Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
INDIANA UNIVERSITY HEALTH INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
950 N MERIDIAN STREET SUITE 800
Suite
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
INDIANAPOLIS, IN46204
D Employer identification number

35-1955872
E Telephone number

G Gross receipts $ 3,255,742,124
F Name and address of principal officer:
DANIEL F EVANS JR
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
HTTP://IUHEALTH.ORG/
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1995
M State of legal domicile: IN
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: Improve the health of our patients and community through innovation and excellence in care, education, research and service.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 11
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 17,716
6 Total number of volunteers (estimate if necessary) ............. 6 1,335
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 28,662,169
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 2,794,707
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 14,662,575 17,019,981
9 Program service revenue (Part VIII, line 2g) ......... 3,020,604,837 2,606,202,393
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 59,613,927 108,097,463
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 42,316,799 33,348,549
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 3,137,198,138 2,764,668,386
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 23,548,346 58,491,480
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) 1,110,266,709 983,584,208
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,580,149,074 1,487,063,108
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,713,964,129 2,529,138,796
19 Revenue less expenses. Subtract line 18 from line 12....... 423,234,009 235,529,590
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 4,994,322,961 5,247,801,615
21 Total liabilities (Part X, line 26)............. 2,689,261,531 2,751,787,096
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,305,061,430 2,496,014,519
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: Improve the health of our patients and community through innovation and excellence in care, education, research and service.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 2,095,334,667 including grants of $ 58,491,480 ) (Revenue $ 2,647,996,277 )
Indiana University Health, Inc. ("IU Health") is Indiana's most comprehensive healthcare system. A unique partnership with Indiana University School of Medicine, one the nation's leading medical schools, gives patients access to innovative treatments and therapies, all without regard to their ability to pay. IU Health is comprised of hospitals, physicians and allied services dedicated to providing preeminent care throughout Indiana and beyond. See Schedule O for additional information on IU Health's 2013 program service accomplishments.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet2,095,334,667
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV
..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
951
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
17,716
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IN
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletBROC BUDDE950 N MERIDIAN STREET SUITE 800INDIANAPOLISIN46204 (317) 962-4575
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) V WILLIAM HUNT........................................................................
CHAIRMAN
6.0
.......................0.0
X   X       0 0 0
(2) THOMAS W CHAPMAN........................................................................
ELECTED VICE-CHAIR
6.0
.......................0.0
X   X       24,500 0 0
(3) D CRAIG BRATER MD........................................................................
EX-OFFICIO VICE-CHAIR (PART.)
6.0
.......................0.0
X   X       18,875 0 0
(4) JAY L HESS MD........................................................................
EX-OFFICIO VICE CHAIR (PART.)
6.0
.......................0.0
X   X       7,375 0 0
(5) DANIEL F EVANS JR........................................................................
DIRECTOR/PRESIDENT & CEO
55.0
.......................0.0
X   X       1,468,119 0 562,967
(6) JAMES E LINGEMAN MD........................................................................
DIRECTOR
6.0
.......................55.0
X           19,750 937,832 17,850
(7) DAVID W GOODRICH........................................................................
DIRECTOR
6.0
.......................0.0
X           37,000 0 0
(8) CHARLES E GOLDEN........................................................................
DIRECTOR
6.0
.......................0.0
X           34,750 0 0
(9) WILLIAM R CAST MD........................................................................
DIRECTOR
6.0
.......................0.0
X           30,250 0 0
(10) J SCOTT DAVISON........................................................................
DIRECTOR
6.0
.......................0.0
X           28,250 0 0
(11) ANNE NOBLES........................................................................
DIRECTOR
6.0
.......................0.0
X           28,000 0 0
(12) ANGELA BARRON MCBRIDE........................................................................
DIRECTOR
6.0
.......................0.0
X           24,000 0 0
(13) MICHAEL A MCROBBIE........................................................................
DIRECTOR
6.0
.......................0.0
X           11,250 0 0
(14) THE HON SARAH EVANS BARKER........................................................................
DIRECTOR
6.0
.......................0.0
X           0 0 0
(15) BISHOP MICHAEL J COYNER........................................................................
DIRECTOR
6.0
.......................0.0
X           0 0 0
(16) RYAN C KITCHELL........................................................................
TREASURER/EVP & CFO
55.0
.......................0.0
    X       783,290 0 165,028
(17) MARY BETH CLAUS........................................................................
SECRETARY/SVP, GC & CCO
55.0
.......................0.0
    X       393,075 0 100,315
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DENNIS M MURPHY........................................................................
EVP & COO (PARTIAL YEAR)
55.0
.......................0.0
      X     815,062 0 114,716
(19) JAMES G TERWILLIGER........................................................................
INTERIM EVP & COO
55.0
.......................0.0
      X     615,536 0 134,459
(20) RICHARD F GRAFFIS MD........................................................................
EVP & CME (PARTIAL YEAR)
55.0
.......................0.0
      X     192,890 0 18,496
(21) JOHN C KOHNE MD........................................................................
INTERIM EVP & CME
37.0
.......................18.0
      X     409,579 199,255 47,891
(22) LINDA Q EVERETT RN........................................................................
EVP & CNE
55.0
.......................0.0
      X     602,255 0 45,691
(23) ERIC S WILLIAMS MD........................................................................
EVP, ACADEMIC & MEDICAL AFF.
25.0
.......................25.0
      X     247,619 121,374 4,210
(24) JEFFREY L SPERRING MD........................................................................
PRESIDENT & CEO (RH)
55.0
.......................0.0
      X     450,840 0 115,384
(25) JONATHAN R GOBLE........................................................................
PRESIDENT & CEO (SAX)
22.0
.......................33.0
      X     237,015 355,523 124,313
(26) MARILYN L COX RN........................................................................
SVP & CNO (RH)
55.0
.......................0.0
      X     1,968,020 0 28,980
(27) LINDA K CHASE RN........................................................................
VP & CNO (MH)
55.0
.......................0.0
      X     228,253 0 39,673
(28) LORI L KNARR RN........................................................................
VP & CNO (UH)
55.0
.......................0.0
      X     226,196 0 25,682
(29) DAWN MOORE-JEFFERSON........................................................................
VP & CPO (PARTIAL YEAR)
55.0
.......................0.0
      X     255,322 0 29,363
(30) JAMES A JORGENSON........................................................................
VP & CPO (PARTIAL YEAR)
55.0
.......................0.0
      X     171,123 0 16,921
(31) NATHAN D LAMBERT MD........................................................................
STAFF PHYSICIAN (HPI)
55.0
.......................0.0
        X   698,882 0 48,942
(32) LAWRENCE S KLEIN MD........................................................................
STAFF PHYSICIAN (HPI)
55.0
.......................0.0
        X   671,939 0 41,685
(33) BLAIR S MACPHAIL MD........................................................................
STAFF PHYSICIAN (HPI)
55.0
.......................0.0
        X   662,385 0 54,528
(34) EDWARD A HARLAMERT MD........................................................................
STAFF PHYSICIAN (HPI) (PART.)
55.0
.......................55.0
        X   550,094 278,348 50,098
(35) STEVEN L WANTZ........................................................................
SVP, ADMIN. & COS
55.0
.......................0.0
        X   515,344 0 122,474
(36) MARVIN G PEMBER........................................................................
SVP & CFO
0.0
.......................0.0
          X 5,087,068 0 0
(37) NORMAN G TABLER JR........................................................................
SECRETARY/SVP, GC & CCO
0.0
.......................0.0
          X 536,459 0 23,716
(38) KELLY L BRAVERMAN........................................................................
SENIOR EXECUTIVE
55.0
.......................0.0
          X 224,884 0 16,777
(39) DEBRA L UHL........................................................................
COO (UH)
0.0
.......................0.0
          X 295,634 0 5,319
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 18,570,883 1,892,332 1,955,478
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet865
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
IU HEALTH CARE ASSOCIATES INC, 950 N MERIDIAN ST STE 800INDIANAPOLISIN46204 MEDICAL 69,892,665
MESSERHARMON IV LLC, 5158 FISHWICK DRCINCINNATIOH45216 CONSTRUCTION 27,509,717
CERNER CORPORATION, 2800 ROCKCREEK PKWYKANSAS CITYMO64117 SOFTWARE MAINTENANCE 16,107,533
ERMCO INC, 1625 W THOMPSON RDINDIANAPOLISIN46206 CONSTRUCTION 13,214,942
UNIVERSITY PEDIATRIC ASSOCIATES IN, 702 BARNHILL DRINDIANAPOLISIN46206 MEDICAL 12,809,420
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet252
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 2,749,573
e Government grants (contributions)1e 6,185,259
f All other contributions, gifts, grants, and
similar amounts not included above
1f
8,085,149
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 17,019,981
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 621110 1,945,202,173 1,945,202,173 0 0
b REFERENCE LABORATORY 621500 275,952,494 273,615,927 2,336,567  
c MEMBER PREMIUM REVENUE 541900 144,473,055 144,473,055    
d SHARED SERVICES 900099 141,066,296 136,087,570 4,978,726  
e PHARMACY 446110 62,044,904 47,673,583 14,371,321  
f All other program service revenue . 37,463,471 36,818,688 644,783 0
g Total. Add lines 2a–2f........MediumBullet 2,606,202,393
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 66,619,427 41,793,884   24,825,543
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 189,618     189,618
(i) Real (ii) Personal
6a Gross rents 13,025,193  
b Less: rental expenses 13,434,376  
c Rental income or (loss) -409,183 0
d Net rental income or (loss).......MediumBullet -409,183   11,700 -420,883
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 516,644,127 2,473,271
b Less: cost or other basis and sales expenses 473,324,434 4,314,928
c Gain or (loss) 43,319,693 -1,841,657
d Net gain or (loss)..........MediumBullet 41,478,036     41,478,036
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..MediumBullet 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...MediumBullet 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..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA/FOOD SERVICE 721110 6,692,862     6,692,862
b PARKING 812930 1,805,809     1,805,809
c TELEPHONE 517000 1,578,384     1,578,384
d All other revenue .... 23,491,059   6,319,072 17,171,987
e Total. Add lines 11a–11d ...... MediumBullet 33,568,114
12 Total revenue. See Instructions......MediumBullet 2,764,668,386 2,625,664,880 28,662,169 93,321,356
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 United States. See Part IV, line 21 58,355,347 58,355,347
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 136,133 136,133
3 Grants and other assistance to governments, organizations, and individuals outside the United States. 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 .... 10,805,559 8,580,886 2,224,673  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 783,468,277 622,166,041 161,302,236  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 50,689,847 46,522,253 4,167,594  
9 Other employee benefits ....... 76,421,673 44,259,171 32,162,502  
10 Payroll taxes ........... 62,198,852 47,921,006 14,277,846  
11 Fees for services (non-employees):        
a Management ...... 724,183   724,183  
b Legal ......... 1,535,163   1,535,163  
c Accounting ........... 1,340,683   1,340,683  
d Lobbying ........... 613,175   613,175  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 4,714,240   4,714,240  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 249,907,946 171,353,515 78,554,431  
12 Advertising and promotion .... 18,927,509 7,633,480 11,294,029  
13 Office expenses ....... 34,393,159 26,494,946 7,898,213  
14 Information technology ...... 54,945,245 41,417,334 13,527,911  
15 Royalties .. 0      
16 Occupancy ........... 95,735,860 75,986,200 19,749,660  
17 Travel ............ 2,212,227 1,634,726 577,501  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 75,767 40,091 35,676  
20 Interest ........... 53,283,060 51,959,825 1,323,235  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 133,232,244 129,855,842 3,376,402  
23 Insurance .............. 17,760,717 920,072 16,840,645  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a DRUGS AND MEDICAL SUPPLIES 463,264,071 463,264,071    
b HEALTH CLAIMS TO PROVIDERS 138,949,415 138,949,415    
c BAD DEBT 103,919,255 103,919,255    
d UBI TAX 1,029,147   1,029,147  
e All other expenses 110,500,042 53,965,058 56,534,984  
25 Total functional expenses. Add lines 1 through 24e 2,529,138,796 2,095,334,667 433,804,129 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 304,494 1 537,760
2 Savings and temporary cash investments ......... 458,160,388 2 289,762,828
3 Pledges and grants receivable, net ........... 1,221,606 3 1,437,158
4 Accounts receivable, net ............. 333,416,470 4 338,392,503
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 14,663
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 764,231,885 7 722,281,966
8 Inventories for sale or use .............. 46,198,194 8 40,711,166
9 Prepaid expenses and deferred charges .......... 21,916,532 9 22,323,305
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,512,826,575
b Less: accumulated depreciation ..... 10b 1,825,774,506 1,666,045,768 10c 1,687,052,069
11 Investments—publicly traded securities .......... 871,699,522 11 1,210,688,555
12 Investments—other securities. See Part IV, line 11 ..... 583,477,431 12 690,850,118
13 Investments—program-related. See Part IV, line 11 ..... 230,183,402 13 227,104,463
14 Intangible assets ............... 11,184,845 14 10,386,617
15 Other assets. See Part IV, line 11 ........... 6,282,424 15 6,258,444
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 4,994,322,961 16 5,247,801,615
Liabilities 17 Accounts payable and accrued expenses ......... 352,794,354 17 389,986,093
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 33,302,336 19 34,246,735
20 Tax-exempt bond liabilities ............. 1,364,411,661 20 1,333,807,558
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 358,474,167 23 321,329,077
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 580,279,013 25 672,417,633
26 Total liabilities. Add lines 17 through 25......... 2,689,261,531 26 2,751,787,096
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 2,300,167,849 27 2,491,123,738
28 Temporarily restricted net assets ........... 0 28 0
29 Permanently restricted net assets ........... 4,893,581 29 4,890,781
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 2,305,061,430 33 2,496,014,519
34 Total liabilities and net assets/fund balances ........ 4,994,322,961 34 5,247,801,615
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,764,668,386
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,529,138,796
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
235,529,590
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
2,305,061,430
5
Net unrealized gains (losses) on investments ...............
5
72,841,333
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-117,417,834
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
2,496,014,519
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of 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)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (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 monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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
Special Rules
......................... 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
Yes
 
10,000
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
524,136
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
79,039
j
Total. Add lines 1c through 1i ...............................
613,175
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Lines 1b and g - Paid staff and direct contact During 2013, Indiana University Health, Inc. ("IU Health") spent $524,136 in federal and state lobbying expenditures. During 2013, IU Health lobbied Congress on the following issues: - Healthcare reform legislation (in general) - Patient Protection and Affordable Care Act - Changes to Medicare/Medicaid reimbursement - Graduate medical education - Provider direct supervision - Changes to OPPS/IPPS reimbursement - Hospital Assessment Fees (provider taxes) - Sustainable growth rate - Compounding pharmacies - Site-neutrality payments - IRS requirements for charitable hospitals - Critical access and rural health matters (direct supervision; Medicare extenders) - Disproportionate share hospital payments - Telemedicine/telehealth - Budget matters - Partially hydrogenated oils During 2013, IU Health lobbied at the state level on the following issues: - Provider reimbursements - Medicaid expansion - Medicaid reimbursement policies - Workers compensation - Provider licensure matters - Physician order for scope of treatment - Workforce and smoking policies - Insurance matters - Healthcare reform - Hospital liens - Health insurance exchanges - Medicaid managed care - Telemedicine/telehealth
Schedule C, Part II-B, Lines 1f - Grants for lobbying purposes Indiana University Health, Inc. ("IU Health") made a contribution to Safety Net Hospitals for Pharmaceutical Access ("SNHFPA") during 2013 in the amount of $10,000. SNHFPA notified IU Health that 100% of this contribution would be used for lobbying expenditures.
Schedule C, Part II-B, Lines 1j - Other Activities Indiana University Health, Inc. ("IU Health") paid institutional membership dues to the American Hospital Association ("AHA"), Indiana Hospital Association ("IHA"), U.S. Chamber of Commerce ("USCOC"), Healthcare Leadership Council ("HLC"), National Association of Children's Hospitals & Related Institutions ("NACHRI"), and Safety Net Hospitals for Pharmaceutical Access ("SNHFPA") during 2013 in the amount of $72,910, $240,162, $50,000, $25,000, $145,973, and $7,900, respectively. Each membership organization notified IU Health that a portion of the dues it paid were used for lobbying purposes. The AHA used 23.98%, or $17,484 of the 2013 membership dues paid by IU Health, for lobbying expenditures. The IHA used 5.26%, or $12,633 of the 2013 membership dues paid by IU Health, for lobbying expenditures. The USCOC used 50%, or $25,000 of the 2013 membership dues paid by IU Health, for lobbying expenditures. The HLC used 60%, or $15,000 of the 2013 membership dues paid by IU Health, for lobbying expenditures. The NACHRI used 5.30%, or $7,737 of the 2013 membership dues paid by IU Health, for lobbying expenditures. The SNHFPA used 15%, or $1,185 of the 2013 membership dues paid by IU Health, for lobbying expenditures. The total membership dues paid to these organizations by IU Health during 2013 that were attributable to lobbying expenditures was $79,039.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
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 ........    
5
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? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 $  
2
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 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 4,893,581 4,896,581 5,186,440 5,220,052 82,476,620
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships ..... 2,800 3,000 289,859 33,612 800,000
e Other expenditures for facilities
and programs ........
        76,244,118
f Administrative expenses ....         212,450
g End of year balance ...... 4,890,781 4,893,581 4,896,581 5,186,440 5,220,052
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet100.000 %
c
Temporarily restricted endowment SchDMd Bullet0 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   141,468,808 141,468,808
b Buildings ................   1,796,641,258 772,315,861 1,024,325,397
c Leasehold improvements ............   16,872,809 10,167,928 6,704,881
d Equipment ................   1,260,397,397 1,011,245,468 249,151,929
e Other .................   297,446,303 32,045,249 265,401,054
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,687,052,069
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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    
(3)Other
(A) ALTERNATIVE INVESTMENTS
690,850,118 F








