Attach to Form 990 or Form 990-EZ.
See separate instructions.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 | |||
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| Yes | No | Yes | No | Yes | No | ||||
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(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
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| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
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| 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). | ||||||






Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
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| 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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2009 | (b) 2010 | (c) 2011 | (d) 2012 | (e) 2013 | (f) Total | |
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| 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.).. | ||||||




| Facts And Circumstances Test |
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| Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
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| 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 |
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