Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
BCheck if applicable:
CName of organization
Indiana University Health LaPorte Physicians
Inc
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
PO BOX 250 1100 LINCOLNWAY
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAPORTE, IN46352
D Employer identification number

31-1070868
E Telephone number

G Gross receipts $ 26,719,333
F Name and address of principal officer:
G THOR THORDARSON
PO BOX 250 1100 LINCOLNWAY
LAPORTE,IN46352
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
http://iuhealth.org/laporte/
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1984
M State of legal domicile: IN
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITIES.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 445
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,650 286,913
9 Program service revenue (Part VIII, line 2g) ......... 29,121,971 26,376,450
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -9,587 -754
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 40,097 32,067
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 29,155,131 26,694,676
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
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) 33,313,486 34,873,027
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 11,619,945 9,658,120
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 44,933,431 44,531,147
19 Revenue less expenses. Subtract line 18 from line 12....... -15,778,300 -17,836,471
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 12,918,573 13,393,507
21 Total liabilities (Part X, line 26)............. 3,203,882 2,493,439
22 Net assets or fund balances. Subtract line 21 from line 20..... 9,714,691 10,900,068
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: THE MISSION OF INDIANA UNIVERSITY LAPORTE PHYSICIANS, INC. (IUHLP) IS TO PROVIDE HIGH QUALITY MEDICAL CARE TO THE RESIDENTS OF LAPORTE, COUNTY AND SURROUNDING AREAS. IUHLP COMPLEMENTS INDIANA UNIVERSITY LAPORTE HOSPITAL, INC. (IUHLH) IN PROVIDING INTEGRATED AND COMMUNITY-BASED HEALTH CARE BY ENCOURAGING AND SUPPORTING HEALTHIER COMMUNITIES AND LIFESTYLES WITHIN OUR SERVICE AREA.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 33,992,490 including grants of $ 0 ) (Revenue $ 25,755,534 )
IU HEALTH LAPORTE PHYSICIANS (IUHLP) HAS PROVIDED HIGHLY SKILLED AND BOARD CERTIFIED/ELIGIBLE PHYSICIANS IN CARDIOLOGY, PEDIATRIC, FAMILY CARE, WOMEN'S HEALTHCARE, ORTHOPEDIC, AND INTERNAL MEDICINE WITHIN THE COUNTY AS WELL AS SURROUNDING AREAS. WITH WELL OVER 100,000 PATIENTS SEEN ANNUALLY, IU HEALTH LAPORTE PHYSICIANS CONTINUES TO EXPAND ITS SERVICES IN CONVENIENT LOCATIONS BY OFFERING QUALITY HEALTHCARE TO THOSE IN NEED OF SPECIALTY CARE SERVICES AS NEUROLOGICAL, GENERAL SURGERY, AND PAIN MANAGEMENT SERVICES. IN COMMITTING ITSELF TO THE COMMUNITY, IUHLP PARTICIPATES IN HEALTH FAIRS AS WELL AS PROVIDES SPORTS PHYSICALS TO STUDENTS IN THE AREA IT SERVES. ALSO, PHYSICIANS WITHIN THE GROUP HAVE BEEN RECOGNIZED NATIONALLY FOR PROVIDING QUALITY DIABETES CARE AND DESIGNING JOINT REPLACEMENT INSTRUMENTS AND IMPLANTS THAT ARE USED NATIONWIDE.
4b (Code:   ) (Expenses $ 1,923,617 including grants of $ 0 ) (Revenue $ 633,241 )
IU Health LaPorte Physicians ((IUHLP) 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. The Community Health Center (CHC) provides medical assistance to individuals residing in LaPorte County who have low income or no health insurance. Some of the services offered at the health center include prescription drug assistance, physical exams, gynecological exams and lab and diagnostic services through LaPorte Hospital. During 2014, the Community Health Center received 5,874 visits from patients, generated $813,796 in Gross patient revenue, and had Revenue of $306,178. Also the Center provided over $931,261 in Pharmaceutical Drugs that were given away through the Indigent Drug Program. The second largest program was the clinic services provided at the LaPorte County Dental Clinic (CDC). The CDC guarantees that both children and adults with low income and no dental insurance have access to quality dental care. Services provided through the dental clinic include dental exams, teeth cleanings, fillings, tooth extractions, dentures, partials and more. The CDC provided more than $1,579,470 in Gross patient services; a Net Revenue of $296,882 and provided services for 5,483 visits during 2014. Both the Community Health Center and the LaPorte County Dental Clinic are supported in part by The Foundation.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet35,916,107
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
445
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
13
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IN
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletSTEVEN TIMM
PO BOX 250 1007 LINCOLNWAY
LaPorte,IN46350 (219) 326-1234
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) DR CAROLINE BJONBACK........................................................................
BOARD MEMBER/PHYSICIAN
 40.0
.......................0.0 		X           89,614 0 5,925
(2) CATHY BUCKMAN........................................................................
BOARD MEMBER/VICE CHAIRMAN
 2.0
.......................0.0 		X   X       0 0 0
(3) DR JAMES CORNWELL........................................................................
BOARD MEMBER/PHYS (TO 4/11/14)
 40.0
.......................0.0 		X           176,450 0 4,748
(4) DR BYRON HOLM........................................................................
BOARD MEMBER/PHYSICIAN
 40.0
.......................0.0 		X           432,135 0 5,070
(5) ALLISON HERTGES........................................................................
BOARD MEMBER
 2.0
.......................0.0 		X           0 0 0
(6) JONATHAN HOWE........................................................................
BOARD MEMBER
 2.0
.......................0.0 		X           0 0 0
(7) FRAN MILO........................................................................
BOARD MEMBER
 2.0
.......................0.0 		X           0 0 0
(8) SANDRA MENNE........................................................................
BOARD MEMBER
 2.0
.......................0.0 		X           0 0 0
(9) JIM NOVA........................................................................
BOARD MEMBER
 2.0
.......................0.0 		X           0 0 0
(10) DR JOHN ROGERS........................................................................
BOARD MEMBER/PHYSICIAN
 40.0
.......................0.0 		X           185,752 0 13,443
(11) SCOTT SIEFKER........................................................................
BOARD MEMBER
 2.0
.......................0.0 		X           0 0 0
(12) TED TAYLOR........................................................................
BOARD MEMBER
 2.0
.......................0.0 		X           0 0 0
(13) RHONDA VOLK........................................................................
BOARD MEMBER/VP (TO 1/31/14)
 40.0
.......................0.0 		X   X       159,316 0 432
(14) G THOR THORDARSON........................................................................
PRESIDENT & CEO/BOARD MEMBER
 5.0
.......................35.0 		X   X       0 410,735 11,658
(15) JOHN WEITHERS........................................................................
BOARD MEMBER
 2.0
.......................0.0 		X           0 0 0
(16) ROBERT PETRINATHROUGH 4114........................................................................
INTERIM CFO - CONTRACTED
 5.0
.......................35.0 		    X       0 0 0
(17) DR DAVID J GORECKI........................................................................
PHYSICIAN
 40.0
.......................0.0 		        X   1,009,842 0 6,400
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DR RISHI SUKHIJA........................................................................
PHYSICIAN
 40.0
.......................0.0 		        X   1,131,992 0 10,137
(19) DR THOMAS D MAGILL........................................................................
PHYSICIAN
 40.0
.......................0.0 		        X   649,390 0 14,228
(20) DR ROMAN FILIPOWICZ........................................................................
PHYSICIAN
 40.0
.......................0.0 		        X   759,901 0 13,312
(21) DR MCKINDRA FLETCHER........................................................................
PHYSICIAN
 40.0
.......................0.0 		        X   666,080 0 11,203
(22) CONNIE FORD........................................................................
FORMER VP OF H/R (TO DEC 2013)
 0.0
.......................0.0 		          X 0 342,096 7,527
