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 690,850,118
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
INTERCOMPANY PAYABLES (NET) 485,753,899
INTEREST RATE SWAP LIABILITIES 137,445,776
ACCRUED INTEREST ON BONDS 16,256,429
DUE TO THIRD-PARTY PAYORS 13,706,074
PENSION AND OTHER RETIREMENT LIAB. 10,673,308
ENVIRONMENTAL OBLIGATIONS 4,731,071
SELF-INSURANCE LIABILITIES 3,846,109
ACCRUED LOAN GUARANTEES 4,967

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 672,417,633
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 XIII.) ............ 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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part V, Line 4 - Intended Uses of Org.'s Endowment Funds Permanently restricted net assets are generally restricted for indigent and other patient care services, medical education and research programs, and medical supplies and equipment.
Schedule D, Part X, Line 2 - FIN 48 (ASC 740) Footnote Indiana University Health, Inc. ("IU Health") adopted FIN 48 in 2007. No disclosures were required in 2013 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image 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.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total expenditures
for and investments
in region
Central America and the Caribbean     Investments N/A 667,489,716
North America     Investments N/A 29,226,880
Europe (Including Iceland and Greenland)     Investments N/A 8,362,980
Central America and the Caribbean     Unrelated Trade or Business N/A 6,319,072
Central America and the Caribbean     Program Services SELF-INSURANCE 5,630,387
East Asia and the Pacific     Investments N/A 2,188,042
East Asia and the Pacific   1 Program Services DIABETES CLINIC 62,667
Central America and the Caribbean     Conduct board meetings N/A 42,411
Europe (Including Iceland and Greenland)     Conduct board meetings N/A 11,218
           
           
           
           
           
           
           
           
3a Sub-total .....   1 719,333,373
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)   1 719,333,373
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
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. Part II can be duplicated 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 non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 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
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 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.
Part III can be duplicated 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) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
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, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
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, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
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)..............................
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, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
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)....................................
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)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
Schedule F, Part I, Line 3 - Activities per Region The amounts reported on Schedule F, Part I, Line 3 include the book values of foreign investments, insurance premiums paid directly to an off-shore captive and travel and meeting expenses paid to attend off-shore captive meetings. During 2013, University Health Management (China), Inc. ("UHMC"), a subsidiary of Indiana University Health, Inc. ("IU Health"), collaborated with Zhejiang Hospital, in the Zhejiang province of China, in the management of several free-standing diabetes centers. As part of this collaboration, UHMC leased personnel from IU Health under a leased personnel services agreement, whereby an IU Health employee would provide services with regard to its agreement with Zhejiang Hospital. The amount reported on Schedule F represents the portion of the leased employee's salary that was paid by IU Health and reimbursed by UHMC.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


Software ID:  
Software Version:  



SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
  58,308 80,278,471   80,278,471 3.270 %
b Medicaid (from Worksheet 3,
column a) ....
  123,535 601,570,874 510,877,664 90,693,210 3.700 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
           
d Total Financial Assistance
and Means-Tested
Government Programs .
  181,843 681,849,345 510,877,664 170,971,681 6.970 %
Other Benefits
38 589,841 27,782,041 1,669,272 26,112,769 1.060 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
3 2,689 74,776,477 16,200,605 58,575,872 2.390 %
g Subsidized health services
(from Worksheet 6) ..
6 3,577 10,018,484 32,654 9,985,830 0.410 %
h Research (from Worksheet 7) 3 9,381 73,066,236 2,100,140 70,966,096 2.890 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
10 35,603 4,981,258   4,981,258 0.200 %
j Total. Other Benefits .. 60 641,091 190,624,496 20,002,671 170,621,825 6.950 %
k Total. Add lines 7d and 7j . 60 822,934 872,473,841 530,880,335 341,593,506 13.920 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development 1   400,252 364,752 35,500  
3 Community support 2 5 3,157   3,157  
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building 2 2,200 497,740   497,740 0.020 %
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total 6 3,499 901,149 364,752 536,397 0.020 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
37,609,087
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
417,180,616
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
429,179,258
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-11,998,642
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1BSC LLC
 
