INDIANA UNIVERSITY HEALTH BEDFORD INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- INDIANA UNIVERSITY HEALTH BEDFORD INC (EIN 23-7042323)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-09-26
- IRS object ID
- 201142699349300609
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-09-26T10:11:49-04:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237042323 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEDFORD REGIONAL MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BEDF | NameControl |
| Phone | 8122751200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 WEST 16TH STREET | AddressLine1 |
| City | BEDFORD | City |
| State | IN | State |
| ZIP Code | 47421 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHARLES SHETLER | Name |
| Title | CFO | Title |
| Date Signed | 2011-09-26 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Bradford Dykes | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 West 16th Street | AddressLine1 |
| City | Bedford | City |
| State | IN | State |
| ZIP Code | 47421 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 50895790 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | IUHEALTHBEDFORD.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | Improving Lives with High Quality Compassionate Care. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 550 | TotalNbrEmployees |
| Total Nbr Volunteers | 34 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 171874 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 141727 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 52337589 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 50520096 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 52948 | InvestmentIncomePriorYear |
| Investment Income Current Year | 55284 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 236382 | OtherRevenuePriorYear |
| Other Revenue Current Year | 175355 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 52798793 | TotalRevenuePriorYear |
| Total Revenue Current Year | 50892462 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3550 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1380 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 30004362 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 30610747 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 20729608 | OtherExpensePriorYear |
| Other Expenses Current Year | 16940894 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 50737520 | TotalExpensesPriorYear |
| Total Expenses Current Year | 47553021 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2061273 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3339441 | RevenuesLessExpensesCY |
| Total Assets BOY | 29650265 | TotalAssetsBOY |
| Total Assets EOY | 33577272 | TotalAssetsEOY |
| Total Liabilities BOY | 13745034 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 14332762 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15905231 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19244510 | NetAssetsOrFundBalancesEOY |
| Mission Description | Improving Lives with High Quality Compassionate Care. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 8141977 | Expense |
| Grants | 1380 | Grants |
| Revenue | 6754571 | Revenue |
| Description | Physician Group The Bedford Regional Medical Center (Physician Group) consists of approximately 16 Physicians and 6 Nurse Practitioners. It is designed to have a service area that covers Lawrence, Monroe, Martin, Greene, Jackson, Washington and Orange Counties. The Physicians and Nurse Practitioners had 60,047 Office Visits in 2010. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7153856 | Expense |
| Grants | 0 | Grants |
| Revenue | 11064767 | Revenue |
| Description | Inpatient Care We had 1,398 Inpatient Admissions resulting in 5,354 Inpatient Days. We also had 519 Swing Bed Days. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 21142471 | Expense |
| Grants | 0 | Grants |
| Revenue | 32700758 | Revenue |
| Description | Outpatient Care BRMC had 86,468 Outpatient Registrations resulting in 259 Observation Stays, 841 Outpatient Surgeries, 170,747 Outpatient Lab Tests, 21,688 Outpatient Radiology Tests, 4,904 Cat Scans, 14,055 ER visits, 19,632 Physical Therapy Procedures, 3,714 Cardio Pulmonary Procedures and 2,156 Ambulance runs. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 36438304 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 100 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 550 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ANITA HAMILTON | NamePerson |
| Telephone Number | 8122785281 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 West 16th Street | AddressLine1 |
| City | Bedford | City |
| State | IN | State |
| ZIP Code | 47421 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Harley Brown | |||||||
| Director & Chairman | 3.0 | X | X | 7200 | 0 | 0 | |
| Mary Lu Hanson | |||||||
| Director | 3.0 | X | 3840 | 0 | 0 | ||
| Randy Hawkins | |||||||
| Director & Secretary | 3.0 | X | X | 4320 | 0 | 0 | |
| Helen Nash | |||||||
| Director | 3.0 | X | 4410 | 0 | 0 | ||
| James T Oswalt | |||||||
| Director | 3.0 | X | 4860 | 0 | 0 | ||
| Jack Kenworthy | |||||||
| Director | 3.0 | X | 4860 | 0 | 0 | ||