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,260,472 752,831 104,083
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet60
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 94,409
e Government grants (contributions)1e 192,504
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 286,913
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 621110 25,425,635 25,425,635 0 0
b MEDICAID ACA REIMBURSEMENT 900099 893,315 893,315 0 0
c ON CALL REVENUE 900099 57,500 57,500 0 0
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 26,376,450
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 754     754
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 15,821  
b Less: rental expenses    
c Rental income or (loss) 15,821 0
d Net rental income or (loss).......MediumBullet 15,821     15,821
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   23,149
b Less: cost or other basis and sales expenses   24,657
c Gain or (loss)   -1,508
d Net gain or (loss)..........MediumBullet -1,508     -1,508
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CHC MANAGEMENT FEE 900099 12,000 12,000 0 0
b INSURANCE REFUND 900099 3,761 0 0 3,761
c CPR REVENUE 900099 325 325 0  
d All other revenue .... 160   0 160
e Total. Add lines 11a–11d ...... MediumBullet 16,246
12 Total revenue. See Instructions......MediumBullet 26,694,676 26,388,775 0 18,988
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 0 0
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 0 0
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............ 0 0
4 Benefits paid to or for members .... 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 1,277,604 0 1,277,604 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) .... 0 0 0 0
7 Other salaries and wages .... 28,737,656 24,012,208 4,725,448 0
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 0 0 0 0
9 Other employee benefits ....... 3,395,995 2,716,796 679,199 0
10 Payroll taxes ........... 1,461,772 1,169,418 292,354 0
11 Fees for services (non-employees):        
a Management ...... 21,805 17,444 4,361 0
b Legal ......... 16,050 0 16,050 0
c Accounting ........... 14,610 0 14,610 0
d Lobbying ........... 0 0 0 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 0 0 0 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 2,550,414 2,040,331 510,083  
12 Advertising and promotion .... 1,745 1,396 349 0
13 Office expenses ....... 544,337 435,470 108,867 0
14 Information technology ...... 196,836 157,469 39,367 0
15 Royalties .. 0 0 0 0
16 Occupancy ........... 3,104,715 2,483,772 620,943 0
17 Travel ............ 69,408 55,526 13,882 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0 0 0 0
19 Conferences, conventions, and meetings .... 0 0 0 0
20 Interest ........... 25,496 20,397 5,099 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization ..... 727,575 582,060 145,515 0
23 Insurance .............. 0 0 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 203,434 203,434 0 0
b Medical Supplies 1,851,346 1,851,346 0 0
c Other Direct Expenses 125,162 125,162 0 0
d Property Taxes 150,339 0 150,339 0
e All other expenses 54,848 43,878 10,970  
25 Total functional expenses. Add lines 1 through 24e 44,531,147 35,916,107 8,615,040 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 0 1 0
2 Savings and temporary cash investments ......... 724,864 2 730,156
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 4,513,772 4 6,179,434
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 .............. 0 8 0
9 Prepaid expenses and deferred charges .......... 501,591 9 374,655
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 7,367,977
b Less: accumulated depreciation ..... 10b 5,025,317 3,391,744 10c 2,342,660
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 3,786,602 14 3,766,602
15 Other assets. See Part IV, line 11 ........... 0 15 0
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 12,918,573 16 13,393,507
Liabilities 17 Accounts payable and accrued expenses ......... 2,972,941 17 2,262,498
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
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 .. 230,941 23 230,941
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.................... 0 25 0
26 Total liabilities. Add lines 17 through 25......... 3,203,882 26 2,493,439
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 9,714,691 27 10,900,068
28 Temporarily restricted net assets ........... 0 28 0
29 Permanently restricted net assets ........... 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 9,714,691 33 10,900,068
34 Total liabilities and net assets/fund balances ........ 12,918,573 34 13,393,507
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
26,694,676
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
44,531,147
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-17,836,471
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
9,714,691
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
19,021,848
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
10,900,068
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow 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 Physicians
Inc
Employer identification number

