TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)
(1) MOYA ANDREWS DIRECTOR	2.0	X	0	0
(2) BRAD BOMBA JR MD DIRECTOR	2.0	X	0	0
(3) MARK BRADFORD DIRECTOR	2.0	X	0	0
(4) SANDY DEWEESE DIRECTOR	2.0	X	0	0
(5) DANIEL EVANS JR DIRECTOR	2.0	X	1,252,646	828,133
(6) JIM FARIS MD DIRECTOR	2.0	X	0	0
(7) KAREN HANSON DIRECTOR	2.0	X	0	0
(8) WILLIAM HUNT DIRECTOR	2.0	X	0	0
(9) CHRIS KROLL DIRECTOR	2.0	X	0	0
(10) LEE MARCHANT DIRECTOR	2.0	X	0	0
(11) CHARLES MCKEEN MD DIRECTOR	2.0	X	0	0
(12) BRUCE MONSON DIRECTOR	2.0	X	0	0
(13) JIM PERIN DIRECTOR	2.0	X	0	0
(14) DANIEL PETERSON DIRECTOR	2.0	X	0	0
(15) JOYCE POLING DIRECTOR	2.0	X	0	0
(16) ELLIE ROGERS DIRECTOR	2.0	X	0	0
(17) SUSAN WIER DIRECTOR	2.0	X	0	0

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) LINDA WILLIAMSON DIRECTOR	2.0	X				0	0
(19) ANN WRENN DIRECTOR	2.0	X				0	0
(20) MARK MOORE CHIEF EXECUTIVE OFFICER	50.0		X			568,387	162,455
(21) JAMES MYERS CHIEF FINANCIAL OFFICER	50.0		X			307,555	88,860
(22) RUTH ANN MORRIS CHIEF NURSING OFFICER	50.0			X		257,010	78,145
(23) L GENE PERRY VP, RETIRED MAY 2010	8.0			X		247,553	11,303
(24) LARRY BAILEY vice president	10.0			X		253,911	50,492
(25) MARK MCMATH CHIEF INFORMATION OFFICER	50.0			X		208,553	50,522
(26) MARK CRAIN VICE PRESIDENT	50.0			X		189,983	46,506
(27) STEVEN DECKARD VICE PRESIDENT	50.0			X		206,899	47,121
(28) KENNETH MARSHALL MD CHIEF MEDICAL OFFICER	50.0			X		268,908	54,888
(29) F BRIAN WHITMAN VICE PRESIDENT	50.0			X		160,513	28,392
(30) AMARTYADEB GOSWAMI MD HOSPITALIST PHYSICIAN	40.0				X	298,216	29,453
(31) LEE MCKINLEY MD PHYSICIAN	40.0				X	265,935	48,088
(32) JOHN STEARLEY MD PHYSICIAN	40.0				X	259,494	38,547
(33) CHARLES MCCALLA MD PHYSICIAN	40.0				X	241,849	39,358
(34) A PERRY GRIFFITH MD PSYCHIATRIST	40.0				X	235,216	28,709

(A) Name and business address	(B) Description of services	(C) Compensation
INTERNAL MEDICINE ASSOCIATES 550 LANDMARK AVENUE BLOOMINGTON,IN474020550	MEDICAL SERVICES	1,764,264
MAYO MEDICAL LABORATORIES P O BOX 9146 MINNEAPOLIS,MN554809146	MEDICAL LABORATORY	898,763
BLOOMINGTON ANESTHESIOLOGISTS P O BOX 2121 DEPT 1438 Memphis,TN381590001	ANESTHESIOLOGY	818,735
SOUTHEASTERN IN HEALTH ORGANIZATON 417 WASHINGTON ST P O BOX 1787 Columbus,IN472021787	INS CLAIM PROCESSING	790,193
BLOOMINGTON OPERATING ROOM MGMT ASS P O BOX 1149 BLOOMINGTON,IN474021149	MEDICAL SERVICES	774,583
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 31

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	57,500	57,500
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	3,287,956	1,922,507	1,365,449	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	79,430	58,125	21,305
7	Other salaries and wages	120,942,738	104,448,354	16,494,384
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	7,984,245	6,835,767	1,148,478
9	Other employee benefits .......	23,659,330	20,256,102	3,403,228
10	Payroll taxes ...........	8,777,727	7,515,113	1,262,614
11	Fees for services (non-employees):
a	Management ......	1,879,977	929,843	950,134
b	Legal .........	311,347		311,347
c	Accounting ...........	340,446		340,446
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	430,572		430,572
g	Other ..........	9,709,604	7,578,086	2,131,518
12	Advertising and promotion ....	1,842,594		1,842,594
13	Office expenses .......	60,948,341	52,420,600	8,527,741
14	Information technology ......	2,980,517	2,384,414	596,103
15	Royalties ..	0
16	Occupancy ...........	5,710,503	4,374,748	1,335,755
17	Travel ............	398,813	246,189	152,624
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	2,915,922	2,538,160	377,762
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	17,275,480	12,517,439	4,758,041
23	Insurance ..............	2,071,880	1,657,504	414,376
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	BAD DEBTS	23,587,273	23,587,273
b	MAINTENANCE AGREEMENTS	5,829,197	5,040,486	788,711
c	UNRELATED BUSINESS INCOME TAX	493,998		493,998
d	PURCHASED REPAIR SERVICES	1,525,798	1,137,623	388,175
e	PURCHASED LABORATORY SERVICES	1,499,529	1,499,529
f	All other expenses	4,684,173	3,860,802	823,371
25	Total functional expenses. Add lines 1 through 24f	309,224,890	260,866,164	48,358,726	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	65,414	1	55,578
2	Savings and temporary cash investments .......	31,797,823	2	41,323,166
3	Pledges and grants receivable, net .........	1,421,229	3	1,726,640
4	Accounts receivable, net .........	35,891,772	4	39,116,988
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	5,140,284	8	4,942,153
9	Prepaid expenses and deferred charges ............	4,083,108	9	4,474,441
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	347,188,704
b	Less: accumulated depreciation. .....	10b	223,652,396	132,115,369	10c	123,536,308
11	Investments—publicly traded securities ..........	84,821,945	11	101,783,826
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..	2,137,514	13	2,485,222
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	9,548,067	15	12,305,302
16	Total assets. Add lines 1 through 15 (must equal line 34)...	307,022,525	16	331,749,624
	17	Accounts payable and accrued expenses .	27,549,514	17	33,415,710
18	Grants payable ..........		18
19	Deferred revenue ..........	60,778	19	91,378
20	Tax-exempt bond liabilities ..........	52,555,434	20	48,213,743
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	12,051,389	23	7,295,548
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	16,496,060	25	15,715,408
26	Total liabilities. Add lines 17 through 25.....	108,713,175	26	104,731,787
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	194,200,605	27	222,704,136
28	Temporarily restricted net assets .....	3,474,314	28	3,679,220
29	Permanently restricted net assets .....	634,431	29	634,481
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	198,309,350	33	227,017,837
34	Total liabilities and net assets/fund balances .....	307,022,525	34	331,749,624

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number

35-1720796

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number

35-1720796

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number

35-1720796

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number

35-1720796

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	14,453,926		14,453,926
b	Buildings ................	146,116,881	84,995,974	61,120,907
c	Leasehold improvements ............	5,823,362	3,891,380	1,931,982
d	Equipment ................	176,722,451	133,532,629	43,189,822
e	Other .................	4,072,084	1,232,413	2,839,671
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				123,536,308

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
ACCRUED DEFINED BENEFIT PENSION LIABILITY		10,339,177
ESTIMATED MEDICARE/MEDICAID SETTLEMENT		3,831,556
ACCRUED MALPRACTICE LIABILITY		1,544,675






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		15,715,408
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
ASC 740 Disclosure	Sch D, Pt X, Line 2	INDIANA UNIVERSITY HEALTH BLOOMINGTON, INC. is a subsidiary in the consolidated financial statements of Indiana University Health ,INC. (fka Clarian Health Partners, Inc.). Indiana University Health adopted asc 740 in 2007. No disclosures were required IN 2010 under GAAP as Indiana University Health, INC. does not have any material tax contingencies that required disclosures in the footnotes.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number

35-1720796

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for region/investments in region
	Central America and the Caribbean	Investments	3,985,006
















3a	Sub-total .....		3,985,006
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		3,985,006

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010

Schedule F (Form 990) 2010

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2010

Schedule F (Form 990) 2010Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2010

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2010

Page 5

Part V

Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.

