TY 2014 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JEFFREY ANDERSON MD........................................................................ BOARD MEMBER	2.0 .......................0.0	X		12,000	0	0
(2) LAUREN ARNOLD........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(3) JAMES DWORKIN PHD........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(4) JAMES HASBARGEN MD........................................................................ BOARD MEMBER - MED STAFF PRES	2.0 .......................0.0	X		48,000	0	0
(5) HYUNG-CHIL KANG MD........................................................................ BOARD MEMBER - MED STAFF VP	2.0 .......................0.0	X		12,000	0	0
(6) MARK KOSIOR........................................................................ BOARD MEMBER/SECRETARY	2.0 .......................0.0	X	X	0	0	0
(7) ELIZABETH DEKKER........................................................................ BOARD MEMBER - FOUNDATION REP	2.0 .......................0.0	X		0	0	0
(8) ROBERT KORFMANN........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(9) FRAN MILO........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(10) BRIAN MOORE MD........................................................................ BOARD MEMBER	2.0 .......................38.0	X		0	352,518	15,037
(11) CARL SCOTT........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(12) D DRUMMOND OSBORN........................................................................ BOARD MEMBER/CHAIRPERSON	2.0 .......................0.0	X	X	0	0	0
(13) SCOTT SIEFKER........................................................................ BOARD MEMBER/VICE CHAIRPERSON	2.0 .......................0.0	X	X	0	0	0
(14) MICHELE THOMPSON........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(15) G THOR THORDARSON........................................................................ BOARD MEMBER/PRESIDENT/CEO	35.0 .......................5.0	X	X	410,735	0	11,658
(16) CRAIG MENNE........................................................................ BOARD MEMBER	2.0 .......................0.0	X		0	0	0
(17) ROBERT PETRINA........................................................................ INTERIM CFO (8/12/13-4/30/14)	35.0 .......................5.0		X	0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) CAMIELLA PATTERSON........................................................................ COO/CFO	35.0 .......................5.0	X				252,966	0	14,059
(19) GERALD CRAIG FELTY........................................................................ PRESIDENT - STARKE	35.0 .......................5.0	X				174,766	0	6,914
(20) SONALI SHUKLA MD........................................................................ PHYSICIAN - HEAD OF PATHOLOGY	40.0 .......................0.0		X			360,443	0	7,816
(21) BRIAN DONNELLY........................................................................ CHIEF STRATGEY OFFICER	40.0 .......................0.0		X			191,367	0	13,351
(22) PAULINE ARNOLD........................................................................ FORMER CNO	40.0 .......................0.0		X			191,035	0	3,409
(23) VINAY C TUMULURI MD........................................................................ PHYSICIAN	40.0 .......................0.0			X		584,057	0	16,488
(24) WILLIAM HOUSTON MD........................................................................ PHYSICIAN	40.0 .......................0.0			X		389,716	0	15,754
(25) SYED M SHAN UL ISLAM MD........................................................................ PHYSICIAN	40.0 .......................0.0			X		362,331	0	7,000
(26) NADEEM U KAMRAN MD........................................................................ PHYSICIAN	40.0 .......................0.0			X		373,283	0	14,935
(27) BYRON HOLM MD........................................................................ PHYSICIAN	40.0 .......................0.0			X		432,135	0	5,070
(28) CONNIE FORD........................................................................ FORMER VP OF H/R (TO DEC 2013)	0.0 .......................0.0				X	342,096	0	9,173
(29) LINDA SATKOSKI........................................................................ FORMER COO (APRIL-DEC 2013)	0.0 .......................0.0				X	405,674	0	1,389

(A) Name and business address	(B) Description of services	(C) Compensation
ANESTHESIA ASSOCIATES OF LAPORTE, 800 LINCOLNWAY STE 301 LAPORTE,IN46350	MEDICAL SERVICES	2,703,775
AIMS OF INDIANA, 7290 E 102 PLACE CROWN POINT,IN46307	MEDICAL SERVICES	2,226,901
MAPLE CITY EMERGENCY PHYSICIANS, PO BOX 793 TRAVERSE CITY,MI49685	MEDICAL SERVICES	720,915
SOUTH BEND MEDICAL FOUNDATION, PO BOX 2030 MISHAWAKA,IN46546	LAB SERVICES	639,154
MIQR CONSULTING LLC, 105 WOODVIEW COURT LAPORTE,IN46350	PROJECT PLANNING	551,988
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 23

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 domestic organizations and domestic governments. See Part IV, line 21 ....	1,377,055	1,377,055
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	28,233	28,233
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ....	1,789,977		1,789,977	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	830,523	72,191	758,332	0
7	Other salaries and wages ....	56,307,571	45,031,619	11,275,952
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,370,953	1,096,762	274,191	0
9	Other employee benefits .......	11,601,908	9,284,330	2,317,578	0
10	Payroll taxes ...........	4,423,316	3,538,653	884,663	0
11	Fees for services (non-employees):
a	Management ......	127,800		127,800	0
b	Legal .........	641,612		641,612	0
c	Accounting ...........	971,314		971,314	0
d	Lobbying ...........	0			0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	286,880		286,880	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	28,928,595	23,142,876	5,785,719
12	Advertising and promotion ....	655,032	524,026	131,006	0
13	Office expenses .......	4,061,028	4,061,028		0
14	Information technology ......	3,436,335	2,749,068	687,267	0
15	Royalties ..	0			0
16	Occupancy ...........	4,624,922	3,749,253	875,669	0
17	Travel ............	241,443	193,150	48,293	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0			0
19	Conferences, conventions, and meetings ....	0			0
20	Interest ...........	967,492	773,994	193,498	0
21	Payments to affiliates .......	0			0
22	Depreciation, depletion, and amortization .....	14,348,026	11,478,421	2,869,605	0
23	Insurance ..............	0			0
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	Bad debt expense	19,485,216	19,485,216	0	0
b	UBI TAX	45,352	0	45,352	0
c	Medicaid Assessment Fee	10,991,962	10,991,962	0	0
d	Medical Supplies	23,518,267	23,518,267	0	0
e	All other expenses	1,379,059	1,083,585	295,474
25	Total functional expenses. Add lines 1 through 24e	192,439,871	162,179,689	30,260,182	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 if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	0	1	0
2	Savings and temporary cash investments .........	33,173,211	2	17,549,003
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	33,596,875	4	30,497,861
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	0
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 .............	0	7	0
8	Inventories for sale or use ..............	3,731,401	8	3,623,636
9	Prepaid expenses and deferred charges ..........	1,804,974	9	1,756,251
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	238,362,698
b	Less: accumulated depreciation .....	10b	161,779,640	81,718,420	10c	76,583,058
11	Investments—publicly traded securities ..........	81,001,611	11	82,568,109
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	6,424,519	13	6,926,927
14	Intangible assets ...............	4,726,742	14	4,726,742
15	Other assets. See Part IV, line 11 ...........	19,358	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)......	246,197,111	16	224,231,587
	17	Accounts payable and accrued expenses .........	17,534,514	17	15,207,243
18	Grants payable .................	0	18	0
19	Deferred revenue ................	173,233	19	144,626
20	Tax-exempt bond liabilities .............	0	20	0
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 ..	1,224,581	23	751,634
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....................	39,826,846	25	20,072,714
26	Total liabilities. Add lines 17 through 25.........	58,759,174	26	36,176,217
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	187,254,459	27	187,934,707
28	Temporarily restricted net assets ...........	183,478	28	120,663
29	Permanently restricted net assets ...........	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	187,437,937	33	188,055,370
34	Total liabilities and net assets/fund balances ........	246,197,111	34	224,231,587

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

Indiana University Health LaPorte Hospital

Employer identification number

35-1125434

Part I

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

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

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

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

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

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

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

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

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

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

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

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

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

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

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

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

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

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
11	Total support Add lines 7 through 10.

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

Indiana University Health LaPorte Hospital

Employer identification number

35-1125434

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization Indiana University Health LaPorte Hospital

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization Indiana University Health LaPorte Hospital

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
Indiana University Health LaPorte Hospital

Employer identification number

35-1125434

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Indiana University Health LaPorte Hospital

Employer identification number

35-1125434

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 value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ...................................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

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

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

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

Yes No

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

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

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

Yes No

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.

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.

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)

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

(ii)

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

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

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

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) 2014

Page 2

Part III

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

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

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


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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 ....
b	Contributions ........
c	Net investment earnings, gains, and losses
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

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

Yes

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

3a(i)

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

3a(ii)

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

Describe in Part 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		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	8,200,804		8,200,804
b	Buildings ................	123,857,910	81,683,803	42,174,107
c	Leasehold improvements ............
d	Equipment ................	105,586,387	80,095,837	25,490,550
e	Other .................	717,597		717,597
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				76,583,058

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther 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
Other








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

Part VIII

InvestmentsProgram 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.)

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.)...........

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
Due to IU Health Corporate		10,728,576
ESTIMATED 3RD PARTY SETTLEMENTS		-3,929
TAIL LIABILITY		276,961
Due to Pension		9,071,106





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		20,072,714
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) 2014

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 (losses) 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 X, Line 2 - FIN 48 (ASC 740) Footnote from AFS	Indiana University Health LaPorte Hospital is a subsidiary in the consolidated financial statements of Indiana University Health, Inc. Indiana University Health, Inc. adopted FIN 48 in 2007. No disclosures were required under GAAP as Indiana University Health, Inc. does not have any material tax contingencies that required disclosures in the footnotes.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Indiana University Health LaPorte Hospital

Employer identification number

35-1125434

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

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

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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"? ..............

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

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

Did the organization prepare a community benefit report during the tax year? ..........

