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INDIANA UNIVERSITY HEALTH ARNETT INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
INDIANA UNIVERSITY HEALTH ARNETT INC (EIN 26-3162145)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-08
IRS object ID
201233139349301333
Schema version
2011v1.3
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)
Timestamp2012-11-08T13:36:59-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARA L BREIDSTERName
TitleCFOTitle
Date Signed2012-11-08DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJENNIFER D RHODERICKName
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts317153870GrossReceipts
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 Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees2187TotalNbrEmployees
Total Nbr Volunteers146TotalNbrVolunteers
Total Gross UBI263077TotalGrossUBI
Net Unrelated Business Txbl Income226319NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year28000ContributionsGrantsPriorYear
Contributions Grants Current Year2494696ContributionsGrantsCurrentYear
Program Service Revenue Prior Year334105465ProgramServiceRevenuePriorYear
Program Service Revenue CY311723769ProgramServiceRevenueCY
Investment Income Prior Year-3267InvestmentIncomePriorYear
Investment Income Current Year156519InvestmentIncomeCurrentYear
Other Revenue Prior Year1941935OtherRevenuePriorYear
Other Revenue Current Year2590791OtherRevenueCurrentYear
Total Revenue Prior Year336072133TotalRevenuePriorYear
Total Revenue Current Year316965775TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year83836GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY124579GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year157872993SalariesEtcPriorYear
Salaries Etc Current Year167655583SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year158087382OtherExpensePriorYear
Other Expenses Current Year171440078OtherExpensesCurrentYear
Total Expenses Prior Year316044211TotalExpensesPriorYear
Total Expenses Current Year339220240TotalExpensesCurrentYear
Revenues Less Expenses Prior Year20027922RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-22254465RevenuesLessExpensesCY
Total Assets BOY242302885TotalAssetsBOY
Total Assets EOY244621436TotalAssetsEOY
Total Liabilities BOY279753273TotalLiabilitiesBOY
Total Liabilities EOY304193051TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-37450388NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-59571615NetAssetsOrFundBalancesEOY
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
Expense257481269Expense
Grants124579Grants
Revenue311723769Revenue
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 through providing its patients with access to primary care practitioners, specialists, numerous outpatient facilities, and a 184-bed full-service hospital united together under one umbrella.Description
Total Program Service Expense257481269TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 With1096111NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2187NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
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 (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DANIEL F EVANS JR
CHAIRMAN5.0X01449996839848
ROBERT W MARTIN MD
VICE CHAIR.(01/01-09/14)/PHYS.55.0X504615055767
ANDREW K EDWARDS MD
VICE CHAIR.(09/15-12/31)/PHYS.55.0X246996055182
VICTOR L LECHTENBERG PHD
DIRECTOR5.0X1330200
RANDALL R MITCHELL
DIRECTOR (07/01 - 12/31)5.0X000
LARRY W PAMPEL DDS
DIRECTOR (07/01 - 12/31)5.0X000
MICHAEL B LOCKWOOD MD
DIRECTOR/STAFF PHYSICIAN55.0X325569055589
STEPHEN L HENSON MD
DIRECTOR/STAFF PHYSICIAN55.0X545234054158
KENNETH S STONE MD
DIRECTOR/STAFF PHYSICIAN5.0X230070940443981
SCOTT M BLACK
DIRECTOR5.0X027963146752
THOMAS V EASTERDAY
DIRECTOR5.0X1050000
ALFONSO W GATMAITAN
CEO55.05359350122401X
JEROME P KELLY
SECRETARY5.0021902141785X
JEFFREY R NAGY
TREASURER/CFO25.018539009270X
JAMES BIEN
VP, QUALITY AND SAFETY55.0311367058565X
LINDA DECKER
CNO55.0198185030294X
HAROLD D GEORGE
ADMINISTRATIVE DIRECTOR55.0178262023967X
LORI A LUTHER
CPO55.0181808028641X
BRIAN T SHOCKNEY
COO55.0219241051436X
CHENG DU MD
STAFF PHYSICIAN55.0655939060112X
MICHAEL L HOGAN MD
STAFF PHYSICIAN55.0594333058670X
JOSEPH E HUBBARD MD
STAFF PHYSICIAN55.0624795040732X
AYAZ SHAIKH MD
STAFF PHYSICIAN55.0613638055404X
RYAN D LOYD MD
STAFF PHYSICIAN55.0719843049989X
MICHAEL W SKEHAN MD
FORMER CEO027066719613X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6667252TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2928719TotalReportableCompFrmRltdOrgs
Total Other Compensation1802156TotalOtherCompensation
Number Individuals GT100 K218NumberIndividualsGT100K
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
SODEXO INC AFFILIATES
4880 PAYSPHERE CIRCLECHICAGOIL60674VARIOUS MGMT SRVCS2158125
HORIZON MEDICAL GROUP
1345 UNITY PLACE SUITE 345LAFAYETTEIN47605MEDICAL2108874
TURNER CONSTRUCTION COMPANY
9190 PRIORITY WAY WEST DR SUITE 2INDIANAPOLISIN46250CONSTRUCTION2006239
TRIMEDX LLC
6325 DIGITAL WAY SUITE 400INDIANAPOLISIN46278MAINTENANCE1385899
WURSTER CONSTRUCTION CO INC
6463 CASTLEWOOD DRIVEINDIANAPOLISIN46250CONSTRUCTION813171
FieldValueIRS element (for citing)
Number Of Contractors GT100 K41NumberOfContractorsGT100K
Government Grants2494389GovernmentGrants
All Other Contributions307AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions2494696TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT SERVICE REVENUE6211103107263253107263250$0
INCOME FROM PARTNERSHIPS900099580664317587263077$0
SHARED SERVICES5419002289502289500$0
CLINICAL RESEARCH5417001878301878300$0
FieldValueIRS element (for citing)
Total Program Service Revenue311723769TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1965TotalRevenueColumn
Exclusion$1,965ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9395Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real9395Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column9395TotalRevenueColumn
Exclusion$9,395ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other342649Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other188095Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other154554Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column154554TotalRevenueColumn
Exclusion$154,554ExclusionAmount