AMBULATORY SURGERY CENTER 25.815 % 0 % 74.185 %
2EHSC LLC
 
AMBULATORY SURGERY CENTER 25.752 % 0 % 74.248 %
3SSSC LLC
 
AMBULATORY SURGERY CENTER 26.444 % 0 % 73.556 %
4IEC LLC
 
AMBULATORY SURGERY CENTER 26.010 % 0 % 73.990 %
5ROCS LLC
 
AMBULATORY SURGERY CENTER 29.697 % 0 % 70.303 %
6BOSC LLC
 
AMBULATORY SURGERY CENTER 28.687 % 0 % 71.313 %
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 INDIANA UNIVERSITY HEALTH INC
1701 N SENATE BLVD
INDIANAPOLIS,IN46202
HTTP://IUHEALTH.ORG/
13-005051-1
X X X X   X X   SEE PART VI FOR ADDITIONAL INFORMATION 1
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
INDIANA UNIVERSITY HEALTH INC
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)
1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If "Yes," indicate the FPG family income limit for eligibility for discounted care: 650.%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3 - Input from Community Indiana University Health, Inc. ("IU Health") operates four hospital locations that are licensed as a single hospital by the Indiana State Department of Health. These hospital locations are as follows: - IU Health Methodist Hospital - IU Health University Hospital - Riley Hospital for Children at IU Health - IU Health Saxony Hospital IU Health Methodist Hospital, IU Health University Hospital, and Riley Hospital for Children are located in Indianapolis, Marion County, Indiana and are considered to be part of the IU Health Academic Health Center. IU Health Saxony Hospital is located in Fishers, Hamilton County, Indiana. Although licensed as a single hospital, each of these facilities serve different, although sometimes overlapping, portions of the community which present their own unique health needs. In order to take into account all of these unique health needs, IU Health conducted a separate Community Health Needs Assessments ("CHNA") for each of its four hospital locations. In conducting each of its most recent CHNAs, IU Health took into account input from persons who represent the broad interests of the communities it serves by hosting several community conversation focus groups. These focus groups included public health officials and community leaders to discuss the healthcare needs of the service area and what role IU Health could play in addressing the identified needs. To obtain a more complete picture of the factors that play into the IU Health Academic Health Center's community's health, input from public health officials and community leaders in Marion County was gathered through two separate focus group sessions. Each live group session lasted two hours and was held at IU Health Methodist Hospital. IU Health facilitators mailed letters and made follow-up telephone calls inviting public health officials and community leaders to attend the focus group discussion, paying special attention to including organizations that represent the interest of low-income, minority, and uninsured individuals. The goal of soliciting these leaders' feedback was to gather insights into the quantitative data that may not be easily identified from the secondary statistical data alone. Attendees who participated in the focus group included: Cynthia Stone - Associate Professor, Indiana University School of Public Health - As an associate professor of Public Health, Ms. Stone understands the issues and obstacles involved in public health and ways to improve it. Orion Bell - President & CEO, CICOA Aging & In-Home Solutions - Mr. Bell is representative of a community perspective on senior health. As President of CICOA, he works to provide access to various services for seniors within the community. Paul Pfaff - Director, IU Health Enrollment Center - Mr. Pfaff is representative of a community perspective regarding underinsured/uninsured populations and access to care. As Director of the IU Health Enrollment Center, he works to provide information and services to uninsured and underinsured populations. Molly Chavers - Executive Director, IndyHub - Ms. Chavers is representative of a community perspective regarding education. As Executive Director of IndyHub, she has a passion for improving educational opportunities to young adults within the community. Chuck Bradenburg - Director of Special Projects and Grants, United Way - Mr. Bradenburg is representative of a community perspective regarding healthy living. As a Director at United Way, he works for an organization that believes in helping people learn more, earn more, and lead safe and healthy lives, as well as creates programs to assist in those goals, especially for the underserved populations. Stacey Chappell - Health Promotion Coordinator, HealthNet - As a health promotion coordinator, Ms. Chappell has a great understanding surrounding health issues and needs in the community, especially for the low-income/underserved populations. Dr. Lawrence Reed - Director, IU Health Methodist Hospital Trauma - Dr. Reed is representative of a perspective regarding community injury prevention and emergency room ("ER") use. As director of Trauma Services at IU Health Methodist Hospital, he has great knowledge surrounding ER admissions, the misuse of the ER, and the underserved population. Katie Jones - Director, Violence Prevention Program, Indiana State Department of Health - Ms. Jones is representative of a community perspective regarding injury prevention. As director of a violence prevention program, she has extensive knowledge surrounding potential causes of violent injuries, as well as how to prevent them. Morgan McGill - Director, Office of Women's Health - Ms. McGill is representative of minority populations, especially underserved women. As Director of the Office of Women's Health within the Indiana State Department of Health, she has extensive knowledge regarding the health of women, the issues surrounding it, and ways to improve it. Dr. Jay Gladden - Dean, IUPUI School of Physical Education and Tourism Management - Dr. Gladden is representative of a community perspective toward obesity prevention and promoting physical activity. As Dean of the IUPUI Physical Education program, he has extensive knowledge in healthcare issues particularly surrounding obesity prevention. Mary McKee - Director, Public Health Practice, Marion County Public Health Department ("MCPHD") - As director of the MCPHD, Ms. McKee has direct knowledge of public health needs in Marion County, including low income and underserved populations. Joenne Pope - Manager, After-School and Summer Programs, IndyParks - Ms. Pope is representative of a community perspective regarding children's health. As manager of after-school programs, she is knowledgeable of issues and factors that surround children's health outcomes and physical activity. Jenny Boyts - Community Coordinator, Challenge Foundation Academy - Ms. Boyts is representative of a community perspective regarding children's health and education. As community coordinator, she is knowledgeable in children's health and well-being within the community. Charlie Schlegal - Principal, Challenge Foundation Academy - Mr. Schlegal is representative of a community perspective regarding children's health and education. As a principal, he is knowledgeable of children's health and well-being within the community. Upon arrival to the focus group, participants were asked to list five health needs, which should be prioritized in their opinion, for the Marion County community served by IU Health Academic Health Center. These responses were collected and aggregated into a comprehensive list of identified needs to be further discussed later in the session and ranked for severity of need within the community. IU Health facilitators then provided participants with a presentation featuring the mission of IU Health, current outreach priorities, and local health data, including demographics, insurance information, poverty rates, county health rankings, causes of death, physical activity, chronic conditions, preventive behaviors, and community needs index. Upon completion of the data presentation, IU Health facilitated a discussion on the comprehensive list of identified needs from earlier in the session. The objective of this method was intended to inspire candid discussions prior to a second identification of five prioritized health needs by each participant. The votes on the five prioritized health needs were tallied and final input from the group was encouraged during this process in order to validate the previously identified needs. Following additional discussion, participants were also asked to address what they thought the role of the IU Health Academic Health Center could be in meeting the local health needs. To obtain a more complete picture of the factors that play into the IU Health Saxony Hospital community's health, input from local health leaders in Hamilton County was gathered through two separate focus group sessions. The first live group session lasted two hours and was held at IU Health North Hospital and the second session was held via conference call. IU Health facilitators mailed letters and made follow-up telephone calls inviting public health officials and community leaders to attend the focus group discussion, paying special attention to including organizations that represent the interest of low-income, minority, and uninsured individuals. The goal of soliciting these leaders' feedback was to gather insights into the quantitative data that may not be easily identified from the secondary statistical data alone. Attendees who participated in the focus group included: Mo Merhoff - President, Carmel Chamber of Commerce - Mr. Merhoff is representative of a community perspective toward healthy living. As President of the Chamber of Commerce, he lobbies for policies affecting the health and well-being of the community. Mark Hulett - Emergency Medical Services ("EMS") Division Chief, City
Schedule H, Part V, Section B, Line 4 - CHNA Conducted with Other Hosp. Indiana University Health, Inc. ("IU Health") conducted a Community Health Needs Assessment ("CHNA") for its IU Health Saxony Hospital location in conjunction and collaboration with Indiana University Health North Hospital, Inc. ("IU Health North Hospital"). IU Health Saxony Hospital and IU Health North Hospital are both located in Hamilton County and serve a community with similar and overlapping health needs.
Schedule H, Part V, Section B, Line 7 - Addressing Identified Needs Indiana University Health, Inc. ("IU Health") prioritized and determined which of the community health needs identified in its most recently conducted Community Health Needs Assessments ("CHNAs") were most critical for it to address by using the Hanlon Method of prioritization. This method prioritizes identified needs based upon the prevalence and severity of the need and the effectiveness of interventions available to address the needs. Based upon the Hanlon Method of prioritization, IU Health selected the following five needs to be addressed for the IU Health Academic Health Center and IU Health Saxony Hospital: - Access to Healthcare - Behavioral Health - Obesity Prevention - PreK-12 Education - Women's Health and Family Planning Also, based upon the Hanlon Method of prioritization, the following identified community health needs were not chosen as one of the needs to be addressed: - Tobacco Prevention and Cessation - Prenatal Care - Poverty - Health Literacy The identified community need of tobacco prevention and cessation was reviewed and after completing a gap analysis, it was determined that, with the State of Indiana and Marion County Health Department tobacco efforts, including the free Quit Line and the smoke free ordinances, the best method to support tobacco prevention and cessation is to refer community members to these established resources. The identified community need of prenatal care was reviewed and after completing a gap analysis, it was determined there are a number of local organizations working to address this community need such as the Nurse Family Partnership, HealthNet, and Indianapolis Healthy Start. Although IU Health has not selected poverty as one of the top five community health needs for it to address in its CHNA implementation strategy, IU Health does focus many of its community outreach efforts on those living in poverty. Additionally, the high quality care and assistance IU Health provides to patients and community members that are unable to pay also helps to serve individuals in need. Lastly, the goal of IU Health's focus on PreK-12 Education is to help future generations gain access to better education to prepare them to have a successful academic experience and improve their quality of life and health outcomes. While health literacy was not specifically chosen, IU Health is addressing health literacy through Access to Healthcare and PreK-12 Education initiatives. IU Health's Access to Healthcare initiatives and programs are designed for those with at least a 6th grade reading level and team members are using techniques like "teach back" to ensure community members clearly understand directions for improving their health. Additionally, improved health literacy will occur by improving education and student outcomes as community members increase their education level and health literacy.
Schedule H, Part V, Section B, Line 14g - Other Measures to Publicize Indiana University Health, Inc. ("IU Health") goes to great lengths to ensure patients know that it treats all patients regardless of their ability to pay. Although a complete copy of the financial assistance policy is not attached to each patient statement, a plain language summary is included instead. Additionally, on the back of each patient statement is a telephone number that allows patients to ask any questions about the policy and request financial assistance.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?69
Name and address Type of Facility (describe)
1 BALL OUTPATIENT SURGERY CENTER
2525 W UNIVERSITY STE 200
MUNCIE,IN47303
AMBULATORY SURGERY
2 BELTWAY ENDOSCOPY CENTER - SPRINGMILL
200 W 103RD ST STE 2400
INDIANAPOLIS,IN46290
AMBULATORY SURGERY
3 BELTWAY SURGERY CENTERS
151 N PENNSYLVANIA PKWY
INDIANAPOLIS,IN46280
AMBULATORY SURGERY
4 BELTWAY SURGERY CENTERS - SPRINGMILL
200 W 103RD ST
INDIANAPOLIS,IN46280
AMBULATORY SURGERY
5 EAGLE HIGHLANDS SURGERY CENTER
6850 PARKDALE PLACE
INDIANAPOLIS,IN46254
AMBULATORY SURGERY
6 INDIANA ENDOSCOPY CENTERS
10967 ALLISONVILLE RD STE 100
FISHERS,IN46038
AMBULATORY SURGERY
7 INDIANA ENDOSCOPY CENTERS
1115 RONALD REAGAN PKWY STE 347
AVON,IN46123
AMBULATORY SURGERY
8 INDIANA ENDOSCOPY CENTERS
1801 N SENATE BLVD STE 401
INDIANAPOLIS,IN46202
AMBULATORY SURGERY
9 RILEY OUTPATIENT SURGERY CENTER
702 BARNHILL DR STE 0201
INDIANAPOLIS,IN46202
AMBULATORY SURGERY
10 SENATE STREET SURGERY CENTER
1801 N SENATE BLVD
INDIANAPOLIS,IN46202
AMBULATORY SURGERY
11 IU HEALTH BARIATRIC & MED WEIGHT LOSS
6640 INTECH BLVD STE 300
INDIANAPOLIS,IN46278
BARIATRIC AND MEDICAL WEIGHT LOSS
12 IU MEL & BREN SIMON CANCER CENTER
1030 W MICHIGAN ST
INDIANAPOLIS,IN46202
CANCER CARE
13 IU HEALTH CARDIOVASCULAR TESTING
10967 ALLISONVILLE RD STE 240
FISHERS,IN46038
CARDIOVASCULAR
14 IU HEALTH CARDIOVASCULAR TESTING
11725 ILLINOIS ST STE LL050
CARMEL,IN46032
CARDIOVASCULAR
15 IU HEALTH CARDIOVASCULAR TESTING
1210B MEDICAL ARTS BLVD STE 144
ANDERSON,IN46011
CARDIOVASCULAR
16 IU HEALTH CARDIOVASCULAR TESTING
13100 E 136TH ST STE 300
FISHERS,IN46037
CARDIOVASCULAR
17 IU HEALTH CARDIOVASCULAR TESTING
8075 N SHADELAND AVE STE 350
INDIANAPOLIS,IN46250
CARDIOVASCULAR
18 IU HEALTH CARDIOVASCULAR SURGEONS
1701 N SENATE BLVD STE 755
INDIANAPOLIS,IN46202
CARDIOVASCULAR
19 IU HEALTH CARDIOVASCULAR SURGEONS
707 W 2ND ST
BLOOMINGTON,IN47401
CARDIOVASCULAR
20 IU HEALTH CARDIOVASCULAR SURGEONS
637 S WALKER ST STE 2
BLOOMINGTON,IN47403
CARDIOVASCULAR
21 EAST WASHINGTON TIMESHARE
9670 E WASHINGTON ST STE 110
INDIANAPOLIS,IN46229
DIAGNOSTIC AND OTHER MEDICAL
22 GEORGETOWN TIMESHARE
4880 CENTURY PLAZA RD STE 170
INDIANAPOLIS,IN46254
DIAGNOSTIC AND OTHER MEDICAL
23 IU HEALTH GEORGETOWN MEDICAL PLAZA
4880 CENTURY PLAZA RD
INDIANAPOLIS,IN46254
DIAGNOSTIC AND OTHER MEDICAL
24 IU HEALTH METHODIST MEDICAL PLAZA BBURG
1375 N GREEN ST STE 200
BROWNSBURG,IN46207
DIAGNOSTIC AND OTHER MEDICAL
25 IU HEALTH METHODIST MEDICAL PLAZA EHGH
6850 PARKDALE PL
INDIANAPOLIS,IN46254
DIAGNOSTIC AND OTHER MEDICAL
26 IU HEALTH METHODIST MEDICAL PLAZA EAST
9660 E WASHINGTON ST
INDIANAPOLIS,IN46229
DIAGNOSTIC AND OTHER MEDICAL
27 IU HEALTH METHODIST MEDICAL PLAZA NORTH
151 PENNSYLVANIA PKWY
CARMEL,IN46280
DIAGNOSTIC AND OTHER MEDICAL
28 IU HEALTH METHODIST MEDICAL PLAZA SOUTH
8820 S MERIDIAN ST
INDIANAPOLIS,IN46217
DIAGNOSTIC AND OTHER MEDICAL
29 IU HEALTH METHODIST MEDICAL TOWER
1633 N CAPITOL AVE
INDIANAPOLIS,IN46202
DIAGNOSTIC AND OTHER MEDICAL
30 IU HEALTH SPRING MILL OUTPATIENT CENTER
200 W 103RD ST STE 1200
INDIANAPOLIS,IN46290
DIAGNOSTIC AND OTHER MEDICAL
31 METHODIST MEDICAL PLAZA - GLENDALE
2620 KESSLER BLVD E
INDIANAPOLIS,IN46220
DIAGNOSTIC AND OTHER MEDICAL
32 NORTH MERIDIAN TIMESHARE
201 PENNSYLVANIA PKWY STE 305
INDIANAPOLIS,IN46280
DIAGNOSTIC AND OTHER MEDICAL
33 SOUTH 31 TIMESHARE
8820 S MERIDIAN ST STE 230
INDIANAPOLIS,IN46217
DIAGNOSTIC AND OTHER MEDICAL
34 IU HEALTH DIALYSIS
2140 N CAPITOL AVE
INDIANAPOLIS,IN46202
DIALYSIS
35 IU HEALTH HOME DIALYSIS CENTER
8830 N MERIDIAN ST
INDIANAPOLIS,IN46260
DIALYSIS
36 IU HEALTH CHARIS EATING DISORDER CLINIC
6640 INTECH BLVD STE 195
INDIANAPOLIS,IN46278
EATING DISORDERS
37 IU HEALTH HOME CARE
1411 W COUNTY LINE RD
GREENWOOD,IN46142
HOME HEALTH CARE
38 IU HEALTH HOME CARE
1828 N ILLINOIS ST
INDIANAPOLIS,IN46202
HOME HEALTH CARE
39 IU HEALTH HOME CARE
202 S WEST ST
TIPTON,IN46072
HOME HEALTH CARE
40 IU HEALTH HOME CARE
702 N ILLINOIS ST
INDIANAPOLIS,IN46204
HOME HEALTH CARE
41 CAPITAL NEUROLOGY
201 PENNSYLVANIA PKWY STE 300
INDIANAPOLIS,IN46280
NEUROLOGY
42 EAST RETAIL PHARMACY
9650 E WASHINGTON ST
INDIANAPOLIS,IN46229
PHARMACY
43 GEORGETOWN RETAIL PHARMACY
4880 CENTURY PLAZA RD STE 150
INDIANAPOLIS,IN46254
PHARMACY
44 SOUTH RETAIL PHARMACY
8820 S MERIDIAN ST STE 105
INDIANAPOLIS,IN46217
PHARMACY
45 IU HEALTH FISHERS RADIOLOGY
10995 ALLISONVILLE RD STE 100B
FISHERS,IN46038
RADIOLOGY
46 IU HEALTH BALL MEMORIAL HOSPITAL LAB
2401 W UNIVERSITY AVE
MUNCIE,IN47303
REFERENCE LABORATORY
47 IU HEALTH REHABILITATION
6820 PARKDALE PL STE 120
INDIANAPOLIS,IN46254
REHABILITATION
48 IU HEALTH ARNETT SLEEP APNEA ED CENTER
3900 MCCARTY LN STE 102
LAFAYETTE,IN47909
SLEEP DISORDERS
49 IU HEALTH BALL MEMORIAL SLEEP APNEA ED
6000 W KILGORE AVE STE A
MUNCIE,IN47304
SLEEP DISORDERS
50 IU HEALTH BEDFORD SLEEP APNEA ED CENTER
1502 CLINIC DR
BEDFORD,IN47421
SLEEP DISORDERS
51 IU HEALTH HOWARD SLEEP APNEA ED CENTER
829 N DIXON RD
KOKOMO,IN46901
SLEEP DISORDERS
52 IU HEALTH SLEEP APNEA ED CTR AT INDPLS
714 N SENATE AVE STE 120
INDIANAPOLIS,IN46202
SLEEP DISORDERS
53 IU HEALTH SLEEP LAB
714 N SENATE AVE STE 120
INDIANAPOLIS,IN46202
SLEEP DISORDERS
54 SLEEP APNEA ED CTR AT IU HEALTH NORTH
11590 N MERIDIAN ST STE 410
CARMEL,IN46032
SLEEP DISORDERS
55 SLEEP APNEA ED CTR AT IU HEALTH WEST
1115 N RONALD REAGAN PKWY 371
AVON,IN46123
SLEEP DISORDERS
56 SLEEP DISORDERS CTR AT IU HEALTH NORTH
11590 N MERIDIAN ST STE 410
INDIANAPOLIS,IN46032
SLEEP DISORDERS
57 IU HEALTH SPORTS PERFORMANCE
1402 CHASE CT
CARMEL,IN46032
SPORTS PERFORMANCE
58 IU HEALTH CHILDREN'S THERAPY CENTER
4935 W ARLINGTON RD
BLOOMINGTON,IN47408
THERAPY
59 IU HEALTH MINUTE CLINIC
8766 E 96TH ST
FISHERS,IN46038
IMMEDIATE CARE
60 IU HEALTH NEUROSCIENCE CENTER
355 W 16TH ST
INDIANAPOLIS,IN46202
NEUROSCIENCE CENTER OF EXCELLENCE
61 IU HEALTH OCCUPATIONAL SERVICES
1101 SOUTHEASTERN AVE
INDIANAPOLIS,IN46202
OCCUPATIONAL THERAPY
62 RILEY HOSPITAL SPECIALTY CARE
211 N EDDY ST
SOUTH BEND,IN46617
DIAGNOSTIC AND OTHER MEDICAL
63 BELTWAY SURGERY CENTERS - GLEN LEHMAN
550 N UNIVERSITY BLVD STE 4100
INDIANAPOLIS,IN46202
AMBULATORY SURGERY
64 IU HEALTH SAXONY SURGERY CENTER
13100 E 136TH ST
FISHERS,IN46060
AMBULATORY SURGERY
65 IU HEALTH NORTH HOSPITAL LAB
11700 N MERIDIAN ST
CARMEL,IN46032
REFERENCE LABORATORY
66 IU HEALTH WEST HOSPITAL LAB
1111 N RONALD REAGAN PKWY
AVON,IN46123
REFERENCE LABORATORY
67 IU HEALTH LAPORTE HOSPITAL LAB
1007 LINCOLNWAY
LAPORTE,IN46350
REFERENCE LABORATORY
68 IU HEALTH ARNETT HOSPITAL LAB
5165 MCCARTY LN
LAFAYETTE,IN47905
REFERENCE LABORATORY
69 IU HEALTH CARDIOVASCULAR TESTING
6920 PARKDALE PL
INDIANAPOLIS,IN46254
CARDIOVASCULAR
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3 - Input from Community Indiana University Health, Inc. ("IU Health") operates four hospital locations that are licensed as a single hospital by the Indiana State Department of Health. These hospital locations are as follows: - IU Health Methodist Hospital - IU Health University Hospital - Riley Hospital for Children at IU Health - IU Health Saxony Hospital IU Health Methodist Hospital, IU Health University Hospital, and Riley Hospital for Children are located in Indianapolis, Marion County, Indiana and are considered to be part of the IU Health Academic Health Center. IU Health Saxony Hospital is located in Fishers, Hamilton County, Indiana. Although licensed as a single hospital, each of these facilities serve different, although sometimes overlapping, portions of the community which present their own unique health needs. In order to take into account all of these unique health needs, IU Health conducted a separate Community Health Needs Assessments ("CHNA") for each of its four hospital locations. In conducting each of its most recent CHNAs, IU Health took into account input from persons who represent the broad interests of the communities it serves by hosting several community conversation focus groups. These focus groups included public health officials and community leaders to discuss the healthcare needs of the service area and what role IU Health could play in addressing the identified needs. To obtain a more complete picture of the factors that play into the IU Health Academic Health Center's community's health, input from public health officials and community leaders in Marion County was gathered through two separate focus group sessions. Each live group session lasted two hours and was held at IU Health Methodist Hospital. IU Health facilitators mailed letters and made follow-up telephone calls inviting public health officials and community leaders to attend the focus group discussion, paying special attention to including organizations that represent the interest of low-income, minority, and uninsured individuals. The goal of soliciting these leaders' feedback was to gather insights into the quantitative data that may not be easily identified from the secondary statistical data alone. Attendees who participated in the focus group included: Cynthia Stone - Associate Professor, Indiana University School of Public Health - As an associate professor of Public Health, Ms. Stone understands the issues and obstacles involved in public health and ways to improve it. Orion Bell - President & CEO, CICOA Aging & In-Home Solutions - Mr. Bell is representative of a community perspective on senior health. As President of CICOA, he works to provide access to various services for seniors within the community. Paul Pfaff - Director, IU Health Enrollment Center - Mr. Pfaff is representative of a community perspective regarding underinsured/uninsured populations and access to care. As Director of the IU Health Enrollment Center, he works to provide information and services to uninsured and underinsured populations. Molly Chavers - Executive Director, IndyHub - Ms. Chavers is representative of a community perspective regarding education. As Executive Director of IndyHub, she has a passion for improving educational opportunities to young adults within the community. Chuck Bradenburg - Director of Special Projects and Grants, United Way - Mr. Bradenburg is representative of a community perspective regarding healthy living. As a Director at United Way, he works for an organization that believes in helping people learn more, earn more, and lead safe and healthy lives, as well as creates programs to assist in those goals, especially for the underserved populations. Stacey Chappell - Health Promotion Coordinator, HealthNet - As a health promotion coordinator, Ms. Chappell has a great understanding surrounding health issues and needs in the community, especially for the low-income/underserved populations. Dr. Lawrence Reed - Director, IU Health Methodist Hospital Trauma - Dr. Reed is representative of a perspective regarding community injury prevention and emergency room ("ER") use. As director of Trauma Services at IU Health Methodist Hospital, he has great knowledge surrounding ER admissions, the misuse of the ER, and the underserved population. Katie Jones - Director, Violence Prevention Program, Indiana State Department of Health - Ms. Jones is representative of a community perspective regarding injury prevention. As director of a violence prevention program, she has extensive knowledge surrounding potential causes of violent injuries, as well as how to prevent them. Morgan McGill - Director, Office of Women's Health - Ms. McGill is representative of minority populations, especially underserved women. As Director of the Office of Women's Health within the Indiana State Department of Health, she has extensive knowledge regarding the health of women, the issues surrounding it, and ways to improve it. Dr. Jay Gladden - Dean, IUPUI School of Physical Education and Tourism Management - Dr. Gladden is representative of a community perspective toward obesity prevention and promoting physical activity. As Dean of the IUPUI Physical Education program, he has extensive knowledge in healthcare issues particularly surrounding obesity prevention. Mary McKee - Director, Public Health Practice, Marion County Public Health Department ("MCPHD") - As director of the MCPHD, Ms. McKee has direct knowledge of public health needs in Marion County, including low income and underserved populations. Joenne Pope - Manager, After-School and Summer Programs, IndyParks - Ms. Pope is representative of a community perspective regarding children's health. As manager of after-school programs, she is knowledgeable of issues and factors that surround children's health outcomes and physical activity. Jenny Boyts - Community Coordinator, Challenge Foundation Academy - Ms. Boyts is representative of a community perspective regarding children's health and education. As community coordinator, she is knowledgeable in children's health and well-being within the community. Charlie Schlegal - Principal, Challenge Foundation Academy - Mr. Schlegal is representative of a community perspective regarding children's health and education. As a principal, he is knowledgeable of children's health and well-being within the community. Upon arrival to the focus group, participants were asked to list five health needs, which should be prioritized in their opinion, for the Marion County community served by IU Health Academic Health Center. These responses were collected and aggregated into a comprehensive list of identified needs to be further discussed later in the session and ranked for severity of need within the community. IU Health facilitators then provided participants with a presentation featuring the mission of IU Health, current outreach priorities, and local health data, including demographics, insurance information, poverty rates, county health rankings, causes of death, physical activity, chronic conditions, preventive behaviors, and community needs index. Upon completion of the data presentation, IU Health facilitated a discussion on the comprehensive list of identified needs from earlier in the session. The objective of this method was intended to inspire candid discussions prior to a second identification of five prioritized health needs by each participant. The votes on the five prioritized health needs were tallied and final input from the group was encouraged during this process in order to validate the previously identified needs. Following additional discussion, participants were also asked to address what they thought the role of the IU Health Academic Health Center could be in meeting the local health needs. To obtain a more complete picture of the factors that play into the IU Health Saxony Hospital community's health, input from local health leaders in Hamilton County was gathered through two separate focus group sessions. The first live group session lasted two hours and was held at IU Health North Hospital and the second session was held via conference call. IU Health facilitators mailed letters and made follow-up telephone calls inviting public health officials and community leaders to attend the focus group discussion, paying special attention to including organizations that represent the interest of low-income, minority, and uninsured individuals. The goal of soliciting these leaders' feedback was to gather insights into the quantitative data that may not be easily identified from the secondary statistical data alone. Attendees who participated in the focus group included: Mo Merhoff - President, Carmel Chamber of Commerce - Mr. Merhoff is representative of a community perspective toward healthy living. As President of the Chamber of Commerce, he lobbies for policies affecting the health and well-being of the community. Mark Hulett - Emergency Medical Services ("EMS") Division Chief, City
Schedule H, Part V, Section B, Line 4 - CHNA Conducted with Other Hosp. Indiana University Health, Inc. ("IU Health") conducted a Community Health Needs Assessment ("CHNA") for its IU Health Saxony Hospital location in conjunction and collaboration with Indiana University Health North Hospital, Inc. ("IU Health North Hospital"). IU Health Saxony Hospital and IU Health North Hospital are both located in Hamilton County and serve a community with similar and overlapping health needs.
Schedule H, Part V, Section B, Line 7 - Addressing Identified Needs Indiana University Health, Inc. ("IU Health") prioritized and determined which of the community health needs identified in its most recently conducted Community Health Needs Assessments ("CHNAs") were most critical for it to address by using the Hanlon Method of prioritization. This method prioritizes identified needs based upon the prevalence and severity of the need and the effectiveness of interventions available to address the needs. Based upon the Hanlon Method of prioritization, IU Health selected the following five needs to be addressed for the IU Health Academic Health Center and IU Health Saxony Hospital: - Access to Healthcare - Behavioral Health - Obesity Prevention - PreK-12 Education - Women's Health and Family Planning Also, based upon the Hanlon Method of prioritization, the following identified community health needs were not chosen as one of the needs to be addressed: - Tobacco Prevention and Cessation - Prenatal Care - Poverty - Health Literacy The identified community need of tobacco prevention and cessation was reviewed and after completing a gap analysis, it was determined that, with the State of Indiana and Marion County Health Department tobacco efforts, including the free Quit Line and the smoke free ordinances, the best method to support tobacco prevention and cessation is to refer community members to these established resources. The identified community need of prenatal care was reviewed and after completing a gap analysis, it was determined there are a number of local organizations working to address this community need such as the Nurse Family Partnership, HealthNet, and Indianapolis Healthy Start. Although IU Health has not selected poverty as one of the top five community health needs for it to address in its CHNA implementation strategy, IU Health does focus many of its community outreach efforts on those living in poverty. Additionally, the high quality care and assistance IU Health provides to patients and community members that are unable to pay also helps to serve individuals in need. Lastly, the goal of IU Health's focus on PreK-12 Education is to help future generations gain access to better education to prepare them to have a successful academic experience and improve their quality of life and health outcomes. While health literacy was not specifically chosen, IU Health is addressing health literacy through Access to Healthcare and PreK-12 Education initiatives. IU Health's Access to Healthcare initiatives and programs are designed for those with at least a 6th grade reading level and team members are using techniques like "teach back" to ensure community members clearly understand directions for improving their health. Additionally, improved health literacy will occur by improving education and student outcomes as community members increase their education level and health literacy.
Schedule H, Part V, Section B, Line 14g - Other Measures to Publicize Indiana University Health, Inc. ("IU Health") goes to great lengths to ensure patients know that it treats all patients regardless of their ability to pay. Although a complete copy of the financial assistance policy is not attached to each patient statement, a plain language summary is included instead. Additionally, on the back of each patient statement is a telephone number that allows patients to ask any questions about the policy and request financial assistance.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
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
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number
35-1955872
Part I
General Information on Grants and Assistance
1
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? ....................................
2
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. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) INDIANA UNIVERSITY SCHOOL OF MEDICINE
714 N SENATE AVE
INDIANAPOLIS,IN46202
35-6001673 501(C)(3) 55,500,000 0 N/A N/A RESEARCH SUPPORT
(2) METHODIST RESEARCH INSTITUTE INC
950 N MERIDIAN ST
INDIANAPOLIS,IN46204
35-1007590 501(C)(3) 1,920,752 0 N/A N/A RESEARCH SUPPORT
(3) HEALTHNET INC
3401 RAYMOND ST
INDIANAPOLIS,IN46203
35-1579827 501(C)(3) 254,000 0 N/A N/A GENERAL SUPPORT
(4) METHODIST HEALTH FOUNDATION INC
1800 N CAPITOL AVE
INDIANAPOLIS,IN46202
35-6043086 501(C)(3) 248,084 0 N/A N/A GENERAL SUPPORT
(5) UNITED METHODIST FOUNDATION OF INDIANA INC
8401 FISHERS CENTER DR
FISHERS,IN46038
23-7258100 501(C)(3) 102,500 0 N/A N/A REJUVENATE PROGRAM
(6) CENTRAL INDIANA CORPORATE PARTNERSHIP INC
111 MONUMENT CIRCLE
INDIANAPOLIS,IN46204
35-2065459 501(C)(6) 60,000 0 N/A N/A GENERAL SUPPORT
(7) INDIANA UNIVERSITY FOUNDATION
1110 W MICHIGAN ST
INDIANAPOLIS,IN46202
35-6018940 501(C)(3) 25,000 0 N/A N/A SEE PART IV
(8) INDIANAPOLIS PARKS FOUNDATION INC
615 N ALABAMA ST
INDIANAPOLIS,IN46204
35-1860468 501(C)(3) 25,000 0 N/A N/A GENERAL SUPPORT
(9) INDIANAPOLIS MEDICAL SOCIETY FOUNDATION INC
631 E NEW YORK ST
INDIANAPOLIS,IN46202
35-1810091 501(C)(3) 25,000 0 N/A N/A PROJECT HEALTH
(10) CROSSROADS COUNCIL BOY SCOUTS OF AMERICA INC
7125 FALL CREEK RD
INDIANAPOLIS,IN46256
35-0867962 501(C)(3) 24,000 0 N/A N/A GENERAL SUPPORT
(11) UNITED WAY OF CENTRAL INDIANA INC
PO BOX 88409
INDIANAPOLIS,IN46208
35-1007590 501(C)(3) 15,000 0 N/A N/A GENERAL SUPPORT
(12) INDIANAPOLIS DOWNTOWN INC
111 MONUMENT CIRCLE
INDIANAPOLIS,IN46204
35-1877771 501(C)(3) 15,000 0 N/A N/A GENERAL SUPPORT
(13) ACTION FOR HEALTHY KIDS INC
600 W VAN BUREN
CHICAGO,IL60607
47-0902020 501(C)(3) 10,000 0 N/A N/A AWARD PROGRAM
(14) HABITAT FOR HUMANITY OF GREATER INDIANAPOLIS INC
1011 E 22ND ST
INDIANAPOLIS,IN46202
35-1715910 501(C)(3) 10,000 0 N/A N/A PANEL BUILD/FLOORING
(15) AMERICAN KIDNEY FUND INC
11921 ROCKVILLE PIKE
ROCKVILLE,MD20852
23-7124261 501(C)(3) 10,000 0 N/A N/A HIPP PROGRAM
(16) TEACH FOR AMERICA INC
1630 N MERIDIAN ST
INDIANAPOLIS,IN46202
13-3451913 501(C)(3) 10,000 0 N/A N/A GENERAL SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
15
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
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.
Part III can be duplicated 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
(1) SEE PART IV 2 133,333 0 N/A N/A