Yes

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

Yes

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

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) ..		10,865	5,439,528	0	5,439,528	3.150 %
b	Medicaid (from Worksheet 3, column a) ....		6,006	25,983,073	21,076,607	4,906,466	2.840 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .		16,871	31,422,601	21,076,607	10,345,994	5.990 %
Other Benefits		29	57,492	442,652	34,384	408,268	0.240 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	29	57,492	442,652	34,384	408,268	0.240 %
f	Health professions education (from Worksheet 5) ..	3	38	782,515	0	782,515	0.450 %
g	Subsidized health services (from Worksheet 6) ..	3	38	1,189,478	0	1,189,478	0.690 %
h	Research (from Worksheet 7)	1		294,591	0	294,591	0.170 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)
j	Total. Other Benefits ..	36	57,568	2,709,236	34,384	2,674,852	1.550 %
k	Total. Add lines 7d and 7j .	36	74,439	34,131,837	21,110,991	13,020,846	7.540 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing			0	0	0 %
2	Economic development	3	100	18,379	18,379	0.010 %
3	Community support	2	1	47,538	47,538	0.030 %
4	Environmental improvements	1	360	582	582	0 %
5	Leadership development and training for community members	1	4	3,600	3,600	0 %
6	Coalition building	1	385	9,089	9,089	0 %
7	Community health improvement advocacy	2	0	5,111	5,111	0 %
8	Workforce development	1	105	26,291	26,291	0.020 %
9	Other			0	0	0 %
10	Total	11	955	110,590	110,590	0.060 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

6,426,465

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. ......

4,585,629

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

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

42,255,139

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

56,906,196

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

-14,651,057

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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.......................

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

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?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	IU Health LaPorte Hospital PO Box 250 1007 Lincolnway LaPorte,IN46350 http://iuhealth.org/laporte/ 13-005006-1	X	X	X	X	A
2	IU Health Starke Hospital 102 East Culver Road Knox,IN46534 http://iuhealth.org/starke/ 13-005091-1	X	X		X	A

Schedule H (Form 990) 2014

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)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

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 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.iuhealth.org/getstrong

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.iuhealth.org/laporte

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100%
and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): X

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other 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?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ................................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B, LINE 5 (FACILITY REPORTING GROUP A)	COMMUNITIES ARE MULTIFACETED AND SO ARE THEIR HEALTH NEEDS. IU HEALTH UNDERSTANDS THAT THE HEALTH OF INDIVIDUALS AND COMMUNITIES ARE SHAPED BY VARIOUS SOCIAL AND ENVIRONMENTAL FACTORS, ALONG WITH HEALTH BEHAVIORS AND ADDITIONAL INFLUENCES. TO GAIN A BETTER UNDERSTANDING OF THE MOST CRITICAL HEALTH NEEDS IN INDIANA, INDIANA UNIVERSITY HEALTH CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO ASSESS HEALTH NEEDS IN THE COMMUNITIES SERVED BY EACH OF THE IU HEALTH HOSPITALS ACROSS INDIANA. IU HEALTH REVIEWED THE INFORMATION GATHERED FROM COMMUNITY LEADER FOCUS GROUPS, COMMUNITY INPUT SURVEYS AND STATISTICAL DATA. THE NEEDS IDENTIFIED WERE ANALYZED AND RANKED WITH THE HANLON METHOD TO DETERMINE THE PREVALENCE AND SEVERITY OF THE NEED AND THE RANKINGS WERE USED TO DETERMINE WHICH COMMUNITY HEALTH NEEDS WERE MOST CRITICAL. ADDITIONALLY, THE EFFECTIVENESS OF AN INTERVENTION FOR EACH NEED AND THE HOSPITAL'S ABILITY TO IMPACT POSITIVE CHANGE WAS EVALUATED. THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM WAS: ROBIN EGGERS, MBA - DIRECTOR OF COMMUNITY OUTREACH AND ENGAGEMENT IUHLH. STEPHANIE BERRY, MS - MANAGER, SYSTEM COORDINATION AT IUHLH. SARAH MOORE, MPH PROJECT MANAGER, COMMUNITY BENEFIT AT IUHLH. APRIL POTEET - COMMUNITY OUTREACH ASSOCIATE AT IUHLH. CAROLINE HODGKINS, MPH - COMMUNITY OUTREACH AT IUHLH THE FOCUS GROUP CONSISTED OF: BERT SAPPENFIELD - DIRECTOR OF MARKETING AT GOLDEN LIVING CENTER. MARIA FRUTH - EXECUTIVE VP AT LAPORTE FOUNDATION. KAYDE DARNELL - DIRECTOR OF OAK WOODS MANOR. JAN ROBERTS - SOCIAL WORK AT THE SALVATION ARMY. ROSE FLINCHUM - CLINICAL NURSE WITH IUHLH. THOR THORDARSON - CEO OF IUHLH. ROBERT BOKLUND - DIRECTOR OF SWANSON CENTER. KUMUD AGGAWAI - PRINCIPAL WITH SWANSON CENTER. MARCIA BREWER - RN WITH IUHLH. SANDY GLEIM - EXECUTIVE DIRECTOR OF HEALTHY COMMUNITIES. MIKE ARNETT - TREASURER OF LAPORTE ROTARY CLUB. MIKE SEITZ - PRESIDENT OF LAPORTE CHAMBER OF COMMERCE. SANDY BEHRENS - DIRECTOR AT IUHLH. ANITA IVANKOVIG - CNO AT IUHLH. JEAN HAYES - ASSOCIATE PROFESSOR OF NURSING AT PURDUE NORTH CENTRAL. DAWN BIELA - COUNCIL ON AGING DIRECTOR.
PART V, SECTION B, LINE 11 (FACILITY REPORTING GROUP A)	IU HEALTH LAPORTE HOSPITAL ADDRESSED THE MOST CRITICAL NEEDS IN 2013 AND WE ARE CONTINUING TO WORK ON ALL THE NEEDS THAT WERE ADDRESSED IN OUR CHNA. IU LAPORTE HOSPITAL IMPLEMENTS THE NEEDS BASED ON THE PREVALENCE AND SEVERITY OF THE NEED, AND THE RANKING THAT IT WAS GIVEN. ADDITIONALLY, THE EFFECTIVENESS OF AN INTERVENTION FOR EACH NEED AND THE HOSPITAL'S ABILITY TO IMPACT POSITIVE CHANGE WAS EVALUATED. THE FOCUS GROUP IDENTIFIED THE FOLLOWING FIVE NEEDS AS PRIORITIES FOR IU HEALTH LAPORTE: 1. ACCESS TO HEALTHCARE. 2. PREVENTIVE HEALTHCARE AND WELLNESS. 3. MENTAL HEALTH. 4. TOBACCO USE AND SUBSTANCE ABUSE. 5. CHRONIC DISEASE MANAGEMENT. THESE PRIORITIZED NEEDS ARE DISCUSSED IN MORE DETAIL BELOW. 1. ACCESS TO HEALTHCARE WAS CONSIDERED THE TOP NEED BY BOTH FOCUS GROUPS, AND ENCOMPASSED THE SAME CONCERNS OF COST OF HEALTHCARE AND COORDINATED CARE SERVICES. LEADERS BELIEVED IT IS NOT ONLY THE MORE IMPOVERISHED OF THE POPULATION WHO SUFFER, BUT THE INDIVIDUALS WHO ARE RIGHT ABOVE THE POVERTY LINE WHO ARE NOT ELIGIBLE FOR HEALTHCARE FINANCIAL AID. ADDITIONALLY, THERE IS A LACK OF INSURANCE OPTIONS AND DEDUCTIBLES ARE TOO HIGH FOR THE INDIVIDUALS TO AFFORD. MANY PROVIDERS IN LA PORTE WILL NOT ACCEPT MEDICARE AND MEDICAID, THEREFORE FURTHER LIMITING THE COMMUNITY. HOWEVER, LA PORTE IS FORTUNATE TO HAVE THE LA PORTE HOSPITAL CLINIC, WHICH SERVES THEIR COUNTY ON A SLIDING SCALE BASIS, AND OFFERS EXTENDED SERVICES. 2. PREVENTIVE HEALTHCARE AND WELLNESS WAS RANKED AS THE COMMUNITY'S SECOND GREATEST NEED. LEADERS BELIEVED MANY INDIVIDUALS WITHIN LA PORTE COUNTY ARE NOT AWARE OF THE BASICS OF A HEALTHY LIFESTYLE, AND AWARENESS OF THIS IS VITAL TO PREVENTING DISEASE IN THEIR COMMUNITY. SMOKING WAS ALSO IN THE DISEASE PREVENTION CATEGORY, AND IS STILL PROMINENT WITHIN THE COMMUNITY. THE TWO FOCUS GROUPS DID VARY SLIGHTLY IN TERMS OF WHAT DISEASE PREVENTION CONSISTED OF, BUT ALL AGREED AWARENESS AND EDUCATION IS KEY TO PREVENTING CHRONIC DISEASE. 3. MENTAL HEALTH WAS DISCUSSED IN GREAT DETAIL AND THOUGHT TO BE THE THIRD NEED WITHIN THE LA PORTE COMMUNITY. CURRENTLY, THERE IS NOT AN INPATIENT CARE FACILITY FOR CHILDREN, AND BUDGET CUTS ARE BEING CONDUCTED WITHIN OUTPATIENT FACILITIES FOR BOTH ADULTS AND CHILDREN. INSURANCE COVERAGE IS A LARGE BARRIER AS WELL, DUE TO THE FACT THAT THE MAJORITY OF INSURANCE COMPANIES ONLY PERMIT INPATIENT TREATMENT FOR FIVE DAYS, WHICH IS NOT NEARLY ENOUGH - STATISTICS SHOW MOST INDIVIDUALS NEED ABOUT A MONTH FOR ANY REAL RECOVERY. THERE ARE ALSO NOT ENOUGH PSYCHOLOGISTS WITHIN LA PORTE, AND THERE IS MINIMAL FOLLOW-UP ON PATIENTS ONCE THEY LEAVE THE HOSPITAL. LA PORTE DOES, HOWEVER, HAVE THE SWANSON CENTER, WHICH HAS BEEN A VITAL RESOURCE FOR THE COMMUNITY. THE SWANSON CENTER HAS WRAPAROUND SERVICES AND PROVIDES TO BOTH ADULTS AND CHILDREN. HOWEVER, LEADERS MENTIONED THAT THEY HAVE A HARD TIME MEETING THE DEMAND FOR ALL THE MENTAL HEALTH CONCERNS, ESPECIALLY WITH THE GROWING RATES OF SUBSTANCE ABUSE THAT COEXISTS WITH MENTAL HEALTH. 4. TOBACCO USE AND SUBSTANCE ABUSE WERE DISCUSSED IN GREAT DETAIL AND CONSIDERED THE FOURTH HIGHEST NEED. LA PORTE COUNTY HAS ONE OF THE HIGHEST RATES OF DRUGS AND ALCOHOL USE, AND LEADERS ARE CONCERNED FOR THEIR COUNTY'S WELL-BEING DUE TO THE EFFECTS ON INDIVIDUALS, EMPLOYMENT, AND ASSISTANCE PROGRAMS. MORE INTENSE DRUG USE, SUCH AS HEROIN AND METHAMPHETAMINE, RATES HAVE GROWN OVER THE PAST FEW YEARS, AND THERE ARE NOT EXISTING RESOURCES TO REALLY ADDRESS THOSE CONCERNS IN LA PORTE COUNTY. THE CLOSEST FACILITIES ARE IN SOUTH BEND AND GARY, INDIANA. IT WAS ALSO NOTED THAT ALCOHOLICS ANONYMOUS IS NOT BELIEVED TO EVEN BE OPERATING WITHIN LA PORTE COUNTY, THEREFORE LIMITING RESOURCES EVEN FURTHER. ESSENTIALLY, LA PORTE COUNTY HAS MINIMAL RESOURCES TO ADDRESS THEIR GROWING SUBSTANCE ABUSE PROBLEMS. LEADERS BELIEVED COUNSELING AND DETOXIFICATION PROGRAMS COULD BE A GREAT ASSET TO THEIR COMMUNITY. 5. CHRONIC DISEASE MANAGEMENT WAS ADDRESSED IN BOTH FOCUS GROUPS AS WELL. ONE GROUP ADDRESSED THE FACT THAT PREVENTION IS A HIGHER PRIORITY TO ADDRESS BECAUSE THEY DO NOT WANT INDIVIDUALS TO REACH THE CHRONIC DISEASE MANAGEMENT STAGE; HOWEVER, IT IS CURRENTLY NEEDED WITHIN THE COMMUNITY IN TERMS OF OBESITY, DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), HEART DISEASE, ETC. OF GREATEST CONCERN ARE THE GROWING RATES IN CHILDREN WHEN IT COMES TO OBESITY AND DIABETES, AND THAT THE CHILDREN OF LA PORTE COUNTY ARE NOT ENGAGING IN ENOUGH PHYSICAL ACTIVITY. WHILE THERE IS A NEW PUSH ON PHYSICAL EDUCATION, LEADERS ADDRESSED THE FACT THAT THEY NEED POLICY CHANGE FOR ISSUES SUCH AS FOOD LABELING AND EDUCATION FUNDING.
PART V, SECTION B, LINE 22d (FACILITY REPORTING GROUP A)	IU HEALTH LAPORTE HOSPITAL INTENDS TO BE IN COMPLIANCE WITH THE 501(R) REGULATIONS REGARDING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE BY THE EFFECTIVE DATE.

