROME P KELLY
SECRETARY5.055.0X022779446364
JEFFREY R NAGY
TREASURER/CFO (01/01 - 04/10)25.00.0X5365602683
LORI A LUTHER
INTERIM CFO (04/11 - 06/24)55.055.0X11126013651117057
CARA L BREIDSTER
TREASURER/CFO (06/25 - 12/31)55.055.0X10297114486735756
BRIAN T SHOCKNEY
COO55.00.0207463051529X
DONALD E CLAYTON MD
CMD/PHYSICIAN55.00.0442064056615X
KYLE L ALLEN
CPO (10/08- 12/31)55.055.04236617416723719X
JAMES BIEN MD
VP, QUALITY & SAFETY55.00.0271566061610X
HAROLD D GEORGE JR
ADMIN. DIRECTOR55.00.0167187034202X
JOSEPH E HUBBARD MD
STAFF PHYSICIAN55.00.0789281028274X
RYAN D LOYD MD
STAFF PHYSICIAN55.00.0728750058543X
ADIL KESKIN MD
STAFF PHYSICIAN55.00.0638908058873X
CHENG DU MD
STAFF PHYSICIAN55.00.0628244064973X
PETER A SEYMOUR MD
STAFF PHYSICIAN55.00.0621905054452X
MICHAEL W SKEHAN MD
FORMER CEO0.040.0029001735844X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7008386TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3476188TotalReportableCompFrmRltdOrgs
Total Other Compensation1935067TotalOtherCompensation
Number Individuals GT100 K235NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TURNER CONSTRUCTION COMPANY
9190 PRIORITY WAY WEST DR SUITE 2INDIANAPOLISIN46250CONSTRUCTION5184871
TRIMEDX INC
5451 LAKEVIEW PKWY S DRINDIANAPOLISIN46268CLINICAL ENGINEERING2564065
SODEXO INC AFFILIATES
4880 PAYSPHERE CIRCLECHICAGOIL60674VARIOUS MANAGEMENT2240059
HORIZON MEDICAL GROUP INC
1345 UNITY PLACE SUITE 345LAFAYETTEIN47905MEDICAL2157492
THE CORNERSTONE COMPANIES INC
3755 E 82ND STREET SUITE 270INDIANAPOLISIN46240CONSTRUCTION1984744
FieldValueIRS element (for citing)
Number Of Contractors GT100 K33NumberOfContractorsGT100K
Government Grants10270GovernmentGrants
All Other Contributions23478AllOtherContributions
Total Contributions33748TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT SERVICE REVENUE6211113904574323904574320$0
ELECTRONIC HEALTH RECORDS INCENTIVE90009923033242303324
PHARMACY446110903532778907124625$0
INCOME (LOSS) FROM PARTNERSHIPS900099675241466754208487$0
CLINICAL RESEARCH5417004665324665320$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column367504TotalRevenueColumn
Related Or Exempt Function Income367504RelatedOrExemptFunctionIncome
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue395173565TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31626TotalRevenueColumn
Exclusion$31,626ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1591463Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1553112Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other38351Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column38351TotalRevenueColumn
Exclusion$38,351ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
CAFETERIA/FOOD SERVICE722320104008100$1,040,081
GIFT SHOP45322014971000$149,710
VENDING900099966800$9,668

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1540299TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,540,299ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2739758TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column398017048TotalRevenueColumn
Related Or Exempt Function Income394840453RelatedOrExemptFunctionIncome
Unrelated Business Revenue333112UnrelatedBusinessRevenue
Exclusion$2,809,735ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total188086Total
Program Services188086ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3825322Total
Program Services3337323ProgramServices
Management And General487999ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total143565379Total
Program Services125250630ProgramServices
Management And General18314749ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9066779Total
Program Services8185099ProgramServices
Management And General881680ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15877933Total
Program Services13852373ProgramServices
Management And General2025560ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8791023Total
Program Services7780264ProgramServices
Management And General1010759ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total61190Total
Management And General61190ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total251461Total
Management And General251461ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19176Total
Management And General19176ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total9698Total
Management And General9698ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total45729517Total
Program Services19146267ProgramServices
Management And General26583250ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total660825Total
Program Services17031ProgramServices
Management And General643794ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2902575Total
Program Services804748ProgramServices
Management And General2097827ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2444009Total
Program Services494834ProgramServices
Management And General1949175ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9830399Total
Program Services9507731ProgramServices
Management And General322668ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total408454Total
Program Services341723ProgramServices
Management And General66731ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7742Total
Program Services6893ProgramServices
Management And General849ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total15989926Total
Program Services14594080ProgramServices
Management And General1395846ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14721053Total
Program Services10462132ProgramServices
Management And General4258921ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3028463Total
Program Services1440989ProgramServices
Management And General1587474ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DRUGS AND MEDICAL SUPPLIES603645896036458900
BAD DEBT286352722863527200
RECRUITMENT34188636523382340
NONCAPITALIZED EQUIPMENT238466167095713710

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14139989Total
Program Services13523680ProgramServices
Management And General616309ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total381099212Total
Program Services318104491ProgramServices
Management And General62994721ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY15465BOY
EOY15465EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY38884622BOY
EOY41453853EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY725730BOY
EOY949171EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3004209BOY
EOY3001543EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2098912BOY