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 - Org.'s Proc. for Mon. the Use of Grant Funds Although Indiana University Health, Inc. does not monitor the use of grant funds once distributed, through due diligence the organization has reasonably confirmed that the entities to which the contributions are made are highly reputable in the community and use the funds for the purposes intended.
Schedule I, Part II, Line 7, Column (h) - Purpose of Grant or Assistance Indiana University Health, Inc. ("IU Health") made a contribution to Indiana University Foundation ("IU Foundation"), the amount of which was used by IU Foundation to offset a portion of its expenses incurred for the retirement celebration held for D. Craig Brater, M.D., Dean of the Indiana University School of Medicine.
Schedule I, Part III, Line 1 - Grants and Other Assistance to Individuals The amount reported on Schedule I, Part III, Line 1 represents funds provided by Indiana University Health, Inc. to Indiana University School of Medicine to support two management positions.
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)DANIEL F EVANS JRDIRECTOR/PRESIDENT & CEO (i)
(ii)
1,054,492
0
301,421
0
112,206
0
533,606
0
29,361
0
2,031,086
0
0
0
(2)JAMES E LINGEMAN MDDIRECTOR (i)
(ii)
19,750
908,560
0
10,000
0
19,272
0
17,850
0
0
19,750
955,682
0
0
(3)RYAN C KITCHELLTREASURER/EVP & CFO (i)
(ii)
635,049
0
104,128
0
44,113
0
135,683
0
29,345
0
948,318
0
0
0
(4)MARY BETH CLAUSSECRETARY/SVP, GC & CCO (i)
(ii)
389,921
0
0
0
3,154
0
91,220
0
9,095
0
493,390
0
0
0
(5)DENNIS M MURPHYEVP & COO (PARTIAL YEAR) (i)
(ii)
399,559
0
400,000
0
15,503
0
101,789
0
12,927
0
929,778
0
0
0
(6)JAMES G TERWILLIGERINTERIM EVP & COO (i)
(ii)
472,784
0
120,403
0
22,349
0
108,484
0
25,975
0
749,995
0
0
0
(7)RICHARD F GRAFFIS MDEVP & CME (PARTIAL YEAR) (i)
(ii)
173,973
0
0
0
18,917
0
13,171
0
5,325
0
211,386
0
0
0
(8)JOHN C KOHNE MDINTERIM EVP & CME (i)
(ii)
282,361
137,365
71,469
34,769
55,749
27,121
14,141
6,879
18,077
8,794
441,797
214,928
0
0
(9)LINDA Q EVERETT RNEVP & CNE (i)
(ii)
489,877
0
0
0
112,378
0
21,020
0
24,671
0
647,946
0
0
0
(10)ERIC S WILLIAMS MDEVP, ACADEMIC & MEDICAL AFF. (i)
(ii)
247,619
118,546
0
0
0
2,828
0
3,560
0
650
247,619
125,584
0
0
(11)JEFFREY L SPERRING MDPRESIDENT & CEO (RH) (i)
(ii)
398,360
0
49,222
0
3,258
0
92,806
0
22,578
0
566,224
0
0
0
(12)JONATHAN R GOBLEPRESIDENT & CEO (SAX) (i)
(ii)
175,493
263,240
53,704
80,555
7,818
11,728
36,322
54,483
13,403
20,105
286,740
430,111
0
0
(13)MARILYN L COX RNSVP & CNO (RH) (i)
(ii)
204,871
0
14,282
0
1,748,867
0
16,848
0
12,132
0
1,997,000
0
690,522
0
(14)LINDA K CHASE RNVP & CNO (MH) (i)
(ii)
226,447
0
0
0
1,806
0
19,105
0
20,568
0
267,926
0
0
0
(15)LORI L KNARR RNVP & CNO (UH) (i)
(ii)
205,435
0
10,875
0
9,886
0
0
0
25,682
0
251,878
0
0
0
(16)DAWN MOORE-JEFFERSONVP & CPO (PARTIAL YEAR) (i)
(ii)
217,094
0
28,802
0
9,426
0
19,057
0
10,306
0
284,685
0
0
0
(17)JAMES A JORGENSONVP & CPO (PARTIAL YEAR) (i)
(ii)
49,602
0
0
0
121,521
0
3,068
0
13,853
0
188,044
0
0
0
(18)NATHAN D LAMBERT MDSTAFF PHYSICIAN (HPI) (i)
(ii)
678,828
0
20,000
0
54
0
21,020
0
27,922
0
747,824
0
0
0
(19)LAWRENCE S KLEIN MDSTAFF PHYSICIAN (HPI) (i)
(ii)
652,752
0
0
0
19,187
0
21,020
0
20,665
0
713,624
0
0
0
(20)BLAIR S MACPHAIL MDSTAFF PHYSICIAN (HPI) (i)
(ii)
643,079
0
0
0
19,306
0
21,020
0
33,508
0
716,913
0
0
0
(21)EDWARD A HARLAMERT MDSTAFF PHYSICIAN (HPI) (PART.) (i)
(ii)
548,890
260,246
0
0
1,204
18,102
21,020
0
18,225
10,853
589,339
289,201
0
0
(22)STEVEN L WANTZSVP, ADMIN. & COS (i)
(ii)
390,793
0
97,157
0
27,394
0
92,966
0
29,508
0
637,818
0
0
0
(23)MARVIN G PEMBERFORMER SVP & CFO (i)
(ii)
0
0
0
0
5,087,068
0
0
0
0
0
5,087,068
0
3,806,817
0
(24)NORMAN G TABLER JRFORMER SECRETARY/SVP, GC & CCO (i)
(ii)
36,486
0
97,211
0
402,762
0
3,487
0
20,229
0
560,175
0
368,267
0
(25)KELLY L BRAVERMANSENIOR EXECUTIVE (i)
(ii)
209,592
0
14,925
0
367
0
16,777
0
0
0
241,661
0
0
0
(26)DEBRA L UHLFORMER COO (UH) (i)
(ii)
0
0
0
0
295,634
0
0
0
5,319
0
300,953
0
283,587
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1a - Travel, Housing, and Bus. Use of Residence Indiana University Health, Inc. ("IU Health") provided two executives listed on Form 990, Part VII, Section 1, Line 1a with charter flights for certain trips that were justified by business need. The travel was not treated as taxable compensation as the flights were business related. Charter travel was made available to certain executives and employees on a limited basis for a demonstrated business need. IU Health provided for security services at the personal residence of Daniel F. Evans, Jr. The cost was not treated as taxable compensation as the services were determined to be a business expense of IU Health rather than personal in nature. IU Health provided for temporary housing arrangements that served as a personal residence for Dennis M. Murphy. The cost of the arrangements was included as taxable compensation.
Schedule J, Part I, Line 4a - Severance or Change-of-Control Payments Norman G. Tabler, Jr. received 2013 severance of $368,267 from Indiana University Health, Inc. ("IU Health"). This amount is included in column b (iii), other reportable compensation. James A. Jorgenson received 2013 severance of $119,673 from IU Health. This amount is included in column b (iii), other reportable compensation. Debra L. Uhl received 2013 severance of $293,828 from IU Health. This amount is included in column b (iii), other reportable compensation.
Schedule J, Part I, Line 4b - Supplemental Nonqualified Retirement Plan Daniel F. Evans Jr., Ryan C. Kitchell, Mary Beth Claus, Dennis M. Murphy, James G. Terwilliger, Richard F. Graffis, M.D., John C. Kohne, M.D., Linda Q. Everett, R.N., Jeffrey L. Sperring, M.D., Jonathan R. Goble, Marilyn L. Cox, R.N., Steven L. Wantz, and Marvin G. Pember participate in a supplemental executive retirement plan, provisions of which are designed to retain these critical employees. The plan provides for an additional retirement benefit for service through normal retirement or other key dates. If the executive leaves prior to retirement or other key dates, the benefit may be forfeited or reduced. With the exception of Richard F. Graffis, M.D., John C. Kohne, M.D., Linda Q. Everett, R.N., Marilyn L. Cox, R.N., and Marvin G. Pember, each of these executives has an amount included in column c, deferred compensation, representing the current year increase in the accrued benefit and/or current year contributions. No amount was actually paid to these executives during the year. For Richard F. Graffis, M.D., John C. Kohne, M.D., Linda Q. Everett, R.N., Marilyn L. Cox, R.N., and Marvin G. Pember, $12,516, $77,536, $84,088, $1,703,446, and $5,087,068, respectively, is included in column b(iii), other reportable compensation, representing the amount received under their vested supplemental executive retirement plan.
Schedule J, Part I, Line 7 - Non-Fixed Payments Amounts disclosed in Column B(ii) include a long-term and short-term incentive for certain executives and short-term incentive for other employees. Although these plans are based on a fixed formula that has been approved by the Board of Directors based upon certain qualitative and quantitative factors and goals, all discretionary incentive plans must be approved by the Committee on Personnel and Compensation and Board of Directors prior to any incentive payout.
Schedule J, Part III - Daniel F. Evans, Jr. - 2009 through 2013 Forms W-2c Indiana University Health, Inc. ("IU Health") issued 2009, 2010, 2011, 2012, and 2013 Forms W-2c to Daniel F. Evans, Jr. in order to include previously excluded premiums it paid on a life insurance policy, in which Daniel F. Evans, Jr. was the insured party and a family member was the beneficiary, as taxable compensation. Furthermore, IU Health amended its 2010, 2011, and 2012 Forms 990 to reflect the changes in Daniel F. Evans, Jr.'s taxable compensation.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number
35-1955872
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
Yes No Yes No Yes No
A INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING
 
35-1611409 45479RAH0 01-24-2006 325,003,005 SERIES 2006A BONDS   X   X   X
B INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING
 
35-1611409 45479RBL0 09-14-2006 387,109,760 SERIES 2006B BONDS   X   X   X
C INDIANA FINANCE AUTHORITY
 
35-1602316   11-26-2013 18,783,695 TAX-EXEMPT LEASE, 2010   X   X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 45471AEB4 04-19-2011 228,195,000 SERIES 2011A, B, C, D, AND E BONDS   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 45471AED0 05-05-2011 274,815,000 SERIES 2011F, G, H AND I BONDS   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316   05-25-2011 111,435,000 SEIRES 2011 L AND M BONDS   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 45471AFX5 12-07-2011 221,617,127 SERIES 2011 N BONDS   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 37,155,000 0 31,375,000
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 348,013,874 388,586,019 18,783,695 228,203,281
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 29,904,769 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,947,719 2,286,019 0 740,000
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 316,161,386 0 18,783,695 70,008,281
11 Other spent proceeds . . . . . . . . . . . . . . 0 386,300,000 0 157,455,000
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2007 2012 2010 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   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   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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 of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   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 . . SchKMediumBullet 0 % 0 % 0 % 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 . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X X   X  
b Exception to rebate? . . . . . . . .   X X     X   X
c No rebate due? . . . . . . . . X     X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
 
0
 
0
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X X     X   X
b Name of provider . . . . . . . . . 0
 
SEE PART VI
 
0
 
0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X          
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . . X     X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Page 1a, Part I, Line A, Column (f) - Description of Purpose The Series 2006A bonds were issued in order to provide funding for the new construction of buildings and structures and the purchase of equipment.
Schedule K, Page 1a, Part I, Line B, Column (f) - Description of Purpose The Series 2006B Bonds were issued in order to refund the Series 1996B and C, 2000B and C, and 2003H and I Bonds. The Series 1996B and C, 2000B and C, and 2003H and I Bonds were issued on December 31, 1996, November 21, 2000, and August 12, 2003, respectively.
Schedule K, Page 1a, Part I, Line C, Column (f) - Description of Purpose The Tax-Exempt Lease, 2010, was modified and reissued on November 26, 2013. The original tax-exempt lease was entered into on April 9, 2010 and was used to provide funding for the purchase of critical care aircraft.
Schedule K, Page 1a, Part I, Line D, Column (f) - Description of Purpose The Series 2011A, B, C, D, and E Bonds were issued to provide funding for the new construction of buildings and structures and the purchase of equipment. Additionally, the Bonds were issued in order to refund the Series 2008A, C, and D Bonds and pay off a taxable line of credit that refunded the Series 2008B Bonds. The 2008A, B, C, and D Bonds were issued on September 11, 2008.
Schedule K, Page 1a, Part II, Line 3 - Total Proceeds of Issue Total proceeds of issue disclosed on Part II, Line 3 are sometimes higher than the issue price disclosed in Part I due to the investment earnings on the bond proceeds: Column A Series 2006A Bonds: Issue Price: $325,003,005 Earnings: $23,010,869 Total Proceeds: $348,013,874 Column B Series 2006B Bonds: Issue Price: $387,109,760 Earnings: $1,476,259 Total Proceeds: $388,586,019 Column D Series 2011A,B,C,D,E Bonds: Issue Price: $228,195,000 Earnings: $8,281 Total Proceeds: $228,203,281
Schedule K, Page 1b, Part I, Line A, Column (f) - Description of Purpose The Series 2011F, G, H, and I Bonds were issued in order to refund the Series 2005A, B, C, and D Bonds. The Series 2005A, B, C, and D Bonds were issued on November 15, 2005.
Schedule K, Page 1b, Part I, Line B, Column (f) - Description of Purpose The Series 2011 L and M Bonds were issued in order to provide funding for the new construction of buildings and structures and the purchase of equipment.
Schedule K, Page 1b, Part I, Line C, Column (f) - Description of Purpose The Series 2011N Bonds were issued in order to refund the Series 2011E bonds issued on April 19, 2011, refund the 2011F and G Bonds issued on May 5, 2011, and to pay off a portion of a taxable line of credit, which was used to provide funding for the new construction of buildings and structures and the purchase of equipment. Additionally, the Series 2011N Bonds were used to pay down a taxable line of credit used to purchase the Series 2006 Bonds of Indiana University Health Ball Memorial Hospital, Inc., a related 501(c)(3) tax-exempt organization, which were issued on May 31, 2006; to refund the Series 2006 Bonds of Indiana University Health White Memorial Hospital, Inc., a related 501(c)(3) tax-exempt organization, which were issued on October 26, 2006; and to refund the Series 1998B Bonds of Indiana University Health Bloomington Hospital, Inc., a related 501(c)(3) organization, which were issued on November 17, 1999.
Schedule K, Page 1b, Part II, Line 3 - Total Proceeds of Issue Total proceeds of issue disclosed on Part II, Line 3 are sometimes higher than the issue price disclosed in Part I due to the investment earnings on the bond proceeds: Column A Series 2011F,G,H,I Bonds: Issue Price: $274,815,000 Earnings: $39 Total Proceeds: $274,815,039 Column B Series 2011L,M Bonds: Issue Price: $111,435,000 Earnings: $2,829 Total Proceeds: $111,437,829 Column C Series 2011N Bonds: Issue Price: $221,617,127 Earnings: $6,941 Total Proceeds: $221,624,068
Schedule K, Page 2a, Part III, Lines 4, 5, and 6 - P.B.U. Percentages Indiana University Health, Inc. generally only finances a portion of each project with tax-exempt bonds.
Schedule K, Page 2a, Part IV, Column A, Line 2c - Date of Rebate Comp. January 24, 2011
Schedule K, Page 2b, Part III, Lines 4, 5, and 6 - P.B.U. Percentages Indiana University Health, Inc. generally only finances a portion of each project with tax-exempt bonds.
Schedule K, Page 3a, Part IV, Column A, Line 6 - Available Temp. Period Any gross proceeds invested beyond the temporary period were yield restricted.
Schedule K, Page 3a, Part IV, Column B, Line 5 b & c - Name/Term of GIC GIC provided by Citigroup Financial Products, Inc. with a term of 0.3 years.
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number
35-1955872
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
Yes No Yes No Yes No
A INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING
 