| J T Bellush | |||||||
| Director | 3.0 | X | 3960 | 0 | 0 | ||
| Gene Robbins | |||||||
| Director | 3.0 | X | 0 | 0 | 0 | ||
| Dan Dusleag MD | |||||||
| Pediatrician & Director | 40.0 | X | 130171 | 0 | 33016 | ||
| Hojjat Shamloo MD | |||||||
| Internist & Director | 40.0 | X | 349375 | 0 | 39196 | ||
| Bradford W Dykes | |||||||
| CEO | 40.0 | X | X | 0 | 314102 | 7453 | |
| Neil Pickett | |||||||
| Director | 3.0 | X | 0 | 252094 | 13240 | ||
| Charles Shetler | |||||||
| CFO | 40.0 | X | 145967 | 0 | 28184 | ||
| Brenda Davis | |||||||
| VP Patient Services | 40.0 | X | 119132 | 0 | 9859 | ||
| Cindy Smale | |||||||
| VP HR & Development | 40.0 | X | 100385 | 0 | 21857 | ||
| Rafi Siddiqi MD | |||||||
| Surgeon | 40.0 | 371776 | 0 | 37352 | X | ||
| Randall Martin MD | |||||||
| Anesthesiologist | 40.0 | 335417 | 0 | 39816 | X | ||
| Eung Jun Cha MD | |||||||
| Orthopedic Surgeon | 40.0 | 318829 | 0 | 33535 | X | ||
| Stephen Schultz MD | |||||||
| Internist | 40.0 | 276422 | 0 | 31774 | X | ||
| Alan Smith MD | |||||||
| Pathologist | 40.0 | 262656 | 0 | 32982 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2443580 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 566196 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 328264 | TotalOtherCompensation |
| Number Individuals GT100 K | 24 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO Box 96485 | Chicago | IL | 60693 | MRI Testing | 667353 |
| HMS MONITOR | |||||
| 2739 Momentium Place | Chicago | IL | 60689 | Computer System | 452983 |
| UNITY PHYSICIAN GROUP | |||||
| 1155 West Third St | Bloomington | IN | 47404 | Physicians | 412937 |
| MAYO MEDICAL LABS | |||||
| 2001 1st Street | Rochester | MN | 55905 | Lab Testing | 307021 |
| SIMPLEXGRINNELL | |||||
| Dept CH 10320 | Palatine | IL | 60055 | Contractor | 273322 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Related Organizations | 20806 | RelatedOrganizations |
| Government Grants | 120921 | GovernmentGrants |
| Noncash Contributions | 10348 | NoncashContributions |
| Total Contributions | 141727 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Revenue | 622110 | 50236112 | 50236112 |
| Counseling Contract Revenue | 900099 | 231746 | 231746 |
| Physician Medicare Incentive | 900099 | 29438 | 29438 |
| Dewitte Disability Exams | 900099 | 9900 | 9900 |
| All other program service revenue | 900099 | 12900 | 12900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 50520096 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45784 | TotalRevenueColumn |
| Exclusion | $45,784 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 80473 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 3328 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 77145 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 77145 | TotalRevenueColumn |
| Exclusion | $77,145 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 9500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 9500 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9500 | TotalRevenueColumn |
| Exclusion | $9,500 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Cafeteria Sales | 722320 | 82420 | $82,420 |
| Purch Discount Late Fees | 900099 | 9940 | $9,940 |
| All other revenue | 900099 | 5850 | $5,850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 98210 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50892462 | TotalRevenueColumn |
| Related Or Exempt Function Income | 50520096 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $230,639 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1380 | Total |
| Program Services | 1380 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1010592 | Total |
| Management And General | 1010592 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23593116 | Total |
| Program Services | 18162971 | ProgramServices |
| Management And General | 5430145 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1261612 | Total |
| Program Services | 971441 | ProgramServices |
| Management And General | 290171 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3125775 | Total |
| Program Services | 2284075 | ProgramServices |
| Management And General | 841700 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1619652 | Total |
| Program Services | 1247132 | ProgramServices |
| Management And General | 372520 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3354616 | Total |
| Program Services | 2758877 | ProgramServices |
| Management And General | 595739 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47589 | Total |
| Management And General | 47589 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49871 | Total |
| Management And General | 49871 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 839928 | Total |
| Program Services | 839928 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276556 | Total |
| Program Services | 276556 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7564605 | Total |
| Program Services | 7098349 | ProgramServices |
| Management And General | 466256 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 861557 | Total |
| Program Services | 594474 | ProgramServices |
| Management And General | 267083 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1222639 | Total |