EOY2122647EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis264456859LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec62445046LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY198535987BOY
EOY202011813EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1356511BOY
EOY1191152EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY244621436BOY
EOY250745644EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY30923918BOY
EOY35220040EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY15591BOY
EOY17544EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY20954971BOY
EOY15472749EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY252298571BOY
EOY242689090EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY304193051BOY
EOY293399423EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-59571615BOY
EOY-42653779EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-59571615BOY
EOY-42653779EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY244621436BOY
EOY250745644EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses16917836ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$9,698OtherActivitiesAmount
Total Lobbying Expenditures IIB9698TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchedule C, Part II-BIdentifier
Return ReferenceLine 1i - Other ActivitiesReturnReference
ExplanationIndiana 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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis502084OtherCostOrOtherBasis
Book Value502084BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis178043246OtherCostOrOtherBasis
Depreciation21987305Depreciation
Book Value156055941BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3508688OtherCostOrOtherBasis
Depreciation349823Depreciation
Book Value3158865BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis65454472OtherCostOrOtherBasis
Depreciation39453534Depreciation
Book Value26000938BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis16948369OtherCostOrOtherBasis
Depreciation654384Depreciation
Book Value16293985BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings202011813TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY PAYABLES (NET)$206,297,993
DUE TO THIRD-PARTY PAYORS$35,804,346
SELF-INSURANCE LIABILITIES$586,751
ALL OTHER LIABILITIES$0
FieldValueIRS element (for citing)
Total Of Amounts242689090TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchedule D, Part X - Other LiabilitiesIdentifier
Return ReferenceLine 2 - FIN 48 (ASC 740) FootnoteReturnReference
ExplanationIndiana University Health Arnett, Inc. is a subsidiary in the consolidated financial statements of Indiana University Health, Inc. ("IU Health"). IU Health adopted FIN 48 in 2007. No disclosures were required in 2012 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage650.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served21335PersonsServed
Total Community Benefit Expense11380897TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense11380897NetCommunityBenefitExpense
Percent Of Total Expense0.03230PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served67395PersonsServed
Total Community Benefit Expense39041584TotalCommunityBenefitExpense
Direct Offsetting Revenue27015721DirectOffsettingRevenue
Net Community Benefit Expense12025863NetCommunityBenefitExpense
Percent Of Total Expense0.03410PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served88730PersonsServed
Total Community Benefit Expense50422481TotalCommunityBenefitExpense
Direct Offsetting Revenue27015721DirectOffsettingRevenue
Net Community Benefit Expense23406760NetCommunityBenefitExpense
Percent Of Total Expense0.06640PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs12NumberOfActivitiesOrPrograms
Persons Served7232PersonsServed
Total Community Benefit Expense94883TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense94883NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served874PersonsServed
Total Community Benefit Expense944714TotalCommunityBenefitExpense
Direct Offsetting Revenue4550DirectOffsettingRevenue
Net Community Benefit Expense940164NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served12257PersonsServed
Total Community Benefit Expense308345TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense308345NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served20363PersonsServed
Total Community Benefit Expense1347942TotalCommunityBenefitExpense
Direct Offsetting Revenue4550DirectOffsettingRevenue
Net Community Benefit Expense1343392NetCommunityBenefitExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served109093PersonsServed
Total Community Benefit Expense51770423TotalCommunityBenefitExpense
Direct Offsetting Revenue27020271DirectOffsettingRevenue
Net Community Benefit Expense24750152NetCommunityBenefitExpense
Percent Of Total Expense0.07030PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served438PersonsServed
Total Community Building Expense23339TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense23339NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served27PersonsServed
Total Community Building Expense3951TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3951NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense360TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense360NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served465PersonsServed
Total Community Building Expense27650TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense27650NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$9,157,560BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare63209558AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare86040032CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-22830474MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1IU HEALTH ARNETT HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line15165 MCCARTY LANEAddressLine1
CityLAFAYETTECity
StateINState
ZIP Code47905ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.IUHEALTH.ORG/ARNETT/WebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1IU HEALTH ARNETT HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent650.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities25NumberOfOtherFacilities

Other Facilities OtherFacilities (25 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
IU HEALTH ARNETT - NORTH
2600 GREENBUSH STREETLAFAYETTEIN47904PHYSICIAN OFFICE URGENT CARE CENTER
IU HEALTH ARNETT IMAGING CENTER
2403 LOY DRLAFAYETTEIN47909DIAGNOSTIC CENTER
IU HEALTH ARNETT CANCER CARE CENTER
420 N 26TH STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT - FERRY
2600 FERRY STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT - SALEM