Identifier	ReturnReference	Explanation
Organization's Procedures for Monitoring Use of Grant Funds Outside the US	Schedule F, Part V

Schedule F (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number

35-1720796

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	10,180	9,713,969		9,713,969	3.400 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	33,228	29,508,996	13,365,299	16,143,697	5.650 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....	3,327	3,123,986	2,351,125	772,861	0.270 %
dTotal Charity Care and Means-Tested Government Programs .....	46,735	42,346,951	15,716,424	26,630,527	9.320 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	54,483	1,283,931	15,415	1,268,516	0.440 %
f Health professions education (from Worksheet 5) ..	3,171	463,226	3,200	460,026	0.160 %
g Subsidized health services (from Worksheet 6) ..	16,586	21,897,098	15,704,431	6,192,667	2.170 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	12,602	118,163		118,163	0.040 %
jTotal Other Benefits ...	86,842	23,762,418	15,723,046	8,039,372	2.810 %
kTotal. Add lines 7d and 7j. ..	133,577	66,109,369	31,439,470	34,669,899	12.130 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	25	1,778	1,778
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	4,835	46,343	46,343	0.020 %
7	Community health improvement advocacy
8	Workforce development	1,985	64,680	64,680	0.020 %
9	Other
10	Total	6,845	112,801	112,801	0.040 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

9,452,482

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

4,500,675

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

70,246,284

Enter Medicare allowable costs of care relating to payments on line 5.....

86,972,318

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-16,726,034

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1S In Surgery cntr	outpatient surgery	45.000 %	55.000 %
2S In Radiology cntr	radiological	50.000 %	50.000 %
3Bloomington endo cnt	gastrointestional treatment	51.000 %	49.000 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	Indiana university Health Bloomington 601 WEST SECOND STREET BLOOMINGTON,IN474032317	X	X	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:Indiana university Health Bloomington

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?27
Name and address		Type of Facility (Describe)
1	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
2	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
3	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
4	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
5	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
6	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
7	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
8	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
9	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
10	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
11	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
12	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
13	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
14	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
15	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
16	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
17	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
18	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
19	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
20	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
21	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
22	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
23	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
24	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
25	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
26	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY
27	IU HEALTH CANCER RADIATION CENTER 2620 COTA DRIVE BLOOMINGTON,IN47403	OUTPATIENT FACILITY

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
CHARITY CARE	ParT I, LINE 3C	The Indiana University Health Bloomington Hospital makes charity care determinations based upon patients' liquid asset and income levels. The Hospital calculates a patient's total available funds by adding annual income and liquid assets, and then subtracting 200% of the Federal Poverty Guidelines for the family size. The difference between the billed charges and the total available funds to pay the hospital is adjusted off to charity.
community benefit reporting	part I, line 6a	The Indiana University Health Bloomington Hospital reports its community benefit investments and initiative highlights in two separate reports. First, the Hospital prepares a separate community benefit report that only reflects community benefit activities occurring under its tax identification number. In addition, the Indiana University Health statewide system publishes an annual Community Benefit Report that encompasses the community benefit activities of all of its statewide facilities.
financial assistance and certain other community benefits at cost	Part I, Line 7	7g. In accordance with the instructions, the Indiana University Health Bloomington Hospital identified subsidized health services as services that were provided at a financial loss and would no longer be offered in the community if the Hospital discontinued the service. The Hospital did not include any costs attributable to a physician clinic as subsidized health services. 7 col (f). When computing the denominator to use in the "Percent of total expense" calculation, the Indiana University Health Bloomington Hospital removed $23,587,273 of bad debt expense from the total expense reported on Form 990, Part IX, line 25, column (A). 7. The Indiana University Health Bloomington Hospital used a hospital-wide cost-to-charge ratio to calculate the cost of providing services to charity care patients. Department-specific cost-to-charge ratios from the Hospital's Medicare cost report were used to calculate the cost of Medicaid services, Healthy Indiana Plan services, and subsidized health services. Actual direct costs plus an indirect cost factor from the Medicare cost report was used to calculate the cost of community health improvement services, health professions education, and contributions to community groups.
community building activities	part ii	The IU Health Bloomington Hospital provides financial and in-kind support to community agencies and programs that benefit the well-being of the community. This community support is provided to such programs as Leadership Bloomington. The IU Health Bloomington Hospital also improves the health of its community through collaborations and partnerships such as the Active Living Coalition and the Active Aging Coalition. The Active Living Coalition is comprised of individuals and organizations representing community sectors of health care, education, city government, county government, business, and service organizations who are addressing the public health issue of physical inactivity. The Coalition strives to increase the number of people who engage in a healthy, physically active lifestyle through collaborative efforts on community events, research, networking and programming that leads to increased physical activity opportunities for all who reside in Monroe County. This program is offered at no charge to the participants who are referred by their healthcare practitioner. The Active Aging Coalition is a grassroots networking organization consisting of seniors and the businesses and non-profit organizations who serve them. The goal of the Coalition is to identify specific areas of need impacting seniors and create focus groups to work on these areas. Finally, the IU Health Bloomington Hospital improves long-term access to healthcare in the community by working with educational institutions to host career days and place students in job shadowing opportunities in its facility.
bad debt, medicare & collection practices	part iii, line 4	The Indiana University Health Bloomington Hospital applied a hospital-wide cost-to-charge ratio to the bad debt expense to calculate the cost of providing these services. Below is the footnote to the organization's financial statements that describes how the organization determines the provision for uncollectible patient accounts: "Summary of Significant Accounting Policies" Accounts Receivable and Allowance for Uncollectible Accounts IU Health Bloomington and its affiliates extend credit to patients, substantially all of whom are residents of the state of Indiana, and do not require collateral or other security for the delivery of healthcare services. However, assignment of benefit payments payable under patients' health insurance programs and plans (e.g., Medicare, Medicaid, health insurance organizations, and commercial insurance policies) is routinely obtained, consistent with industry practice. The provision for uncollectible patient accounts is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in healthcare coverage, and other collection indicators. Management routinely assesses the adequacy of the allowance for uncollectible accounts based upon accounts receivable payer composition and aging, and historical write-off experience by payer category as adjusted for collection indicators. In addition, IU Health Bloomington follows established guidelines for placing certain past due patient balances with collection agencies, which are charged against the allowance for uncollectible accounts in accordance with the collection policies of IU Health Bloomington." Methodology - Bad Debt Expense (at Cost) Likely Eligible for Charity Care The Hospital used 2000 and 2010 census data to estimate the percentage of its patient population whose household income was under its full charity care eligibility criteria of 200% of the Federal Poverty Guidelines (FPG). This percentage was applied to the Hospital's charges to estimate the amount of gross charges that met its financial assistance guidelines. The Hospital then subtracted the charges relating to patients that were eligible for governmental assistance programs such as Medicaid and the Healthy Indiana Plan. Hospital charity care adjustments were also removed because they too would not have resulted in bad debts. The remaining charges related to uninsured patients with household incomes below 200% of the FPG, and it is reasonable to assume that they resulted in Hospital bad debts. This total was then multiplied by the ratio of costs-to-charges from Worksheet 2 to calculate the cost of providing these services. The Hospital's methodology most likely resulted in a conservative estimate because it excluded the patients above 200% of the FPG that were eligible for partial charity assistance. Therefore, the figure reported on Part III, Line 3 likely understates the amount of bad debt expense could have qualified for charity assistance had the Hospital received a charity care application.
bad debt, medicare & collection practices	part iii, line 8	Department-specific cost-to-charge ratios from the Hospital's Medicare cost report were used to calculate the cost of Medicare services. The Medicare costs of services included in Part I as "Subsidized Health Services" were then removed to ensure that costs were not double counted on Schedule H. In accordance with the Schedule H instructions, the IU Health Bloomington Hospital only included the allowable costs and net Medicare collections that were reported in the Hospital's Medicare cost report. Therefore, this figure excluded substantial Medicare shortfalls that resulted from providing ambulance, clinical laboratory, therapy, and Medicare Part C services. The Hospital believes that its entire Medicare shortfall should be considered a community benefit. In accordance with its mission, the hospital provides necessary healthcare services to all patients regardless of their insurance status or ability to pay. Services are provided to Medicare patients even though the Hospital understands that the resulting reimbursement will not be enough to cover the full cost of providing these services. Medicare beneficiaries benefit from the Hospital providing these services at a financial loss, and the Hospital feels that this benefit should be included in reports provided to the community.
bad debt, medicare & collection practices	part iii, line 9	Accounts that are approved for charity care assistance are immediately written-off and all collection efforts are ceased.
community needs health assessment	Pt VI, Line 2	The IU Health Bloomington Hospital utilizes a variety of tools to assess the health care needs of its service area. These techniques include analyzing data from admission and diagnosis codes, reviewing emergency department statistics, and partnering with local agencies such as the Health Department, United Way, Indiana University, and City of Bloomington Parks and Recreation. The Hospital uses the results of its needs assessment to target its community benefit activities.
Patient education of eligibility for assistance	part vi, line 3	The IU Health Bloomington Hospital employs a patient financial services (PFS) team of case workers and financial assistance representatives to educate patients about governmental assistance programs and the Hospitals internal financial assistance program. Uninsured patients are screened for eligibility for financial assistance, and, if eligible, the PFS team reaches out to the patients with education on the appropriate assistance program. This education takes place via room visits to uninsured inpatient patients and discussions in the emergency department with uninsured outpatient patients. The PFS team also screens Medicare patients for their ability to qualify for Medicaid or charity care assistance. The PFS team assists patients in completing the Medicaid, Healthy Indiana Plan, and charity application paperwork and serves as their advocates throughout the application process. This advocacy can extend as far as attending a courtroom hearing in support of a patients Medicaid eligibility appeal if his or her application is originally denied by the State. The Hospital also notifies patients of financial assistance programs at other points during the revenue cycle. For example, Hospital staff alert patients to financial assistance programs during pre-hospitalization charge estimate requests and post-hospitalization billing inquiries. The Hospital goes to extraordinary measures to educate and assist patients regarding the financial assistance programs that are potentially available to them. The IU Health Bloomington Hospital has also funded an extensive outreach program to raise awareness of and enrollment in Indianas state sponsored health insurance program (the Healthy Indiana Plan). The Hospital employs two Healthy Indiana Plan (HIP) Enrollment Coordinators whose primary responsibility is to promote the HIP program within its service area. The Hospital promotes this program through direct mailings, newspaper advertisements, HIP enrollment events, and other events within the community. The HIP Enrollment Coordinators meet with patients that need assistance completing Healthy Indiana Plan applications and are available to answer any questions that may arise during the application process. This tremendous outreach initiative demonstrates the Hospitals commitment to educating its patient base about the financial assistance programs that are available within the community.
community information	part vi, line 4	The IU Health Bloomington Hospital is located in Monroe County and serves as a regional referral center for its ten county service area. Monroe County is located in south central Indiana and has a population of 137,974. The other nine counties in the Hospitals service area are comprised of primarily rural communities. Bloomington is the largest town in Monroe County with a population of 69,247. The largest ethnic population in Monroe County is white (87.8%), followed by the Asian (5.2%), Black (3.3%), two or more race groups (2.5%) and American Indian/Alaska Native (0.3%). Hispanics make up 2.9% of the population, with Non-Hispanics equaling 97.1%. Monroe County has a lower-than-average median household income of $36,061 and a higher-than-average poverty rate of 21.9 percent. Lack of income serves as a barrier to accessing nutritious food, physical activities and transportation to such resources. This situation is exacerbated in the more rural areas of Monroe County where there are few public transportation options. However, the county is resource-rich with a vibrant health care and social assistance network, extensive parks and recreation programs and facilities and home to Indiana Universitys main campus.
Promotion of community health	part vi, line 5	The IU Health Bloomington Hospital is involved in several initiatives to increase access to care within its community. In 2010, the Hospital opened a new primary care clinic that will provide five new family care healthcare practitioners to the community. This clinic will help meet the primary care shortage and access to care issues present in the community. In 2010, the Hospital also began plans for a second primary care facility to provide for the healthcare needs of Monroe County. The Hospital also financially supports the local Volunteers in Medicine uninsured clinic by providing free testing services, staff support, and board leadership. Furthermore, the Hospital provides support to community members undergoing cancer treatment by providing an educational resource and support center (Olcott Center) that is free of charge to the community. Finally, the Hospital serves as the sponsoring agency for the WIC program of Monroe and Greene Counties, the Monroe County Public Health Clinic, and the Positive Link HIV and AIDS awareness and care coordination program.
Affiliated health care system	part vi, line 6	Indiana University Health is a comprehensive healthcare system comprised of numerous hospitals, physicians practices, and other healthcare facilities across the State. By coordinating care across a full continuum of services, the system is able to provide preeminent care to the residents of Indiana. Although each hospital in the system prepares its own community benefit plan relative to its respective community, IU Health considers its community benefit plan as an important part of an overall vision for strengthening the state's healthcare safety net.
STATE FILING OF COMMUNITY BENEFIT REPORT	990 SCHEDULE H, PART VI	IN,