Schedule H (Form 990) 2014

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?13
Name and address		Type of Facility (describe)
1	IU Health Lakeshore Surgicare LLC 3111 Village Pointe Chesterton,IN46304	surgicenter
2	Michiana Hematology Oncology 1668 US 421 Westville,IN46391	laboratory
3	Heart and Vascular Institute 901 Lincolnway LaPorte,IN46350	cardiac rehabilitation
4	Lifeworks 3777 N Frontage Road Michigan City,IN46360	physical therapy, diagnostic imaging, CVL Diagnostics
5	Rehab at the Crossing 1203 Washington Street LaPorte,IN46350	physical therapy services
6	VNA Homecare 901 S Woodland Michigan City,IN46360	home health
7	Lifeplex Diagnostic Imaging 2855 Miller Drive Plymouth,IN46563	Diagnostic Imaging
8	Sports Medicine at Sagamore 600 Legacy Place LaPorte,IN46350	rehab and physical therapy
9	Legacy Building 1300 State Street LaPorte,IN46350	neuro sleep
10	New Carlisle Wellness and Rehab 8988 E US Highway 20 New Carlisle,IN46552	physical therapy
11	Westville Wellness and Rehab 156 N Flynn Road LaPorte,IN46350	physical therapy services
12	Founders Square 15105 State Street LaPorte,IN46350	pediatric rehab, laboratory
13	VNA Hamlet 5955 W 600 N Hamlet,IN46532	VNA services