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 ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA/FOOD SERVICE7222101059387$1,059,387
GIFT SHOP453220121472$121,472
VENDING90009915226$15,226

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1385311TotalRevenueColumn
Exclusion$1,385,311ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2581396TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column316965775TotalRevenueColumn
Related Or Exempt Function Income311460692RelatedOrExemptFunctionIncome
Unrelated Business Revenue263077UnrelatedBusinessRevenue
Exclusion$2,747,310ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total124579Total
Program Services124579ProgramServices

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)
Total4239774Total
Program Services3897759ProgramServices
Management And General342015ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total131742204Total
Program Services121114799ProgramServices
Management And General10627405ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8121849Total
Program Services7658772ProgramServices
Management And General463077ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15289808Total
Program Services13627561ProgramServices
Management And General1662247ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8261948Total
Program Services7390520ProgramServices
Management And General871428ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total46553Total
Management And General46553ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total112769Total
Management And General112769ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total618Total
Management And General618ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total4775Total
Management And General4775ManagementAndGeneral

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)
Total45223350Total
Program Services18244954ProgramServices
Management And General26978396ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total597809Total
Program Services71746ProgramServices
Management And General526063ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2856083Total
Program Services964896ProgramServices
Management And General1891187ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2352345Total
Program Services471602ProgramServices
Management And General1880743ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9009702Total
Program Services609631ProgramServices
Management And General8400071ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total246552Total
Program Services209091ProgramServices
Management And General37461ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7467Total
Program Services4659ProgramServices
Management And General2808ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total15065607Total
Program Services184652ProgramServices
Management And General14880955ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14523893Total
Program Services4526341ProgramServices
Management And General9997552ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2935933Total
Program Services1449820ProgramServices
Management And General1486113ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DRUGS AND MEDICAL SUPPLIES5563994455639944
BAD DEBT2003151720031517
RECRUITMENT26880824371825090
INSTITUTIONAL DUES/LICENSES265546265546

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2250807Total
Program Services749162ProgramServices
Management And General1501645ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total339220240Total
Program Services257481269ProgramServices
Management And General81738971ManagementAndGeneral
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)
BOY32905415BOY
EOY38884622EOY

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)
BOY617997BOY
EOY725730EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3552001BOY
EOY3004209EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1789120BOY
EOY2098912EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis247346007LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec48810020LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY202240668BOY
EOY198535987EOY