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number
35-1720796

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) AMERICAN HEART ASSOCIATION460 N LINDBERGH BLVD ST LOUIS,MO63141	13-5613797	501(c)(3)	7,500	TO ASSIST IN AHA FUND RAISING EFFORTS IN THE BLOOMINGTON COMMUNITY
(2) CITY OF BLOOMINGTON PARKS & RECREATIONPO BOX 848 BLOOMINGTON,IN47402	35-6000954	501(c)(6)	25,000	TO UNDERWRITE HEALTH AND FITNESS PROGRAMS FOR THE BENEFIT OF BLOOMINGTON YOUTH
(3) INDIANA AIDS FUND429 E VERMONT ST SUITE 300 INDIANAPOLIS,IN46202	35-6203550	501(c)(3)	11,000	TO UNDERWRITE THE DIAGNOSTIC AND HEALTH INITIATIVES OF THE INDIANA AIDS FUND.
(4) MONROE COUNTY YMCA2125 S HIGHLAND AVE BLOOMINGTON,IN47401	35-1384859	501(c)(3)	9,000	TO PARTNER WITH THE MONROE COUNTY YMCA TO HELP SCHOOL AGED CHILDREN UNDERSTAND THE IMPORTANCE OF A HEALTHY AND ACTIVE LIFESTYLE THROUGH A PROGRAM KNOWN AS ENERGIZE.

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
Form 990, Schedule I	Description of Organization's Procedures for Monitoring the Use of Grants	THROUGH ITS OWN ACTIVE INVOLVEMENT IN THE PROGRAMS IT HELPS TO SUPPORT OR UNDERWRITE, INDIANA UNIVERSITY HEALTH BLOOMINGTON IS AWARE AT ALL TIMES OF THE PROGRAMS' ACTIVITIES. NONE OF THE COST CLAIMED ON FORM 990, SECTION IX, LINE 1 IS PROVIDED TO THE RECIPIENT AS A GRANT, BUT RATHER AS SUPPORT FOR SPECIFIC PROGRAMS OF WHICH IUHB IS A PARTICIPANT.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number