1500 SALEM STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT CARDIOLOGY
1116 N 16TH STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT HORIZON ONCOLOGY
1345 UNITY PL STE 345LAFAYETTEIN47905PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - WEST LAFAY
2995 SALISBURY STREETWEST LAFAYETTEIN47906PHYSICIAN OFFICE URGENT CARE CENTER
IU HEALTH ARNETT GYNECOLOGY
904 SOUTH STLAFAYETTEIN47901PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - FRANKFORT
550 S HOKE AVEFRANKFORTIN46041PHYSICIAN OFFICE
IU HEALTH ARNETT OCCUPATIONAL HLTH SRVCS
810 S 6TH ST STE AMONTICELLOIN47960PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS
1 WALTER SCHOLER DRLAFAYETTEIN47909PHYSICIAN OFFICE URGENT CARE CENTER
IU HEALTH ARNETT PAIN MEDICINE
415 N 26TH STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT NEPHROLOGY
915 MEZZANINELAFAYETTEIN47905PHYSICIAN OFFICE
IU HEALTH ARNETT OBSTETRICS & GYNECOLOGY
938 MEZZANINELAFAYETTEIN47905PHYSICIAN OFFICE
IU HEALTH ARNETT FAMILY MEDICINE - FERRY
2800 FERRY STREETLAFAYETTEIN47904PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - CARROLL
104 S HOWARD DRFLORAIN46929PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - MONTICELLO
720 S 6TH STMONTICELLOIN47960PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - DELPHI
651 ARMORY RDDELPHIIN46923PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - OTTERBEIN
407 N MEADOW STOTTERBEININ47970PHYSICIAN OFFICE
IU HEALTH ARNETT PHYSICIANS - ROSSVILLE
14 S PLANK STROSSVILLEIN46065PHYSICIAN OFFICE
IU HEALTH ARNETT REHABILITATION
2601 FERRY STREETLAFAYETTEIN47904REHABILITATION CLINIC
IU HEALTH ARNETT PHYSICIANS - FLORA
203 DIVISION STFLORAIN46929PHYSICIAN OFFICE
IU HEALTH ARNETT OCCUPATIONAL HLTH SRVCS
3746 ROME DRIVELAFAYETTEIN46905OCCUPATIONAL THERAPY
IU HEALTH ARNETT SLEEP LAB CASCADE CTR
3900 MCCARTHY LN STE 101LAFAYETTEIN47905DIAGNOSTIC CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Schedule H, Part I - Financial AssistanceLine 3cN/A
Schedule H, Part I - Financial AssistanceLine 6a - Community Benefit Report Prepared by Related OrganizationIndiana 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 AssistanceLine 7g - Subsidized Health ServicesIndiana University Health Arnett, Inc. does not include any costs associated with physician clinics as subsidized health services.
Schedule H, Part I - Financial AssistanceLine 7, Column (f) - Bad Debt ExpenseThe amount of bad debt expense included on Form 990, Part IX, Line 25, column (A), but subtracted for purposes of calculating the percentage of total expense is $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 AssistanceLine 7 - Total Community Benefit ExpensePercentage of Total Expenses listed on Schedule H, Part I, Line 7, Column (f) is calculated based on Net Community Benefit Expense. The Percentage of Total Expenses calculated based on Total Community Benefit Expense is 14.69%.
Schedule H, Part II - Community Building ActivitiesPromotion of Health in Communities ServedIU 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 PracticesLine 4 - Bad Debt ExpenseIndiana University Health Arnett, Inc. ("IU Health Arnett") is included in the consolidated audit report prepared for Indiana University Health, Inc. ("IU Health"). The provision for uncollected patient accounts is based upon management's assessment of historical and expected net collections considering business and economic conditions, changes and trends in health care coverage, and other collection indicators. Periodically, management assesses the adequacy of the allowance for uncollectible accounts based upon accounts receivable payor composition and aging, and historical write-off experience by payor category, as adjusted for collection indicators. The results of the review are then used to make any modifications to the provision for uncollected patient accounts and the allowance for uncollectible accounts. In addition, the IU Health System follows established guidelines for placing certain past due patient balances with collection agencies. Patient accounts that are uncollected, including those placed with collection agencies, are initially charged against the allowance for uncollectible accounts in accordance with collection policies of the IU Health System and, in certain cases, are reclassified to charity care if deemed to otherwise meet charity care and financial assistance policies of the IU Health System. The bad debt expense reported on Line 2 is calculated under the cost to charge ratio methodology. IU Health Arnett provides health care services through various programs that are designed, among other matters, to enhance the health of the community and improve the health of low-income patients. In addition, IU Health Arnett provides services intended to benefit the poor and underserved, including those persons who cannot afford health insurance because of inadequate resources or are uninsured or underinsured.
Schedule H, Part III - Bad Debt, Medicare, & Collection PracticesLine 8 - Medicare ShortfallThe Medicare shortfall reported on Schedule H, Part III, Line 7 is calculated, in accordance with the Form 990 instructions, using "allowable costs" from Indiana University Health Arnett, Inc.'s ("IU Health Arnett") Medicare Cost Report. "Allowable costs" for Medicare Cost Report purposes are not reflective of all costs associated with IU Health Arnett's participation in Medicare programs. For example, the Medicare Cost Report excludes certain costs such as billed physician services, the costs of Medicare Parts C and D, fee schedule reimbursed services, and durable medical equipment services. Inclusion of all costs associated with IU Health Arnett's participation in Medicare programs would significantly increase the Medicare shortfall reported on Schedule H, Part III, Line 7. IU Health Arnett's Medicare shortfall is attributable to reimbursements that are less than the cost of providing patient care and services to Medicare beneficiaries and does not include any amounts that result from inefficiencies or poor management. IU Health Arnett accepts all Medicare patients knowing that there may be shortfalls; therefore it has taken the position that the shortfall should be counted as part of its community benefit. Additionally, it is implied in Internal Revenue Service Revenue Ruling 69-545 that treating Medicare patients is a community benefit. Revenue Ruling 69-545, which established the community benefit standard for nonprofit hospitals, states that if a hospital serves patients with governmental health benefits, including Medicare, then this is an indication that the hospital operates to promote the health of the community.