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)
BOY1077079BOY
EOY1356511EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY105140BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY242302885BOY
EOY244621436EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26604437BOY
EOY30923918EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY15591EOY

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)
BOY0BOY
EOY20954971EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY253148836BOY
EOY252298571EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY279753273BOY
EOY304193051EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-37450388BOY
EOY-59571615EOY

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-37450388BOY
EOY-59571615EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY242302885BOY
EOY244621436EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-22254465ReconcilationRevenueExpenses
Reconcilation Other Changes133238ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$4,775OtherActivitiesAmount
Total Lobbying Expenditures IIB4775TotalLobbyingExpendituresIIB
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 2011 in the amount of $16,946 and $12,030, respectively. Each membership organization notified IU Health Arnett that a portion of the dues it paid were used for lobbying purposes. The AHA used 24.42%, or $4,138 of 2011 membership dues paid by IU Health Arnett, for lobbying expenditures. The IHA used 5.29%, or $636 of the 2011 membership dues paid by IU Health Arnett, for lobbying expenditures. The total membership dues paid to these organizations by IU Health Arnett during 2011 that were attributable to lobbying expenditures was $4,775.Explanation

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis400000OtherCostOrOtherBasis
Book Value400000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis177707825OtherCostOrOtherBasis
Depreciation17526525Depreciation
Book Value160181300BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis735705OtherCostOrOtherBasis
Depreciation74815Depreciation
Book Value660890BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis59790111OtherCostOrOtherBasis
Depreciation31154372Depreciation
Book Value28635739BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8712366OtherCostOrOtherBasis
Depreciation54308Depreciation
Book Value8658058BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings198535987TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY PAYABLES (NET)$216,876,781
DUE TO THIRD-PARTY PAYORS$34,155,731
SELF-INSURANCE LIABILITIES$540,329
ALL OTHER LIABILITIES$725,730
FieldValueIRS element (for citing)
Total Of Amounts252298571TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchedule D, Part X - Other LiabilitiesIdentifier
Return ReferenceLine 2 - FIN 48 (ASC 740) FootnoteReturnReference
ExplanationIndiana University Health Arnett, Inc. ("IU Health Arnett") 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 2011 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 Served4360PersonsServed
Total Community Benefit Expense10531769TotalCommunityBenefitExpense
Net Community Benefit Expense10531769NetCommunityBenefitExpense
Percent Of Total Expense0.03300PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served58142PersonsServed
Total Community Benefit Expense24626094TotalCommunityBenefitExpense
Direct Offsetting Revenue8993896DirectOffsettingRevenue
Net Community Benefit Expense15632198NetCommunityBenefitExpense
Percent Of Total Expense0.04900PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served62502PersonsServed
Total Community Benefit Expense35157863TotalCommunityBenefitExpense
Direct Offsetting Revenue8993896DirectOffsettingRevenue
Net Community Benefit Expense26163967NetCommunityBenefitExpense
Percent Of Total Expense0.08200PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Persons Served3194PersonsServed
Total Community Benefit Expense126092TotalCommunityBenefitExpense
Net Community Benefit Expense126092NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served641PersonsServed
Total Community Benefit Expense784813TotalCommunityBenefitExpense
Net Community Benefit Expense784813NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served213PersonsServed
Total Community Benefit Expense298039TotalCommunityBenefitExpense
Net Community Benefit Expense298039NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served14572PersonsServed
Total Community Benefit Expense223284TotalCommunityBenefitExpense
Net Community Benefit Expense223284NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served18620PersonsServed
Total Community Benefit Expense1432228TotalCommunityBenefitExpense
Net Community Benefit Expense1432228NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs24NumberOfActivitiesOrPrograms
Persons Served81122PersonsServed
Total Community Benefit Expense36590091TotalCommunityBenefitExpense
Direct Offsetting Revenue8993896DirectOffsettingRevenue
Net Community Benefit Expense27596195NetCommunityBenefitExpense
Percent Of Total Expense0.08650PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served4500PersonsServed
Total Community Building Expense3252TotalCommunityBuildingExpense
Net Community Building Expense3252NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served65PersonsServed
Total Community Building Expense1540TotalCommunityBuildingExpense
Net Community Building Expense1540NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense18690TotalCommunityBuildingExpense
Net Community Building Expense18690NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served4565PersonsServed
Total Community Building Expense23482TotalCommunityBuildingExpense
Net Community Building Expense23482NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$6,870,810BadDebtExpenseAmount
Amount Reimbursed By Medicare61241207AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare80721321CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-19480114MedicareSurplusOrShortfall