35-1720796

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) DANIEL EVANS JR	(i) (ii)	0 981,359	0 215,358	0 55,929	0 804,785	0 23,348	0 2,080,779	0 0
(2) MARK MOORE	(i) (ii)	456,779 0	80,491 0	31,117 0	148,641 0	13,814 0	730,842 0	0 0
(3) JAMES MYERS	(i) (ii)	240,703 0	44,747 0	22,105 0	76,301 0	12,559 0	396,415 0	0 0
(4) RUTH ANN MORRIS	(i) (ii)	220,520 0	34,906 0	1,584 0	65,536 0	12,609 0	335,155 0	0 0
(5) L GENE PERRY	(i) (ii)	82,033 0	28,418 0	137,102 0	7,895 0	3,408 0	258,856 0	83,352 0
(6) LARRY BAILEY	(i) (ii)	209,073 0	32,123 0	12,715 0	32,666 0	17,826 0	304,403 0	0 0
(7) MARK MCMATH	(i) (ii)	178,108 0	29,893 0	552 0	32,805 0	17,717 0	259,075 0	0 0
(8) MARK CRAIN	(i) (ii)	143,797 0	20,912 0	25,274 0	33,961 0	12,545 0	236,489 0	0 0
(9) STEVEN DECKARD	(i) (ii)	172,292 0	26,115 0	8,492 0	34,522 0	12,599 0	254,020 0	0 0
(10) KENNETH MARSHALL MD	(i) (ii)	260,658 0	0 0	8,250 0	39,688 0	15,200 0	323,796 0	0 0
(11) F BRIAN WHITMAN	(i) (ii)	135,386 0	20,212 0	4,915 0	16,097 0	12,295 0	188,905 0	0 0
(12) AMARTYADEB GOSWAMI MD	(i) (ii)	297,856 0	0 0	360 0	11,250 0	18,203 0	327,669 0	0 0
(13) LEE MCKINLEY MD	(i) (ii)	264,903 0	0 0	1,032 0	35,365 0	12,723 0	314,023 0	0 0
(14) JOHN STEARLEY MD	(i) (ii)	210,588 0	47,322 0	1,584 0	25,781 0	12,766 0	298,041 0	0 0
(15) CHARLES MCCALLA MD	(i) (ii)	216,609 0	0 0	25,240 0	27,109 0	12,249 0	281,207 0	0 0
(16) A PERRY GRIFFITH MD	(i) (ii)	234,664 0	0 0	552 0	10,796 0	17,913 0	263,925 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Supplemental Nonqualified Retirement Plan	Schedule J, Part I, Line 4b	AS PART OF THE EXECUTIVE COMPENSATION PLAN RECOMMENDED TO INDIANA UNIVERSITY HEALTH BLOOMINGTON BY A PROFESSIONAL COMPENSATION CONSULTING FIRM, THE HOSPITAL OFFERS TO ELIGIBLE SENIOR EXECUTIVES THE OPPORTUNITY TO PARTICIPATE IN A NON-QUALIFIED 457(F) DEFERRED COMPENSATION PLAN. FOLLOWING ARE THE PARTICIPANTS IN THE PLAN AND THE AMOUNTS THAT WERE CONTRIBUTED BY BOTH EMPLOYER AND EMPLOYEE DURING 2010. KENNETH MARSHALL, M.D. 28,438 EMPLOYER-PAID CONTRIBUTION TO 457(F) PLAN F. BRIAN WHITMAN 8,724 EMPLOYER-PAID CONTRIBUTION TO 457(F) PLAN MARK MOORE 114,730 EMPLOYER-PAID CONTRIBUTION TO 457(F) PLAN JAMES MYERS 39,775 EMPLOYER-PAID CONTRIBUTION TO 457(F) PLAN AND 16,500 EMPLOYEE-PAID CONTRIBUTION TO 457(F) PLAN RUTH ANN MORRIS 22,774 EMPLOYER-PAID CONTRIBUTION TO 457(F) PLAN L. GENE PERRY 7,895 EMPLOYER-PAID CONTRIBUTION TO 457(F) PLAN. ALSO DURING 2010, L. GENE PERRY RECEIVED A 457(F) PLAN PAY-OUT OF 89,746; OF THIS AMOUNT 83,352 HAD BEEN REPORTED AS DEFERRED COMPENSATION DURING TAX YEARS 2005 THROUGH 2009. LARRY BAILEY 21,416 EMPLOYER-PAID CONTRIBUTION TO 457(F) PLAN MARK MCMATH 22,979 EMPLOYER-PAID CONTRIBUTION TO 457(F) PLAN STEVEN DECKARD 7,372 EMPLOYER-PAID CONTRIBUTION TO 457(F) PLAN DANIEL EVANS, JR PARTICIPATES IN An INDIANA UNIVERSITY HEALTH, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, PROVISIONS OF WHICH ARE DESIGNED TO RETAIN CRITICAL EMPLOYEES. THE PLAN PROVIDES FOR ADDITIONAL BENEFITS 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.
NON-FIXED PAYMENTS TO OFFICERS AND KEY EMPLOYEES	SCHEDULE J, PART I, LINE 7	ACCORDING TO THE HOSPITAL'S EXECUTIVE COMPENSATION PLAN, ANNUAL GOALS WILL BE SET FOR EACH MEMBER OF THE SENIOR LEADERSHIP GROUP, AND THE DEGREE OF SUCCESSFUL COMPLETION DETERMINED FOLLOWING THE END OF THE YEAR WILL DETERMINE THAT LEADER'S ANNUAL BONUS, IF ANY. ANY PAYOUTS WILL BE IN THE FORM OF A LUMP SUM AND WILL NOT AFFECT THE LEADER'S BASE PAY. THE LEADER MAY ELECT TO DEFER ANY OR ALL OF THE BONUS COMPENSATION THROUGH THE BLOOMINGTON HOSPITAL 457(F) PLAN, SUBJECT TO ANY PLAN RESTRICTIONS OR REQUIREMENTS. THE AMOUNT OF MERIT PAYMENT FOR THE CEO SHALL BE DETERMINED BY THE COMPENSATION COMMITTEE; ALL OTHER SENIOR LEADERS' PAYMENTS SHALL BE RECOMMENDED BY THE CEO TO THE COMPENSATION COMMITTEE FOR APPROVAL PRIOR TO ANY AWARD.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number
35-1720796

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	hospital authority of monroe county	000000000	000000000	02-16-2006	19,962,132	TAX-EXEMPT EQUIPMENT LOANS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .	0
2 Amount of bonds defeased . . . .	0
3 Total proceeds of issue . . . .	19,962,132
4 Gross proceeds in reserve funds . .	0
5 Capitalized interest from proceeds.	0
6 Proceeds in refunding escrow. . . . .	0
7 Issuance costs from proceeds . . .	0
8 Credit enhancement from proceeds.	0
9 Working capital expenditures from proceeds . .	0
10 Capital expenditures from proceeds . .	19,962,132
11 Other spent proceeds . .	0
12 Other unspent proceeds. . .	0
13 Year of substantial completion . . .	2006
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X
15 Were the bonds issued as part of an advance refunding issue?		X
16 Has the final allocation of proceeds been made? . .	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .	X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0 %
6 Total of lines 4 and 5 . . .. . . . . .	0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X
2 Is the bond issue a variable rate issue?	X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?		X
b Name of provider .
c Term of hedge . .
d Was the hedge superintegrated? .
e Was a hedge terminated? .
4a Were gross proceeds invested in a GIC? .		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X
6 Did the bond issue qualify for an exception to rebate? . . .

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
TAX-EXEMPT EQUIPMENT LOANS (MASTER LEASE AND SUBLEASE AGREEMENT)	Sch K, Part V	SEE SCHEDULE O.

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number

35-1720796

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) MONROE BANK	see part v	212,671	GEN. BANKING TRANSACTIONS		No
(2) BORMA	see part v	774,583	MEDICAL SERV PROVIDER		No
(3) BELINDA CRAIN	see part v	58,125	RELATIVE IS BH EMPL		No
(4) internal medical associates	see part v	2,369,635	medical services		No
(5) matthew crain	see part v	21,305	RELATIVE IS BH EMPL		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FORM 990, SCHEDULE L, PART IV	CHARLES MCKEEN, M.D., AN IUHB DIRECTOR, IS ALSO A MEMBER OF A MEDICAL PRACTICE, BLOOMINGTON OPERATING ROOM MANAGEMENT ASSOCIATES (BORMA), WITH WHOM THE HOSPITAL CONTRACTS FOR SURGICAL MANAGEMENT AND MEDICAL SERVICES. IUHB PAID THE MEDICAL GROUP BORMA, BUT NOT DR. MCKEEN DIRECTLY, A TOTAL OF $774,583 DURING 2010. BRAD BOMBA, M.D., AND JAMES FARIS, M.D., BOTH IUHB DIRECTORS, ARE MEMBERS OF A LARGE BLOOMINGTON MEDICAL PRACTICE, INTERNAL MEDICINE ASSOCIATES (IMA), LATER REORGANIZED AND RENAMED PREMIER HEALTHCARE LLC, WITH WHOM THE HOSPITAL CONTRACTS FOR A WIDE VARIETY OF MEDICAL SERVICES, INCLUDING BUT NOT LIMITED TO CARDIOLOGY AND HOSPITALIST COVERAGE. IUHB PAID IMA AND PREMIER HEALTHCARE, BUT NOT DRS. BOMBA AND FARIS DIRECTLY, A COMBINED TOTAL OF $2,369,635 DURING 2010. MARK BRADFORD, A BH DIRECTOR, IS PRESIDENT OF THE MONROE BANK, IUHB'S PRIMARY BANK. MONROE BANK FINANCED APPROXIMATELY $1.4 MILLION OF IUHB PATIENT ACCOUNTS RECEIVABLE DURING 2010, IN ADDITION TO PROVIDING CUSTOMARY COMMERCIAL BANKING SERVICES. fees paid to monroe bank in 2010 were $212,671. MARK CRAIN, AN IUHB KEY EMPLOYEE, IS THE FATHER-IN-LAW OF ANOTHER HOSPITAL EMPLOYEE, PHARMACIST BELINDA CRAIN, AND THE FATHER OF ANOTHER EMPLOYEE, INFORMATION TECHNOLOGY SUPPORT SPECIALIST MATTHEW CRAIN. BELINDA CRAIN WAS PAID A TOTAL OF $58,125 FOR THE HOURS THAT SHE WORKED FOR IUHB AS A PHARMACIST DURING 2010, AND MATTHEW CRAIN WAS PAID A TOTAL OF $21,305 FOR HIS HOURS WORKED IN IUHB INFORMATION SERVICES.