Schedule H (Form 990) 2014

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
PART I, LINE 6A - COMMUNITY BENEFIT REPORT - RELATED ORGANIZATION	INDIANA UNIVERSITY HEALTH LAPORTE HOSPITAL (IUHLH) COMMUNITY BENEFIT REPORT IS INCLUDED IN INDIANA UNIVERSITY HEALTH, INC.'S ANNUAL BENEFIT REPORT DISTRIBUTED TO NUMEROUS COMMUNITY MEMBERS.
PART I, LINE 7, COLUMN (F) - BAD DEBT EXPENSE	$19,485,216 IS THE AMOUNT OF BAD DEBT EXPENSE THAT WAS EXCLUDED FROM THE CALCULATION OF COMMUNITY BENEFIT EXPENSE PERCENTAGE REPORTED ON PART I, LINE 7, COLUMN F.
PART I, LINE 7 - COSTING METHODOLOGY	THE COST TO CHARGE RATIO THAT WAS CALCULATED IN PART I, LINE 7, WAS USED IN CALCULATING THE EXPENSE AT COST FOR THE APPROPRIATE CATEGORIES.
PART II - COMMUNITY BUILDING ACTIVITIES	IUHLH PROVIDES SEVERAL KEY ACTIVITIES WITHIN THIS CATEGORY, MOST NOTABLY, PROJECT SEARCH. IUHLH PARTICIPATES IN PROJECT SEARCH OF INDIANA, WHICH IS A TRANSITION PROGRAM FOR HIGH SCHOOL STUDENTS WITH DISABILITIES THAT PROVIDES SKILLS, TRAINING AND WORK EXPERIENCE. IUHLH IS THE FIRST AND PRESENTLY THE ONLY EMPLOYER IN LAPORTE COUNTY TO PARTICIPATE IN THE NATIONWIDE PROGRAM. THE PROJECT SEARCH PARTNERSHIP WITH IUHLH ENABLES STUDENTS WITH DISABILITIES TO NOT ONLY DEVELOP AN UNDERSTANDING OF THE REAL WORLD OF WORK, BUT TO ALSO DEVELOP THE SKILLS NECESSARY TO SUCCESFULLY PURSUE FUTURE EMPLOYMENT OPPORTUNITIES. HEALTHCARE CAREER CAMP (FORMERLY VOLUNTEEN) IS AN INDIANA UNIVERSITY HEALTH LAPORTE HOSPITAL PROGRAM THAT ALLOWS JUNIORS AND SENIORS IN HIGH SCHOOL TO EXPERIENCE SEVERAL FACETS OF THE HEALTHCARE FIELD. THE WEEK-LONG CAMP INCLUDES: PRESENTATIONS AND DISCUSSIONS WITH IU HEALTH PHYSICIANS; CPR CERTIFICATION; HANDS-ON LAB EXPERIENCES; AND CLINICAL DEPARTMENT TOURS. IN 2014, IUHLH PAID FEES FOR FOUR COLLEAGUES TO ATTEND LEADERSHIP LAPORTE COUNTY'S ADULT CLASS. THE NINE-MONTH PROGRAM IS A FORUM FOR THE DEVELOPMENT OF COMMUNITY LEADERS. STUDENTS BUILD LEADERSHIP SKILLS, NETWORK WITH COMMUNITY LEADERS, AND LEARN ABOUT LAPORTE COUNTY. THE MISSION OF LEADERSHIP LAPORTE COUNTY IS: TO INSPIRE, DEVELOP, CULTIVATE AND CONNECT EMERGING AND EXISTING LEADERS TO SERVE THEIR DIVERSE COMMUNITIES. IUHLH ALSO PARTICIPATES IN VARIOUS COALITION BUILDING ACTIVITIES THROUGH THE CENTER FOR SPIRITUAL CARE. THE CENTER FOR SPIRITUAL CARE HAS REPRESENTATION IN THE MINISTERIAL ALLIANCE, WHICH BUILDS AND PRESERVES RELATIONSHIPS WITH LOCAL CLERGY AND PROMOTES THE PHYSICAL, EMOTIONAL, AND SPIRITUAL HEALTH OF OUR COMMUNITY BY PROVIDING COLLABORATIVE SERVICES THAT SERVE THOSE MOST VULNERABLE IN OUR COMMUNITY. THE DIRECTOR OF THE CENTER FOR SPIRITUAL CARE SERVED AS THE NATIONAL DAY OF PRAYER LEADER, WHICH IS A COLLABORATIVE EFFORT BETWEEN THE BOY SCOUTS OF AMERICA AND THE SALVATION ARMY THAT PROMOTE PROGRAMS THAT SUPPORT SERVICE TO THOSE MOST VULNERABLE IN OUR COMMUNITY. THE DIRECTOR ALSO SERVED ON THE MARTIN LUTHER KING JR. COMMUNITY CELEBRATION COMMITTEE, WHERE A MULTITUDE OF ISSUES ARE LIFTED UP, PARTICULARLY AS IT PERTAINS TO OUR AFRICAN-AMERICAN COMMUNITIES IN TERMS OF ACCESS TO SERVICES, CARE, EDUCATION AND HEALTHY CHOICES. A COMMUNITY GOOD FRIDAY SERVICE WAS HELD IN THE HOSPITAL CHAPEL. SERVING AS ONE OF THE HOST SITES FOR THE COMMUNITY SERVICE PROMOTES AMONG OUR COMMUNITY LEADERS THE IMPORTANCE OF THE INTERSECTION BETWEEN PHYSICAL, SPIRITUAL AND EMOTIONAL HEALTH IN OUR COMMUNITY. THE CENTER FOR SPIRITUAL CARE WAS ALSO REPRESENTED AT THE PRAYER FOR THE CITY EVENT, WHERE COMMUNITY LEADERS, POLITICIANS, AND BUSINESS PEOPLE CONVERGE TO PRAY FOR THE NEEDS OF OUR COMMUNITY AND TO RAISE AWARENESS. OUR HOSPITAL AND ITS MISSION, TO BE ONE OF THE TOP TEN HEALTHIEST COMMUNITIES IN INDIANA BY 2030, WERE AMONG THE AREAS SPECIFICALLY LIFTED UP.
PART III, LINES 2 & 3 - METHODOLOGY USED TO DETERMINE BAD DEBT EXPENSE	THE BAD DEBT EXPENSE OF $19,485,216 ON SCHEDULE H, PART III, LINE 2 IS REPORTED AT COST. THE AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY WAS CALCULATED BY USING THE GROSS PATIENT CHARGES WRITTEN OFF PURSUANT TO CHARITY CARE POLICIES MULTIPLIED BY THE RATIO OF PATIENT CARE COST TO CHARGES.
PART III, LINE 4 - BAD DEBT EXPENSE FOOTNOTE	THE FOOTNOTE ON ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS APPEARS ON PAGES 19-21 OF THE 2014 CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF INDIANA UNIVERSITY HEALTH, INC. AND SUBSIDIARIES (SEE ATTACHED AFS).
PART III, LINE 8 - MEDICARE COSTING METHODOLOGY	THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 IS CALCULATED IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, USING ALLOWABLE COST PER MEDICARE COST REPORT. ALLOWABLE COST FOR MEDICARE COST REPORT PURPOSES ARE NOT REFLECTIVE OF ALL COST ASSOCIATED WITH IUHLH'S PARTICIPATING IN MEDICARE PROGRAMS. AS AN EXAMPLE, THE MEDICARE COST REPORT EXCLUDES CERTAIN COSTS SUCH AS BILLED PHYSICIANS SERVICES, COST OF MEDICARE PARTS C & D, FEE SCHEDULE REIMBURSED SERVICES, AND DURABLE MEDICAL EQUIPMENT SERVICES. INCLUSION OF ALL COST ASSOCIATED WITH IUHLH'S PARTICIPATION IN MEDICARE PROGRAMS WOULD SIGNIFICANTLY INCREASE THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7. IUHLH'S MEDICARE SHORTFALL IS ATTRIBUTABLE TO REIMBURSEMENTS THAT ARE LESS THAN THE COST OF PROVIDING PATIENT CARE AND SERVICES TO MEDICARE BENEFICIARIES AND DOES NOT INCLUDE ANY AMOUNT THAT RESULTS FROM INEFFICIENCIES OR POOR MANAGEMENT. IUHLH ACCEPTS ALL MEDICARE PATIENTS KNOWING THAT THERE MAY BE SHORTFALLS; THEREFORE IT HAS TAKEN THE POSITION THAT THE SHORTFALL SHOULD BE COUNTED AS PART OF THE COMMUNITY BENEFIT. ADDITIONALLY, IT IS IMPLIED IN THE INTERNAL REVENUE SERVICE REVENUE RULING 69-545 THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NON-PROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL BENEFIT, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE MEDICARE ALLOWABLE COSTS REPORTED ON SCHEDULE H, PART III, LINE 6 IS CALCULATED IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS, USING ALLOWABLE COST PER MEDICARE COST REPORT. ALLOWABLE COST FOR MEDICARE COST REPORT PURPOSES ARE NOT REFLECTIVE OF ALL COST ASSOCIATED WITH IUHLH'S PARTICIPATING IN MEDICARE PROGRAMS.
PART III, LINE 9B - COLLECTION PRACTICES	PROCEDURE ON COLLECTION PRACTICES (EXCERPT FROM FINANCIAL ASSISTANCE POLICY FOR IUHLH): 1. PATIENTS MUST REQUEST ASSISTANCE, COMPLETE, AND SIGN A FINANCIAL ASSISTANCE APPLICATION. 2. UPON RECEIPT OF THE FINANCIAL ASSISTANCE APPLICATION, THE FINANCIAL COUNSELOR WILL FIRST DETERMINE IF THE GUARANTOR QUALIFIES FOR FINANCIAL ASSISTANCE. IF THE GUARANTOR QUALIFIES FOR FINANCIAL ASSISTANCE, THEY WILL BE NOTIFIED AND THE ACCOUNT ADJUSTED PER THE WRITE OFF/ADJUSTMENT. 3. IF THE GUARANTOR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE BUT QUALIFIES FOR LIMITED MEANS, A REDUCTION IN LIABILITY WILL BE MADE TO THE ACCOUNT AND THE GUARANTOR WILL BE NOTIFIED VIA MAIL. AT THE GUARANTOR'S REQUEST, PAYMENT ARRANGEMENTS WILL BE MADE FOR THE REMAINING BALANCE. 4. IF THE GUARANTOR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE OR LIMITED MEANS ASSISTANCE AND HAS BEEN DETERMINED TO BE UNINSURED, A DISCOUNT WILL BE MADE TO THE ACCOUNT AND THE GUARANTOR WILL BE NOTIFIED VIA MAIL. AT THE GUARANTOR'S REQUEST, PAYMENT ARRANGEMENTS WILL BE MADE ON THE REMAINING BALANCE. 5. FOR GUARANTORS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE OR LIMITED MEANS EXCEEDING THE HOUSEHOLD INCOME THRESHOLD REFER TO THE OVER 400% FPL POLICY. 6. ACCOUNTS THAT ARE TO BE CONSIDERED WILL CONTINUE TO AGE THROUGH OUR COLLECTION PROCESS, INCLUDING REFERRAL TO AN OUTSIDE REPORTING COLLECTION AGENCY UNLESS A FINANCIAL COUNSELOR DETERMINES GROUNDS FOR A SUSPENSION. REFER TO THE FINANCIAL ASSISTANCE SUSPENSION POLICY. 7. PATIENT COMPLAINTS/DISSATISFACTION MAY BE TURNED OVER TO OUR RECONSIDERATION TEAM (FINANCIAL COUNSELORS) FOR THE DETERMINATION OF A POSSIBLE RECONSIDERATION. REFER TO THE FINANCIAL ASSISTANCE RECONSIDERATION POLICY.