Schedule H, Part III - Bad Debt, Medicare, & Collection PracticesLine 9b - Written Debt Collection Policy and Financial AssistanceIf 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 InformationLine 2 - Needs AssessmentCommunities are multifaceted and so are their health needs. Indiana University Health Arnett, Inc. ("IU Health Arnett") understands that the health of individuals and communities are shaped by various social and environmental factors, along with health behaviors and additional influences. IU Health Arnett assesses the health care needs of the communities it serves by utilizing the detailed community needs assessments undertaken by organizations such as the Tippecanoe County Health Department, the Indiana State Department of Health, the Centers for Disease Control and Prevention and the United Way of Central Indiana.
Schedule H, Part VI - Supplemental InformationLine 3 - Patient Education of Eligibility for AssistanceIndiana 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 InformationLine 4 - Community InformationIndiana University Health Arnett, Inc. ("IU Health Arnett") is primarily located in Tippecanoe County but also has medical offices and serves patients in Benton, Carroll, Clinton, and White counties. Tippecanoe County includes ZIP codes within the towns of Battle Ground, Clarks Hill, Dayton, Lafayette, Romney, West Lafayette and West Point. Based on the most recent Census Bureau (2012) statistics, Tippecanoe County's population is 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 InformationLine 5 - Promotion of Community HealthIndiana 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 InformationLine 6 - Affiliated Health Care SystemIndiana 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

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
UNITED WAY OF GREATER LAFAYETTE
1114 E STATE STLAFAYETTEIN47905350891621501(C)(3)581420N/AN/AGENERAL SUPPORT
RIGGS COMMUNITY HEALTH CENTER INC
1716 HARTFORD STLAFAYETTEIN47904351965865501(C)(3)520000N/AN/ARESIDENCY SUPPORT
AMERICAN HEART ASSOCIATION INC
PO BOX 4002902DES MOINESIA50340135613797501(C)(3)325000N/AN/AGENERAL SUPPORT
LAFAYETTE MEDICAL EDUCATION FOUNDATION INC
PO BOX 4083LAFAYETTEIN47909351314750501(C)(3)100000N/AN/AMEDICAL EDUCATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchedule I, Part I - General Information on Grants and AssistanceIdentifier
Return ReferenceLine 2 - Organization's Procedures for Monitoring the Use of Grant FundsReturnReference
ExplanationAlthough Indiana University Health Arnett, Inc. does not monitor the use of grant funds once distributed, through due diligence the organization has reasonably confirmed that the entities to which the contributions are made are highly reputable in the community and use the funds for the purposes intended.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANDREW K EDWARDS MD
VICE CHAIRMAN/STAFF PHYSICIAN3620280003780264900294250418321000
SCOTT M BLACK
DIRECTOR (01/01 - 08/10)022767500010256021020028810028776100
DANIEL F EVANS JR
DIRECTOR01043576031340805885008385550268870228127600
STEPHEN L HENSON MD
DIRECTOR/STAFF PHYSICIAN59497300053340330000212470654554000
MICHAEL B LOCKWOOD MD
DIR/STAFF PHYS (01/01 - 08/05)32173100018060330000253830381920000
CHRISTOPHER A MANSFIELD MD
DIR/STAFF PHYS (12/06 - 12/31)3313900003360264900259330384149000
KENNETH S STONE MD
DIR/STAFF PHYS (01/01 - 08/05)08418610001806028197015388088725200
ALFONSO W GATMAITAN
CEO40002301260160152500940310307170666037000
JEROME P KELLY
SECRETARY02238960003898021020025344027415800
LORI A LUTHER
INTERIM CFO (04/11 - 06/24)895951179491000001166518562597125154859371212209014273800
CARA L BREIDSTER
TREASURER/CFO (06/25 - 12/31)92327144447001064442053352477102321771211853816505600
BRIAN T SHOCKNEY
COO20521800022450261990253300258992000
DONALD E CLAYTON MD
CMD/PHYSICIAN43929200027720330000236150498679000
KYLE L ALLEN
CPO (10/08- 12/31)418311596310053514536213512294196873224646919378300
JAMES BIEN MD
VP, QUALITY & SAFETY257808000137580330000286100333176000
HAROLD D GEORGE JR
ADMIN. DIRECTOR16508700021000176880165140201389000
JOSEPH E HUBBARD MD
STAFF PHYSICIAN788903000378026490017840817555000
RYAN D LOYD MD
STAFF PHYSICIAN7283300004200330000255430787293000
ADIL KESKIN MD
STAFF PHYSICIAN6382780006300330000258730697781000
CHENG DU MD
STAFF PHYSICIAN6276140006300330000319730693217000
PETER A SEYMOUR MD
STAFF PHYSICIAN6214850004200264900279620676357000
MICHAEL W SKEHAN MD
FORMER CEO026350000026517018755017089032586100

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Schedule J, Part I - Questions Regarding CompensationLine 3 - Compensation of the Organization's CEO/Executive DirectorAlfonso W. Gatmaitan, the CEO of Indiana University Health Arnett, Inc. ("IU Health Arnett"), is compensated as an employee of Indiana University Health, Inc. ("IU Health") for his services performed at IU Health Arnett. IU Health has a process in place to determine the compensation of IU Health Arnett's CEO. This process includes the use of a written employment contract, the terms of which are determined based upon a compensation survey/study conducted by an independent compensation consultant with review and approval by IU Health's compensation committee and board of directors.