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number

35-1720796

Identifier	Return Reference	Explanation
dESCRIPTION OF OTHER PROGRAM SERVICES	fORM 990, PART III, LINE 4D	INDIANA UNIVERSITY HEALTH BLOOMINGTON'S (IUHB) PRIMARY REASON FOR EXISTENCE IS TO PROVIDE HIGH-QUALITY MEDICAL CARE FOR ITS COMMUNITY. TO ACCOMPLISH THIS END, THE HOSPITAL HAS INCURRED SIGNIFICANT EXPENSE TO ACQUIRE THE BEST MEDICAL SUPPLIES AND EQUIPMENT AVAILABLE. MEDICAL SERVICES, BOTH INPATIENT AND OUTPATIENT, ARE SUBJECT TO ONGOING IMPROVEMENT AND EXPANSION IN RESPONSE TO THE CHANGING NEEDS OF THE COMMUNITY. AS THE ONLY FULL-SERVICE MEDICAL/SURGICAL HOSPITAL IN MONROE COUNTY, IUHB PROVIDES SERVICES TO A LARGE POPULATION. RESIDENTS OF OWEN, BROWN, GREENE, AND LAWRENCE COUNTIES ARE ALSO SIGNIFICANT USERS OF THE HOSPITAL'S SERVICES. DURING THE FISCAL YEAR ENDING DECEMBER 31, 2010, IUHB DISCHARGED A TOTAL OF 13,323 ADULT AND PEDIATRIC INPATIENTS, AS WELL AS 1,982 NEWBORN INFANTS. IN ADDITION, APPROXIMATELY 887,000 MEDICAL PROCEDURES WERE PERFORMED FOR HOSPITAL OUTPATIENTS. SINCE ITS INCEPTION, IUHB HAS PROVIDED MEDICAL CARE TO ANY AND ALL PATIENTS PRESENTING THEMSELVES FOR SERVICE, REGARDLESS OF THEIR ABILITY TO PAY. THE VALUE OF FREE CARE PROVIDED TO PATIENTS WHO QUALIFIED FOR HOSPITAL CHARITY DURING FISCAL YEAR 2010 WAS $24,239,000; THE HOSPITAL IS ALSO A FULL PARTICIPANT IN PROVIDING CARE TO MEDICARE AND MEDICAID PATIENTS, AT REIMBURSABLE AMOUNTS FAR LOWER THAN ITS NORMAL CHARGES. DURING 2010, THE HOSPITAL WAS EXTREMELY SUCCESSFUL IN ENROLLING MEMBERS OF ITS COMMUNITY BOTH IN THE MEDICAID PROGRAM AND IN THE MORE RECENTLY CREATED STATE HEALTH CARE PROGRAM KNOWN AS THE HEALTHY INDIANA PLAN (HIP). ALTHOUGH REIMBURSEMENT TO THE HOSPITAL UNDER THESE PROGRAMS IS EXTREMELY LOW IN COMPARISON TO GROSS PATIENT CHARGES, THE ENROLLMENT ASSISTANCE PROVIDED TO INDIVIDUALS SHOULD BE VIEWED AS A COMMUNITY BENEFIT SINCE SUCCESSFUL ENROLLEES ARE THEN COVERED FOR MOST OTHER ESSENTIAL MEDICAL SERVICES FROM OTHER PROVIDERS THAN JUST THE HOSPITAL ITSELF. THE HOSPITAL IS ALSO AN ACTIVE PARTICIPANT IN A LOCAL PROGRAM KNOWN AS VOLUNTEERS IN MEDICINE (VIM), THROUGH WHICH IT PROVIDED FREE MEDICAL SERVICES VALUED AT MORE THAN $5 MILLION DURING 2010. IN ORDER TO PROMOTE GOOD HEALTH CARE AND TO EMPHASIZE THE IMPORTANCE OF PREVENTIVE MEDICINE, THE HOSPITAL OFFERS FREE LECTURES PRESENTED BY KNOWLEDGEABLE PROFESSIONALS TO THE BLOOMINGTON COMMUNITY. HISTORICALLY, THESE LECTURES, WHICH ARE HELD BOTH AT THE HOSPITAL AND THROUGHOUT THE SERVICE AREA, HAVE BEEN WELL ATTENDED AND WELL RECEIVED BY THE RESIDENTS OF MONROE AND SURROUNDING COUNTIES. TOPICS COVERED BY THESE FREE SEMINARS INCLUDE NUTRITION, DIABETES, OBESITY, AND CANCER PREVENTION, TO NAME ONLY A FEW. IN ADDITION TO PROVIDING EDUCATIONAL SESSIONS FOR SENIORS, THE HOSPITAL HAS ALSO DEVELOPED ITS SENIORITY PLUS PLAN, DESIGNED TO PROVIDE A FULL RANGE OF FREE SERVICE AND ADVICE TO THIS GROUP IN ADDITION TO EXTENSIVE DISCOUNT PROGRAMS THAT HAVE BEEN ARRANGED BY HOSPITAL STAFF ON BEHALF OF SENIORITY PLUS MEMBERS. IUHB IS ACTIVELY INVOLVED IN EDUCATION FOR STUDENTS ENROLLED IN VARIOUS POST-SECONDARY VOCATIONAL AND ACADEMIC PROGRAMS, INCLUDING, BUT NOT LIMITED TO, NURSING, RESPIRATORY THERAPY, CLINICAL INFORMATICS, SURGICAL TECHNOLOGY, EMERGENCY MEDICAL RESPONSE, CLINICAL ENGINEERING, PHARMACY, LABORATORY, AND FOOD AND NUTRITION SERVICES. ALSO TO FURTHER ITS EDUCATIONAL GOALS, THE HOSPITAL OFFERS CAREER COUNSELING TO LOCAL HIGH SCHOOLS AND JUNIOR HIGH SCHOOLS, EVEN PROVIDING A HEALTH CARE CAREER CAMP FOR STUDENTS DURING THE SUMMER MONTHS. THROUGH THIS PROCESS, THE HOSPITAL HOPES TO INFORM YOUNG PEOPLE OF LITTLE KNOWN WAYS IN WHICH ONE MAY SERVE WITHIN THE MEDICAL COMMUNITY. THROUGHOUT THE YEAR, IUHB HAS PROVIDED THE COMFORT OF VARIOUS COUNSELING AND SUPPORT GROUPS AT NO CHARGE TO ALL THOSE WHO NEED AND DESIRE THIS SERVICE, ADDRESSING SUCH ISSUES AS SMOKING CESSATION, DIABETES MANAGEMENT, AND COPING WITH THE LOSS OF A LOVED ONE. THE HOSPITAL HAS ALSO CONTRIBUTED TO THE SAFETY AND WELL BEING OF THE CHILDREN IN ITS COMMUNITY BY PROVIDING CAR SEAT SAFETY CHECKS, BICYCLE HELMETS, SUNSCREEN, AND LEAD TESTING, ALL WITHOUT CHARGE TO THE BENEFICIARIES.
Description of Classes of Members or Stockholders	Form 990, Part VI, Question 6	AS OF DECEMBER 31, 2009, INDIANA UNIVERSITY HEALTH, INC. IS THE SOLE MEMBER OF INDIANA UNIVERSITY HEALTH BLOOMINGTON, INC.
Description of Classes of Persons and the Nature of Their Rights	Form 990, Part VI, Question 7a	ANY AMENDMENT THAT WOULD IN ANY WAY RELATE TO THE NUMBER OF DIRECTORS OF HOSPITAL, THE SOURCE OF THEIR APPOINTMENTS, THE PROVISION WITH RESPECT TO SUPERMAJORITY VOTING, THE PROVISIONS REGARDING THE COUNCIL'S COMMITTEE INVOLVEMENT OR PROVISIONS WITH RESPECT TO THE REMOVAL OF SUCH DIRECTORS, SHALL REQUIRE THE PRIOR APPROVAL OF INDIANA UNIVERSITY HEALTH, INC.
Descr Classes of Persons, Decisions Requiring Appr & Type of Voting Rights	Form 990, Part VI, Question 7b	NO ACTION OF THE HOSPITAL'S BOARD OR OF ANY OFFICER OR AGENT OF THE HOSPITAL REGARDING ANY MATTERS THAT ARE SUBJECT TO INDIANA UNIVERSITY HEALTH, INC.'S RESERVED POWERS SHALL HAVE ANY FORCE OR EFFECT WITHOUT PRIOR NOTICE TO AND THE WRITTEN APPROVAL OF INDIANA UNIVERSITY HEALTH, INC.
Describe the Process used by Management &/or Governing Body to Review 990	Form 990, Part VI, Question 11	BEGINNING IN 2011, FOR THE TAX YEAR ENDED 12/31/2010, INDIANA UNIVERSITY HEALTH BLOOMINGTON PROVIDED A CONFIDENTIAL AND SECURE WEB SITE ACCESSIBLE TO MEMBERS OF ITS BOARD OF DIRECTORS, ON WHICH A COMPLETE COPY OF ITS IRS FORM 990 WAS POSTED FOR VIEWING prior to filng. DURING THE TAX RETURN POSTING PERIOD, DIRECTORS WERE ENCOURAGED TO SUBMIT QUESTIONS OR SUGGESTIONS TO THE HOSPITAL'S CFO.