| Program Services | 843621 | ProgramServices |
| Management And General | 379018 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19996 | Total |
| Program Services | 19996 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 211429 | Total |
| Program Services | 122710 | ProgramServices |
| Management And General | 88719 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 649061 | Total |
| Program Services | 447852 | ProgramServices |
| Management And General | 201209 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2147262 | Total |
| Program Services | 1481611 | ProgramServices |
| Management And General | 665651 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 428565 | Total |
| Program Services | 240010 | ProgramServices |
| Management And General | 188555 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt Expense | -1426392 | -1426392 | |
| Repairs | 501862 | 412205 | 89657 |
| MISCELLANEOUS EXPENSES | 191750 | 61508 | 130242 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47553021 | Total |
| Program Services | 36438304 | ProgramServices |
| Management And General | 11114717 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3111837 | BOY |
| EOY | 6452369 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6014509 | BOY |
| EOY | 6059324 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5047364 | BOY |
| EOY | 5682302 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9752 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 348058 | BOY |
| EOY | 32683 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 799251 | BOY |
| EOY | 805233 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 534314 | BOY |
| EOY | 465416 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 39373552 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 25293607 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13785180 | BOY |
| EOY | 14079945 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29650265 | BOY |
| EOY | 33577272 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2804990 | BOY |
| EOY | 3753506 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10940044 | BOY |
| EOY | 10579256 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13745034 | BOY |
| EOY | 14332762 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15824399 | BOY |
| EOY | 19164807 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80832 | BOY |
| EOY | 79703 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15905231 | BOY |
| EOY | 19244510 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29650265 | BOY |
| EOY | 33577272 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3339441 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -162 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 80832 | BeginningOfYearBalance |
| Other Expenditures | 1129 | OtherExpenditures |
| End Of Year Balance | 79703 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 76206 | BeginningOfYearBalance |
| Contributions | 4626 | Contributions |
| End Of Year Balance | 80832 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 78190 | BeginningOfYearBalance |
| Other Expenditures | 1984 | OtherExpenditures |
| End Of Year Balance | 76206 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 912711 | OtherCostOrOtherBasis |
| Book Value | 912711 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15672893 | OtherCostOrOtherBasis |
| Depreciation | 6839973 | Depreciation |
| Book Value | 8832920 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21724517 | OtherCostOrOtherBasis |
| Depreciation | 17865692 | Depreciation |
| Book Value | 3858825 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1063431 | OtherCostOrOtherBasis |
| Depreciation | 587942 | Depreciation |
| Book Value | 475489 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14079945 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Medicare/Medicaid | $2,045,574 |
| Professional Liability/Tail Coverage | $75,971 |
| INDIANA UNIVERSITY HEALTH | $8,457,711 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10579256 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Restricted Funds | Schedule D, Part V | Hospice Donations are used for the needs of our cancer patients. Money is donated by the Medical Group to pay for Patient's prescriptions who cannot afford them. These are donations on the Hospital's books that are earmarked for the Foundation. Radiology incentive is money donated for seminars etc for Radiology employees. Restricted donations are monies that are donated to the Hospital for specific use only. |
| FIN 48 Footnote from Financial Statements | Schedule D, Part X | Bedford Regional Medical Center Inc. is a subsidiary in the consolidated financial statement of Indiana University Health (formerly known as Clarian Health Partners, Inc.). Indiana University Health adopted FIN 48 in 2007. No disclosures were required under GAAP as Indiana University Health does not have any material tax contingencies that required disclosures in the footnotes. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1840 | PersonsServed |