Schedule J, Part I - Questions Regarding CompensationLine 4b - Supplemental Nonqualified Retirement PlanDaniel F. Evans, Jr. and Alfonso W. Gatmaitan participate in a supplemental executive retirement plan of Indiana University Health, Inc., the provisions of which are designed to retain its critical employees. The plan provides for an additional retirement benefit for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, the benefit may be forfeited or reduced. Daniel F. Evans, Jr. and Alfonso W. Gatmaitan have an amount included in column c, deferred compensation, representing the current year increase in the accrued benefit and/or current contributions. No amount was actually paid to this executive during the year.
Schedule J, Part I - Questions Regarding CompensationLine 7 - Non-Fixed PaymentsAmounts disclosed in Column B(ii) include a long-term and short-term incentive for certain executives and short-term incentive for other employees. Although these plans are based on a fixed formula that has been approved by the Board of Directors based upon certain qualitative and quantitative factors and goals, all discretionary incentive plans must be approved by the Board of Directors prior to any incentive payout.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part VI, Section A - Governing Body and ManagementLine 2 - Family or Business RelationshipsScott 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 ManagementLines 6, 7a and 7b - Members or StockholdersLine 6: The sole member of Indiana University Health Arnett, Inc. ("IU Health Arnett") is Indiana University Health, Inc. ("IU Health"), a 501(c)(3) tax-exempt hospital. Line 7a: The control and management of the affairs of IU Health Arnett is vested in a board of up to twelve (12) voting directors whom are appointed by IU Health, as the sole member of the organization. Three (3) of the voting directors are nominated by the IU Health Arnett employed physicians. One (1) of the voting directors is nominated by active medical staff members. IU Health may only either accept director nominees from the IU Health Arnett employed physicians and active medical staff members or reject one or more of such nominees and request different nominees from the employed physicians and active medical staff members. Line 7b: The board of directors may not undertake certain actions without the prior approval of IU Health, as the sole member. Actions that require prior approval include the following: -Authorization of any merger, consolidation, reorganization, sale or transfer of all or substantially all of the assets of IU Health Arnett; -Authorization of any plan of dissolution of IU Health Arnett, any liquidating distribution of IU Health Arnett's assets or other action related to the dissolution or liquidation of IU Health Arnett; -Authorization of any voluntary declaration of bankruptcy of IU Health Arnett; -Amendment, repeal, revision or adoption of changes to the organization documents of IU Health Arnett; -Authorization of the consolidation of any entity with, or acquisition of any entity by IU Health Arnett; -Authorization of any agreement to act as a primary obligor, or to serve as a guarantor, surety or co-obligor with respect to the indebtedness of any other party, to borrow amounts from third-party lenders or to loan money to any person or entity; -Approval of strategic plans and amendments; -Authorization of any pledge of, or grant of any security interest or mortgage in, or otherwise encumber, any tangible assets in excess of an appropriate monetary threshold, other than in the ordinary course of business or pursuant to an approved budget or strategic plan; -Approval of any management agreement for the management of all or a substantial part of IU Health Arnett's operations; or -Authorization of the establishment or acquisition by IU Health Arnett of any subsidiaries, affiliates or joint venture arrangements or the acquisition by IU Health Arnett of the stock or other equity interest or substantially all the assets of any other business or entity.
Part VI, Section A - Governing Body and ManagementLine 11b - Form 990 Provided to Governing BodyIndiana University Health Arnett, Inc. ("IU Health Arnett") has established the following process for the review of the Form 990 and related schedules before it is filed: The Chief Financial Officer reviewed and approved the Form 990 and related schedules. After the review and approval from the Chief Financial Officer, a complete copy of the Form 990 and related schedules was presented and approved by the Audit Committee. After Audit Committee approval, a complete copy of the Form 990 and related schedules was made available to each board member on a secure intranet site. Each member was informed of the availability of the Tax Department to answer any questions.
Part VI, Section B - PoliciesLines 12, 13, 14, and 16bIndiana 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 - PoliciesLine 12c - Conflict of Interest PolicyIndiana University Health Arnett, Inc. ("IU Health Arnett") has a Conflict of Interest Policy, the purpose of which is to protect IU Health Arnett's interests when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer, director, or employee. Each employee that is manager level or above, including officers and directors, is required to annually sign a statement which affirms that such person (1) has received a copy of the conflict of interest policy; (2) has read and understands the policy; (3) has agreed to comply with the policy; and (4) understands and acknowledges that the Corporation is a tax-exempt organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. If an interest is disclosed, the form requires that the discloser's supervisor sign the form to indicate his/her knowledge and approval of the interest. The form is then submitted to Corporate Compliance for review. If the disclosure is by the CEO/President, it is reviewed by the board chairman for approval. If the disclosure is by a member of the board of directors, the General Counsel/Chief Compliance Officer reviews the disclosures and determines whether to consent. Board members with a conflict of interest cannot participate in any decision related to that conflict. Breach of the conflict of interest policy, including failure to complete and update the questionnaire and failure to disclose an interest that should be disclosed, may subject an individual to disciplinary action, including dismissal.