Description of Process to Monitor Transactions for Conflicts of Interest	Form 990, Part VI, Question 12c	FOLLOWING THE ANNUAL SUBMISSION OF ALL RELEVANT PERSON'S CONFLICT OF INTEREST FORMS, THE HOSPITAL AUDIT AND COMPLIANCE COMMITTEE MEETS TO REVIEW ALL RESPONSES AND TO DETERMINE WHETHER ANY OF THE POTENTIAL CONFLICTS THAT HAVE BEEN DOCUMENTED WOULD PREVENT ANYONE'S SERVING ON THE BOARD OF DIRECTORS, OR CONTINUING AS A KEY EMPLOYEE. FOLLOWING ARE KEY EXCERPTS TAKEN FROM THE HOSPITAL'S 2010 CONFLICT OF INTEREST POLICY: 1) ALL BOARD MEMBERS, EX-OFFICIO BOARD MEMBERS, COMMITTEE MEMBERS OR SENIOR MANAGEMENT TEAM MEMBERS SHOULD ACT IN GOOD FAITH AND IN THE BEST INTERESTS OF INDIANA UNIVERSITY HEALTH BLOOMINGTON, INC. 2) ANY MEMBER HAVING AN EXISTING OR POTENTIAL INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF FOR DELIBERATION, AUTHORIZATION, APPROVAL, OR RATIFICATION, OR ANY PERSON WHO REASONABLY BELIEVES SUCH AN INTEREST EXISTS IN A MEMBER SHALL MAKE A PROMPT, FULL, AND FRANK DISCLOSURE OF THE INTEREST TO THE BOARD OR COMMITTEE AT THE EARLIEST POSSIBLE MEETING OF THE BOARD OR COMMITTEE 3) A CONFLICT OCCURS WHEN A MEMBER HAS A DIRECT OR INDIRECT PROFESSIONAL OR PERSONAL INTEREST THAT COMPETES WITH THE INTERESTS OF THE HOSPITAL. THE POLICY REQUIRES (A) REGULAR ANNUAL STATEMENTS FROM MEMBERS THAT DISCLOSE EXISTING AND POTENTIAL CONFLICTS OF INTEREST, AND (B) CORRECTIVE AND DISCIPLINARY ACTION WITH RESPECT TO THE TRANSGRESSIONS OF SUCH POLICIES.
Offices & Positions for Which Process was Used, & Year Process was Begun	Form 990, Part VI, Question 15a	INDIANA UNIVERSITY HEALTH BLOOMINGTON HAS A FORMAL WRITTEN POLICY DEFINING COMPENSATION TO ITS CEO, CFO, AND ALL OTHER KEY EXECUTIVE EMPLOYEES (THIS GROUP IS REFERRED TO INTERNALLY AS THE SLG.) THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT MEMBERS AND IS RESPONSIBLE FOR REVIEWING AND APPROVING ANY CHANGES TO EXECUTIVE COMPENSATION AND/OR BENEFITS OF AN ANNUAL BASIS. ANY CHANGES ARE TO BE REASONABLE, MARKET COMPETITIVE, AND BASED ON MARKET INFORMATION SUPPLIED BY INDEPENDENT CONSULTANTS EMPLOYED BY THE COMPENSATION COMMITTEE AND NOT BY THE ADMINISTRATIVE STAFF. CONSULTANTS SHALL REPORT THEIR FINDINGS DIRECTLY TO THE COMPENSATION COMMITTEE. MEMBERS OF THE ADMINISTRATIVE STAFF SHALL NOT BE PRESENT WHILE DISCUSSIONS ARE HELD TO DETERMINE THE LEVEL OF COMPENSATION AND BENEFITS FOR THE SLG. MINUTES OF COMPENSATION COMMITTEE PROCEEDINGS SHALL BE KEPT THAT REFLECT THE COMMITTEE'S INDEPENDENCE, ANY IDENTIFIED CONFLICTS OF INTEREST, WHAT DECISIONS WERE MADE AND WHAT INDIVIDUALS WERE PRESENT. SALARY ADJUSTMENTS AND/OR BENEFIT CHANGES FOR ANY SLG MEMBER MUST BE APPROVED BY THE COMMITTEE PRIOR TO IMPLEMENTATION. ALL SUCH APPROVED CHANGES WILL BE DISCLOSED TO THE FULL BOARD OF DIRECTORS AT THE NEXT REGULARLY SCHEDULED MEETING. The process described above was first implemented in 2003 and was used for the evaluation of all executives in 2010.
Offices & Positions for Which Process was Used, & Year Process was Begun	FORM 990, Part VI, LINE 15B	THE COMPENSATION AND BENEFITS OF ALL KEY EXECUTIVE POSITIONS ARE SUBJECT TO THE SAME PROCESS AS DESCRIBED IN THE EXPLANATION FOR FORM 990, PART VI, QUESTION 15a. The process was most recently used in 2010 to evaluate the senior leadership group positions.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Question 19	INDIANA UNIVERSITY HEALTH BLOOMINGTON, INC. ASKS THAT ANYONE REQUESTING A COPY OF ITS IRS FORM 990 COME TO ITS ADMINISTRATIVE OFFICE TO ACCESS THAT COPY. REQUESTS TO SEE THE RETURN CAN BE SUBMITTED VIA THE HOSPITAL'S INTERNET WEB SITE Or BY TELEPHONING THE GENERAL SWITCHBOARD NUMBER FOR THE HOSPITAL. STAFF ATTEMPTS ALWAYS TO RESPOND TO ALL REQUESTS WITHIN 24 HOURS, REGARDLESS OF THE MEANS OF TRANSMISSION. COMPLIANCE POLICIES, SUCH AS THOSE DEFINING CONFLICTS OF INTEREST ARE AVAILABLE TO HOSPITAL EMPLOYEES VIA AN EXTENSIVE INTRANET SITE. ANYONE OUTSIDE THE HOSPITAL MAY REQUEST A COPY VIA THE PUBLIC INTERNET SITE OR BY TELEPHONE. FINANCIAL STATEMENTS, TOO, ARE AVAILABLE FOR VIEWING UPON REQUEST, BUT MUST BE OBTAINED IN PERSON FROM THE HOSPITAL'S ADMINISTRATIVE OFFICES.
OTHER CHANGES IN NET ASSETS	PART XI, LINE 5	UNREALIZED INVESTMENT EARNINGS NOT RECOGNIZED ON FORM 990 5,916,698 UNREALIZED EARNINGS ON RELATED PARTIES NOT RECOGNIZED ON FORM 990 2,509 BOOK TO TAX DIFFERENCES IN UBI REPORTING 215,775 CHANGE IN PENSION OBLIGATION 1,203,558 CHANGE IN IUHB INTEREST IN THE ASSETS OF THE BH FOUNDATION 204,906 ASSETS TRANSFERRED TO AFFILIATES (2,846,518) -------------- TOTAL OTHER CHANGES IN NET ASSETS 4,696,928 ==============
TAX-EXEMPT EQUIPMENT LOANS (MASTER LEASE AND SUBLEASE AGREEMENT)	Sch K, Part V	THESE FUNDS, WHICH WERE USED ENTIRELY FOR THE PURCHASE OF MEDICAL AND HOSPITAL IT EQUIPMENT, WERE ORIGINALLY RECEIVED IN THREE SEPARATE DRAWS: $14,252,734 ON 02/16/2006; $3,256,179 ON 06/07/2006; AND $2,453,219 ON 12/28/2006 (TOTAL = $19,962,132). THE EQUIPMENT FINANCED WITH THESE TAX-EXEMPT LOANS WAS SEPARATED INTO THREE CATEGORIES: $5,566,946 ASSETS WITH A 5-YEAR USEFUL LIFE; $2,403,488 ASSETS WITH AN 8-YEAR USEFUL LIFE; AND $11,991,698 ASSETS WITH A 10-YEAR USEFUL LIFE (TOTAL = $19,962,132). THE INTEREST RATE SPREAD TO THE BMA INDEX USED TO CALCULATE THE VARIABLE-RATE INTEREST COST IS 0.98% FOR THE 5-YEAR LOANS, 1.09% FOR THE 8-YEAR LOANS, AND 1.21% FOR THE 10-YEAR LOANS. AS OF 12/31/2010 THE UNPAID BALANCES ON THE THREE LOANS CATEGORIES IS AS FOLLOWS: $607,596 ON THE 5-YEAR LOANS; $1,148,222 ON THE 8-YEAR LOANS; AND $7,427,221 ON THE 10-YEAR LOANS (TOTAL = 9,183,039).
Hours spent on related organizations	Pt VII, Section A, Line 1a, Column B	In additon to time spend for duties at Indiana University Health Bloomington, inc., the following individuals spent time attending to duties at related organizations. L. Gene Perry, 32 hours Mark Moore, 2 hours Larry Bailey, 32 hours Daniel Evans, Jr 53 hours