| Total Community Benefit Expense | 3333454 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3333454 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06810 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2949 | PersonsServed |
| Total Community Benefit Expense | 5440815 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 635176 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4805639 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09810 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4789 | PersonsServed |
| Total Community Benefit Expense | 8774269 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 635176 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8139093 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.16620 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 9 | NumberOfActivitiesOrPrograms |
| Persons Served | 1072 | PersonsServed |
| Total Community Benefit Expense | 469369 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1780 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 467589 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00950 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 45 | PersonsServed |
| Total Community Benefit Expense | 9557 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9557 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 500292 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 500292 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00640 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 1380 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1380 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 1117 | PersonsServed |
| Total Community Benefit Expense | 980598 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1780 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 978818 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01610 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 14 | NumberOfActivitiesOrPrograms |
| Persons Served | 5906 | PersonsServed |
| Total Community Benefit Expense | 9754867 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 636956 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9117911 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.18230 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 1163 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1163 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 366 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 366 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 22 | PersonsServed |
| Total Community Building Expense | 293 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 293 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 22 | PersonsServed |
| Total Community Building Expense | 1822 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 1822 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $0 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 16015256 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 14934390 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1080866 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEDFORD REGIONAL MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 WEST 16TH STREET | AddressLine1 |
| City | BEDFORD | City |
| State | IN | State |
| ZIP Code | 47421 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEDFORD REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 6a | The community benefit is included in Indiana University Health's community benefit report. | |
| Part I, Line 7, Column (f) | Bad Debt expense of $(1,426,392) was excluded from total expenses in the calculation of the percent of total expense. | |
| Part I, Line 7 | We used the Cost to Charge Ratio as our costing methodology. | |
| Part II - Community Building Activites | We support Community Building Activities by involvement in the Economic Development Committee, the local Chamber of Commerce, and the Indiana State Department of Health Licensure Council. We also offer career education and job shadowing for local students. | |
| Part III, Line 4 | Bad Debt Expense We did not show any Bad Debt in our 2010 Community Benefits. Bad debt expense is actually a credit balance this year. Bad debts were over accrued because a majority was determined to be charity care. | |
| Part III, Line 8 | Medicare Shortfalls and Surplus We did not have a Medicare shortfall in 2010. We have worked hard to manage our patients' length of stay and the use of Observation Beds. Many of the Medicare beneficiaries are poor and would have qualified for the Hospital's Charity Care Program or Medicaid in addition to Medicare. If these patients had been treated as Charity Care, the entire cost of medical care would have been considered Community Benefit. We used our Medicare Cost Report to come up with the Medicare shortfall or surplus. | |