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)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
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
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
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 Facilities23NumberOfOtherFacilities

Other Facilities OtherFacilities (23 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
IU HEALTH ARNETT SURGERY CENTER
1327 S 500 ELAFAYETTEIN47905OUTPATIENT SURGERY CENTER
IU HEALTH ARNETT - NORTH
2600 GREENBUSH STREETLAFAYETTEIN47904PHYSICIAN OFFICE URGENT CARE CENTER
IU HEALTH ARNETT IMAGING CENTER
2403 LOY DRIVELAFAYETTEIN47909DIAGNOSTIC CENTER
IU HEALTH ARNETT CANCER CARE CENTER
420 N 26TH STREETLAFAYETTEIN47904PHYSICIAN OFFICE INFUSION SERVICES
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 - WEST LAFAYETTE
2995 SALISBURY STREETWEST LAFAYETTEIN47906PHYSICIAN OFFICE URGENT CARE CENTER
IU HEALTH ARNETT - SOUTH
1 WALTER SCHOLER DRIVELAFAYETTEIN47909PHYSICIAN OFFICE URGENT CARE CENTER
IU HEALTH ARNETT HORIZON ONCOLOGY
1345 UNITY PLACE SUITE 345LAFAYETTEIN47905PHYSICIAN OFFICE INFUSION SERVICES
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 - FRANKFORT
550 S HOKE AVENUEFRANKFORTIN46041PHYSICIAN OFFICE
IU HEALTH ARNETT - OTTERBEIN
385 N MEADOW STREETOTTERBEININ47970PHYSICIAN OFFICE
IU HEALTH ARNETT - MONTICELLO
810 S 6TH STREET STE AMONTICELLOIN47960PHYSICIAN OFFICE
IU HEALTH ARNETT REHABILITATION
2601 FERRY STREETLAFAYETTEIN47904REHABILITATION CLINIC
IU HEALTH ARNETT - FLORA
203 DIVISION STREETFLORAIN46929PHYSICIAN OFFICE
IU HEALTH ARNETT HEALTH - DELPHI
651 ARMORY ROADDELPHIIN46923PHYSICIAN OFFICE
IU HEALTH ARNETT - ROSSVILLE
14 S PLANK STREETROSSVILLEIN46065PHYSICIAN OFFICE
IU HEALTH ARNETT OCCUPATIONAL HLTH SRVCS
3746 ROME DRIVELAFAYETTEIN46905OCCUPATIONAL THERAPY
IU HEALTH ARNETT SLEEP LAB CASCADE CTR
3900 MCCARTHY LANE STE 101LAFAYETTEIN47905DIAGNOSTIC CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FEDERAL POVERTY GUIDELINESPART I, LINE 3C:N/A
ANNUAL COMMUNITY BENEFIT REPORTPART I, LINE 6A:Indiana University Health Arnett, Inc.'s ("IU Health Arnett") community benefit investments are included in the Indiana University Health's ("IU Health") Community Benefit Report which is made available to the public on its website at iuhealth.org/communitybenefit. The Community Benefit Report is also mailed 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 Indiana State Department of Health or IU Health.
SUBSIDIZED HEALTH SERVICESPART I, LINE 7G:Indiana University Health Arnett, Inc. does not include any costs associated with physician clinics as subsidized health services.
BAD DEBT EXPENSEPART I, LINE 7, COLUMN F:The Bad Debt Expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the community benefit percentage of total expenses is $20,031,517.
PERCENTAGE OF TOTAL EXPENSESPART I, LINE 7:Percentage of total expenses listed on Schedule H, Part I, Line 7, Column(f)is calculated based on net community benefit expense. The percentage of total expenses calculated based on total community benefit expense is 11.46%
COMMUNITY BUILDING ACTIVITIESPART IIIU 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. In 2011, IU Health System spent over 1.2 million dollars, serving more than 77,000 individuals as a statewide organization. Locally, IU Health Arnett Hospital invested over $23,000 in community-building activities that service more than 4500 individuals by providing expertise and resources to local community initiatives that addressed economic development, community health improvement and workforce development. Outreach activities included teaching CPR to the Lafayette Police Department, participating in our local United Way's Read to Succeed child mentoring program and volunteering as Junior Achievement speakers.
BAD DEBT FOOTNOTE AND COSTING METHODOLOGYPART III, LINE 4:Footnote to Financial Statements Indiana University Health Arnett, Inc. ("IU Health Arnett") is included in a consolidated audit report prepared for Indiana University Health, Inc. The provision for uncollected patient accounts is based upon managements 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, the significance of individual payors to outstanding accounts receivable balances, and historical write-off experience by payor category, as adjusted for collection indicators. The results of this review are then used to make any modifications to the provision for uncollected patient accounts and the allowance for uncollectible accounts. In addition, the Indiana University 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 Indiana University Health System and, in certain cases, are reclassified to charity care if deemed to otherwise meet financial assistance policies of the Indiana University Health System. Costing Methodology The bad debt expense reported on Line 2 is calculated under the cost to charge ratio methodology. IU Health Arnett provides healthcare 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.