Part VI, Section B - PoliciesLine 15 - Process for Determining CompensationThe CEO/Top Management Official for Indiana University Health Arnett, Inc. ("IU Health Arnett") is employed by Indiana University Health, Inc. ("IU Health"). IU Health has the following process for determining compensation: 1. The Board of Directors has established a Committee on Personnel and Compensation. The individuals on this Committee are made up of individuals who are on the Board and who do not have a conflict of interest with Indiana University Health, Inc. ("IU Health"). There are no physicians or employees on this Committee. This Committee develops and reviews annually the executive compensation philosophy, market analysis as to comparability and reasonableness. One of the purposes of this Committee is to review, approve and make recommendations regarding executive compensation and benefits to the IU Health Board. As deemed appropriate, this Committee also reviews the same detail with the Committee on Finance, Planning and Human Resources. The Committee on Finance, Planning and Human Resources is represented by certain members of the Board as well. 2. Each year the Committee on Personnel and Compensation engages an outside compensation consulting firm to conduct a compensation and benefits study for all senior vice presidents and above. The current compensation advisor is the Hay Group. Hay Group performs an independent compensation survey. The relevant comparability data includes: compensation and benefit levels paid by similarly situated organizations (both governmental and tax exempt) for functionally comparable positions as well as the availability of similar services in the geographic area. The Committee reviews the entire compensation package including: base compensation, short term and long term incentive plans, basic health and welfare benefits, qualified and nonqualified plans as well as any additional fringe benefits. Further, Hay Group will provide recommendations based upon the reasonable compensation information as it relates to salary increases, bonuses and benefits that are consistent with the compensation philosophy of the Committee. A separate analysis using the same methodology is done for the Chief Executive Officer. 3. The Committee reviews the salary survey and, if appropriate, makes recommendations on increases in salary and any changes in bonuses or benefits. The Committee's goal is to ensure that the total compensation and benefits package is reasonable based upon the independent data provided by Hay Group. The Committee votes on any changes in compensation or benefits. This review, discussion and vote are documented in the minutes for the meeting. There are no executives present during the final discussion and approval of compensation. 4. The Board reviews the report prepared by the Hay Group as well as the recommendations of the Committee on Personnel and Compensation as to changes in compensation approved by the Committee. As requested, the Finance, Planning and Human Resources Committee also provides its review of recommendations on changes in executive compensation and benefits. This review, discussion and vote are documented in the minutes. 5. The Board then reviews the recommendations provided by the Committee on Personnel and Compensation and votes on the changes as well. No additional compensation or benefits are paid to the executives until the changes have been approved by the Committee and the Board. The discussion and approval are documented in the minutes of the meeting. There are no executives present during the final discussion and approval of compensation. The General Counsel prepares a formal written opinion reviewing the compensation and benefits approval process, comparing that process to the Intermediate Sanctions Test of IRC Section 4958 and, if the facts warrant, provides comments regarding the compensation and benefits approval process as this relates to meeting the requirements for a rebuttable presumption of reasonableness as provided in the Intermediate Sanctions Test. 6. After the end of each year, the Committee and Board also reviews the achievements of the executive group as it relates to the long-term and short-term shared and individual goals developed by the executive and the Board. These achievements may also be reviewed with the Committee on Finance, Planning and Human Resources. The Board, at its discretion, may approve bonus payments based upon the achievement of the goals and the compensation survey. The discussion and vote of the Committee and Board is documented in the minutes for each such meeting. The bonuses are not paid until approval is made by the Board. 7. The Committee on Personnel and Compensation and Audit Committee also review the required Form 990 disclosures related to executive compensation and benefits as well as compensation practices and approval processes prior to the filing of the Form 990 return with the Internal Revenue Service. IU Health Arnett has a process in place to determine the compensation for the other officers and key employees. IU Health Arnett uses an independent compensation consultant who utilizes a variety of methods and procedures to obtain compensation ranges for comparable officer and employee positions. The independent compensation consultant provides IU Health Arnett with recommended compensation ranges for its officers and other employees, which are then used as a guide for setting reasonable compensation by management. Management decisions with regard to determining compensation are subject to the review and approval of the Executive Committee and Board of Directors.