35-1611409 45479RAH0 01-24-2006 325,003,005 SERIES 2006A BONDS   X   X   X
B INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING
 
35-1611409 45479RBL0 09-14-2006 387,109,760 SERIES 2006B BONDS   X   X   X
C INDIANA FINANCE AUTHORITY
 
35-1602316   11-26-2013 18,783,695 TAX-EXEMPT LEASE, 2010   X   X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 45471AEB4 04-19-2011 228,195,000 SERIES 2011A, B, C, D, AND E BONDS   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 45471AED0 05-05-2011 274,815,000 SERIES 2011F, G, H AND I BONDS   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316   05-25-2011 111,435,000 SEIRES 2011 L AND M BONDS   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 45471AFX5 12-07-2011 221,617,127 SERIES 2011 N BONDS   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 37,155,000 0 31,375,000
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 348,013,874 388,586,019 18,783,695 228,203,281
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 29,904,769 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,947,719 2,286,019 0 740,000
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 316,161,386 0 18,783,695 70,008,281
11 Other spent proceeds . . . . . . . . . . . . . . 0 386,300,000 0 157,455,000
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2007 2012 2010 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   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   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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 of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . . X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   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 . . SchKMediumBullet 0 % 0 % 0 % 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 . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . .
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X X   X  
b Exception to rebate? . . . . . . . .   X X     X   X
c No rebate due? . . . . . . . . X     X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
 
0
 
0
 
 
 
c Term of hedge . . . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X X     X   X
b Name of provider . . . . . . . . . 0
 
SEE PART VI
 
0
 
0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X   X          
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . . X     X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Page 1a, Part I, Line A, Column (f) - Description of Purpose The Series 2006A bonds were issued in order to provide funding for the new construction of buildings and structures and the purchase of equipment.
Schedule K, Page 1a, Part I, Line B, Column (f) - Description of Purpose The Series 2006B Bonds were issued in order to refund the Series 1996B and C, 2000B and C, and 2003H and I Bonds. The Series 1996B and C, 2000B and C, and 2003H and I Bonds were issued on December 31, 1996, November 21, 2000, and August 12, 2003, respectively.
Schedule K, Page 1a, Part I, Line C, Column (f) - Description of Purpose The Tax-Exempt Lease, 2010, was modified and reissued on November 26, 2013. The original tax-exempt lease was entered into on April 9, 2010 and was used to provide funding for the purchase of critical care aircraft.
Schedule K, Page 1a, Part I, Line D, Column (f) - Description of Purpose The Series 2011A, B, C, D, and E Bonds were issued to provide funding for the new construction of buildings and structures and the purchase of equipment. Additionally, the Bonds were issued in order to refund the Series 2008A, C, and D Bonds and pay off a taxable line of credit that refunded the Series 2008B Bonds. The 2008A, B, C, and D Bonds were issued on September 11, 2008.
Schedule K, Page 1a, Part II, Line 3 - Total Proceeds of Issue Total proceeds of issue disclosed on Part II, Line 3 are sometimes higher than the issue price disclosed in Part I due to the investment earnings on the bond proceeds: Column A Series 2006A Bonds: Issue Price: $325,003,005 Earnings: $23,010,869 Total Proceeds: $348,013,874 Column B Series 2006B Bonds: Issue Price: $387,109,760 Earnings: $1,476,259 Total Proceeds: $388,586,019 Column D Series 2011A,B,C,D,E Bonds: Issue Price: $228,195,000 Earnings: $8,281 Total Proceeds: $228,203,281
Schedule K, Page 1b, Part I, Line A, Column (f) - Description of Purpose The Series 2011F, G, H, and I Bonds were issued in order to refund the Series 2005A, B, C, and D Bonds. The Series 2005A, B, C, and D Bonds were issued on November 15, 2005.
Schedule K, Page 1b, Part I, Line B, Column (f) - Description of Purpose The Series 2011 L and M Bonds were issued in order to provide funding for the new construction of buildings and structures and the purchase of equipment.
Schedule K, Page 1b, Part I, Line C, Column (f) - Description of Purpose The Series 2011N Bonds were issued in order to refund the Series 2011E bonds issued on April 19, 2011, refund the 2011F and G Bonds issued on May 5, 2011, and to pay off a portion of a taxable line of credit, which was used to provide funding for the new construction of buildings and structures and the purchase of equipment. Additionally, the Series 2011N Bonds were used to pay down a taxable line of credit used to purchase the Series 2006 Bonds of Indiana University Health Ball Memorial Hospital, Inc., a related 501(c)(3) tax-exempt organization, which were issued on May 31, 2006; to refund the Series 2006 Bonds of Indiana University Health White Memorial Hospital, Inc., a related 501(c)(3) tax-exempt organization, which were issued on October 26, 2006; and to refund the Series 1998B Bonds of Indiana University Health Bloomington Hospital, Inc., a related 501(c)(3) organization, which were issued on November 17, 1999.
Schedule K, Page 1b, Part II, Line 3 - Total Proceeds of Issue Total proceeds of issue disclosed on Part II, Line 3 are sometimes higher than the issue price disclosed in Part I due to the investment earnings on the bond proceeds: Column A Series 2011F,G,H,I Bonds: Issue Price: $274,815,000 Earnings: $39 Total Proceeds: $274,815,039 Column B Series 2011L,M Bonds: Issue Price: $111,435,000 Earnings: $2,829 Total Proceeds: $111,437,829 Column C Series 2011N Bonds: Issue Price: $221,617,127 Earnings: $6,941 Total Proceeds: $221,624,068
Schedule K, Page 2a, Part III, Lines 4, 5, and 6 - P.B.U. Percentages Indiana University Health, Inc. generally only finances a portion of each project with tax-exempt bonds.
Schedule K, Page 2a, Part IV, Column A, Line 2c - Date of Rebate Comp. January 24, 2011
Schedule K, Page 2b, Part III, Lines 4, 5, and 6 - P.B.U. Percentages Indiana University Health, Inc. generally only finances a portion of each project with tax-exempt bonds.
Schedule K, Page 3a, Part IV, Column A, Line 6 - Available Temp. Period Any gross proceeds invested beyond the temporary period were yield restricted.
Schedule K, Page 3a, Part IV, Column B, Line 5 b & c - Name/Term of GIC GIC provided by Citigroup Financial Products, Inc. with a term of 0.3 years.
Schedule K (Form 990) 2013