| Part III, Line 9b | Bad Debt Policy The first statement lists detail by revenue code, the total balance due and the discounted amount due if paid within 30 days of statement date. The first Statement for uninsured patients will also reflect the uninsured discount, according to policy. Statements will be aged by the last payment date on the account. Patients with Medicare will receive 3 statements after the initial detail statement. Non-Medicare patients will receive 2 additional statements after the initial detail statement. Accounts not paid in full that receive the 4th statement for Medicare patients, 3rd statement for Non-Medicare, will be referred to a collection agency. When a patient establishes a payment plan, the statement process is changed to a monthly reminder of payment amount now due. A 10 day extension from the due date will be granted to allow for mailing and processing time, before a payment is considered delinquent. Multiple missed payments will result in the account being referred to a collection agency. | |
| Part VI, Line 2 - Needs Assessment | In 2008 a Community Health Needs Assessment of Lawrence County was conducted by Professional Research Consultants (PRC). | |
| Part VI, Line 3 - Patient Education of Eligibility for Assistance | Any patient that we contact or contacts us, in person or over the phone, about their bill is walked through the following process: We ask if they can pay their bill in full with a prompt pay discount. We discuss payment arrangements: If the patient indicated that they can't afford this bill we explain the HIP Program and our Financial Assistance Program to them. We offer to assist with the HIP application process. We give them an information packet and application for Financial Assistance. We also conduct monthly HIP education outreach programs. | |
| Part VI, Line 4 - Community Information | BRMC serves Lawrence, Orange, Martin, Greene and Jackson Counties. All counties represent more than 97% Caucasian individuals. The average median household income of the 5 counties is $43,062. | |
| Part VI, Line 5 - Promotion of Community Health | Bedford Regional Medical Center operates as a Critical Access Hospital with Inpatient, Outpatient and Ambulatory Care Services and 24-Hour Emergency Room and EMS Services. BRMC is a modern, JCAHO approved Rural Health Care facility which offers up-to-date technology and medical practices. It also employs a Physician Group Practice, Bedford Medical Group, which is a multi-specialty Physicians' group practice providing medical services in Internal Medicine, Family Practice, General Surgery, Orthopedics, Obstetrics and Gynecology, and Pediatrics. Nurse Practitioners in Adult and Pediatric Primary Care have been added to expand Medical Care. BRMC will provide assurance to our Patients and Community that their needs are met within our organization's resources, and will be their Provider of Choice, or serve as navigator to access the Broader Resources of the Indiana University Health Regional and Statewide Network. | |
| Part VI, Line 6 - Affiliated Health Care System Roles | Bedford Regional Medical Center is an affiliate of Indiana University Health, which includes Methodist Hospital, Indiana University Hospital and Riley Hospital for Children. Other Indiana University Health affiliates include: La Porte Regional Health System Starke Memorial Hospital Clarian Arnett Health Rehabilitation Hospital of Indiana Clarian West Medical Center Goshen Health System, Blackford Community Hospital Tipton Hospital Ball Memorial Hospital Clarian North Medical Center Clarian Health: Methodist, IU, Riley Bloomington Hospital Midwest Proton Radiotherapy Institute Bloomington Hospital of Orange County The immediate advantages of being an affiliate of Indiana University Health include centralized services which results in a reduction of duplicated services and lowers health care costs for our patients. | |
| STATE FILING OF COMMUNITY BENEFIT REPORT | IN, | 990 SCHEDULE H, PART VI |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dan Dusleag MD | |||||||||||||
| 129955 | 0 | 0 | 0 | 216 | 0 | 9625 | 0 | 23391 | 0 | 163187 | 0 | 0 | 0 |
| Hojjat Shamloo MD | |||||||||||||
| 348925 | 0 | 0 | 0 | 450 | 0 | 18027 | 0 | 21169 | 0 | 388571 | 0 | 0 | 0 |
| Bradford W Dykes | |||||||||||||
| 0 | 223936 | 0 | 89200 | 0 | 966 | 0 | 0 | 0 | 7453 | 0 | 321555 | 0 | 0 |
| Neil Pickett | |||||||||||||
| 0 | 240497 | 0 | 11459 | 0 | 138 | 0 | 0 | 0 | 13240 | 0 | 265334 | 0 | 0 |
| Charles Shetler | |||||||||||||
| 130013 | 0 | 13903 | 0 | 2051 | 0 | 9445 | 0 | 18739 | 0 | 174151 | 0 | 13903 | 0 |
| Rafi Siddiqi MD | |||||||||||||
| 371146 | 0 | 0 | 0 | 630 | 0 | 18027 | 0 | 19325 | 0 | 409128 | 0 | 0 | 0 |
| Randall Martin MD | |||||||||||||
| 335417 | 0 | 0 | 0 | 0 | 0 | 18027 | 0 | 21789 | 0 | 375233 | 0 | 0 | 0 |
| Eung Jun Cha MD | |||||||||||||
| 316057 | 0 | 0 | 0 | 2772 | 0 | 18027 | 0 | 15508 | 0 | 352364 | 0 | 0 | 0 |
| Stephen Schultz MD | |||||||||||||
| 274578 | 0 | 0 | 0 | 1844 | 0 | 18027 | 0 | 13747 | 0 | 308196 | 0 | 0 | 0 |
| Alan Smith MD | |||||||||||||
| 257322 | 0 | 0 | 0 | 5334 | 0 | 18027 | 0 | 14955 | 0 | 295638 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J, PART I, LINE 7 | Identifier |