PART VI, LINE 2 - NEEDS ASSESSMENT	IU HEALTH SYSTEM COLLABORATED WITH OTHER ORGANIZATIONS AND AGENCIES IN CONDUCTING THE NEEDS ASSESSMENT FOR THE IU HEALTH LAPORTE HOSPITAL COMMUNITY. THESE COLLABORATING ORGANIZATIONS ARE LISTED ON PAGE 9 OF THE CHNA. TO GATHER QUALITATIVE DATA FOR ITS CHNA, THE APPROACH CONSISTED OF A MULTI-COMPONENT APPROACH TO IDENTIFY AND VERIFY COMMUNITY HEALTH NEEDS FOR THE SERVICE AREA. WE HOSTED MULTIPLE ONE AND A HALF TO TWO HOUR COMMUNITY CONVERSATION FOCUS GROUPS WITH PUBLIC HEALTH OFFICIALS AND COMMUNITY LEADERS IN ATTENDANCE TO DISCUSS THE HEALTHCARE NEEDS FOR THE SERVICE AREA AND WHAT ROLE IU HEALTH LAPORTE COULD PLAY IN ADDRESSING THE IDENTIFIED NEEDS. IN ADDITION, WE SURVEYED THE COMMUNITY AT LARGE THROUGH THE HOSPITAL'S WEBSITE, WITH SPECIAL EMPHASIS TO GARNER INPUT FROM LOW INCOME, UNINSURED OR MINORITY GROUPS. REFER TO PAGES 30 & 31 OF THE CHNA FOR LIST OF PARTICIPANTS. THE 2013 IU HEALTH LAPORTE CHNA HAS BEEN A GUIDE FOR OUR COMMUNITY OUTREACH ACTIVITIES. FOCUS HAS BEEN INITIATED ON THE FOUR MAIN OBJECTIVES: DEVELOP A COMPREHENSIVE PROFILE OF HEALTH STATUS, QUALITY OF CARE, AND CARE MAMAGEMENT INDICATORS OVERALL AND BY COUNTY FOR THOSE RESIDING WITHIN THE IU HEALTH LAPORTE SERVICE AREA, SPECIFICALLY WITHIN THE PRIMARY SERVICE AREA (PSA) OF LAPORTE COUNTY, INDIANA, 2.) IDENTIFY THE PRIORITY HEALTH NEEDS (PUBLIC HEALTH AND HEALTHCARE) WITHIN THE IU HEALTH LAPORTE PSA, FOR EXAMPLE, BREAST AND COLON CANCERS WERE IDENTIFIED AS THE TOP PRIORITY INITIATIVES. A PILOT PROGRAM WAS CONDUCTED AT ONE OF OUR LOCAL PRIMARY CARE OFFICES. FEMALE PATIENTS AGES 45-75 WHO WERE DUE FOR MAMMOGRAMS AND/OR COLONOSCOPIES WERE CONTACTED AND SCHEDULED SCREENINGS. BETWEEN MAY 2014 AND MARCH 2015, 900 CHARTS WERE REVIEWED; 135 MAMMOGRAMS AND 23 COLONOSCOPIES WERE COMPLETED. MANY REQUIRED FURTHER FOLLOW-UP OR TREATMENT. FOR THOSE PATIENTS WHO NEEDED MAMMOGRAMS AND DID NOT HAVE INSURANCE, THE HOSPITAL FOUNDATION PROVIDED VOUCHERS. THIS PLAN IS A GOOD EXAMPLE OF INCREASING AWARENESS AND EARLY DETECTION. 3.) SERVE AS A FOUNDATION FOR DEVELOPING SUBSEQUENT DETAILED RECOMMENDATIONS ON IMPLEMENTATION STRATEGIES THAT CAN BE UTILIZED BY HEALTHCARE PROVIDERS, COMMUNITIES, AND POLICY MAKERS IN ORDER TO IMPROVE THE HEALTH STATUS OF THE IU HEALTH LAPORTE COMMUNITY AND 4.) SUPPLY PUBLIC ACCESS TO THE CHNA RESULTS IN ORDER TO INFORM THE COMMUNITY AND PROVIDE ASSISTANCE TO THOSE INVESTED IN THE TRANSFORMATION TO THE COMMUNITY'S HEALTHCARE NETWORK. WE ARE CURRENTLY WORKING ON A NEW FULL NEEDS ASSESSMENT. OUR GOAL IS TO CONTINUE TO DEVELOP UPON OUR FULL NEEDS ASSESSMENT IDEAS FROM 2014 AND THEN THE MINI NEEDS ASSESSMENT FROM 2014 IDEAS INCLUDING HOW TO MEASURE THEM MORE EFFICIENTLY MOVING FORWARD AND ALSO IDENTIFY IF THERE ARE ANY NEW NEEDS OF THE COMMUNITY AND HOW WE CAN BEST ADDRESS THESE ITEMS.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	BROCHURES ARE DISTRIBUTED THROUGH FINANCIAL COUNSELORS WHO ARE AVAILABLE FOR THOSE IN NEED OF FINANCIAL ASSISTANCE. THE HOSPITAL HAS A COMMUNITY HEALTH CENTER WHICH PROVIDES EDUCATION AND ASSISTANCE VIA "COVERING KIDS AND FAMILIES" ALONG WITH MANY OTHER PROGRAMS AND EVENTS. IUHLH PROMOTES AWARENESS OF IU HEALTH'S FINANCIAL ASSISTANCE AND COMMUNITY HEALTH CENTER THROUGH POSTERS, FLYERS AND PROVIDED HEALTHCARE EXCHANGE NAVIGATORS TO ASSIST OUR COMMUNITY WITH THE MARKETPLACE.
PART VI, LINE 4 - COMMUNITY INFORMATION	LAPORTE COUNTY: 2015 POPULATION: 111,288 WHITE: 83.1% BLACK: 11.2% THERE ARE 6,768 HISPANICS AND IT'S PROJECTED TO GROW TO 7,417 BY 2020. ACCORDING TO THE US CENSUS SMALL HEALTH INSURANCE ESTIMATES, 21% OF THE ADULT POPULATION AND 8% OF CHILDREN ARE UNINSURED. 15% COULD NOT SEE A DOCTOR DUE TO COSTS. LAPORTE COUNTY WAS RANKED 72 OUT OF 92 IN 2014 ACCORDING TO WWW.COUNTYHEALTHRANKINGS.COM, OBESITY IS A MAJOR RISK FACTOR FOR CV DISEASE, CERTAIN TYPES OF CANCER AND TYPE 2 DIABETES. LAPORTE COUNTY'S OBESITY RATE IS 32% AND DIAGNOSED DIABETES IS 10% (ACCORDING TO THE CDC). ACCORDING TO THE INDIANA HOSPITAL ASSOCIATION, IU HEALTH LAPORTE'S INPATIENT PAYER MIX IS 16% MEDICAID WHICH IS CONSISTENT TO THE STATE'S AVERAGE OF 15.9%, WHEREAS IU HEALTH LAPORTE'S SELF-PAY IS 1.6%, LOWER THAN THE STATE'S AVERAGE OF 4.5%. THE AVERAGE HOUSEHOLD INCOME IN LAPORTE COUNTY IS $59,739, LOWER THAN THE STATE AVERAGE OF $64,249 (SOURCE: NIELSEN IXPRESS). AS REPORTED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, LAPORTE COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA/POPULATION. ACCORDING TO THE SMALL AREA INCOME AND POVERTY ESTIMATES, 27% OF THE CHILDREN IN LAPORTE COUNTY ARE IN POVERTY, ABOVE THE 22% STATE AVERAGE. THERE IS ONE OTHER ACUTE CARE HOSPITAL IN THE COUNTY, FRANCISCAN SAINT ANTHONY HEALTH WHICH IS PART OF THE FRANCISCAN ALLIANCE SYSTEM. THE HOSPITAL IS LOCATED APPROXIMATELY 12 MILES FROM IU HEALTH LAPORTE AND HAS 310 BEDS. STARKE COUNTY: POPULATION 23,157; WHITE 97.82%, BLACK 0.5%. THERE ARE 857 HISPANICS AND THIS POPULATION IS PROJECTED TO GROW TO 962 BY 2020, AN INCREASE OF 11%. STARKE COUNTY WAS RANKED 88 OUT OF 92 FOR HEALTH OUTCOMES IN 2014 ACCORDING TO WWW.COUNTYHEALTHRANKINGS.COM. THE COUNTY WAS NEXT TO THE LAST FOR HEALTH FACTORS (I.E., BEHAVIORS, CLINICAL CARE, SOCIAL AND ECONOMIC VARIABLES). OBESITY IS A MAJOR RISK FACTOR FOR CV DISEASE, CERTAIN TYPES OF CANCER AND TYPE 2 DIABETES. STARKE COUNTY'S OBESITY RATE IS 35% AND DIAGNOSED DIABETES IS 12% (ACCORDING TO CDC). ACCORDING TO THE INDIANA HOSPITAL ASSOCIATION, IU HEALTH STARKE HOSPITAL'S (IUHSH) INPATIENT PAYER MIX IS 9.5% MEDICAID WHICH IS LOWER THAN THE STATE'S AVERAGE OF 15.9% AND SELF-PAY IS LOWER AS WELL (1.5% VS. 4.5% RESPECTIVELY). HOWEVER, IUHSH'S MEDICARE IS HIGH AT 63.5% COMPARED TO STATE AVERAGE OF 46.7%. THE AVERAGE HOUSEHOLD INCOME IN STARKE COUNTY IS $52,413, LOWER THAN THE STATE AVERAGE OF $64,249 (SOURCE: NIELSEN IXPRESS). AS REPORTED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, STARKE COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AND HEALTH PROFESSIONAL SHORTAGE AREA/POPULATION. ACCORDING TO THE SMALL AREA INCOME AND POVERTY ESTIMATES, 26% OF THE CHILDREN IN STARKE COUNTY ARE IN POVERTY, ABOVE THE STATE AVERAGE OF 22%. THERE ARE NO OTHER ACUTE CARE HOSPITALS OR AMBULATORY SURGERY CENTERS IN THE COUNTY. IUHSH IS 23 MILES FROM IU HEALTH LAPORTE HOSPITAL AND THE NEAREST COMPETITOR IS ST. JOSEPH REGIONAL MEDICAL CENTER LOCATED IN PLYMOUTH WHICH IS 15 MILES AWAY.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	IU HEALTH LAPORTE HOSPITAL IS GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF LOCAL COMMUNITY MEMBERS AND MEDICAL STAFF. THE BOARD OF DIRECTORS APPROVED THE COMMUNITY HEALTH NEEDS AND THE STRATEGIES TO ADDRESS THOSE NEEDS. THE HOSPITAL AND ITS FOUNDATION COLLABORATE WITH OTHER FUNDERS SUCH AS THE KOMEN FOUNDATION AND IBCAT TO BRING FREE MAMMOGRAMS (SCREENING AND COMPREHENSIVE) TO THE COMMUNITY. THE WELLNESS DEPARTMENT OF IU HEALTH LAPORTE HOSPITAL DEVELOPS AND DELIVERS FREE HEALTH SCREENINGS AND HEALTH EDUCATION ON SITE AND DIFFERENT LOCATIONS THROUGHOUT THE COMMUNITY. AMONG OTHER PROGRAMS DELIVERED FROM OUR WELLNESS DEPARTMENT IS OUR LIL' FISH CLUB. THE GOAL OF THE LIL' FISH CLUB IS TO GIVE CHILDREN THE TOOLS TO MAKE POSITIVE HEALTH AND LIFESTYLE DECISIONS. THE PROGRAM CURRENTLY TARGETS A TOTAL OF 1,125 4TH GRAD STUDENTS AT 18 DIFFERENT SCHOOLS IN LAPORTE AND STARKE COUNTY. THE LIL' FISH CLUB PROMOTES HEALTHY BEHAVIORS AND INCREASES THE AWARENESS OF HEALTH ISSUES THROUGH A SERIES OF MONTHLY EDUCATIONAL MODULES. THE PROGRAM STARTS IN OCTOBER WITH AN INITIAL HEALTH ASSESSMENT TO DETERMINE THE GENERAL HEALTH KNOWLEDGE AND BEHAVIORS OF THE STUDENTS. A POST ASSESSMENT IS GIVEN AT THE END OF THE PROGRAM IN MAY TO SEE HOW MUCH THE STUDENTS HAVE RETAINED AND WHERE THERE MAY BE ROOM FOR IMPROVEMENT. THE IU HEALTH MOBILE HEALTH CLINIC IS A TRAVELLING VEHICLE THAT PROVIDES CONVENIENT HEALTHCARE SERVICES AND EDUCATION AT VARIOUS LOCATIONS THROUGHOUT OUR SERVICE AREA, BRINGING PREVENTATIVE SCREENINGS AND HEALTHY INFORMATION TO OUR COMMUNITIES. THE IU HEALTH MOBILE ALLOWS US TO EXPAND OUR SCREENING SERVICES TO ADDRESS UNMET HEALTHCARE NEEDS WITHIN THE COMMUNITY. WE CURRENTLY OFFER THE FOLLOWING SCREENINGS FREE OF CHARGE: BLOOD PRESSURE; GLUCOSE; BONE DENSITY; COLORECTAL; CERVICAL AND SKIN CANCER; AND CLINICAL BREAST EXAMS. EDUCATION TOPICS INCLUDE, BUT ARE NOT LIMITED TO: EXERCISE, DIABETES, HEALTHY EATING AND SMOKING CESSATION.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	IUHLH HAS BEEN AFFILIATED WITH INDIANA UNIVERSITY HEALTH, INC. (IUH) SINCE 1998. THIS PARTNERSHIP ENABLES IUHLH TO OPERATE AUTONOMOUSLY THROUGH A LOCAL BOARD WHILE RECEIVING THE NEEDED CAPITAL THROUGH IUH. THIS PARTNERSHIP HAS PROVEN SUCCESSFUL THROUGH SEVERAL DIFFERENT PROGRAMS. THROUGH THE IU HEALTH NAME, OUR COMMUNITY HEALTH RESOURCE CENTER, HEALTHQUARTERS, CAN TAP INTO MANY DATABASES FOR THE PUBLIC. RESEARCH CAN BE DONE FREE OF CHARGE THROUGH NUMEROUS MEMBERSHIP SITES BY COMMUNITY MEMBERS LOOKING TO GATHER HEALTH INFORMATION.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	INDIANA