Additional Data


Software ID:  
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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) NATHAN D LAMBERT MD SEE PART V SEE PART V   X 50,000 14,663   No Yes   Yes  
Total ......Small Bullet $ 14,663
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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
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?
Yes No
(1) IU HEALTH PLANS INC SEE PART V 87,773,862 SEE PART V   No
(2) IU HEALTH RISK RETENTION GROUPINC SEE PART V 9,948,693 SEE PART V   No
(3) IUH ASSURANCE LTD SEE PART V 5,880,387 SEE PART V   No
(4) HILL-ROM HOLDINGS INC SEE PART V 5,525,896 SEE PART V   No
(5) HEALTH VENTURE MANAGEMENT LLC SEE PART V 3,233,680 SEE PART V   No
(6) SENATE STREET SURGERY CENTER LLC SEE PART V 1,656,743 SEE PART V   No
(7) ROC SURGERY LLC SEE PART V 1,525,832 SEE PART V   No
(8) CHV FUND I LLC SEE PART V 677,079 SEE PART V   No
(9) CHV CAPITAL INC SEE PART V 177,930 SEE PART V   No
(10) RACHEL PORTER SMITH SEE PART V 98,424 SEE PART V   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part II, Columns (b) and (C) - Relationship and Purpose Heart Partners of Indiana, LLC, a disregarded entity of Indiana University Health, Inc., entered into a promissory note with Nathan D. Lambert, M.D. in 2011 as part of his employment agreement.
Schedule L, Part IV, Columns (b) and (d) - Relationships and Descriptions Ryan C. Kitchell and James G. Terwilliger served on the board of directors of Indiana University Health Plans, Inc. Indiana University Health, Inc. ("IU Health") performed services for Indiana University Health Plans, Inc. and was compensated for such services, the value of which was determined on an arm's length basis. Additionally, IU Health received rent and capitated payments from Indiana University Health Plans, Inc., the value of which was determined on an arm's length basis. Mary Beth Claus served on the board of directors of IU Health Risk Retention Group, Inc. IU Health performed services for IU Health Risk Retention Group, Inc. and was compensated for such services, the value of which was determined on an arm's length basis. Additionally, IU Health purchased insurance from IU Health Risk Retention Group, Inc., the value of which was determined on an arm's length basis. Mary Beth Claus served on the board of directors of IUH Assurance, Ltd. IU Health performed services for IUH Assurance, Ltd. and was compensated for such services, the value of which was determined on an arm's length basis. Additionally, IU Health purchased insurance from IUH Assurance, Ltd., the value of which was determined on an arm's length basis. Charles E. Golden served on the board of directors of Hill-Rom Holdings, Inc. From time to time, IU Health purchased products from various subsidiaries of Hill-Rom Holdings, Inc. during the ordinary course of business, the value of which was determined on an arm's length basis. John C. Kohne, M.D. served on the board of managers of Health Venture Management, LLC. IU Health performed services for Health Venture Management, LLC and was compensated for such services, the value of which was determined on an arm's length basis. Additionally, Health Venture Management, LLC performed services for IU Health and was compensated for such services, the value of which was determined on an arm's length basis. John C. Kohne, M.D. and Linda Q. Everett, R.N. served on the board of managers of Senate Street Surgery Center, LLC. IU Health performed services for Senate Street Surgery Center, LLC and was compensated for such services, the value of which was determined on an arm's length basis. Jeffrey L. Sperring, M.D. served on the board of managers of ROC Surgery, LLC. IU Health performed services for ROC Surgery, LLC and was compensated for such services, the value of which was determined on an arm's length basis. Daniel F. Evans, Jr. served on the board of directors of CHV Fund I, LLC. CHV Fund I, LLC performed investment management services for IU Health and was compensated for such services, the value of which was determined on an arm's length basis. Daniel F. Evans, Jr. served as Chairman of the board of directors of CHV Capital, Inc. IU Health performed services for CHV Capital, Inc. and was compensated for such services on an arm's length basis. Additionally, IU Health received rent from CHV Capital, Inc., the value of which was determined on an arm's length basis. Furthermore, CHV Capital, Inc. performed services for IU Health and was compensated for such services, the value of which was determined on an arm's length basis. Rachel Porter Smith, the sister of Dawn Moore-Jefferson, a key employee of IU Health, served and was compensated as an employee of IU Health.
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
Return Reference Explanation
Part III, Line 4a - Statement of Program Service Accomplishments Indiana University Health System Indiana University Health ("IU Health") is the state's largest and most comprehensive health system. With eighteen hospitals in fifteen Indiana communities, and nearly 25,500 team members, IU Health enjoys a unique partnership with Indiana University School of Medicine ("IUSOM"), one of the nation's leading medical schools, which gives patients access to innovative treatments and therapies. Millions of people annually, from across Indiana and beyond, receive nationally recognized, patient-centered care at IU Health. In 2013, the IU Health system provided care to patients through 136,731 inpatient admissions and more than 2.5 million outpatient visits. Indiana University Health, Inc. The parent organization of the IU Health System is Indiana University Health, Inc. Our Mission IU Health's mission is to improve the health of our patients and communities through innovation and excellence in care, education, research and service. Our Values At IU Health, we value: - Total patient care, including mind, body and spirit - Excellence in education for healthcare providers - Quality of care and respect for life - Charity, equality and justice in healthcare - Leadership in health promotion and wellness - Excellence in research - An internal community of mutual trust and respect Our Vision IU Health strives to be a preeminent leader in clinical care, education, research and service. Our excellence is measured by objective evidence and established best practices. Exemplary levels of respect and dignity are given to patients and their families, while professionalism and collegiality mark relationships between employees and physicians. IU Health continues to focus on innovation and excellence through collaboration among its partner hospitals and its affiliation with Indiana University School of Medicine. Statewide Community Benefit Summary As a leading statewide health system, IU Heath has far-reaching impact. Every day, thousands of Hoosiers experience high-quality, patient-focused care in IU Health hospitals and healthcare facilities across the state. This commitment also extends to improving the health of communities through coordinated outreach efforts designed to meet pressing community health needs. In 2013, the IU Health system invested nearly $525 million in community benefit and over $712 million in community investment. In total, these contributions served more than 1.7 million people across the state. 2013 Community Benefit Needs and Priorities To gain a better understanding of the most critical health needs in Indiana, the IU Health system conducted a comprehensive Community Health Needs Assessment ("CHNA") in every community we serve. The CHNA process identified four common priority needs across the state. These four needs were endorsed by the IU Health Board of Directors and will shape the organization's community outreach priorities through 2015: 1. Access to healthcare 2. Obesity prevention 3. Pre-K - 12 education 4. Behavioral health
Part III, Line 4a - Statement of Program Service Accomplishments (cont'd.) Helping to Improve Access to Healthcare In nearly every Indiana community, there are people unable to access quality, affordable healthcare for themselves and their families. Many factors contribute to this lack of access, including poverty, unemployment, and the limited availability of low-cost healthcare options, such as free clinics and federally qualified health centers. IU Health is committed to helping those in need get necessary care, which includes treating all patients regardless of their ability to pay. Every hospital in the IU Health system has on-site financial counselors to help patients identify and access programs that provide financial assistance for medical care. To ensure those in need across Indiana were able to receive quality care, in 2013, IU Health delivered more than $319 million in free or reduced-care to approximately 150,000 patients. We determine eligibility for this assistance by federal poverty guidelines. Most IU Health hospitals follow these general guidelines: - Free care for those earning up to 200 percent of federal poverty guidelines. - Free care to patients whose health insurance does not cover all medical expenses and whose medical expenses would make them indigent if forced to pay all costs. - Discounted care on a sliding scale for families earning 200 to 400 percent of federal poverty guidelines, which is approximately $47,100 to $94,200 for a family of four. Shouldering the Financial Burden As part of its financial assistance commitment, IU Health absorbs unreimbursed costs from government-sponsored healthcare programs that are based on income level, including Medicaid, the Children's Health Insurance Program ("CHIP"), and other state and local government programs. IU Health provided care in 2013 to more than 251,000 patients with coverage through Medicaid and other income-based programs, resulting in more than $170 million in unreimbursed costs. Unreimbursed costs from Medicare patient visits exceeded $100 million, though Medicare reimbursement shortfalls do not meet the federal definition of community benefit because Medicare is not based on an applicant's ability to pay. Additionally, IU Health served nearly 28,000 people through other subsidized health services, which totaled more than a $19 million investment. Meeting the Needs of Healthcare in the Community Promoting Wellness - Leveraging existing partnerships from the successful IU Health Garden on the Go mobile produce program, IU Health conducted a seasonal flu vaccination campaign, which it dubbed "Veggies and Vaccines", for two weeks in October and November 2013. IU Health provided free flu vaccinations at most Garden on the Go stops. Students from the Indiana University and Marion University Schools of Nursing administered the vaccines under the supervision of an IU Health nurse. IU Health provided nearly 275 flu vaccinations free of charge through a partnership with the Marion County Health Department. Expanding Access to Primary Care - Based on a community health needs assessment, IU Health White Memorial Hospital learned that many residents in the Monticello, Ind., area have difficulty accessing primary care. As a result, the hospital expanded hours at its primary care offices and also added immediate care services through a walk-in clinic to provide access to physician services outside of traditional office hours. In 2013, there were 6,433 visits to the new walk-in clinic. About one-third of the visits were for patients who did not have a primary care provider. Emphasizing the Importance of "Knowing Your Numbers" - Understanding the risk factors for serious chronic diseases, such as diabetes, cancer and heart disease, is an important part of good preventive care and wellness. To promote this understanding and awareness, IU Health hospitals across Indiana provided health screenings to more than 19,000 community members in 2013. These health screenings alerted many people to potential health issues and they were referred to specialists for further evaluation. Preventive screenings help identify health problems early, when treatment is most effective. Here are a few screening "success stories" from 2013: - A woman in Bloomington, Ind., found out through an IU Health screening event that her A1C level was high, signaling the possibility of prediabetes. IU Health team members directed her to appropriate resources, including a free diabetes prevention class, and also counseled her on how to find a primary care doctor and sign up for insurance through the new health exchanges. - IU Health West Hospital provided free cholesterol, blood pressure and A1C screenings at the Hendricks County PrimeTime Senior Expo. Nearly one-third of those screened were determined to be at risk for various conditions and were referred for follow up. - IU Health La Porte Hospital offered free heart screenings to area high school students. As a result of the screenings, 23 of the students were referred to cardiologists for evaluation, and one student received open heart surgery after doctors diagnosed a serious congenital heart defect. Providing Support Every Step of the Way: End-of-Life Care IU Health offers palliative care services, which focus on alleviating pain and other symptoms, for people with life-threatening and terminal illnesses. Both IU Health Methodist Hospital and IU Health Southern Indiana Physicians have comprehensive palliative care programs. In 2013, 1,272 people received palliative care through IU Health.
Part III, Line 4a - Statement of Program Service Accomplishments (cont'd.) Preventing and Reducing Obesity Obesity has become an epidemic in communities across the nation, including those in Indiana. Nationally, Indiana ranks eighth in its percentage of obese adults, based on findings released by the U.S. Centers for Disease Control and Prevention. IU Health works to promote good health and reduce obesity by: - Improving access to healthy foods - Creating healthier school environments - Increasing access to safe places for community members to be physically active Tackling Obesity through Targeted Outreach Ensuring Access to Nutritious Foods - Diets rich in fruits and vegetables may reduce the risk of chronic diseases such as diabetes, heart disease, stroke and cancer. Yet less than 25 percent of Hoosiers report eating the recommended daily servings of fruits and vegetables. By developing its own award winning Garden on the Go program, IU Health is helping to address chronic diseases through root cause - diet. Garden on the Go, launched in May 2011, is a year-round, mobile, fresh produce market that delivers high-quality, affordable fruits and vegetables directly into the hands of Marion County residents living in disadvantaged, underserved neighborhoods. - Garden on the Go received national recognition as one of the 10 Hospital Charitable Service Award Programs of Excellence. Over 175 other programs were nominated for this award. The honor recognizes distinction in community impact, collaboration and innovation. A monetary award of $10,000 accompanied the recognition, which will help expand the program's reach. Since its 2011 launch, Garden on the Go has evolved into a robust operation that runs year-round, five days a week, bringing mini farmers' markets to 22 community-partner locations in Indianapolis. - In its first two years, Garden on the Go completed nearly 35,000 sales transactions, distinguishing it as one of the most successful mobile produce programs in the nation. - In the Indianapolis area, IU Health joined with the YMCA of Greater Indianapolis, Indy Parks and the Greenwood Parks Department to provide five certified instructor-led walking groups at five park locations, serving 178 community members. - IU Health Paoli Hospital sponsored walking groups in Orleans, French Lick, and Paoli, Ind. A total of 43 people participated in the groups. Walking Toward Better Health (http://iuhealth.org/getwalking) - Walking is one of the best ways to improve physical fitness. It helps people manage their weight and live healthier lives. Throughout Indiana, IU Health hospitals have encouraged the healthy habit of walking by founding and/or supporting walking groups in its communities. In 2013, IU Health hospitals reached nearly 1,100 community members who logged hundreds of minutes and miles through these coordinated walking initiatives. - IU Health Ball Memorial Hospital in Muncie, Ind., sponsored Walk Indiana, a walking event in September 2013 that attracted 700 participants. The event offered various distances, spanning from a 5K to a full marathon. To promote walking for fitness and the Walk Indiana event, the hospital also hosted monthly "Walk with a Doc" events on Saturday mornings and provided free blood pressure checks, nutrition education and monthly training events. - IU Health Arnett launched two free "Get Strong" walking groups in 2013. Approximately 50 participants met weekly from July through October. IU Health Arnett supported certified walking instructors from the Greater Lafayette YMCA, and physicians and wellness coordinators conducted health screenings and connected participants to additional health resources. - The "I Am Not a Runner" walking group started in Bloomington in May 2013 through the cooperative efforts of IU Health Bloomington Hospital Community Health, the City of Bloomington Parks and Recreation and the Indiana Running Company. Approximately 170 walkers participated in the program. Volunteering a Day of Service - The yearly IU Health Day of Service is the system's signature volunteer event, aimed at engaging as many team member volunteers as possible in activities that address an identified community outreach priority. The fifth annual Day of Service in 2013 focused on helping to meet a statewide need for more venues for physical activity and recreation, in an effort to tackle the issue of obesity in the communities IU Health serves. - More than 1,500 team members gave their time to improve walking trails and park assets, which serve more than 365,645 residents across the state. - During the 2013 Day of Service, IU Health team members enhanced 19 community parks and installed 40 fitness stations to provide community members with opportunities for exercise and fitness. Team members spread mulch, painted park structures, and improved landscaping. - IU Health Physicians also hosted a Day of Service called "Give Back Day", featuring 15 interactive stations located along a walking path that promoted fun and health-related, family-friendly activities. Participants enjoyed "Walk with a Doc", yoga, volleyball, cardio drumming and Zumba. The event also featured a taste test of healthy snacks. A total of 52 team members from IU Health Physicians, including 27 physicians, volunteered their time to engage in healthy activities with fellow community members. Educating Fairgoers About Health Lifestyles - IU Health sponsored a day at the Indiana State Fair with the goal of promoting healthy eating and physical activity. In addition to enjoying free samples of fruits and vegetables, community members participated in various activities and learned about IU Health initiatives such as Garden on the Go, Change the Play, and the IU Health "My Healthy Habits" smartphone app. - Using four spin bikes, hundreds of community members biked a total of 600 miles in 12 hours, the equivalent of a trip to the nation's capital. - IU Health team members collected nearly 800 "Get Strong Trail to Better Health" passports from community members, indicating they visited at least six of the 12 interactive IU Health stations along the Get Strong Trail to Better Health. - More than 500 community members participated in the "Indy Urban Acres: Plant a Seed and Watch it Grow" activity station to grow a healthy vegetable at home. Supporting Area Farmers' Markets - IU Health West Hospital is a strong supporter of local farmers' markets to improve residents' access to fresh, locally grown produce. IU Health West Hospital partners with four of the five markets serving Hendricks County (Brownsburg, Danville, Pittsboro, and Plainfield, Ind.). - "Families at the Farmers' Market" is an IU Health Ball Memorial Hospital program that helps community members learn the importance of including fresh fruits and vegetables in their diet. Seventeen local families from two community centers took part in the pilot program in 2013. The monthly education sessions featured a trip to a local farmers' market and tips and techniques for shopping for and preparing fruits and vegetables. Based on a post-program survey, 100 percent of participants reported increased knowledge about ways to eat healthier and are now more likely to purchase fresh fruits and vegetables when shopping. Sixty percent reported an increase in the number of days per week their family consumed fresh fruits and vegetables. Establishing Health Habits Early - "Run the Halls", a program sponsored by IU Health Goshen Hospital, involves students staying after school to run laps in the halls during the winter months. The program is hosted in schools in the Elkhart County regions, including Middlebury, Elkhart, Warsaw, and Goshen, Ind. In 2013, nearly 2,065 students participated, with a total running distance of 14,000 miles. Over the duration of the program, students increased the number of laps they could run by almost 87 percent. - IU Health La Porte Hospital and The Foundation in Support of Indiana University Health La Porte Hospital hosted the Lil' F.I.S.H. (Feel Important, Stay Healthy) Club in La Porte and Starke counties. The goal of Lil' F.I.S.H. is to give children the tools to make positive health and lifestyle decisions. The program targets fourth-grade students in 18 local elementary schools. The club promotes healthy behaviors and increases awareness of health issues through a series of monthly educational modules. More than 1,100 students participated in the 2013-2014 school year.
Part III, Line 4a - Statement of Program Service Accomplishments (cont'd.) Promoting Pre-K - 12 education Understanding the strong connection between education and healthy communities, IU Health has focused efforts on strengthening Pre-K-12 education to address a fundamental need identified by the local communities that IU Health services. Providing a Good Start Preparing Children for Success in School - Responding to the fact that more than 40 percent of children are not adequately prepared for success in kindergarten, IU Health joined with the Indiana Association of United Ways in 2011 to launch Kindergarten Countdown camps through the state. This successful program has continued, and in 2013, Kindergarten Countdown offered intensive educational programming for more than 400 high-risk children from nine counties. - From "Get Ready to Read" pre- and post-tests, campers in the IU Health camps achieved a 21 percent average increase in scores from the beginning of the four-week camp to the end. - The program also creates positive impact by increasing awareness of kindergarten readiness, improving parent engagement and strengthening relationships between volunteers and team members at hospitals, schools, and community organizations. Playing to Learn - In the fall of 2013, IU Health became the Founding Indianapolis City Partner of Playworks, a nationally recognized program that uses the power of play to enhance classroom learning and encourage kids to be physically active. Playworks was implemented in six Indianapolis-area schools in the fall of 2013. The schools included: Challenge Foundation Academy, KIPP Academy, SENSE Charter School, Greenbriar Elementary, Fox Hill Elementary and Indianapolis Public School 58. Because the Indianapolis-area programs were launched in late 2013, data is not yet available; however, nationally, Playworks has achieved tremendous success. Eighty-nine percent of staff members in Playworks schools report an increase in students' abilities to focus on class activities, and 88 percent of staff have seen an increased in students' level of participation in academic activities. Highlights of Playworks include: - Less bullying - Better recess behavior and readiness for class - More time for teaching - Safer schools - Satisfied teachers Supporting Education Innovation - IU Health supports programs and initiatives aimed at developing and implementing innovative learning models with the goal of improving student achievement, especially in disadvantaged communities. In 2013, IU Health provided financial support for innovative charter schools such as the Phalen Leadership Academy and Carpe Diem High School, for the Indianapolis affiliate of Teach for America and for the nationally recognized education innovation incubator, The Mind Trust.
Part III, Line 4a - Statement of Program Service Accomplishments (cont'd.) Supporting Behavioral Health Behavioral health covers a range of conditions from depression, anxiety, and other psychological disorders to issues related to substance abuse and chemical dependency. Many Indiana communities report a shortage of behavioral health providers and a need to improve access to behavioral health services. Some examples of how IU Health supports behavioral health include: - The IU Health Behavioral Health program includes a wide range of services designed to support patients with behavioral, psychiatric, and psychological needs. Multidisciplinary teams at IU Health work to improve the overall health and well-being of all patients. IU Health provided behavioral health services during more than 12,000 patient visits in 2013. - The IU Health Bloomington Hospital Alzheimer's Resource Service offers support and services to families and professional caregivers of people suffering from Alzheimer's diseases and other dementias. The services are provided at no cost to caregivers through generous funding from the Bloomington Hospital Foundation. - Financial support to the following behavioral health initiatives in 2013: The IU Health academic health center contributed to Coburn Place, a transitional housing program meeting the needs of women and children who have experienced domestic violence. Mental Health of America of Greater Indianapolis received funding from IU Health to support the organization's behavioral health mission. Back on My Feet, an organization dedicated to homeless and underserved populations, used a financial contribution from IU health for financial aid, education and financial literacy classes for the people it serves. - IU Health North Hospital provided financial support to Aspire, a nonprofit organization providing mental health services, and the American Foundation for Suicide Prevention. - IU Health West Hospital provided funding to Mental Health America of Hendricks County, and supported Cummins Mental Health screening and counseling for residents of Sheltering Wings domestic violence shelter. - IU Health La Porte Hospital participated in the Drug-Free Task Force, which helps people overcome behavioral and mental health issues related to substance abuse. The hospital also financially supported other local organizations with behavioral health programming, including Worthy Women Recovery Home, CASA of La Porte County, Reins of Life, Youth Service Bureau, and the Alzheimer's/Dementia Association.
Part III, Line 4a - Statement of Program Service Accomplishments (cont'd.) Health Professions Education IU Health is a committed partner with IUSOM in educating and preparing the next generation of healthcare professionals. For those already practicing in the field, IU Health offers programs designed to improve and sharpen skills, knowledge, and expertise. In 2013, IU Health invested more than $70 million in these endeavors, funding educational initiatives for thousands of health professionals statewide. Advancing Knowledge: Providing Education to Health Professionals Supporting New Nurses - The IU Health Nurse Residency Program is designed to support new graduate nurses in direct-care roles in the acute care hospital setting. Approximately 150 nurses from IU Health Ball Memorial, Bloomington, Methodist, University and West Hospitals and Riley Hospital for Children at IU Health participated in the program in 2013. As healthcare undergoes significant changes, nurses need the strongest possible preparation to care for complex cases, to coordinate care across the continuum and participate in the evolution of team-based care delivery. The IU Health Nurse Residency Program was created to provide nurses with the superior critical thinking and analytical skills that are required. Residency cohorts meet every other month for a total of five sessions. Topics pertinent to direct care include: communication, delegation, self-care, end-of-life care, and prioritization. While sessions are guided by experienced nurses, peer-to-peer networking and unit-level management are integrated. A Tradition of Teaching Excellence - Founded in 1929, IU Health Ball Memorial Hospital, a teaching hospital and regional tertiary referral center, is instrumental in educating future healthcare professionals. In 2013, 850 physicians, medical students, nurses, and other health professionals participated in classroom study and continuing medical education there. Learning by Doing - The Simulation Center at Fairbanks Hall, jointly operating by IUSOM, Indiana University School of Nursing, and IU Health, brings Indiana's current and future doctors, nurses, and technicians together in collaborative practice in a variety of clinical settings. Together, these interdisciplinary teams immerse themselves in computer-simulated surgery and react to complicated emergency room dramas by practicing on mannequins that respond like real patients. Research Innovation and Discovery: Advancing Healthcare Treatment and Care Part of the IU Health mission is to support innovative research that advances medical knowledge and the development of new treatment innovations. The goal is to improve patient outcomes and enhance quality of life for those affected by disease and chronic health conditions. In 2013, IU Health provided $74 million for research to IUSOM, enabling more than 16,000 community members to benefit from studies and 2,160 clinical trials statewide. In addition, IU Health research results in the development of new drugs and vaccines, medical devices, and new ways of using existing treatments, were used to benefit patients. IU Health/IUSOM Strategic Research Initiative Developed by IU Health and IUSOM in 2012, the Strategic Research Initiative ("SRI") aims to enhance both institutions' joint capabilities in fundamental scientific investigation, translational research and clinical trials. The SRI targets innovative treatments for diseases in three priority clinical service lines - cancer, cardiovascular disease, and neuroscience. The two organizations committed to invest $150 million over five years for this new research collaboration. The SRI is already significantly enhancing the joint capabilities of IU Health and IUSOM in the three clinical areas, providing patients with access to internationally renowned physicians and leading-edge therapies derived from translational research. SRI funds have also increased opportunities for patients across the state to participate in clinical trials for new medicines not available elsewhere in Indiana and the nation. Among the projects supported with SRI funds in 2013 is the new Center for Innovation and Implementation Science ("CIIS"). The CIIS, launched by IUSOM and the Indiana Clinical and Translational Sciences Institute, focuses on applying evidence-based best clinical practices in order to increase efficacy and reduce costs at IU Health and other healthcare providers around the state. Breakthrough in Brain Tumor Treatment Researchers at IUSOM and the neuro-oncology program at IU Health Simon Cancer Center are working with the nation's leading researchers to translate the latest discoveries into breakthroughs to treat glioblastoma multiforme, or GBM - the most common and lethal of all primary brain tumors. With a median survival rate of just 15 months and high recurrence rates, many clinicians have traditionally taken a palliative care, and not curative, approach to treatment. Research underway at IU Health is helping to uncover new treatment approaches and opportunities for patients with GBM. ed IU Health Arnett Aging Brain Care Program To better serve the community and help reduce healthcare costs, IU Health Arnett launched the Aging Brain Care (ABC) program. The ABC program is grant-funded and focuses on the care of dementia and late-life depression populations. The program delivered better health and better care at lower costs for 500 patients and their family members in 2013. One patient in poor health was able to see her primary care doctor sooner, and avoided likely hospitalization, due to a visit from an ABC representative who made the appropriate calls on the patient's behalf.
Part III, Line 4a - Statement of Program Service Accomplishments (cont'd.) Delivering on the IU Health Promise to the Community IU Health considers community benefit to include environmental stewardship. The IU Health Environmental Stewardship Council was formed to monitor IU Health environmental programs and recommended initiatives to help the system reduce the impact of our operations on the environment. As a result of focused efforts to reduce consumption of natural resources, IU Health has cut our energy consumption by more than $6 million across the system. Other IU Health efforts to minimize our environmental impact include efforts by the surgical team at Riley Hospital for children at IU Health to recycle some surgical materials; the creation of a partnership with a third-party vendor to implement medical device reprocessing; and targeted efforts to reduce hazardous medical waste. Most recently, IU Health supported Indianapolis and state efforts to bring electric vehicles and bike-sharing programs to communities. IU Health has a large fleet of electric vehicles that deliver laboratory samples and other materials to and from our facilities and local physician offices. Strengthening Communities: Giving Back and Making Impact More than 37,600 people benefited from IU Health community-building efforts in 2013, with the healthcare system contributing more than $1.3 million to help support these endeavors. Strength That Cares Strength That Cares is the IU Health team member volunteer program. IU Health created it to provide an opportunity for team members to give back to the community. Strength That Cares promotes and encourages team member volunteerism, and serves as a "one-stop shop" for identifying IU Health-sponsored and community-based opportunities, recruiting volunteers, and facilitating event logistics. In 2013, more than 2,500 IU Health team members, including more than 100 physicians, participated in Strength That Cares programming. From serving warm meals and smiles at the Ronald McDonald House to providing "goodie bags" at the Ruth Lilly Salvation Army Women and Children's Center to children facing life after domestic violence, Strength That Cares volunteers impact the lives of Indiana residents throughout the state. Here are just a few highlights: Habitat for Humanity build - The IU Health academic health center sponsored a Habitat for Humanity panel build in partnership with Fox 59 News and PNC Bank. More than 40 IU Health team members worked with other volunteers to help build the frame of a new home. Indy Do Day - Team members from the IU Health academic health center participated in two projects during Indy Do Day, a citywide initiative to engage all Indianapolis residents in volunteering and giving back to their community. Salvation Army "Red Kettle" Bell Ringing - A favorite way for IU Health Bloomington Hospital team members to give back is by ringing the bells for the Salvation Army during the holiday season. In 2013, 36 team members donated an hour each to ring the bell outside a local grocery store to help families in need.
Part V, Line 4b - Name of Foreign Countries In addition to the Cayman Islands, Indiana University Health, Inc. also has an interest in financial accounts in the following foreign countries: Canada Czech Republic Denmark Greece Hungary Indonesia Israel Japan Malaysia Mexico South Korea Turkey United Kingdom
Part VI, Section A, Line 2 - Family or Business Relationships John C. Kohne, M.D. and Linda Q. Everett, R.N. served on the board of managers of Senate Street Surgery Center, LLC. No additional compensation was provided to each individual for their service. Ryan C. Kitchell and James G. Terwilliger served on the board of directors of Indiana University Health Plans, Inc. No additional compensation was provided to each individual for their service. D. Craig Brater, M.D., Michael A. McRobbie, and Daniel F. Evans, Jr. served on the board of directors of BioCrossroads. J. Scott Davison served as the President and CEO of, and Michael A. McRobbie and David W. Goodrich served on the board of directors of, America United Mutual Insurance Holding Company.
Part VI, Section A, Lines 6, 7a and 7b - Members or Stockholders Line 6: Indiana University Health, Inc. ("IU Health") has two classes of members. One class, known as the University Class, shall consist of those persons serving from time to time as the Trustees of Indiana University. The other class, known as the Methodist Class, shall consist of the Members of the Methodist Health Group, Inc. Line 7a: The University Class shall have one vote (regardless of the number of persons in that class) on each matter submitted to a vote at an annual or special meeting of the members of the Corporation, and the Methodist Class shall have one vote (regardless of the number of persons in that class) on each matter submitted to a vote at an annual or special meeting of the members of the Corporation. With regard to the appointment of the Board of Directors of the Corporation, nine (9) to ten (10) "at-large directors" shall be jointly elected by the affirmative vote of both member classes. One (1) director shall be elected by the University Class. One (1) director shall be elected by the Methodist Class following a nomination by the Leadership Council of the Methodist Medical Group, Inc., an Indiana nonprofit corporation. In the event that Methodist Medical Group, Inc. or its Leadership Council ceases to exist or is no longer predominantly composed of physicians who utilize Methodist Hospital as their primary hospital, the Methodist Class shall designate another Methodist Hospital-based physician organization to nominate this director. If an appropriate physician organization does not exist, the Methodist Class shall elect a physician, giving preference to one who is Methodist Hospital-based. Additionally, the Dean of Indiana University School of Medicine, Bishop of the Indiana Area of the United Methodist Church, and the President and Chief Executive Officer of the Corporation shall be ex-officio directors. Line 7b: Notwithstanding any other provisions of the Articles of Incorporation, the following matters require the approval of the University Class prior to implementation: - Any sale, lease, transfer or other alienation of the Indiana University Hospitals real property, as defined in the Definitive Agreement, including any assignment of the University Hospital's lease by and between the Trustees of Indiana University and IU Health, except as otherwise authorized by resolution or agreement of the Trustees of Indiana University. - Any proposal by IU Health which conflicts with the following principle: IU Health will continue to make all patients available for medical education unless otherwise requested by the patient or his/her family, as the major clinical teaching resource for the Indiana University School of Medicine. - Any change in the financial support to the Indiana School of Medicine, as referenced in the Articles of Incorporation. - Any proposed action regarding the operation of Indiana University Hospitals, including the James Whitcomb Riley Hospital for Children, which would conflict with or be contrary to the requirements set forth in the Trustees Resolutions. - Any sale or other alienation of all or substantially all of the assets or operations of IU Health, and any merger, consolidation, change of voting control or other reorganization of IU Health. - Amendment, alteration or repeal of the Articles of Incorporation - Any dissolution of IU Health, except as otherwise required by law. - Any revision to, or modification or revocation of the Core Values. - Any transfer of the membership of either of the member classes. - Any amendment to the Definitive Agreement. Notwithstanding any other provisions of the Articles of Incorporation, the following matters require the approval of the Methodist Class prior to implementation: - Any sale, lease, transfer or other alienation of the Methodist Hospital, Inc. ("MHI") Real Property, as defined in the Definitive Agreement, including any assignment of that certain MHI Lease by and between MHI and IU Health, except as otherwise authorized by resolution or agreement of Methodist Health Group, Inc. - Any sale or other alienation of all or substantially all of the assets or operations of IU Health, and any merger, consolidation, change of voting control, or other reorganization of IU Health. - Amendment, alteration or repeal of the Articles of Incorporation. - Any dissolution of IU Health, except as otherwise required by law. - Any revisions to, or modifications or revocation of the Core Values. - Any transfer of the membership of either of the member classes. - Any amendment to the Definitive Agreement.
Part VI, Section A, Line 11b - Form 990 Provided to Governing Body Indiana University Health, Inc. ("IU Health") used a thorough process for the review of the Form 990 and related schedules before it was filed. The Executive Vice President & Chief Financial Officer and Senior Vice President & General Counsel each reviewed and approved the Form 990 and related schedules. The Board of Directors' Committee on Values, Ethics, Social Responsibility & Pastoral Services reviewed and approved the following sections of the Form 990: 1. Schedule H - Hospitals The Board of Directors' Committee on Personnel & Compensation reviewed and approved the following section of the Form 990: 1. Part VI - Governance, Management, and Disclosure 2. Part VII - Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors 3. Schedule J - Compensation Information 4. Schedule L - Transactions with Interested Persons The Board of Directors' Audit Committee was also provided with complete copy of the Form 990 and related schedules to review and approve. After the review and approval from the aforementioned individuals and committees, a complete copy of the Form 990 and related schedules was made available to each board member on a secure intranet site. Each member was also informed of the availability of the Tax Department to answer any questions.
Part VI, Section B, Line 12c - Conflict of Interest Policy Indiana University Health, Inc. ("IU Health") has a Conflict of Interest Policy, the purpose of which is to protect IU Health's interests when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer, director, or employee. Each employee that is manager level or above, including officers and directors, is required to annually sign a statement which affirms that such person (1) has received a copy of the conflict of interest policy; (2) has read and understands the policy; (3) has agreed to comply with the policy; and (4) understands and acknowledges that the Corporation is a tax-exempt organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. If an interest is disclosed, the form requires that the discloser's supervisor sign the form to indicate his or her knowledge and approval of the interest. The form is then submitted to Corporate Compliance for review. If the disclosure is by the President & CEO, it is reviewed by the Chairman of the Board of Directors for approval. If the disclosure is by a member of the Board of Directors, the General Counsel and Chief Compliance Officer reviews the disclosures and determines whether to consent. Breach of the Conflict of Interest Policy, including failure to complete and update the questionnaire, and failure to disclose an interest that should be disclosed, may subject an individual to disciplinary action, including dismissal.
Part VI, Section B, Line 15 - Process for Determining Compensation 1. The Board of Directors has established a Committee on Personnel and Compensation. The individuals on this Committee are made up of individuals who are on the Board and who do not have a conflict of interest with Indiana University Health, Inc. ("IU Health"). There are no physicians or employees on this Committee. This Committee develops and reviews annually the executive compensation philosophy, market analysis as to comparability and reasonableness. One of the purposes of this Committee is to review, approve and make recommendations regarding executive compensation and benefits to the IU Health Board. As deemed appropriate, this Committee also reviews the same detail with the Committee on Finance. The Committee on Finance is represented by certain members of the Board as well. 2. Each year the Committee on Personnel and Compensation engages an outside compensation consulting firm to conduct a compensation and benefits study for all senior vice presidents and above. The current compensation advisor is the Hay Group. Hay Group performs an independent compensation survey. The relevant comparability data includes: compensation and benefit levels paid by similarly situated organizations (both governmental and tax exempt) for functionally comparable positions as well as the availability of similar services in the geographic area. The Committee reviews the entire compensation package including: base compensation, short term and long term incentive plans, basic health and welfare benefits, qualified and nonqualified plans as well as any additional fringe benefits. Further, Hay Group will provide recommendations based upon the reasonable compensation information as it relates to salary increases, bonuses and benefits that are consistent with the compensation philosophy of the Committee. A separate analysis using the same methodology is done for the Chief Executive Officer. 3. The Committee reviews the salary survey and, if appropriate, makes recommendations on increases in salary and any changes in bonuses or benefits. The Committee's goal is to ensure that the total compensation and benefits package is reasonable based upon the independent data provided by Hay Group. The Committee votes on any changes in compensation or benefits. This review, discussion and vote are documented in the minutes for the meeting. There are no executives present during the final discussion and approval of compensation. 4. The Board reviews the report prepared by the Hay Group as well as the recommendations of the Committee on Personnel and Compensation as to changes in compensation approved by the Committee. As requested, the Committee on Finance also provides its review of recommendations on changes in executive compensation and benefits. This review, discussion and vote are documented in the minutes. 5. The Board then reviews the recommendations provided by the Committee on Personnel and Compensation and votes on the changes as well. No additional compensation or benefits are paid to the executives until the changes have been approved by the Committee and the Board. The discussion and approval are documented in the minutes of the meeting. There are no executives present during the final discussion and approval of compensation. The General Counsel prepares a formal written opinion reviewing the compensation and benefits approval process, comparing that process to the Intermediate Sanctions Test of IRC Section 4958 and, if the facts warrant, provides comments regarding the compensation and benefits approval process as this relates to meeting the requirements for a rebuttable presumption of reasonableness as provided in the Intermediate Sanctions Test. 6. After the end of each year, the Committee and Board also reviews the achievements of the executive group as it relates to the long-term and short-term shared and individual goals developed by the executive and the Board. These achievements may also be reviewed with the Committee on Finance. The Board, at its discretion, may approve bonus payments based upon the achievement of the goals and the compensation survey. The discussion and vote of the Committee and Board is documented in the minutes for each such meeting. The bonuses are not paid until approval is made by the Board. 7. The Committee on Personnel and Compensation and Audit Committee also review the required Form 990 disclosures related to executive compensation and benefits as well as compensation practices and approval processes prior to the filing of the Form 990 return with the Internal Revenue Service.
Part VI, Section C, Line 19 - Public Disclosure Indiana University Health, Inc.'s ("IU Health") Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health's conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health's Consolidated Audited Financial Statements are available for public inspection through its bond filings and as an attachment to the Form 990.
Part VII, Section A, Line 1a, Column (B) - Average hours per week During part of 2013, Edward A. Harlamert, M.D. devoted 55 hours per week as a Staff Physician of Heart Partners of Indiana, LLC, a disregarded entity of Indiana University Health, Inc., and part of 2013 as a Staff Physician of Indiana University Healthcare Associates, Inc., a related entity.
Part XI, Line 9 - Other Changes in Net Assets or Fund Balances During 2013, Indiana University Health, Inc. recorded the following other changes in net assets or fund balances: Change in Pension Obligation: $12,389,253 Change in Defined Benefit SERP Obligation: $124,099 Other: $5,000 Mark-to-Market on Interest Rate Swaps: -$719,412 Income/(Loss) - Related 501(c)(3) Organizations: -$4,599,139 Equity Transfers (Settlement of Debt): -$124,617,635
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
INDIANA UNIVERSITY HEALTH INC
 