Part VI, Section C - DisclosureLine 19 - Public DisclosureIndiana University Health Arnett, Inc.'s ("IU Health Arnett") Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health Arnett's conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health Arnett is a consolidated subsidiary in the consolidated financial statements for Indiana University Health, Inc. ("IU Health"). The consolidated financial statements for IU Health are available to the public through its bond filings and attached to the Form 990
Part VII, Section A - Governing Body and ManagementLine 1a, Column (B) - Average hours per weekDuring 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 ExpensesLine 11g - Other Fees for ServicesLine 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ARNETT CLINIC LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204352030653HEALTHCAREIN1191079710IUHA
CAH PHYSICIANS LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204262769447HEALTHCAREIN00IUHA
CLARIAN-ARNETT OCCUP HEALTH CTRS LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204271973115HEALTHCAREIN27598310IUHA

Form990 Schedule R Part II Form990ScheduleRPartII (37 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CLARIAN TRANSPLANT INSTITUTE INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204134350599HEALTHCAREIN501(C)(3)9IUHtrue
GOSHEN HEALTH SYSTEM INC
200 HIGH PARK AVEGOSHENIN46527351974765HEALTHCAREIN501(C)(3)11 IIUHtrue
GOSHEN HOSPITAL ASSOCIATION INC
200 HIGH PARK AVEGOSHENIN46527356001540HEALTHCAREIN501(C)(3)3GHStrue
HEALTHLINC INC
714 S ROGERS STBLOOMINGTONIN47402263571507HEALTHCAREIN501(C)(3)9IUHBtrue
INDIANA RADIOLOGY PARTNERS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204201017034HEALTHCAREIN501(C)(3)3IUHtrue
INDIANA UNIVERSITY HEALTH INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351955872HEALTHCAREIN501(C)(3)3NAfalse
IU HEALTH ARNETT FOUNDATION INC
950 N MERIDIAN ST STE 800LAFAYETTEIN47904356079797FUNDRAISINGIN501(C)(3)11 IIUHAtrue
IU HEALTH BALL MEMORIAL HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204350867958HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BALL MEMORIAL PHYSICIANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351925641HEALTHCAREIN501(C)(3)9IUHBMHtrue
IU HEALTH BEDFORD INC
2900 W 16TH STBEDFORDIN47421237042323HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BLACKFORD HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204010646166HEALTHCAREIN501(C)(3)3IUHBMHtrue
IU HEALTH BLOOMINGTON INC
PO BOX 1149BLOOMINGTONIN47403351720796HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BMH FOUNDATION INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204311111784FUNDRAISINGIN501(C)(3)11 IIUHBMHtrue
IU HEALTH CARE ASSOCIATES INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351747218HEALTHCAREIN501(C)(3)9IUHtrue
IU HEALTH LAPORTE HOSPITAL INC
PO BOX 250LAPORTEIN46352351125434HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH LAPORTE PHYSICIANS INC
PO BOX 250LAPORTEIN46352311070868HEALTHCAREIN501(C)(3)3IUHLHtrue
IU HEALTH MORGAN HOSPITAL INC
2209 JOHN R WOODEN DRMARTINSVILLEIN46151273533027HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH NORTH HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351932442HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH PAOLI HOSP FOUNDATION INC
PO BOX 499PAOLIIN47454310992486FUNDRAISINGIN501(C)(3)11 III-OIUHPtrue
IU HEALTH PAOLI INC
PO BOX 499PAOLIIN47454352090919HEALTHCAREIN501(C)(3)3IUHBtrue
IU HEALTH TIPTON HOSPITAL INC
1000 S MAIN STTIPTONIN46072262772226HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH WEST HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351814660HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH WHITE MEMORIAL HOSPITAL INC
720 S SIXTH STMONTICELLOIN47960273532963HEALTHCAREIN501(C)(3)3IUHtrue
IU MEDICAL GROUP FOUNDATION INC
340 W 10TH ST NO FS5100INDIANAPOLISIN46202201093251FUNDRAISINGIN501(C)(3)11 IINAfalse
METHODIST HEALTH FOUNDATION INC
1800 N CAPITOL AVEINDIANAPOLISIN46202356043086FUNDRAISINGIN501(C)(3)11 IIUHtrue
METHODIST HEALTH GROUP INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204350876390HEALTHCAREIN501(C)(3)11 III-FINAfalse
METHODIST MEDICAL GROUP INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351945384HEALTHCAREIN501(C)(3)3IUHtrue
METHODIST OCCUP HEALTH CENTERS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351844176HEALTHCAREIN501(C)(3)3IUHtrue
METHODIST RESEACH INSTITUTE INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204352023710HEALTHCAREIN501(C)(3)11 IIUHtrue
MH HEALTHCARE INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351766531HEALTHCAREIN501(C)(3)3MMGtrue
MORGAN CO MEM HOSP FOUNDATION INC
2209 JOHN R WOODEN DRMARTINSVILLEIN46151352035162FUNDRAISINGIN501(C)(3)11 IIIUHMHtrue
MORGAN CO MEM HOSP GUILD INC
2209 JOHN R WOODEN DRMARTINSVILLEIN46151310886844FUNDRAISINGIN501(C)(3)11 III-FIIUHMHtrue
MORGAN HEALTH SERVICES INC
1949 HOSPITAL DRMARTINSVILLEIN46151351968564HEALTHCAREIN501(C)(3)3IUHMHtrue
IU HEALTH WHITE MEMORIAL FOUNDATION
PO BOX 952MONTICELLOIN47960351671806FUNDRAISINGIN501(C)(3)11 III-OIUHWMHtrue
UNIVERSITY FAMILY PHYSICIANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204237427350HEALTHCAREIN501(C)(3)9IUHCAtrue