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
Indiana University Health LaPorte Hospital

Employer identification number
35-1125434

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. 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 section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) Indiana University Medical Foundation PO Box 660245 Indianapolis,IA46266	35-6001673	501(c)(3)	8,219	To support medical education
(2) LaPorte County Symphony Orchestra PO Box 563 LaPorte,IN46350	23-7878110	501(c)(3)	24,658	To promote cancer services
(3) Unity Foundation of LaPorte County PO Box 527 Michigan City,IN46360	35-1658674	501(c)(3)	20,549	Greater LaPorte Economic Development
(4) Harmony House 1005 Michigan Ave LaPorte,IN46350	35-2073521	501(c)(3)	8,219	Promote community health/wellness
(5) United Way of LaPorte County 115 E 4th Street Michigan City,IN46360	35-0782893	501(c)(3)	38,466	Promote community health/wellness
(6) Michiana Resources PO Box 5094 Nashville,TN87204	27-4757403	501(c)(3)	10,417	Promote community health/wellness
(7) Starke County Chamber of Commerce PO Box 5 Knox,IN46534	35-2090144	501(c)(6)	5,449	Promote health/wellness
(8) Indiana Rural Health Network 2901 Ohio Blvd Terre Haute,IN47803	35-2026704	501(c)(3)	10,897	promote health in rural IN

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. 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
(1) IU LaPorte Physicians Legacy Award	1	15,000
(2) Critical Occupation Scholarships	2	13,233

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 - Procedures for monitoring use of grants

Educational scholarships are awarded to individuals for further education for occupations that have a critical need within the hospital system. Educational scholarships awarded were $13,233 in total to two individuals. Legacy scholarships are awarded from IUH LaPorte Hospital. The total awarded was $15,000 to one individual. For the grants made to organizations, the organization does not monitor the use of grant funds once they have been disbursed; however, through due diligence, the recipients have been determined to be reputable organizations who use the funds for their intended charitable purpose.

Schedule I (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Indiana University Health LaPorte Hospital

Employer identification number

35-1125434

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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

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

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

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

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

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

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

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 .............................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2014

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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1BRIAN MOORE MDBOARD MEMBER	(i) (ii)	0 ............................... 307,853	0 ............................... 21,956	0 ............................... 22,709	0 ............................... 5,200	0 ............................... 9,837	0 ............................... 367,555	0 ............................... 0
2G THOR THORDARSONBOARD MEMBER/PRESIDENT/CEO	(i) (ii)	384,745 ............................... 0	0 ............................... 0	25,990 ............................... 0	5,200 ............................... 0	6,458 ............................... 0	422,393 ............................... 0	0 ............................... 0
3CONNIE FORDFORMER VP OF H/R (TO DEC 2013)	(i) (ii)	23,485 ............................... 0	124,696 ............................... 0	193,915 ............................... 0	0 ............................... 0	9,173 ............................... 0	351,269 ............................... 0	0 ............................... 0
4LINDA SATKOSKIFORMER COO (APRIL-DEC 2013)	(i) (ii)	16,743 ............................... 0	92,525 ............................... 0	296,406 ............................... 0	0 ............................... 0	1,389 ............................... 0	407,063 ............................... 0	0 ............................... 0
5VINAY C TUMULURI MDPHYSICIAN	(i) (ii)	446,163 ............................... 0	107,071 ............................... 0	30,823 ............................... 0	5,200 ............................... 0	11,288 ............................... 0	600,545 ............................... 0	0 ............................... 0
6WILLIAM HOUSTON MDPHYSICIAN	(i) (ii)	340,550 ............................... 0	23,335 ............................... 0	25,831 ............................... 0	5,200 ............................... 0	10,554 ............................... 0	405,470 ............................... 0	0 ............................... 0
7SYED M SHAN UL ISLAM MDPHYSICIAN	(i) (ii)	320,984 ............................... 0	0 ............................... 0	41,347 ............................... 0	5,200 ............................... 0	1,800 ............................... 0	369,331 ............................... 0	750 ............................... 0
8NADEEM U KAMRAN MDPHYSICIAN	(i) (ii)	297,536 ............................... 0	45,332 ............................... 0	30,415 ............................... 0	5,200 ............................... 0	9,735 ............................... 0	388,218 ............................... 0	0 ............................... 0
9SONALI SHUKLA MDPHYSICIAN - HEAD OF PATHOLOGY	(i) (ii)	335,199 ............................... 0	0 ............................... 0	25,244 ............................... 0	5,200 ............................... 0	2,616 ............................... 0	368,259 ............................... 0	0 ............................... 0
10CAMIELLA PATTERSONCOO/CFO	(i) (ii)	194,212 ............................... 0	41,000 ............................... 0	17,754 ............................... 0	2,992 ............................... 0	11,067 ............................... 0	267,025 ............................... 0	0 ............................... 0
11GERALD CRAIG FELTYPRESIDENT - STARKE	(i) (ii)	146,278 ............................... 0	22,500 ............................... 0	5,988 ............................... 0	3,076 ............................... 0	3,838 ............................... 0	181,680 ............................... 0	0 ............................... 0
12BRIAN DONNELLYCHIEF STRATGEY OFFICER	(i) (ii)	176,983 ............................... 0	0 ............................... 0	14,384 ............................... 0	3,920 ............................... 0	9,431 ............................... 0	204,718 ............................... 0	0 ............................... 0
13PAULINE ARNOLDFORMER CNO	(i) (ii)	151,470 ............................... 0	0 ............................... 0	39,565 ............................... 0	2,877 ............................... 0	532 ............................... 0	194,444 ............................... 0	0 ............................... 0
14BYRON HOLM MDPHYSICIAN	(i) (ii)	290,872 ............................... 0	135,994 ............................... 0	5,269 ............................... 0	0 ............................... 0	5,070 ............................... 0	437,205 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

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 4a - Severance payments	The following individuals received severance payments in 2014: Connie Ford $193,851 Linda Satkoski $296,278 Pauline Arnold $19,615
Schedule J, Part I, Line 4b - Supplemental nonqualified retirement plan	Certain executives participate in a supplemental 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. The following payout occurred in 2014: Vinay C. Tumuluri, MD $56,483
Schedule J, Part II & Form 990, Part VII, Section A, Line 1a	Robert Petrina, the interim CFO was paid by Insight Health Partners for services provided to IU Health LaPorte Hospital. For the year ended December 31, 2014, $421,649 was paid to Insight Health Partners for services provided by Robert Petrina.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Indiana University Health LaPorte Hospital

Employer identification number

35-1125434

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

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

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

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting 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) 2014

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Kim Ford	See Part V	72,191	Employee Wages		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART IV, LINE (1), COLUMN (B)	RELATIONSHIP: KIM FORD IS THE DAUGHTER-IN-LAW OF CONNIE FORD, FORMER KEY EMPLOYEE OF IUHLH.

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Indiana University Health LaPorte Hospital

Employer identification number

35-1125434

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( SEE SCHEDULE M, PART II )	X	4,205	482,016	Other
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2014)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference

Explanation

Schedule M, Part I, Line 25 - Other types of property contributed

CHC OPERATIONS & ACCESS TO HEALTH CARE; HEART CART AND MAMMOGRAMS. CAR SEATS FOR NEW MOMS; UNITY GRANT; HYMNALS FOR THE CHAPEL.

Schedule M, Part I, Line 32b

LaPorte Hospital Foundation (LHF) is our related organization that solicits, receives and processes donor designated gifts. The LHF will purchase hospital clinical, dietary, patient safety, homecare, and hospice types of equipment with restricted and unrestricted donor dollars. The equipment selected by the LHF for purchase is based on the Strategic initiatives of the hospital. Twice a year, the LHF will transfer the equipment to the hospital's general ledger. The equipment then becomes an asset of LaPorte Hospital and is depreciated on the hospital's general ledger.

Schedule M (Form 990) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ 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