| Explanation | Criteria for Executive Incentive Pay Effective Date: 6/07 Incentive goals will be developed and reviewed annually for Bedford Regional Medical Center Executives. The percentage of pay-out will be approved by the Executive Committee of the Hospital Board of Directors. The pay-out is based on a set of goals to be accomplished during a budget year. The goals will be established by the Executive and his or her direct supervisor. The goals will be identified in written format. Predetermined financial criteria (operating margin and days of cash on hand) will be met before any percent of the incentive compensation will be paid out. Pay-out will be distributed after the final audit of the financial statements and the financial criteria has been met. Pay-out will be in compliance with any legal or regulatory guidelines. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Classes of Members or Stockholders | Form 990, Part VI, Line 6 | Bedford Regional Medical Center has one member which is Indiana University Health. |
| Description of Classes of Persons and the Nature of Their Rights | Form 990, Part VI, Line 7a | The Directors serving on the Board of Directors have the right to nominate prospective Directors for six positions. The Physicians constituting the corporation's Clinic Physician Group have the right to nominate the two Director positions. The Member shall nominate the three remaining prospective Directors of the Board. After viewing the nominations of prospective Directors as set forth above, the Member shall elect the Board of Directors. The President and CEO is also appointed by the Member. |
| Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights | Form 990, Part VI, Line 7b | A) Adoption and amendment of the Articles and Bylaws of the Corporation; B) Adoption, Interpretation and change of any statement of the Mission or Purposes of the Corporation; C) Adoption of any material changes in the services provided by the Corporation; D) The appointment or removal of the Chief Executive Officer of the Corporation; E) Adoption, Interpretation or change of the Strategic Plan of the Corporation; F) Incurrence of debt or execution of any debt instrument that is not approved in the annual or operating budgets; G) Adoption and Change of the annual operating and capital budgets; H) Acquisition, sale, lease, transfer or alienation of any corporation assets other than in the usual and regular course of the Corporation's business when such acquisition, sale, lease, transfer or alienation is outside the terms of the annual operating or capital budget previously approved by the Member; (I) Participation of the Corporation in Healthcare Networks, Alliances or other Healthcare Delivery Systems; and (J) Adoption and change of any Managed Care or Third Party Payor contracts, whether new or renewal. |
| Describe the Process used by Management &/or Governing Body to Review 990 | Form 990, Part VI, Line 11 | Management will provide a copy of the return to the members of the Finance Committee of the Board and review the return with the Committee before the 990 is filed with the IRS. |
| Description of Process to Monitor Transactions for Conflicts of Interest | Form 990, Part VI, Line 12c | The Bedford Regional Medical Center Bylaws require each Director and Officer of the Corporation to refrain from participation in any discussion, evaluation, or approval of a transaction involving the corporation in which the Director, or Officer (or immediate family member) has a financial interest or Professional Interest which impairs the good faith discharge of his or her duty of loyalty. Annually each Director and Officer is required to execute a Standard of Conduct and Conflict of interest statement and certify to the Corporation that no conflict of interest exists which would substantially impair that Person's overall ability to fulfill his or her duty of loyalty to the Corporation. In addition to the annual Conflict of Interest Statement, each Director and Officer has a duty to disclose any potential conflict of interests arising from a transaction or arrangement to be considered by the Board of Directors at any meeting where the transaction is discussed or voted upon. Disclosure of the material facts underlying the potential conflict of interest shall be submitted in writing to the Chairman and included in the minutes of the meeting. The Director or Officer submitting such a disclosure is required to leave the meeting while his or her disclosure is discussed. The remaining Directors must make a determination by a majority vote as to whether the material facts constitute a conflict of interest. Any Director or Officer who is determined to have a conflict of interest with regard to any transaction or arrangement shall not be entitled to attend any portion of a meeting in which the matter is discussed or voted upon. The Board may take all appropriate disciplinary action with regard to a violation of the conflict of interest policy, including the removal of the Director or Officer. Senior Management and Department Directors are also required to sign an annual conflict of interest statement, disclosing any potential conflicts of interest |
| Process for Determining Compensation for CEO | Form 990, Part VI, Line 15a | Our CEO is an Employee of Indiana University Health. We are billed monthly for his services. |
| Process for Determining Compensation for Other Officers or Key Employees | Form 990, Part VI, Line 15b | The evaluation of salaries for Executives and key employees occurs annually. Data is submitted to the Indiana Hospital Association Salary Survey in April and a comparison survey of other Indiana Hospitals is returned. CEO approves the salary amount. Information on compensation for the CEO is provided to the Board Executive Committee. |
| Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public | Form 990, Part VI, Line 19 | The organizing documents, financial statements and Conflict of Interest Policy are made available to the Public upon written request or by a request in person. |
| Hours devoted to related organizations | Form 990, Part VII, Section A, Line 1a, column (B) | Neil Pickett devotes 45 hours per week to a related organization, Indiana University Health. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | Prior period adjustment $(162) |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| La Porte Regional Health System Inc | |||||||||
| 1007 Lincolnway | La Porte | IN | 46350 | 351125434 | Healthcare | IN | 501(c)(3) | 3 | na |
| LaPorte Regional Physician Network Inc | |||||||||
| 1007 Lincolway | La Porte | IN | 46350 | 311070868 | healthcare | IN | 501(c)(3) | 3 | na |
| Indiana University Health Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351955872 | Healthcare | IN | 501(c)(3) | 3 | NA |
| Clarian Arnett Health System Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 263162145 | healthcare | IN | 501(c)(3) | 3 | na |
| Clarian Transplant Institute Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 134350599 | healthcare | IN | 501(c)(3) | 9 | na |
| Emergency Medical Group Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351932442 | healthcare | IN | 501(c)(3) | 3 | na |
| Methodist Health Foundation Inc | |||||||||
| 1800 North Capitol Avenue | Indianapolis | IN | 46202 | 356043086 | fundraising | IN | 501(c)(3) | 11, Type 1 | na |
| Methodist Health Group Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 350876390 | healthcare | IN | 501(c)(3) | 11, Type 3 | na |
| Methodist Medical Group Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351945384 | healthcare | IN | 501(c)(3) | 3 | na |
| Methodist Medical Group Physicians Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351814660 | healthcare | IN | 501(c)(3) | 3 | na |
| Methodist Occupational Health Ctrs Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351844176 | healthcare | IN | 501(c)(3) | 3 | na |
| Methodist Research Institute Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 352023710 | healthcare | IN | 501(c)(3) | 11, Type 1 | na |
| MH Healthcare Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351766531 | healthcare | IN | 501(c)(3) | 3 | na |
| Goshen Health System Inc | |||||||||
| 200 High Park Avenue | Goshen | IN | 46527 | 351974765 | healthcare | IN | 501(c)(3) | 11, Type 1 | na |
| Goshen Hospital Association Inc | |||||||||
| 200 High Park Avenue | Goshen | IN | 46527 | 356001540 | healthcare | IN | 501(c)(3) | 3 | na |
| Tipton Hospital Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 262772226 | healthcare | IN | 501(c)(3) | 3 | na |
| Ball Memorial Hospital Inc | |||||||||
| 2401 West University Avenue | Muncie | IN | 47303 | 350867958 | healthcare | IN | 501(c)(3) | 3 | na |
| Blackford Community Hospital Inc | |||||||||
| 410 Pilgrim Boulevard | Hartford City | IN | 47348 | 010646166 | healthcare | IN | 501(c)(3) | 3 | na |
| Bloomington Hospital of Orange County | |||||||||
| PO Box 499 | Paoli | IN | 47454 | 352090919 | healthcare | IN | 501(c)(3) | 3 | na |
| Bloomington Hospital Inc | |||||||||
| PO Box 1149 | Bloomington | IN | 47402 | 351720796 | healthcare | IN | 501(c)(3) | 3 | na |
| BMH Auxiliary Inc | |||||||||
| 2401 West University Avenue | Muncie | IN | 47303 | 356025400 | healthcare | IN | 501(c)(3) | 11, Type 3 | na |
| Healthcare Connections Inc | |||||||||
| 2401 West University Avenue | Muncie | IN | 47303 | 351925641 | healthcare | IN | 501(c)(3) | 9 | na |
| Indiana University Healthcare Associates | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 351747218 | healthcare | IN | 501(c)(3) | 9 | na |
| Midwest Health Strategies Inc | |||||||||
| 950 N Meridian St Ste 800 | Indianapolis | IN | 46204 | 611415688 | healthcare | IN | 501(c)(3) | 3 | na |
| The BMH Foundation Inc | |||||||||
| 2401 West University Avenue | Muncie | IN | 47303 | 311111784 | fundraising | IN | 501(c)(3) | 11, Type 1 | na |
| Indiana Radiology Partners Inc | |||||||||
| 950 N Meridian St Suite 800 | Indianapolis | IN | 46204 | 201017034 | Healthcare | IN | 501(c)(3) | 3 | NA |
| Bedford Regional Medical Center Fdn | |||||||||
| 2900 West 16th Street | Bedford | IN | 47421 | 351615521 | Support | IN | 501(c)(3) | 7 | NA |
| Bedford Regional Medical Center Aux | |||||||||
| 2900 West 16th Street | Bedford | IN | 47421 | 237140460 | Support | IN | 501(c)(3) | 11, TYPE 3 | NA |
| HealthLinc Inc | |||||||||
| 200 High Park Avenue | Goshen | IN | 46527 | 263571507 | Healthcare | IN | 501(c)(3) | 3 | NA |
| IU Health Morgan Hospital Inc | |||||||||
| 2209 John R Wooden Drive | Martinsville | IN | 46151 | 273533027 | Healthcare | IN | 501(c)(3) | 3 | NA |
| IU Health White Memorial Hospital Inc | |||||||||
| 720 South Sixth Street | Monticello | IN | 47960 | 273532963 | Healthcare | IN | 501(c)(3) | 3 | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Clarian Health Network LLC | ||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 352055030 | healthcare | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| Clarian Health North LLC | ||||||||||||||