MEDICAREPART III, LINE 8:The Medicare shortfall reported on Schedule H, Part III, Line 7 is calculated, in accordance with the Form 990 instructions, using "allowable costs" from 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.
COLLECTION PRACTICESPART III, LINE 9B:If a patient cannot satisfy standard payment expectations, financial assistance screening for alternative sources of balance resolution are completed. Those resolutions may include: a discount on charges; Medicaid enrollment, interest-free loan or application for charity care. If a patient does not apply for charity care but meets the charity care guidelines established by Indiana University Health Arnett, Inc. ("IU Health Arnett"), IU Health Arnett will waive charges and treat the costs of services as charity care.
NEEDS ASSESSMENTPART VI, LINE 2Communities are multifaceted and so are their health needs. 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, and this is why IU Health Arnett looks to organizations that are in touch with needs of the community and have expertise in conducting community needs assessments. IU Health Arnett assessed the health care needs of the areas we serve by utilizing the detailed community needs assessments undertaken by organizations such as the County Health Department, the Indiana State Department of Health, the Centers for Disease Control and Prevention and the United Way of Central Indiana.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VI, LINE 3: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 a self-pay patient or if they request assistance information. The patient is also provided with an Admissions Packet that outlines 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, while 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 and online application and phone numbers for customer service representatives to assist with the application process. IU Health Arnett has an expansive financial assistance policy, which aligns with the IU Health's policy, which utilizes the federal poverty guidelines to determine eligibility; making access to quality care within a patient's reach. The IU Health Arnett's 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, - 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 charity care guidelines established by IU Health Arnett, the hospital will waive charges and treat the cost of services as charity care.
COMMUNITY INFORMATIONPART VI, LINE 4:IU Health Arnett Hospital is located in Tippecanoe County; a county located in central northwest Indiana, but has medical offices and serves patients in Tippecanoe, Benton, White, Carroll and Clinton 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 (2010) statistics, Tippecanoe County's population is 172,780 persons with approximately 49% being female and 51% male. The county's population estimates by race are 79.8% White, 7.7% Hispanic or Latino, 6.5% Asian, 4.4% 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 (29%). An additional 19% had some college, but no degree. As of 2010, 26% of the population had an associate's or bachelor's degree, and 16% hold a graduate or professional degree.
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5:IU Health Arnett is an affiliate of IU Health, a tax-exempt hospital, who 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. Several community benefit highlights are described below. IU Health Arnett is committed to providing our youth with a preeminent facility to learn from top physicians and other clinical staff. In 2011, IU Health Arnett employees provided health education/training to more than 600 students studying different health professions including but not limited to medical, nursing and pharmacy students. Breastfeeding has countless benefits for both mom and baby, including but not limited to building immunities and reducing the risk of SIDS in baby, and reducing the risk of cancer for mom. For all of these reasons and many more is why IU Health Arnett promotes breastfeeding to mothers. Every Thursday, IU Health Arnett holds a breastfeeding support group by the hospital's licensed lactation consultant. This class is free and is open to the public - you don't even have to have delivered at IU Health Arnett Hospital to attend. In 2011, 461 local moms took advantage of this free support group. 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 performed 992 inspections at no cost to families. Since each inspection typically takes around 30 minutes to complete, this was a 500 hour commitment by IU Health Arnett employees who are certified child passenger safety technicians. IU Health Arnett also funded over $16,000 in support of local cancer-related walks including but not limited to Relay for Life, Community Cancer Network's Carry the Torch walk and Purdue's Cancer Challenge 5K Walk/Run.