Employer identification number

35-1955872
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) 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

(1) CCCG LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
20-3949968
HEALTHCARE IN 35,750 34,210 IUH
 
(2) CCSG LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
26-1921481
HEALTHCARE IN 276,605 0 IUH
 
(3) CLARIAN QUALITY PARTNERS LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
26-3603579
HEALTHCARE IN 245 0 IUH
 
(4) CLARIAN SAXONY MEDICAL CENTER LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
26-2414219
HEALTHCARE IN 0 0 IUH
 
(5) HEART PARTNERS OF INDIANA LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
20-1123537
HEALTHCARE IN 4,008,090 0 IUH
 
(6) IU HEALTH MANAGEMENT LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
80-0141954
MANAGEMENT IN 4,508,789 0 IUH
 
(7) IU HEALTH SAXONY SURGERY CENTER LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
27-5271091
HEALTHCARE IN 4,079,625 7,997,540 IUH
 
(8) SENATE HEALTH PLANS SOLUTIONS LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
27-3736054
MANAGEMENT IN 13,042,211 4,846,739 IUH
 
(9) ONCOLOGY AND HEMATOLOGY ASSOCIATES LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
35-1348013
HEALTHCARE IN 10,379,968 3,137,010 IUH
 
(10) IUH POPULATION HEALTH MANAGEMENT LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
46-3913461
HEALTHCARE IN 0 0 IUH
 
(11) CHV FUND II LLC
950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
80-0902337
VENTURE CAP. IN 250,000 0 IUH
 
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 entity?
Yes No
(1) CLARIAN TRANSPLANT INSTITUTE INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
13-4350599
HEALTHCARE IN 501(C)(3) 9 IUH
 
Yes
 
(2) GOSHEN HEALTH SYSTEM INC

200 HIGH PARK AVE

GOSHEN,IN46527
35-1974765
HEALTHCARE IN 501(C)(3) 11 I IUH
 
Yes
 
(3) GOSHEN HOSPITAL ASSOCIATION INC

200 HIGH PARK AVE

GOSHEN,IN46527
35-6001540
HEALTHCARE IN 501(C)(3) 3 GHS
 
Yes
 
(4) HEALTHLINC INC

714 S ROGERS ST

BLOOMINGTON,IN47403
26-3571507
HEALTHCARE IN 501(C)(3) 9 IUHB
 
Yes
 
(5) INDIANA RADIOLOGY PARTNERS INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
20-1017034
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(6) IU HEALTH ARNETT FOUNDATION INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-6079797
FUNDRAISING IN 501(C)(3) 11 I IUHA
 
Yes
 
(7) IU HEALTH ARNETT INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
26-3162145
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(8) IU HEALTH BALL MEMORIAL HOSPITAL INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-0867958
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(9) IU HEALTH BALL MEMORIAL PHYSICIANS INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-1925641
HEALTHCARE IN 501(C)(3) 9 IUHBMH
 
Yes
 
(10) IU HEALTH BEDFORD INC

2900 W 16TH ST

BEDFORD,IN47421
23-7042323
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(11) IU HEALTH BLACKFORD HOSPITAL INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
01-0646166
HEALTHCARE IN 501(C)(3) 3 IUHBMH
 
Yes
 
(12) IU HEALTH BLOOMINGTON INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-1720796
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(13) IU HEALTH BMH FOUNDATION INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
31-1111784
FUNDRAISING IN 501(C)(3) 11 I IUHBMH
 
Yes
 
(14) IU HEALTH CARE ASSOCIATES INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-1747218
HEALTHCARE IN 501(C)(3) 9 IUH
 
Yes
 
(15) IU HEALTH LAPORTE HOSPITAL INC

PO BOX 250

LAPORTE,IN46352
35-1125434
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(16) IU HEALTH LAPORTE PHYSICIANS INC

PO BOX 250

LAPORTE,IN46352
31-1070868
HEALTHCARE IN 501(C)(3) 3 IUHLH
 
Yes
 
(17) IU HEALTH MORGAN HOSPITAL INC

2209 JOHN R WOODEN DR

MARTINSVILLE,IN46151
27-3533027
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(18) IU HEALTH NORTH HOSPITAL INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-1932442
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(19) IU HEALTH PAOLI HOSP FOUNDATION INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
31-0992486
FUNDRAISING IN 501(C)(3) 11 III-0 IUHP
 
Yes
 
(20) IU HEALTH PAOLI INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-2090919
HEALTHCARE IN 501(C)(3) 3 IUHB
 
Yes
 
(21) IU HEALTH TIPTON HOSPITAL INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
26-2772226
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(22) IU HEALTH WEST HOSPITAL INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-1814660
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(23) IU HEALTH WHITE MEMORIAL HOSPITAL INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
27-3532963
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(24) IU MEDICAL GROUP FOUNDATION INC

340 W 10TH ST NO FS5100

INDIANAPOLIS,IN46202
20-1093251
FUNDRAISING IN 501(C)(3) 11 II NA
 
 
No
(25) METHODIST HEALTH FOUNDATION INC

1800 N CAPITOL AVE

INDIANAPOLIS,IN46202
35-6043086
FUNDRAISING IN 501(C)(3) 11 I IUH
 
Yes
 
(26) METHODIST HEALTH GROUP INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-0876390
HEALTHCARE IN 501(C)(3) 11 III-FI NA
 
 
No
(27) METHODIST MEDICAL GROUP INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-1945384
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(28) METHODIST OCCUP HEALTH CENTERS INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-1844176
HEALTHCARE IN 501(C)(3) 3 IUH
 
Yes
 
(29) METHODIST RESEARCH INSTITUTE INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-2023710
HEALTHCARE IN 501(C)(3) 11 I IUH
 