| 11700 North Meridian STreet | Carmel | IN | 46032 | 431980602 | healthcare | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| Clarian Hlth Vent Fund I LLC | ||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 262523206 | venture capital | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| Clarian Health West LLC | ||||||||||||||
| 1111 North Ronald Reagan Parkway | Avon | IN | 46123 | 431980611 | healthcare | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| Health Venture Management LLC | ||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 205740218 | management | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| Indiana Endoscopy Centers LLC | ||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 208398421 | healthcare | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| IN Lakes Managed Care Org LLC | ||||||||||||||
| 310 S Main Street | Goshen | IN | 46526 | 351946663 | healthcare | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| Senate St Surgery Center | ||||||||||||||
| 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | 421709357 | healthcare | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| The Healthcare Group LLC | ||||||||||||||
| 8802 N Meridian STreet Suite 100 | Indianapolis | IN | 46260 | 352067373 | managed care | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| Ball Outpatient Surgery Center | ||||||||||||||
| 2401 West University Avenue | Muncie | IN | 47303 | 270275794 | healthcare | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| Cardinal Health Initiatives | ||||||||||||||
| 2401 West University Avenue | Muncie | IN | 47303 | 300102702 | purchasing | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| Mid-America Surgery Center | ||||||||||||||
| 2401 West University Avenue | Muncie | IN | 47303 | 352002953 | healthcare | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| BMH Outpatient Surg Svcs | ||||||||||||||
| 2401 West University Avenue | Muncie | IN | 47303 | 204567998 | healthcare | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| CHV Fund Management LLC | ||||||||||||||
| 950 North Meridian Street Suite 80 | Indianapolis | IN | 46204 | 262523151 | venture capital | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
| ROC Surgery LLC | ||||||||||||||
| 575 Riley Hospital Drive | Indianapolis | IN | 46202 | 271497960 | HEALTHCARE | IN | NA | N/A | 0 | 0 | false | $0 | false | 0.00000 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (15 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IUH Assurance Ltd | |||||||||||||||
| 720 West Bay Road PO Box 69 | Grand Cayman | CJ | 980396429 | Insurance | CJ | NA | C | 0 | 0 | 0.00000 | |||||
| Clarian Health Plans Inc | |||||||||||||||
| 262127080 | HMO | NA | C | 0 | 0 | 0.00000 | 1776 Meridian Street Suite 300 | INDIANAPOLIS | IN | 46202 | IN | ||||
| CHV Capital Inc | |||||||||||||||
| 260752507 | VENTURE CAPITAL | NA | C | 0 | 0 | 0.00000 | 950 N Meridian Street Suite 800 | INDIANAPOLIS | IN | 46204 | IN | ||||
| Clarian Risk Purchasing Group Inc | |||||||||||||||
| 262020446 | Insurance | NA | C | 0 | 0 | 0.00000 | 151 Meeting Street Suite 301 | CHARLESTON | SC | 29401 | IN | ||||
| M-Plan Inc | |||||||||||||||
| 351772506 | HMO | NA | C | 0 | 0 | 0.00000 | 1776 N Meridian Street Suite 300 | INDIANAPOLIS | IN | 46202 | IN | ||||
| Occ-Health Revenue Systems Inc | |||||||||||||||
| 203308057 | WORK COMP PPO | NA | C | 0 | 0 | 0.00000 | 950 N Meridian Street Suite 800 | INDIANAPOLIS | IN | 46204 | IN | ||||
| Parkmor Drug Inc | |||||||||||||||
| 131394980 | PHARMACY SALES | NA | C | 0 | 0 | 0.00000 | 1501 South Main Street | GOSHEN | IN | 46526 | IN | ||||
| BMH Medical Pavilion Association Inc | |||||||||||||||
| 351858408 | CONDO MANAGEMENT | NA | C | 0 | 0 | 0.00000 | 2525 West University Avenue | MUNCIE | IN | 47303 | IN | ||||
| Cardinal Health Ventures Inc | |||||||||||||||
| 351611424 | Management | NA | C | 0 | 0 | 0.00000 | 2401 West University Avenue | MUNCIE | IN | 47303 | IN | ||||
| PILR Inc | |||||||||||||||
| 204294750 | DEVELOPMENT | NA | C | 0 | 0 | 0.00000 | 200 High Park Avenue | GOSHEN | IN | 46526 | IN | ||||
| Southern Indiana Medical Group Inc | |||||||||||||||
| 351913875 | HEALTHCARE | NA | C | 0 | 0 | 0.00000 | PO Box 1149 | BLOOMINGTON | IN | 47402 | IN | ||||
| Clarian Health Risk Retention Grp Inc | |||||||||||||||
| 201107674 | Insurance | NA | C | 0 | 0 | 0.00000 | 151 Meeting Street Suite 301 | Charleston | SC | 29401 | SC | ||||
| Radiation Oncology Resources Inc | |||||||||||||||
| 262008424 | Healthcare | NA | C | 0 | 0 | 0.00000 | 200 High Park Avenue | Goshen | IN | 46527 | IN | ||||
| University Health Management Inc | |||||||||||||||
| 272891143 | Management | NA | C | 0 | 0 | 0.00000 | 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | IN | ||||
| University Health Mgmt (China) Inc | |||||||||||||||
| 273891311 | Management | NA | C | 0 | 0 | 0.00000 | 950 N Meridian Street Suite 800 | Indianapolis | IN | 46204 | IN | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NONE | BusinessNameLine1 |