AFFILIATED HEALTH CARE SYSTEMPART VI, LINE 6: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 Hospital, IU Health White Hospital, 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 three-prong 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 2011: 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. By the end of December 2011, Garden on the Go served thousands of community members, reaching a total of 8281 residents! 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 just two months of harvest, more than 1400 pounds of produce was grown on .5 acres and delivered to Gleaners Food Bank. Riley School Gardens: In an effort to increase access to nutritious foods and reduce the incidence of obesity among youth, Riley Hospital for Children at Indiana University Health partnered with Keep Indianapolis Beautiful (KIB) and Indianapolis Public Schools (IPS) to establish school gardens at 10 IPS schools throughout the city. IU Health Bucks: IU Health Bucks is an incentive program designed to increase produce consumption among underserved populations using state-issued Farmers Market Vouchers. Participants who spent their state-issued vouchers at the North United Methodist Church Farmers' Market in Indianapolis received additional IU Health "Market Money" to spend on produce. 233 low-income families participated in the pilot program, spending $3,500 on healthy, local produce. 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 work 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. Additionally, IU Health supports the advocacy of policies, such as the texting while driving ban, to help provide infrastructure to instill the awareness of injury prevention in our communities. Bicycle Helmet Safety Campaign: Outfitted 4,042 children statewide (ages 6-14) with free, properly fitted bicycle helmets and provided bicycle safety education. This initiative resulted in a 37% increase in helmet usage post-activation. IU Health Child Passenger Safety Campaign: On National Seat Check Saturday, IU Health launched a statewide campaign to decrease the incidence of children traveling unrestrained or restrained incorrectly. CPS Technicians distributed 122 free car seats and found that 85% of the 205 car seats inspected were installed improperly. CICOA Aging and In-Home Solutions: Safe at Home Event - targeted homeowners over the age of 65 or persons of any age with a disability to make their homes safe and accessible for daily living. Volunteers made safety modifications to 22 homes including securing grab bars in bathrooms, installing handrails and banisters on steps, repairing steps, and installing comfort height toilets. K-12 Education In 2011, IU Health partnered with the United Way to implement a Kindergarten readiness program for at-risk children called Kindergarten Countdown. IU Health's significant investment in this program allowed hundreds of soon-to-be students to receive necessary vaccinations and screenings as well as attend a 4-week summer camp to enhance their school readiness. With IU Health's support, the program was expanded across the IPS district and into 10 additional IU Health communities. Community Revitalization During IU Health's third annual Day of Service, 1,611 employees joined the fight against childhood obesity by increasing access to active places to play and fresh nutritious foods for low-income school children across Indiana. Community assets left behind as a result of the event included: 3 new school playgrounds, 12 improved school playgrounds, and 5 school gardens. Over 65,000 Hoosiers were positively impacted by the construction of new playgrounds and safety improvements made; creating secure & convenient places for community members to play and be active. 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 2011, IU Health directly invested in partners to carry out such diverse activities as delivering low-cost medical services, raising funding for research, and providing health education.
STATE FILING OF COMMUNITY BENEFIT REPORT990 SCHEDULE H, PART VIIN,