Yes
 
(30) MH HEALTHCARE INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
35-1766531
HEALTHCARE IN 501(C)(3) 3 MMG
 
Yes
 
(31) MORGAN CO MEM HOSP FOUNDATION INC

2209 JOHN R WOODEN DR

MARTINSVILLE,IN46151
35-2035162
FUNDRAISING IN 501(C)(3) 11 II IUHMH
 
Yes
 
(32) MORGAN CO MEM HOSP GUILD INC

2209 JOHN R WOODEN DR

MARTINSVILLE,IN46151
31-0886844
FUNDRAISING IN 501(C)(3) 11 III-FI IUHMH
 
Yes
 
(33) MORGAN HEALTH SERVICES INC

1949 HOSPITAL DR

MARTINSVILLE,IN46151
35-1968564
HEALTHCARE IN 501(C)(3) 3 IUHMH
 
Yes
 
(34) IU HEALTH WHITE MEMORIAL FOUNDATION

PO BOX 952

MONTICELLO,IN47960
35-1671806
FUNDRAISING IN 501(C)(3) 11 III-0 IUHWMH
 
Yes
 
(35) UNIVERSITY FAMILY PHYSICIANS INC

950 N MERIDIAN ST STE 800

INDIANAPOLIS,IN46204
23-7427350
HEALTHCARE IN 501(C)(3) 9 IUHCA
 
Yes
 
(36) REHABILITATION HOSPITAL OF INDIANA INC

411 SHORE DR

INDIANAPOLIS,IN46254
35-1786005
HEALTHCARE IN 501(C)(3) 3 MHH
 
Yes
 
(37) RHI FOUNDATION INC

4141 SHORE DR

INDIANAPOLIS,IN46254
35-1932349
FUNDRAISING IN 501(C)(3) 11 I RHI
 
Yes
 
(38) IU HEALTH GOSHEN FOUNDATION INC

200 HIGH PARK AVE

GOSHEN,IN46527
46-2565300
FUNDRAISING IN 501(C)(3) 11 I GHS
 
Yes
 
(39) LAPORTE HOSPITAL FOUNDATION INC

PO BOX 250

LAPORTE,IN46352
31-0952775
FUNDRAISING IN 501(C)(3) 11 I NA
 
 
No
(40) THE CHEER GUILD OF RILEY HOSP FOR CHILD

705 RILEY HOSPITAL DR

INDIANAPOLIS,IN46202
35-6018517
FUNDRAISING IN 501(C)(3) 11 III-FI NA
 
 
No
(41) INDIANA HEALTH INFO EXCHANGE INC

846 N SENATE AVE

INDIANAPOLIS,IN46202
36-4550324
HEALTHCARE IN 501(C)(3) 11 I NA
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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 V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) BALL OUTPATIENT SURGERY CENTER LLC

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
27-0275794
HEALTHCARE IN BOSCH
 
N/A 0 0   No 0   No 0 %
(2) BELTWAY SURGERY CENTERS LLC

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
35-2072586
HEALTHCARE IN BSCH
 
N/A 0 0   No 0   No 0 %
(3) BLOOMINGTON ENDOSCOPY CENTERS LLC

PO BOX 1149
BLOOMINGTON,IN47402
35-2117943
HEALTHCARE IN IUHB
 
N/A 0 0   No 0   No 0 %
(4) BOSC HOLDINGS LLC

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
45-4147343
HEALTHCARE IN IUH
 
RELATED 1,643,385 6,234,422   No 0   No 51.000 %
(5) CARDINAL HEALTH INITIATIVES LLC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
30-0102702
PURCHASING IN IUHBMH
 
N/A 0 0   No 0   No 0 %
(6) CHV FUND I LLC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
26-2523206
VENTURE CAPITAL IN IUH
 
EXCLUDED -308,597 18,752,550   No 0   No 100.000 %
(7) CHV FUND MANAGEMENT LLC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
26-2523151
VENTURE CAPITAL IN CHV
 
N/A 0 0   No 0   No 0 %
(8) CLARIAN HEALTH NETWORK LLC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
35-2055030
HEALTHCARE IN IUH
 
RELATED 0 0   No 0   No 66.700 %
(9) EAGLE HIGHLANDS SURGERY CENTER LLC

3000 RIVERCHASE GALLERIA STE 500
BIRGMINGHAM,AL35244
35-2259204
HEALTHCARE IN EHSCH
 
N/A 0 0   No 0   No 0 %
(10) EHSC HOLDINGS LLC

3000 RIVERCHASE GALLERIA STE 500
BIRGMINGHAM,AL35244
45-4147879
HEALTHCARE IN IUH
 
RELATED 2,409,443 4,412,428   No 0   No 51.000 %
(11) HEALTH VENTURE MANAGEMENT LLC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
20-5740218
MANAGEMENT IN IUH
 
UNRELATED 737,904 1,428,885   No 532,856   No 99.000 %
(12) IEC HOLDINGS LLC

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
45-4148032
HEALTHCARE IN IUH
 
RELATED 3,520,717 4,142,738   No 0   No 51.000 %
(13) INDIANA ENDOSCOPY CENTERS LLC

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
20-8398421
HEALTHCARE IN IECH
 
N/A 0 0   No 0   No 0 %
(14) BSC HOLDINGS LLC

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
45-2314634
HEALTHCARE IN IUH
 
RELATED 19,224,285 23,868,124   No 0   No 51.000 %
(15) ROC SURGERY LLC

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
27-1497960
HEALTHCARE IN ROCSH
 
N/A 0 0   No 0   No 0 %
(16) ROCS HOLDINGS LLC

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
45-4148369
HEALTHCARE IN IUH
 
RELATED 1,475,164 3,153,136   No 0   No 51.000 %
(17) SENATE STREET SURGERY CENTER LLC

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
42-1709357
HEALTHCARE IN SSSCH
 
N/A 0 0   No 0   No 0 %
(18) SSSC HOLDINGS LLC

3000 RIVERCHASE GALLERIA STE 500
BIRMINGHAM,AL35244
45-4148167
HEALTHCARE IN IUH
 
RELATED 3,404,677 4,214,907   No 0   No 51.000 %
(19) CARDINAL HEALTH ALLIANCE LLC

2401 W UNIVERSITY AVE
MUNCIE,IN47303
35-1966281
MANAGED CARE IN IUHBMH
 
N/A 0 0   No 0   No 0 %
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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) BMH MEDICAL PAVILION ASSOCIATION INC

2525 W UNIVERSITY AVE
MUNCIE,IN47303
35-1858408
CONDO MANAGEMENT IN IUHBMH
 
C 0 0 0 %    
(2) CARDINAL HEALTH VENTURES INC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
35-1611424
MANAGEMENT IN IUHBMH
 
C 0 0 0 % Yes  
(3) CHV CAPITAL INC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
26-0752507
VENTURE CAPITAL IN IUH
 
C 1,179,229 109,068 100.000 % Yes  
(4) IU HEALTH ACO INC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
45-4421020
HEALTHCARE IN IUH
 
C 0 0 100.000 % Yes  
(5) IU HEALTH BOARD DESIGNATED TRUST

400 HOWARD ST
SAN FRANCISCO,CA94105
30-6309021
INVESTMENTS IN IUH
 
T 11,649,185 172,974,971 100.000 % Yes  
(6) IU HEALTH NTGI S&P500 FUND CF

PO BOX 804358
CHICAGO,IL60680
30-6298263
INVESTMENTS IN IUH
 
T 0 217,352,802 100.000 % Yes  
(7) IU HEALTH PLANS INC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
26-2127080
HMO IN IUH
 
C 98,253,375 9,031,242 100.000 % Yes  
(8) IU HEALTH RISK PURCHASING GROUP INC

151 MEETING ST STE 301
CHARLESTON,SC29401
26-0202446
INSURANCE IN IUH
 
C 0 0 100.000 % Yes  
(9) IU HEALTH RISK RETENTION GROUP INC

151 MEETING ST STE 301
CHARLESTON,SC29401
20-1107674
INSURANCE SC IUH
 
C 2,679,224 55,440,637 97.000 % Yes  
(10) IU HEALTH SOUTHERN IN PHYSICIANS INC

PO BOX 1149
BLOOMINGTON,IN47402
35-1913875
HEALTHCARE IN IUHB
 
C 0 0 0 % Yes  
(11) IUH ASSURANCE LTD

PO BOX 69
SOLARIS AVE.,GRAND CAYMAN  
CJ
98-0395429
INSURANCE CJ IUH
 
C 9,232,620 92,874,724 100.000 % Yes  
(12) OCC-HEALTH REVENUE SYSTEMS INC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
20-3308057
WORK COMP PPO IN MOHC
 
C 0 0 0 % Yes  
(13) PARKMOR DRUG INC

1501 S MAIN ST
GOSHEN,IN46526
13-1394980
PHARMACY SALES IN GHS
 
C 0 0 0 % Yes  
(14) PILR INC

200 HIGH PARK AVE
GOSHEN,IN46526
20-4294750
DEVELOPMENT IN GHS
 
C 0 0 0 % Yes  
(15) RADIATION ONCOLOGY RESOURCES INC

200 HIGH PARK AVE
GOSHEN,IN46526
26-2008424
HEALTHCARE IN GHS
 
C 0 0 0 % Yes  
(16) SCANS INC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
45-3080392
HEALTHCARE IN CHVF1
 
C 0 0 0 % Yes  
(17) UNIVERSITY HEALTH MANAGEMENT INC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
27-2891143
MANAGEMENT IN CHV
 
C 0 0 0 % Yes  
(18) UNIVERSITY HEALTH MGMT (CHINA) INC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
27-3891311
MANAGEMENT IN CHV
 
C 0 0 0 % Yes  
(19) PROTEUO FUND LP

PO BOX 31106
89 NEXUS WAY,GRAND CAYMAN  
CJ
98-1075227
INVESTMENTS CJ IUH
 
C 10,511,193 163,603,965 100.000 % Yes  
(20) IU HEALTH PLANS HOLDING COMPANY INC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
46-3794815
INSURANCE IN IUH
 
C 0 0 100.000 % Yes  
(21) IU HEALTH PLANS NFP INC

950 N MERIDIAN ST STE 800
INDIANAPOLIS,IN46204
46-3803873
INSURANCE IN PHC
 
C 0 0 0 % Yes  
(22) UNIV HLTH (SHANGHAI) MGT CON CO LTD

88 CENTURY AVE
SHANGHAI    
CH
MANAGEMENT CH UHMC
 
C 0 0 0 % Yes  
(23) GUGGENHEIM HIGH-YIELD PLUS FUND SPC

PO BOX 309 UGLAND HOUSE
GRAND CAYMAN    
CJ
INVESTMENTS CJ IUH
 
C 3,720,661 0 73.270 % Yes  
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
 
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) IU HEALTH ARNETT INC

A 12,916,614 FMV
(2) IU HEALTH BEDFORD INC

A 173,990 FMV
(3) IU HEALTH BALL MEMORIAL HOSPITAL INC

A 533,194 FMV
(4) IU HEALTH BLOOMINGTON INC

A 1,520,886 FMV
(5) CHV CAPITAL INC

A 62,040 FMV
(6) GOSHEN HOSPITAL ASSOCIATION INC

A 1,734,625 FMV
(7) IU HEALTH LAPORTE HOSPITAL INC

A 1,432,878 FMV
(8) IU HEALTH NORTH HOSPITAL INC

A 14,962,041 FMV
(9) IU HEALTH TIPTON HOSPITAL INC

A 936,310 FMV
(10) IU HEALTH WEST HOSPITAL INC

A 6,409,329 FMV
(11) IU HEALTH WHITE MEMORIAL HOSPITAL INC

A 1,173,793 FMV
(12) METHODIST RESEARCH INSTITUTE INC

B 1,920,752 FMV
(13) EHSC HOLDINGS LLC

B 520,200 FMV
(14) INDIANA UNIVERSITY HEALTH PLANS INC

B 1,000,000 FMV
(15) METHODIST HEALTH FOUNDATION INC

B 248,084 FMV
(16) METHODIST HEALTH FOUNDATION INC

C 2,749,573 FMV
(17) IU HEALTH ARNETT INC

J 294,011 FMV
(18) IU HEALTH BALL MEMORIAL HOSPITAL INC

J 264,156 FMV
(19) BELTWAY SURGERY CENTERS LLC

J 442,193 FMV
(20) IU HEALTH BLOOMINGTON INC

J 139,126 FMV
(21) EAGLE HIGHLANDS SURGERY CENTER LLC

J 172,655 FMV
(22) IU HEALTH CARE ASSOCIATES INC

J 4,408,615 FMV
(23) IU HEALTH LAPORTE HOSPITAL INC

J 94,491 FMV
(24) METHODIST OCCUPATIONAL HEALTH CENTERS INC

J 270,818 FMV
(25) IU HEALTH NORTH HOSPITAL INC

J 1,783,347 FMV
(26) ROC SURGERY LLC

J 677,357 FMV
(27) IU HEALTH WEST HOSPITAL INC

J 410,039 FMV
(28) IU HEALTH BALL MEMORIAL HOSPITAL INC

K 579,996 FMV
(29) IU HEALTH CARE ASSOCIATES INC

K 154,729 FMV
(30) IU HEALTH NORTH HOSPITAL INC

K 266,755 FMV
(31) IU HEALTH ARNETT INC

L 29,325,964 FMV
(32) IU HEALTH BEDFORD INC

L 868,038 FMV
(33) IU HEALTH BLACKFORD INC

L 377,879 FMV
(34) IU HEALTH BALL MEMORIAL HOSPITAL INC

L 31,841,326 FMV
(35) IU HEALTH BALL MEMORIAL PHYSICIANS INC

L 1,764,526 FMV
(36) BALL OUTPATIENT SURGERY CENTER LLC

L 767,665 FMV
(37) BELTWAY SURGERY CENTER LLC

L 4,399,835 FMV
(38) IU HEALTH BLOOMINGTON INC

L 1,484,596 FMV
(39) CLARIAN TRANSPLANT INSTITUTE INC

L 143,712 FMV
(40) EAGLE HIGHLANDS SURGERY CENTER LLC

L 1,354,031 FMV
(41) GOSHEN HOSPITAL ASSOCIATION INC

L 806,498 FMV
(42) INDIANA UNIVERSITY HEALTH PLANS INC

L 363,325 FMV
(43) INDIANA ENDOSCOPY CENTERS LLC

L 788,428 FMV
(44) INDIANA RADIOLOGY PARTNERS INC

L 4,827,583 FMV
(45) IU HEALTH CARE ASSOCIATES INC

L 25,696,097 FMV
(46) IU HEALTH LAPORTE HOSPITAL INC

L 1,781,318 FMV
(47) METHODIST OCCUPATIONAL HEALTH CENTERS INC

L 1,396,465 FMV
(48) IU HEALTH MORGAN HOSPITAL INC

L 833,063 FMV
(49) IU HEALTH NORTH HOSPITAL INC

L 19,274,144 FMV
(50) ROC SURGERY LLC

L 1,503,237 FMV
(51) IU HEALTH RISK RETENTION GROUP INC

L 1,453,500 FMV
(52) SENATE STREET SURGERY CENTER LLC

L 1,639,723 FMV
(53) IU HEALTH TIPTON HOSPITAL INC

L 540,457 FMV
(54) IU HEALTH WEST HOSPITAL INC

L 16,593,763 FMV
(55) IU HEALTH WHITE MEMORIAL HOSPITAL INC

L 285,928 FMV
(56) CHV FUND I LLC

M 677,079 FMV
(57) CLARIAN TRANSPLANT INSTITUTE INC

M 3,028,279 FMV
(58) HEALTH VENTURE MANAGEMENT LLC

M 3,195,999 FMV
(59) INDIANA RADIOLOGY PARTNERS INC

M 285,262 FMV
(60) IU HEALTH CARE ASSOCIATES INC

M 65,006,531 FMV
(61) METHODIST OCCUPATIONAL HEALTH CENTERS INC

M 1,265,604 FMV
(62) IU HEALTH NORTH HOSPITAL INC

M 678,206 FMV
(63) IU HEALTH ARNETT INC

O 1,090,555 FMV
(64) IU HEALTH BEDFORD INC

O 387,617 FMV
(65) IU HEALTH BLACKFORD HOSPITAL INC

O 646,705 FMV
(66) IU HEALTH BALL MEMORIAL HOSPITAL INC

O 1,208,977 FMV
(67) IU HEALTH BLOOMINGTON INC

O 263,458 FMV
(68) IUH ASSURANCE LTD

O 250,000 FMV
(69) IU HEALTH PLANS INC

O 123,886 FMV
(70) IU HEALTH CARE ASSOCIATES INC

O 5,639,107 FMV
(71) IU HEALTH MORGAN HOSPITAL INC

O 284,716 FMV
(72) IU HEALTH NORTH HOSPITAL INC

O 1,164,593 FMV
(73) IU HEALTH SOUTHERN INDIANA PHYSICIANS INC

O 100,235 FMV
(74) IU HEALTH TIPTON HOSPITAL INC

O 316,459 FMV
(75) IU HEALTH WEST HOSPITAL INC

O 398,474 FMV
(76) INDIANA RADIOLOGY PARTNERS INC

O 619,179 FMV
(77) IUH ASSURANCE LTD

R 5,630,387 FMV
(78) IU HEALTH RISK RETENTION GROUP INC

R 8,495,193 FMV
(79) BOSC HOLDINGS LLC

S 1,661,580 FMV
(80) BSC HOLDINGS LLC

S 16,802,720 FMV
(81) EHSC HOLDINGS LLC

S 2,067,795 FMV
(82) IEC HOLDINGS LLC

S 3,330,581 FMV
(83) ROCS HOLDINGS LLC

S 1,454,520 FMV
(84) SSSC HOLDINGS LLC

S 3,177,300 FMV
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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