2014

Open to Public
Inspection

Name of the organization

Indiana University Health LaPorte Hospital

Employer identification number

35-1125434

Return Reference	Explanation
Form 990, Part III, Line 4d - Other Program Services	THROUGH INDIANA UNIVERSITY HEALTH LAPORTE HOSPITAL'S PLEDGE FOR CHARITABLE CARE, COMMUNITY HEALTH IMPROVEMENT, COMMUNITY EDUCATION AND RESEARCH, AS WELL AS OUR COMMITMENT TO DIRECT CHARITABLE SUPPORT FOR AREA PROGRAMS, WE ARE DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY. WE ARE CONSTANTLY INTERACTING WITH OUR COMMUNITIES TO IDENTIFY AND MEET THE NEEDS TO KEEP PEOPLE HEALTHY.
Form 990, Part VI, Line 3 - Delegated Control Over Management Duties	CFO operations at the Hospital were administered by a management company as directed by the Board of Trustees. Robert Petrina was an employee of Insight Health Partners.
Form 990, Part VI, Line 6 - Classes of Members	INDIANA UNIVERSITY HEALTH LAPORTE HOSPITAL (IUHLH) HAS A SOLE MEMBER, INDIANA UNIVERSITY HEALTH, INC. (IUH)
Form 990, Part VI, Lines 7a & 7b - Power to Elect or Appoint Members	LIMITED APPROVAL POWERS - IUH SHALL HAVE THE FOLLOWING LIMITED APPROVAL POWERS FOR MATTERS RELATING TO IUHLH: -AMENDMENTS TO ARTICLES OF INCORPORATION AND BYLAWS; -AFFILIATIONS, MERGERS, CONSOLIDATIONS AND JOINT VENTURES; -JOINT APPOINTMENT/RETENTION OF CEO; -RATIFICATION OF LOCALLY APPOINTED DIRECTORS; -RATIFICATION OF CAPITAL AND OPERATING BUDGETS; -RATIFICATION OF STRATEGIC PLANS AND AMENDMENTS THERETO; -ENCUMBRANCE, SALE OR CONVEYANCE OF ASSETS IN EXCESS OF 5% OF IUHLH'S NET BOOK VALUE; -ISSUANCE OR GUARANTEE OF DEBT IN EXCESS OF 5% OF IUHLH'S NET BOOK VALUE; -AUTHORIZATION OF CAPITAL BUDGET DEVIATIONS (NORMAL) IN EXCESS OF 10% OF IUHLH'S ANNUAL CAPITAL BUDGET; -AUTHORIZATION OF CAPITAL BUDGET DEVIATIONS (SPECIAL PROJECTS) IN EXCESS OF 10% OF THE PROJECT BUDGET; -AUTHORIZATION OF OPERATING BUDGET DEVIATIONS IN EXCESS OF 10% OF IUHLH'S BUDGETED NET INCOME; AND -AUTHORIZATION OF UNBUDGETED ASSET TRANSFERS IN EXCESS OF 3.75% OF IUHLH'S BUDGETED NET INCOME. IN THE EVENT IUH AND IUHLH FAIL TO REACH AGREEMENT ON ANY OF THE FOREGOING MATTERS, IUH AGREES TO GIVE DUE CONSIDERATION TO IUHLH'S CONCERNS BEFORE MAKING ANY FINAL DECISION REGARDING THESE MATTERS. IUH ADDITIONAL LIMITED POWERS - IF IUHLH FAILS TO MEET THE PERFORMANCE STANDARDS SET FORTH ABOVE, IUH MAY EXERCISE THE FOLLOWING ADDITIONAL LIMITED POWERS (THE "ADDITIONAL LIMITED POWERS") WITH RESPECT TO IUHLH: -APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS; -APPOINTMENT/RETENTION OF CEO; -ADOPTION OF CAPITAL AND OPERATING BUDGETS; -ADOPTION OF STRATEGIC PLANS AND AMENDMENTS THERETO; AND -ENCUMBRANCE, SALE OR CONVEYANCE OF ASSETS IN EXCESS OF 3.75% OF IUHLH'S NET BOOK VALUE.
Form 990, Part VI, Line 11b - Process Used to Review 990	AFTER THE RETURN IS PREPARED BY AN OUTSIDE PUBLIC ACCOUNTING FIRM, THE 990 IS REVIEWED BY THE CFO. AFTER THE CFO APPROVES THE FORM 990, A FINALIZED COMPLETE FORM 990 IS MADE AVAILABLE TO EACH BOARD MEMBER ON A PROTECTED INTRANET SITE PRIOR TO FILING THE FORM WITH THE IRS. EACH MEMBER IS INFORMED OF THE AVAILABILITY OF THE TAX DEPARTMENT TO ANSWER ANY QUESTIONS.
Form 990, Part VI, Line 12c - Process to Monitor Transactions for COI	Every employee is required to complete a questionnaire. If, after completion of the questionnaire a situation arises, or may reasonably be expected to arise, the member must supplement a Questionnaire in writing. The completed questionnaires for key employees, physicians, officers, directors and trustees are forwarded to Administration where they are logged and tracked for compliance. The conflict of interest forms are routed to legal for review. Legal prepares a review summary of board members which is sent in writing to the Chairman of the Board with a copy to the CEO. Legal indicates in that report whether there are any conflicts which would prohibit service on the board. Assuming there are no conflicts prohibiting service, legal sends a summary of potential conflicts which could result in a board member not being able to participate in a discussion on certain issues. For example, a surgeon not participating in issues involving a recruiting agreement for a competitor, etc. This summary of board conflicts is also reviewed by the legal department with the full board at the first meeting of the year. As for managers and physicians, legal sends a report to the CEO with the conflicts and a copy to the board chair. Legal also reviews it personally with the CEO to resolve potential conflicts. Any person with a conflict will not be allowed to vote on the matter in question.
Form 990, Part VI, Line 15a - Process for Determining Compensation for CEO	The process for determining compensation for CEO is that the Human Resource department completes multiple salary surveys and market analysis regularly. The Human Resources department at the corporate offices gathers data and hires an outside firm, Hay Group, to perform independent analysis on executive and key positions. National, state, and local data is given to the firms. The outside firms perform independent analysis and forward their findings directly to the Chairperson of the Board of Directors and to our legal team. Legal presents the information to the Board of Directors and they make the final compensation decision for all executive and key positions. The process is documented in meeting minutes.
Form 990, Part VI, Line 15b - Process for Determining Comp for Other ODTKE	Human Resources completes multiple salary surveys and market analysis regularly. Their findings are presented to the transactions and compensation committee for review and final approval.
Form 990, Part VI, Line 19 - Avail of Gov Docs, COI Policy & Fin Stmts	Copies of the 990, governing documents, conflict of interest statements, Board of Directors, and financial statements are available to the public from administration upon request.
Form 990, Part XI, Line 9 - Other changes in net assets or fund balances	Elimination of Intercompany balances between Indiana University Health La Porte Hospital, Inc. and Indiana University Health Physicians, Inc. $(19,021,850) Year-end pension obligation $(7,600,000) Change in interest in Foundation $(62,816) Line 9 Total $(26,684,666)
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYS FEES-INDEPENDENT CONTRACT TOTAL FEES:13360422
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED MAINTENANCE TOTAL FEES:5322203
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED CLINICAL SERVICES TOTAL FEES:2011761
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:3176165
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION SERVICE FEES TOTAL FEES:1350757
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICE FEES TOTAL FEES:1242163
FORM 990 PART IX LINE 11G	DESCRIPTION:CORP PURCHASED SERVICES TOTAL FEES:1009876
FORM 990 PART IX LINE 11G	DESCRIPTION:INTERCOMPANY PROF LIAB INS TOTAL FEES:761629
FORM 990 PART IX LINE 11G	DESCRIPTION:RECRUITMENT TOTAL FEES:433882
FORM 990 PART IX LINE 11G	DESCRIPTION:EDUCATIONAL FEES TOTAL FEES:99121
FORM 990 PART IX LINE 11G	DESCRIPTION:DUES & AFFILIATIONS TOTAL FEES:122759
FORM 990 PART IX LINE 11G	DESCRIPTION:VEHICLE OPERATION TOTAL FEES:37857

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

Indiana University Health LaPorte Hospital

Employer identification number

35-1125434

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) I U Health Starke Hospital 102 E Culver Road Knox,IN46534 27-0328204	healthcare	IN	26,321,018	12,819,972	IUHLH
(2) IU Health Lakeshore Surgicare LLC 3111 Village point Chesterton,IN46304 27-2041916	healthcare	IN	14,921,787	11,465,488	IUHLH
(3) Northwest Rehab LLC 1007 Lincolnway LaPorte,IN46350 27-3458403	Rehab Svcs	IN	0	0	IUHLH

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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) 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 950 N Meridian St Ste 800 Indianapolis,IN46204 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) Indiana University Health Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 35-1955872	Healthcare	IN	501(c)(3)	3	NA		No
(7) IU Health Arnett Foundation Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 35-6079797	Fundraising	IN	501(c)(3)	11 I	IUHA	Yes
(8) IU Health Arnett Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 26-3162145	Healthcare	IN	501(c)(3)	3	IUH	Yes
(9) IU Health Ball Memorial Hospital Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 35-0867958	Healthcare	IN	501(c)(3)	3	IUH	Yes
(10) IU Health Ball Memorial Physicians Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 35-1925641	Healthcare	IN	501(c)(3)	9	IUHBMH	Yes
(11) IU Health Bedford Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 23-7042323	Healthcare	IN	501(c)(3)	3	IUH	Yes
(12) IU Health Blackford Hospital Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 01-0646166	Healthcare	IN	501(c)(3)	3	IUHBMH	Yes
(13) IU Health Bloomington Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 35-1720796	Healthcare	IN	501(c)(3)	3	IUH	Yes
(14) IU Health BMH Foundation Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 31-1111784	Fundraising	IN	501(c)(3)	11 I	IUHBMH	Yes
(15) IU Health Care Associates Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 35-1747218	Healthcare	IN	501(c)(3)	9	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 950 N Meridian St Ste 800 Indianapolis,IN46204 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)	9	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 950 N Meridian St Ste 800 Indianapolis,IN46204 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 950 N Meridian St Ste 800 Indianapolis,IN46204 35-1968564	Healthcare	IN	501(c)(3)	3	IUHMH	Yes
(34) IU Health White Mem Hosp Fndtn Inc PO Box 952 Monticello,IN47960 35-1671806	Fundraising	IN	501(c)(3)	11 III-FI	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 4141 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 Information Exchange Inc 846 N Senate Ave Indianapolis,IN46202 36-4550324	Healthcare	IN	501(c)(3)	11 I	NA		No
(42) MDwise Marketplace Inc 1200 Madison Ave Indianapolis,IN46225 46-5270582	Insurance	IN	501(c)(4)	N/A	IUH	Yes
(43) MDwise Network Inc 1200 Madison Ave Indianapolis,IN46225 47-2619552	Insurance	IN	501(c)(4)	N/A	IUH	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2014

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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Ball Outpatient Surgery Center LLC 569 Brookwood Village Ste 901 Birmingham,AL35209 27-0275794	Healthcare	IN	NA	N/A
(2) Beltway Surgery Centers LLC 569 Brookwood Village Ste 901 Birmingham,AL35209 35-2072586	Healthcare	IN	NA	N/A
(3) Bloomington Endoscopy Centers LLC PO Box 1149 Bloomington,IN47402 35-2117943	Healthcare	IN	NA	N/A
(4) BOSC Holdings LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 45-4147343	Healthcare	IN	NA	N/A
(5) BSC Holdings LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 45-2314634	Healthcare	IN	NA	N/A
(6) Cardinal Health Initiatives LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 30-0102702	Purchasing	IN	NA	N/A
(7) CHV Fund I LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 26-2523206	Venture Capital	IN	NA	N/A
(8) CHV Fund Management LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 26-2523151	Venture Capital	IN	NA	N/A
(9) Clarian Health Network LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 35-2055030	Healthcare	IN	NA	N/A
(10) Eagle Highlands Surgery Center LLC 569 Brookwood Village Ste 901 Birmingham,AL35209 35-2259204	Healthcare	IN	NA	N/A
(11) EHSC Holdings LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 45-4147879	Healthcare	IN	NA	N/A
(12) Health Venture Management LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 20-5740218	Management	IN	NA	N/A
(13) IEC Holdings LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 45-4148032	Healthcare	IN	NA	N/A
(14) Indiana Endoscopy Centers LLC 569 Brookwood Village Ste 901 Birmingham,AL35209 20-8398421	Healthcare	IN	NA	N/A
(15) ROC Surgery LLC 569 Brookwood Village Ste 901 Birmingham,AL35209 27-1497960	Healthcare	IN	NA	N/A
(16) ROCS Holdings LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 45-4148369	Healthcare	IN	NA	N/A
(17) Senate Street Surgery Center LLC 569 Brookwood Village Ste 901 Birmingham,AL35209 42-1709357	Healthcare	IN	NA	N/A
(18) SSSC Holdings LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 45-4148167	Healthcare	IN	NA	N/A
(19) CHV Fund II Management LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 37-1717823	Venture Capital	IN	NA	N/A
(20) CHV Fund II LLC 950 N Meridian St Ste 800 Indianapolis,IN46204 80-0902337	Venture Capital	IN	NA	N/A
(21) IU Health Saxony Surgery Center LLC 569 Brookwood Village Ste 901 Birmingham,AL35209 27-5271091	Healthcare	IN	NA	N/A
(22) SSC Holdings LLC 950 N Meridian St Ste 800 Indianapolis,IN43204 46-4472887	Healthcare	IN	NA	N/A