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 STATE STREETLAFAYETTEIN47905350891621501(c)(3)500000CASHN/AGENERAL SUPPORT
INDIANA UNIVERSITY FOUNDATION
PO BOX 500BLOOMINGTONIN47402356018940501(C)(3)15000CASHN/AEVENT SPONSORSHIP
LAFAYETTE MEDICAL EDUCATION FOUNDATION INC
PO BOX 4083LAFAYETTEIN47903351314750501(c)(3)100000CASHN/AMEDICAL EDUATION
AMERICAN HEART ASSOCIATION INC
7272 GREENVILLE AVEDALLASTX75231135613797501(C)(3)7500CASHN/AGENERAL SUPPORT
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 (21 entries)

Base 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
DANIEL F EVANS JR
01020135037309705676408188590209890228984400
ROBERT W MARTIN MD
490580012229018060325000232670560382000
ANDREW K EDWARDS MD
2466180003780260700291120302178000
MICHAEL B LOCKWOOD MD
32376300018060325000230890381158000
STEPHEN L HENSON MD
5424620027720325000216580599392000
KENNETH S STONE MD
230068890600020498020652023329230075338500
SCOTT M BLACK
0223402046155010074020505026247032638300
ALFONSO W GATMAITAN
39376201310880110850936630287380658336000
JEROME P KELLY
02095820156207877018634023151026080600
JEFFREY R NAGY
185390000009270000194660000
JAMES BIEN
2507070421990184610325000260650369932000
LINDA DECKER
17776701690603512023094072000228479000
HAROLD D GEORGE
162603015599060091480148190202229000
LORI A LUTHER
16643201315402222020349082920210449000
BRIAN T SHOCKNEY
200312016720022090287110227250270677000
CHENG DU MD
6553090006300325000276120716051000
MICHAEL L HOGAN MD
59252700018060325000261700653003000
JOSEPH E HUBBARD MD
6244590003360260700146620665527000
AYAZ SHAIKH MD
6130080006300325000229040669042000
RYAN D LOYD MD
7194230004200260700239190769832000
MICHAEL W SKEHAN MD
0269050000161700019613029028000

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 (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part VI, Section A - Governing Body and ManagementLine 2 - Family or Business RelationshipsDaniel F. Evans, Jr. serves on the Board of Managers of Clarian Health North, LLC. Jerome P. Kelly serves as an officer of Clarian Health North, LLC. No additional compensation is 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 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 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. 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 Compensation Committee and Board of Directors.
Part VI, Section B - PoliciesLine 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.
Part VII, Section A - Governing Body and ManagementLine 1a, Column (B) - Average hours per weekDaniel F. Evans, Jr. is the President and CEO for Indiana University Health, Inc. and devotes 55 hours per week. Jerome P. Kelly is the Assistant General Counsel for Indiana University Health, Inc. and devotes 55 hours per week. Scott M. Black is the Vice President, Business Development for Indiana University Health, Inc. and devotes 55 hours per week. Kenneth S. Stone, M.D. is a staff physician for Indiana University Health Care Associates, Inc. and devotes 55 hours per week. Michael W. Skehan is the Chief Medical Officer of Clarian Quality Partners, LLC and devotes 55 hours per week.
Part XI - Reconciliation of Net AssetsLine 5 - Other Changes in Net Assets or Fund BalancesDuring 2011, Indiana University Health Arnett, Inc. recorded the following other changes in net assets or fund balances: Book/Tax Differences - Partnerships: 133,238
Form 5471 FootnoteIndiana University Health Arnett, Inc. (FEIN: 26-3162145) constructively owned a controlled foreign corporation in 2011 through its affiliate, Indiana University Health, Inc. (FEIN: 35-1955875). Pursuant to IRC Section 6038, the 2011 controlled foreign corporation filing requirement of Indiana University Health Arnett, Inc. was fulfilled on the 2011 Form 5471 filed on its behalf by: Indiana University Health FEIN: 35-1955872 950 N. Meridian Street, Suite 800 Indianapolis, IN 46204 The 2011 Form 5471 for Indiana University Health was filed at the following IRS processing center: Ogden, UT 84201-0012

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 800INDIANAPOLISIN46204352030653HEALTHCAREIN1143628150IUHA
CAH PHYSICIANS LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204262769447HEALTHCAREIN00IUHA
CLARIAN-ARNETT OCCUP HEALTH CTRS LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204271973115HEALTHCAREIN28926690IUHA