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Employer identification number

35-1720796

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) METHODIST HEALTH FOUNDATION INC 1800 NORTH CAPITAL AVENUE INDIANAPOLIS,IN46202 35-6043086	FUNDRAISING	IN	501(C)(3)	11a	NA
(2) METHODIST HEALTH GROUP INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 35-0876390	HEALTHCARE	IN	501(C)(3)	11c	NA
(3) METHODIST MEDICAL GROUP INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 35-1945384	HEALTHCARE	IN	501(C)(3)	3	NA
(4) METHODIST MEDICAL GROUP PHYSICIANS INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 35-1814660	HEALTHCARE	IN	501(C)(3)	3	NA
(5) METHODIST OCCUPATIONAL HEALTH CTRS INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 35-1844176	HEALTHCARE	IN	501(C)(3)	3	NA
(6) METHODIST RESEARCH INSTITUTE INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 35-2023710	HEALTHCARE	IN	501(C)(3)	11a	NA
(7) MH HEALTHCARE INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 35-1766531	HEALTHCARE	IN	501(C)(3)	3	NA
(8) BEDFORD REGIONAL MEDICAL CENTER INC 2900 WEST 16TH STREET BEDFORD,IN47421 23-7042323	HEALTHCARE	IN	501(C)(3)	3	NA
(9) GOSHEN HEALTH SYSTEM INC 200 HIGH PARK AVENUE GOSHEN,IN46527 35-1974765	HEALTHCARE	IN	501(C)(3)	11a	NA
(10) GOSHEN HOSPITAL ASSOCIATION INC 200 HIGH PARK AVENUE GOSHEN,IN46527 35-6001540	HEALTHCARE	IN	501(C)(3)	3	NA
(11) LAPORTE REGIONAL HEALTH SYSTEM INC 1007 LINCOLNWAY LAPORTE,IN46350 35-1125434	HEALTHCARE	IN	501(C)(3)	3	NA
(12) LAPORTE REGIONAL PHYSICIAN NETWORK INC 1007 LINCOLNWAY LAPORTE,IN46350 31-1070868	HEALTHCARE	IN	501(C)(3)	3	NA
(13) TIPTON HOSPITAL INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 26-2772226	HEALTHCARE	IN	501(C)(3)	3	NA
(14) BALL MEMORIAL HOSPITAL INC 2401 WEST UNIVERSITY AVENUE MUNCIE,IN47303 35-0867958	HEALTHCARE	IN	501(C)(3)	3	NA
(15) BLACKFORD COMMUNITY HOSPITAL INC 410 PILGRIM BOULEVARD HARTFORD CITY,IN47348 01-0646166	HEALTHCARE	IN	501(C)(3)	3	NA
(16) HEALTHCARE CONNECTIONS INC 2410 WEST UNIVERSITY AVENUE MUNCIE,IN47303 35-1925641	HEALTHCARE	IN	501(C)(3)	9	NA
(17) INDIANA RADIOLOGY PARTNERS INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 20-1017034	HEALTHCARE	IN	501(C)(3)	3	NA
(18) INDIANA UNIVERSITY HEALTHCARE ASSOCIATE 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 35-1747218	HEALTHCARE	IN	501(C)(3)	9	NA
(19) MIDWEST HEALTH STRATEGIES INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 61-1415688	HEALTHCARE	IN	501(C)(3)	3	NA
(20) HEALTHLINC INC 200 HIGH PARK AVENUE GOSHEN,IN46527 26-3571507	HEALTHCARE	IN	501(C)(3)	3	NA
(21) THE BMH FOUNDATION INC 2401 WEST UNIVERSITY AVENUE MUNCIE,IN47303 31-1111784	FUNDRAISING	IN	501(C)(3)	11a	NA
(22) BMH AUXILIARY INC 2401 WEST UNIVERSITY AVENUE MUNCIE,IN47303 35-6025400	HEALTHCARE	IN	501(C)(3)	11c	NA
(23) IU HEALTH MORGAN HOSPITAL INC 2209 JOHN R WOODEN DRIVE MARTINSVILLE,IN46151 27-3533027	HEALTHCARE	IN	501(C)(3)	3	NA
(24) IU HEALTH WHITE MEMORIAL HOSPITAL INC 720 SOUTH SIXTH STREET MONTICELLO,IN47960 27-3532963	HEALTHCARE	IN	501(C)(3)	3	NA
(25) Indiana University Health Inc 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 35-1955872	HEALTHCARE	IN	501(C)(3)	3	NA
(26) CLARIAN ARNETT HEALTH SYSTEM INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 26-3162145	HEALTHCARE	IN	501(C)(3)	3	NA
(27) CLARIAN TRANSPLANT INSTITUTE INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 13-4350599	HEALTHCARE	IN	501(C)(3)	9	NA
(28) EMERGENCY MEDICAL GROUP INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 35-1932442	HEALTHCARE	IN	501(C)(3)	3	NA
(29) LOCAL COUNCIL OF WOMEN OF BLOOMINGTON PO BOX 1149 BLOOMINGton,IN47402 35-0992711	NON-PROFIT	IN	501(C)(3)	7	nA
(30) indiana university HEALTH PAOLI PO BOX 1149 BLOOMINGTON,IN47402 35-2090919	HEALTHCARE	IN	501(C)(3)	3	iuh BLOOM
(31) BLOOMINGTON HOSPITAL AUXILLARY PO BOX 1149 BLOOMINGTON,IN47402 35-6041676	VOLUNTEERS	IN	501(C)(4)		IUH BLOOM
(32) BLOOMINGTON HOSPITAL FOUNDATION INC 405 N ROGERS STREET BLOOMINGTON,IN47404 35-1720795	FUNDRAISING	IN	501(C)(3)	11C	IUH BLOOM
(33) oRANGE COUNTY HOSPITAL FOUNDATION INC PO BOX 499 PAOLI,IN47454 31-0992486	FUNDRAISING	IN	501(C)(3)	11D	IUH BLOOM

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CLARIAN HEALTH NETWORK LLC 950 n meridian st ste 800 INDIANAPOLIS,IN46204 35-2055030	HEALTHCARE	IN	NA	N/A	0	0		No	0		No	0 %
(2) BALL OUTPATIENT SURGERY CENTER 2401 west university avenue MUNCIE,IN47303 27-0275794	HEALTHCARE	IN	NA	N/A	0	0		No	0		No	0 %
(3) CARDINAL HEALTH INITIATIVES 2401 west university avenue MUNCIE,IN47303 30-0102702	PURCHASING	IN	NA	N/A	0	0		No	0		No	0 %
(4) MID AMERICA SURGERY CENTER 2401 west university avenue MUNCIE,IN47303 35-2002953	HEALTHCARE	IN	NA	N/A	0	0		No	0		No	0 %
(5) BMH OUTPATIENT SURG SVCS 2401 WEST UNIVERSITY AVENUE MUNCIE,IN47303 20-4567998	HEALTHCARE	IN	NA	N/A	0	0		No	0		No	0 %
(6) CHV FUND MANAGEMENT LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 26-2523151	VENTURE CAPITAL	IN	NA	N/A	0	0		No	0		No	0 %
(7) CLARIAN HEALTH NORTH LLC 11700 North Meridian Street CARMEL,IN46032 43-1980602	HEALTHCARE	IN	NA	N/A	0	0		No	0		No	0 %
(8) CLARIAN HLTH VENT FUND I LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 26-2523206	VENTURE CAPITAL	IN	NA	N/A	0	0		No	0		No	0 %
(9) CLARIAN HEALTH WEST LLC 1111 NORtH RONALD REAGAN PKWY AVON,IN46123 43-1980611	HEALTHCARE	IN	NA	N/A	0	0		No	0		No	0 %
(10) HEALTH VENTURE MANAGEMENT LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 20-5740218	management	IN	NA	N/A	0	0		No	0		No	0 %
(11) INDIANA ENDOSCOPY CENTERS LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 20-8398421	HEALTHCARE	IN	NA	N/A	0	0		No	0		No	0 %
(12) IN LAKES MANAGED CARE ORG LLC 310 S MAIN STREET GOSHEN,IN46526 35-1946663	HEALTHCARE	IN	NA	N/A	0	0		No	0		No	0 %
(13) SENATE ST SURGERY CENTER LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 42-1709357	HEALTHCARE	IN	NA	N/A	0	0		No	0		No	0 %
(14) THE HEALTHCARE GROUP LLC 8802 N MERIDIAN ST STE 100 INDIANAPOLIS,IN46260 35-2067373	MANAGED CARE	IN	NA	N/A	0	0		No	0		No	0 %
(15) ROC SURGERY LLC 950 NORTH MERIDIAN STREET SUITE 80 INDIANAPOLIS,IN271497960 27-1497960	HEALTH CARE	IN	NA	N/A	0	0		No	0		No	0 %
(16) bloomington endoscopy center llc 550 landmark ave bloomington,IN47403 35-2117943	surgery center	IN	IUH BLOOM	ENDOSCOPIC DIAG	0	0		No	0		No	51.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership
(1) SOUTHERN INDIANA MEDICAL GROUP po Box 1149 Bloomington,IN47402 35-1913875	HEALTHCARE	IN	NA	C CORP	5,898,474	755,096	100.000 %
(2) BMH MEDICAL PAVilion ASSOCiation INC 2525 west university avenue muncie,IN47303 35-1858408	CONDO MGMT	IN	NA	C CORP	0	0	0 %
(3) CARDINAL HEALTH VENTures INC 2525 WEST UNIVERSITY AVENUE MUNCIE,IN47303 35-1611424	MANAGEMENT	IN	NA	C CORP	0	0	0 %
(4) PILR INC 200 high park avenue goshen,IN46526 20-4294750	DEVELOPMENT	IN	NA	C CORP	0	0	0 %
(5) clarian health risk retention grp inc 151 meeting street suite 301 charleston,SC29401 20-1107674	HEALTHCARE	SC	NA	C CORP	0	0	0 %
(6) IUH ASSURANCE LTD 720 WEST BAY ROAD PO BOX 69 GRAND CAYMAN,cayman islands CJ 98-0395429	INSURANCE	CJ	NA	C CORP	0	0	0 %
(7) CLARIAN HEALTH PLANS INC 1776 MERIDIAN STREET STE 300 INDIANAPOLIS,IN46202 26-2127080	HMO	IN	NA	C CORP	0	0	0 %
(8) CHV CAPITAL INC 950 N MERIDIAN STREET STE 800 INDIANAPOLIS,IN46204 26-0752507	VENTURE CAPITAL	IN	NA	C CORP	0	0	0 %
(9) CLARIAN RISK PURCHASING GROUP INC 151 MEETING STREET SUITE 301 CHARLESTON,SC29401 26-0202446	INSURANCE	SC	NA	C CORP	0	0	0 %
(10) M-PLAN INC 1776 n meridian street suite 300 indianapolis,IN46204 35-1772506	HMO	IN	NA	C CORP	0	0	0 %
(11) OCC-HEALTH REVenue SYStems INC 950 N MERIDIAN STREET STE 800 INDIANAPOLIS,IN46204 20-3308057	WORK COMP PPO	IN	NA	C CORP	0	0	0 %
(12) PARKMOR DRUG INC 1501 south main street goshen,IN46526 13-1394980	PHARMACY SALES	IN	NA	C CORP	0	0	0 %
(13) RADIATION ONCOLOGY RESOURCES INC 200 HIGH PARK AVENUE GOSHEN,IN46526 26-2008424	HEALTH CARE	IN	NONE	C CORP	0	0	0 %
(14) UNIVERSITY HEALTH MANAGEMENT INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 27-2891143	MANAGEMENT	IN	NONE	C CORP	0	0	0 %
(15) UNIVERSITY HEALTH MGT (CHINA) INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS,IN46204 27-3891311	MANAGEMENT	IN	NONE	C CORP	0	0	0 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved
(1) SOUTHERN INDIANA MEDICAL GROUP	B	1,770,432
(2) BLOOMINGTON HOSPITAL AUXILIARY	C	76,612
(3) BLOOMINGTON HOSPITAL FOUNDATION	L	316,000
(4) BLOOMINGTON HOSPITAL AUXILIARY	M	83,766
(5) BLOOMINGTON HOSPITAL FOUNDATION	M	604,031
(6) IU HEALTH PAOLI	N	389,727
(7) bloomington hospital foundation	c	197,000
(8) IU HEALTH PAOLI	P	989,880
(9) SOUTHERN INDIANA MEDICAL GROUP	P	218,954