REHABILITATION HOSPITAL OF INDIANA INC
4141 SHORE DRINDIANAPOLISIN46254351786005HEALTHCAREIN501(C)(3)3MHHtrue
RHI FOUNDATION INC
4141 SHORE DRINDIANAPOLISIN46254351932349FUNDRAISINGIN501(C)(3)11 IRHItrue

Form990 Schedule R Part III Form990ScheduleRPartIII (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
BALL OUTPATIENT SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244270275794HEALTHCAREINBOSCHN/A00false$0false0.00000
BELTWAY SURGERY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMIMGHAMAL35244352072586HEALTHCAREINBSCHN/A00false$0false0.00000
BLOOMINGTON ENDOSCOPY CENTERS LLC
PO BOX 1149BLOOMINGTONIN47402352117943HEALTHCAREINIUHBN/A00false$0false0.00000
BMH OUTPATIENT SURGERY SERVICES LLC
2401 W UNIVERSITY AVEMUNCIEIN47303204567998HEALTHCAREINIUHBMHN/A00false$0false0.00000
BOSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454147343HEALTHCAREINIUHN/A00false$0false0.00000
CARDINAL HEALTH INITIATIVES LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204300102702PURCHASINGINIUHBMHN/A00false$0false0.00000
CHV FUND I LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204262523206VENTURE CAPITALINIUHN/A00false$0false0.00000
CHV FUND MANAGEMENT LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204262523151VENTURE CAPITALINCHVN/A00false$0false0.00000
CLARIAN HEALTH NETWORK LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204352055030HEALTHCAREINIUHN/A00false$0false0.00000
EAGLE HIGHLANDS SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244352259204HEALTHCAREINEHSCHN/A00false$0false0.00000
EHSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454147879HEALTHCAREINIUHN/A00false$0false0.00000
HEALTH VENTURE MANAGEMENT LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204205740218MANAGEMENTINIUHN/A00false$0false0.00000
IEC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148032HEALTHCAREINIUHN/A00false$0false0.00000
INDIANA ENDOSCOPY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244208398421HEALTHCAREINIECHN/A00false$0false0.00000
BSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244452314634HEALTHCAREINIUHN/A00false$0false0.00000
MID-AMERICA SURGERY CENTER LLC
2401 W UNIVERSITY AVEMUNCIEIN47303352002953HEALTHCAREINCDHVN/A00false$0false0.00000
ROC SURGERY LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244271497960HEALTHCAREINROCSHN/A00false$0false0.00000
ROCS HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148369HEALTHCAREINIUHN/A00false$0false0.00000
SENATE STREET SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244421709357HEALTHCAREINSSSCHN/A00false$0false0.00000
SSSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148167HEALTHCAREINIUHN/A00false$0false0.00000
CARDINAL HEALTH ALLIANCE LLC
2401 W UNIVERSITY AVEMUNCIEIN47303351966281MANAGED CAREINIUHBMHN/A00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
BMH MEDICAL PAVILION ASSOCIATION INC
2525 W UNIVERSITY AVEMUNCIEIN47303351858408CONDO MANAGEMENTINIUHBMHC000.00000true
CARDINAL HEALTH VENTURES INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351611424MANAGEMENTINIUHBMHC000.00000true
CHV CAPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204260752507VENTURE CAPITALINIUHC000.00000true
IU HEALTH ACO INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204454421020HEALTHCAREINIUHC000.00000true
IU HEALTH BOARD DESIGNATED TRUST
400 HOWARD STSAN FRANCISCOCA94105306309021INVESTMENTSINIUHT000.00000true
IU HEALTH NTGI S&P500 FUND CF
PO BOX 804358CHICAGOIL60680306298263INVESTMENTSINIUHT000.00000true
IU HEALTH PLANS INC
1776 MERIDIAN ST STE 300INDIANAPOLISIN46202262127080HMOINIUHC000.00000true
IU HEALTH RISK PURCHASING GROUP INC
151 MEETING ST STE 301CHARLESTONSC29401260202446INSURANCEINIUHC000.00000true
IU HEALTH RISK RETENTION GROUP INC
151 MEETING ST STE 301CHARLESTONSC29401201107674INSURANCESCIUHC000.00000true
IU HEALTH SOUTHERN IN PHYSICIANS INC
PO BOX 1149BLOOMINGTONIN47402351913875HEALTHCAREINIUHBC000.00000true
IUH ASSURANCE LTD
980395429INSURANCEIUHC000.00000truePO BOX 69SOLARIS AVE.GRAND CAYMANCJCJ
OCC-HEALTH REVENUE SYSTEMS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204203308057WORK COMP PPOINMOHCC000.00000true
PARKMOR DRUG INC
1501 S MAIN STGOSHENIN46526131394980PHARMACY SALESINGHSC000.00000true
PILR INC
200 HIGH PARK AVEGOSHENIN46526204294750DEVELOPMENTINGHSC000.00000true
RADIATION ONCOLOGY RESOURCES INC
200 HIGH PARK AVEGOSHENIN46526262008424HEALTHCAREINGHSC000.00000true
SCANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204453080392HEALTHCAREINCHVF1C000.00000true
UNIVERSITY HEALTH MANAGEMENT INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204272891143MANAGEMENTINCHVC000.00000true
UNIVERSITY HEALTH MGMT (CHINA) INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204273891311MANAGEMENTINCHVC000.00000true
PROTEUO FUND LP
981075227IUHC000.00000truePO BOX 3110689 NEXUS WAYGRAND CAYMANCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
IU HEALTH WHITE MEMORIAL HOSPITAL INC
K194372FMV
IU HEALTH WHITE MEMORIAL HOSPITAL INC
L243050FMV
INDIANA RADIOLOGY PARTNERS INC
M307347FMV
IU HEALTH CARE ASSOCIATES INC
M866025FMV
METHODIST OCCUPATIONAL HEALTH CENTERS INC
M319887FMV
IU HEALTH RISK RETENTION GROUP INC
R2477264FMV
IUH ASSURANCE LTD
R610058FMV