Form990 Schedule R Part II Form990ScheduleRPartII (36 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BALL MEMORIAL HOSPITAL AUXILIARY INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204356025400HEALTHCAREIN501(C)(3)11 III-FIIUHBMHtrue
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
2600 GREENBUSH STLAFAYETTEIN47904356079797FUNDRAISINGIN501(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 800INDIANAPOLISIN46204311111784HEALTHCAREIN501(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
UNIVERSITY FAMILY PHYSICIANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204237427350HEALTHCAREIN501(C)(3)9IUHCAtrue
WHITE CO MEM HOSP FOUNDATION INC
PO BOX 952MONTICELLOIN47960351671806FUNDRAISINGIN501(C)(3)11 III-OIUHWMHtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (25 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 500BIRMIMGHAMAL35244352072586HEALTHCAREINIUHSCN/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
CLARIAN HEALTH NORTH LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204431980602HEALTHCAREINIUHN/A00false$0false0.00000
CLARIAN HEALTH WEST LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204431980611HEALTHCAREINIUHN/A00false$0false0.00000
CTF INTERNATIONAL GROWTH PORTFOLIO
280 CONGRESS ST STE 500BOSTONMA02210200231923INVESTMENTSMAIUHN/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$0false
INDIANA ENDOSCOPY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244208398421HEALTHCAREINIECHN/A00false$0false0.00000
INDIANA LAKES MANAGED CARE ORG LLC
310 S MAIN STGOSHENIN46526351946663HEALTHCAREINGHSN/A00false$0false0.00000
IUH SURGERY CENTERS 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
THE HEALTHCARE GROUP LLC
1776 MERIDIAN ST STE 300INDIANAPOLISIN46202352067373MANAGED CAREINIUHN/A00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
BMH MEDICAL PAVILION ASSOCIATION INC
2525 W UNIVERSITY AVEMUNCIEIN47303351858408CONDO MANAGEMENTINIUHBMHC000.00000
CARDINAL HEALTH VENTURES INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351611424MANAGEMENTINIUHBMHC000.00000
CHV CAPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204260752507VENTURE CAPITALINIUHC000.00000
IU HEALTH ACO INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204454421020HEALTHCAREINIUHC000.00000
IU HEALTH BOARD DESIGNATED TRUST
400 HOWARD STSAN FRANCISCOCA94105306309021INVESTMENTSINIUHT000.00000
IU HEALTH NTGI S&P500 FUND CF
PO BOX 804358CHICAGOIL60680306298263INVESTMENTSINIUHT000.00000
IU HEALTH PLANS INC
1776 MERIDIAN ST STE 300INDIANAPOLISIN46202262127080HMOINIUHC000.00000
IU HEALTH RISK PURCHASING GROUP INC
151 MEETING ST STE 301CHARLESTONSC29401260202446INSURANCEINIUHC000.00000
IU HEALTH RISK RETENTION GROUP INC
151 MEETING ST STE 301CHARLESTONSC29401201107674INSURANCESCIUHC000.00000
IU HEALTH SOUTHERN IN PHYSICIANS INC
PO BOX 1149BLOOMINGTONIN47402351913875HEALTHCAREINIUHBC000.00000
IUH ASSURANCE LTD
980395429INSURANCEIUHC000.00000720 W BAY RDPO BOX 69GRAND CAYMANCJCJ
OCC-HEALTH REVENUE SYSTEMS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204203308057WORK COMP PPOINMOHCC000.00000
PARKMOR DRUG INC
1501 S MAIN STGOSHENIN46526131394980PHARMACY SALESINGHSC000.00000
PILR INC
200 HIGH PARK AVEGOSHENIN46526204294750DEVELOPMENTINGHSC000.00000
RADIATION ONCOLOGY RESOURCES INC
200 HIGH PARK AVEGOSHENIN46526262008424HEALTHCAREINGHSC000.00000
SCANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204453080392HEALTHCAREINCHVF1C000.00000
UNIVERSITY HEALTH MANAGEMENT INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204272891143MANAGEMENTINCHVC000.00000
UNIVERSITY HEALTH MGMT (CHINA) INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204273891311MANAGEMENTINCHVC000.00000
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 OrgsfalseRentalOfFacilitiesToOtherOrgs
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 (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
IU HEALTH WHITE MEMORIAL HOSPITAL INC
K71150FMV
INDIANA RADIOLOGY PARTNERS INC
L335617FMV
IU HEALTH CARE ASSOCIATES INC
L232370FMV
METHODIST OCCUPATIONAL HEALTH CENTERS INC
L173874FMV
IU HEALTH RISK RETENTION GROUP INC
Q2571289FMV