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: indiana university health bloomington's mission is to ImPROVE the health of our patients and community through innovation and excellence in care, education, research and service.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	14
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	3,169
6	Total number of volunteers (estimate if necessary) ....	6	450
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	5,663,285
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,599,834	2,033,914
9	Program service revenue (Part VIII, line 2g) .........	314,008,300	325,151,744
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-6,999,800	5,996,039
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	64,888	54,752
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	308,673,222	333,236,449
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	94,954	57,500
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	151,700,057	164,731,426
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	145,491,108	144,435,964
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	297,286,119	309,224,890
19	Revenue less expenses. Subtract line 18 from line 12......	11,387,103	24,011,559
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	307,022,525	331,749,624
21	Total liabilities (Part X, line 26)............	108,713,175	104,731,787
22	Net assets or fund balances. Subtract line 21 from line 20 .....	198,309,350	227,017,837

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 177,940,065 including grants of $ ) (Revenue $ 217,041,001 )
	INPATIENT AND OUTPATIENT ANCILLARY MEDICAL SERVICES, INCLUDING LABORATORY, RADIOLOGY AND OTHER IMAGING SERVICES, PHARMACEUTICALS, RESPIRATORY AND REHABILITATION SERVICES, 24-HOUR EMERGENCY DEPARTMENT AND AMBULANCE SERVICES, AND A FULL RANGE OF CARDIAC SERVICES, AMONG OTHERS.

4b	(Code: ) (Expenses $ 51,633,550 including grants of $ ) (Revenue $ 62,979,618 )
	INPATIENT AND OUTPATIENT SURGICAL SERVICES: INDIANA UNIVERSITY Health BLOOMINGTON (IUHB)PERFORMED A TOTAL OF 4,269 INPATIENT AND 7,559 OUTPATIENT SURGICAL PROCEDURES DURING 2010. PLEASE SEE SCHEDULE O FOR ADDITIONAL INFORMATION CONCERNING IUHB'S PROGRAM SERVICES.

4c	(Code: ) (Expenses $ 26,102,072 including grants of $ ) (Revenue $ 31,837,798 )
	ACUTE INPATIENT MEDICAL CARE, REPRESENTING THE SERVICES PROVIDED TO TO A TOTAL OF 13,255 ADULT AND PEDIATRIC INPATIENTS AND 1,977 NEWBORN INFANTS DURING 2010. IUHB PROVIDES A RANGE OF COMPLEX MEDICAL CARE INCLUDING ORTHOPEDIC, POST-SURGICAL, CARDIAC, INTENSIVE CARE, AND PSYCHIATRIC SERVICES. PLEASE SEE SCHEDULE O FOR ADDITIONAL INFORMATION CONCERNING IUHB'S PROGRAM SERVICES.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 5,190,477 including grants of $ 57,500 ) (Revenue $ 6,237,597 )
4e	Total program service expenses$ 260,866,164

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,969,982	1,252,646	1,630,972

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		273,612
e	Government grants (contributions)1e		1,760,302

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,033,914
			Business Code
2a	NET PATIENT SERVICE REVENUE		900,099	288,384,525	288,384,525
b	NET LABORATORY PATIENT REVENUE		621,500	29,047,665	23,473,892	5,573,773
c	CAFETERIA REVENUE		722,210	1,447,197			1,447,197
d	JOINT VENTURE INCOME		900,099	1,838,060	1,838,060
e	RELATED RENTAL REVENUE		531,120	538,250	538,250
f	All other program service revenue .			3,896,047	3,861,287	34,760
g	Total. Add lines 2a–2f........			325,151,744
3	Investment income (including dividends, interest
	and other similar amounts).....			49,161			49,161
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents	270,527
b	Less: rental expenses	215,775
c	Rental income or (loss)	54,752
d	Net rental income or (loss).......			54,752		54,752
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	5,922,676	41,400
b	Less: cost or other basis and sales expenses		17,198
c	Gain or (loss)	5,922,676	24,202
d	Net gain or (loss)..........			5,946,878			5,946,878
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions....			333,236,449	318,096,014	5,663,285	7,443,236


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			65,414	1	55,578
2	Savings and temporary cash investments .......			31,797,823	2	41,323,166
3	Pledges and grants receivable, net .........			1,421,229	3	1,726,640
4	Accounts receivable, net .........			35,891,772	4	39,116,988
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			5,140,284	8	4,942,153
9	Prepaid expenses and deferred charges ............			4,083,108	9	4,474,441
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	347,188,704
b	Less: accumulated depreciation. .....	10b	223,652,396	132,115,369	10c	123,536,308
11	Investments—publicly traded securities ..........			84,821,945	11	101,783,826
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..			2,137,514	13	2,485,222
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			9,548,067	15	12,305,302
16	Total assets. Add lines 1 through 15 (must equal line 34)...			307,022,525	16	331,749,624
17	Accounts payable and accrued expenses .			27,549,514	17	33,415,710
18	Grants payable ..........				18
19	Deferred revenue ..........			60,778	19	91,378
20	Tax-exempt bond liabilities ..........			52,555,434	20	48,213,743
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			12,051,389	23	7,295,548
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			16,496,060	25	15,715,408
26	Total liabilities. Add lines 17 through 25.....			108,713,175	26	104,731,787
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			194,200,605	27	222,704,136
28	Temporarily restricted net assets .....			3,474,314	28	3,679,220
29	Permanently restricted net assets .....			634,431	29	634,481
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			198,309,350	33	227,017,837
34	Total liabilities and net assets/fund balances .....			307,022,525	34	331,749,624

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No