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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) BMH Medical Pavilion Association Inc 2525 W University Ave Muncie,IN47303 35-1858408	Condo Management	IN	NA	C			Yes
(2) Cardinal Health Ventures Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 35-1611424	Management	IN	NA	C			Yes
(3) CHV Capital Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 26-0752507	Venture Capital	IN	NA	C			Yes
(4) IU Health ACO Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 45-4421020	Healthcare	IN	NA	C			Yes
(5) IU Health Board Designated Trust 400 Howard St San Francisco,CA94105 30-6309021	Investments	IN	NA	T			Yes
(6) IU Health NTGI S&P500 Fund CF PO Box 804358 Chicago,IL60680 30-6298263	Investments	IN	NA	T			Yes
(7) IU Health Plans Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 26-2127080	HMO	IN	NA	C			Yes
(8) IU Health Risk Purchasing Group Inc 151 Meeting St Ste 301 Charleston,SC29401 26-0202446	Insurance	IN	NA	C			Yes
(9) IU Health Risk Retention Group Inc 151 Meeting St Ste 301 Charleston,SC29401 20-1107674	Insurance	SC	NA	C			Yes
(10) IU Health Southern IN Physicians Inc PO Box 1149 Bloomington,IN47402 35-1913875	Healthcare	IN	NA	C			Yes
(11) IUH Assurance Ltd PO Box 69 Solaris Ave Grand Cayman CJ 98-0395429	Insurance	CJ	NA	C			Yes
(12) Occ-Health Revenue Systems Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 20-3308057	Work Comp PPO	IN	NA	C			Yes
(13) Parkmor Drug Inc 1501 S Main St Goshen,IN46526 13-1394980	Pharmacy Sale	IN	NA	C			Yes
(14) PILR Inc 200 High Park Ave Goshen,IN46526 20-4294750	Development	IN	NA	C			Yes
(15) Radiation Oncology Resources Inc 200 High Park Ave Goshen,IN46526 26-2008424	Healthcare	IN	NA	C			Yes
(16) SCANS Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 45-3080392	Healthcare	IN	NA	C			Yes
(17) University Health Management Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 27-2891143	Management	IN	NA	C			Yes
(18) University Health Mgmt (China) Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 27-3891311	Management	IN	NA	C			Yes
(19) Proteuo Fund LP PO Box 31106 89 Nexus Way Grand Cayman CJ 98-1075227	Investments	CJ	NA	C			Yes
(20) IU Health Plans Holding Company Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 46-3794815	Insurance	IN	NA	C			Yes
(21) IU Health Plans NFP Inc 950 N Meridian St Ste 800 Indianapolis,IN46204 46-3803873	Insurance	IN	NA	C			Yes
(22) Univ Hlth (Shanghai) Mgt Con Co Ltd 88 Century Ave Shanghai CH	Management	CH	NA	C			Yes
(23) IU Health 457(B) Plan 1100 N Market St Wilmington,DE19890 47-6948347	Investments	IN	NA	T			Yes

Schedule R (Form 990) 2014

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

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 . . . . . . . . . . . . . . . . . . . . . . .

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

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

Yes

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

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

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Indiana University Health LaPorte Physicians	r	19,021,850	Cash Transfer
(2) LaPorte Hospital Foundation	c	492,966	Cash & non-cash

Schedule R (Form 990) 2014

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

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) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: To improve the health of our patients and communities.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	2,060
6	Total number of volunteers (estimate if necessary) .............	6	331
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	163,615
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-416,309

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	933,090	523,962
9	Program service revenue (Part VIII, line 2g) .........	227,195,518	215,312,651
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,654,063	2,282,744
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,522,720	2,121,606
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	233,305,391	220,240,963
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	284,124	1,405,288
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)	90,622,083	76,324,248
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	115,469,717	114,710,335
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	206,375,924	192,439,871
19	Revenue less expenses. Subtract line 18 from line 12.......	26,929,467	27,801,092
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	246,197,111	224,231,587
21	Total liabilities (Part X, line 26).............	58,759,174	36,176,217
22	Net assets or fund balances. Subtract line 21 from line 20.....	187,437,937	188,055,370

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 150,428,431 including grants of $ 1,405,288 ) (Revenue $ 212,421,033 )
	Patient Care: Indiana University Health LaPorte Hospital (IUHLH) is composed of a 227-Bed Community Hospital and is associated with Indiana University Health Starke Hospital, Indiana University LaPorte Physicians, LaPorte Hospital Auxiliary, and the philanthropic arm, The Foundation. IUHLH was the first hospital in Northern Indiana to achieve Magnet Recognition for exemplary nursing leadership and quality patient care. In addition to the Magnet recognition, IUHLH continues to set standards in a number of quality and service categories. The organization has been recognized twice by US News & World Report as one of the nation's best hospitals for both geriatric care and the treatment of respiratory disorders. In committing itself to the community, IUHLH offers a variety of programs to the community that reach far beyond traditional medical care. Through the school systems, civic groups, churches, health fairs and community partners, IUHLH makes significant contributions to support and improve the quality of life in LaPorte and its surrounding areas.

4b	(Code: ) (Expenses $ 4,582,689 including grants of $ 0 ) (Revenue $ 4,407,118 )
	Subsidized Health Services: IU Health LaPorte Hospital (IUHLH) has provided many opportunities to the community to help heighten awareness of health education. Lectures, presentations, wellness screenings, health fairs, support groups and other programs were provided to accomplish the awareness goal. Three of the largest offered programs were the clinic services at the Community Health Center, LaPorte County Dental Clinic and the Visiting Nurses Association. IUHLH also provides the Visiting Nurses Association (VNA) which extends to LaPorte, Starke, Porter and St. Joseph counties. The VNA provides home-based health services for those recuperating from an illness or learning to cope with chronic disease and disability. The VNA Home Care had $4,630,464 in Gross Revenue; with a Net Revenue of $4,407,118 and provided over 30,255 home visits in 2014. The VNA also offers a wide variety of other services in the communities such as foot care clinics, nail clipping and skin assessments, flu/pneumonia shot sites to name a few.

4c	(Code: ) (Expenses $ 442,652 including grants of $ 0 ) (Revenue $ 34,384 )
	IUHLH is proud to collaborate with local partners to utilize resources to benefit the residents of the community and improve their overall quality of life. In committing itself to the community, IUHLH offers a variety of programs to the community that reach far beyond traditional medical care. Through the school systems, civic groups, churches, health fairs, and community partners, IUHLH makes significant contributions to support and improve the quality of life in LaPorte and surrounding areas.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 6,725,917 including grants of $ 0 ) (Revenue $ 0 )
4e	Total program service expenses162,179,689

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	4,542,604	352,518	142,053

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		492,966
e	Government grants (contributions)1e		30,996

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$		482,016
h	Total. Add lines 1a-1f.......			523,962
			Business Code
2a	Net Patient Revenue		621500	212,223,455	212,223,455
b	ELECTRONIC MED REC - AARA		900099	1,530,499	1,530,499
c	SALE OF DRUGS TO AFFILIATE		446110	715,957	715,957
d	INCOME FROM JOINT VENTURES		900099	749,112	679,125	69,987
e	UBI REFERENCE LAB		621500	93,628		93,628
f	All other program service revenue .
g	Total. Add lines 2a–2f........			215,312,651
3	Investment income (including dividends, interest, and other similar amounts).......			1,163,167			1,163,167
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	2,318,962
b	Less: rental expenses	2,454,550
c	Rental income or (loss)	-135,588	0
d	Net rental income or (loss).......			-135,588			-135,588
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	10,346,568	58,096
b	Less: cost or other basis and sales expenses	9,226,832	58,255
c	Gain or (loss)	1,119,736	-159
d	Net gain or (loss)..........			1,119,577			1,119,577
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	Cafeteria		722212	707,310	0	0	707,310
b	Wellness Resource Center		900099	242,502	242,502	0	0
c	Medical Record Fees		900099	49,255	49,255	0	0
d	All other revenue ....			1,258,127	1,258,127	0
e	Total. Add lines 11a–11d ......			2,257,194
12	Total revenue. See Instructions......			220,240,963	216,698,920	163,615	2,854,466


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			0	1	0
2	Savings and temporary cash investments .........			33,173,211	2	17,549,003
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			33,596,875	4	30,497,861
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	0
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 .............			0	7	0
8	Inventories for sale or use ..............			3,731,401	8	3,623,636
9	Prepaid expenses and deferred charges ..........			1,804,974	9	1,756,251
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	238,362,698
b	Less: accumulated depreciation .....	10b	161,779,640	81,718,420	10c	76,583,058
11	Investments—publicly traded securities ..........			81,001,611	11	82,568,109
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			6,424,519	13	6,926,927
14	Intangible assets ...............			4,726,742	14	4,726,742
15	Other assets. See Part IV, line 11 ...........			19,358	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)......			246,197,111	16	224,231,587
17	Accounts payable and accrued expenses .........			17,534,514	17	15,207,243
18	Grants payable .................			0	18	0
19	Deferred revenue ................			173,233	19	144,626
20	Tax-exempt bond liabilities .............			0	20	0
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 ..			1,224,581	23	751,634
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....................			39,826,846	25	20,072,714
26	Total liabilities. Add lines 17 through 25.........			58,759,174	26	36,176,217
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			187,254,459	27	187,934,707
28	Temporarily restricted net assets ...........			183,478	28	120,663
29	Permanently restricted net assets ...........			0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			187,437,937	33	188,055,370
34	Total liabilities and net assets/fund balances ........			246,197,111	34	224,231,587