31-1070868
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total    

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (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) right arrow (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.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2014
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) right arrow (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) right arrow (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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....
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
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).
8
 
 
9a
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.
9a
 
 
b
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.
9b
 
 
c
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.
9c
 
 
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
 
 
b
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
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
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
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, Part I, Line 3 - Public Charity Status Although Indiana University Health LaPorte Physicians, Inc. qualifies as
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
Indiana University Health LaPorte Physicians
Inc
Employer identification number

31-1070868
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
Indiana University Health LaPorte Physicians
Inc 		Employer identification number

31-1070868
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


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
Indiana University Health LaPorte Physicians
Inc 		Employer identification number

31-1070868
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 Physicians
Inc 		Employer identification number

31-1070868
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 (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
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 Physicians
Inc
Employer identification number

31-1070868
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 ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............   13,152 1,315 11,837
d Equipment ................   7,144,433 4,823,215 2,321,218
e Other .................   210,392 200,787 9,605
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 2,342,660
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








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








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








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet  
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

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 Physicians, Inc. 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:  




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 Physicians
Inc
Employer identification number

31-1070868
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1DR JAMES CORNWELLBOARD MEMBER/PHYS (TO 4/11/14) (i)
(ii)		 133,233
...............................
0 		21,956
...............................
0 		21,261
...............................
0 		2,031
...............................
0 		2,717
...............................
0 		181,198
...............................
0 		0
...............................
0
2DR BYRON HOLMBOARD MEMBER/PHYSICIAN (i)
(ii)		 290,872
...............................
0 		135,994
...............................
0 		5,269
...............................
0 		0
...............................
0 		5,070
...............................
0 		437,205
...............................
0 		0
...............................
0
3DR JOHN ROGERSBOARD MEMBER/PHYSICIAN (i)
(ii)		 171,133
...............................
0 		543
...............................
0 		14,076
...............................
0 		3,782
...............................
0 		9,661
...............................
0 		199,195
...............................
0 		0
...............................
0
4RHONDA VOLKBOARD MEMBER/VP (TO 1/31/14) (i)
(ii)		 18,554
...............................
0 		0
...............................
0 		140,762
...............................
0 		228
...............................
0 		204
...............................
0 		159,748
...............................
0 		0
...............................
0
5G THOR THORDARSONPRESIDENT & CEO/BOARD MEMBER (i)
(ii)		 0
...............................
384,745 		0
...............................
0 		0
...............................
25,990 		0
...............................
5,200 		0
...............................
6,458 		0
...............................
422,393 		0
...............................
0
6CONNIE FORDFORMER VP OF H/R (TO DEC 2013) (i)
(ii)		 0
...............................
23,485 		0
...............................
124,696 		0
...............................
193,915 		0
...............................
0 		0
...............................
7,527 		0
...............................
349,623 		0
...............................
1,646
7DR DAVID J GORECKIPHYSICIAN (i)
(ii)		 784,321
...............................
0 		195,849
...............................
0 		29,672
...............................
0 		5,200
...............................
0 		1,200
...............................
0 		1,016,242
...............................
0 		0
...............................
0
8DR RISHI SUKHIJAPHYSICIAN (i)
(ii)		 717,793
...............................
0 		387,060
...............................
0 		27,139
...............................
0 		5,200
...............................
0 		4,937
...............................
0 		1,142,129
...............................
0 		0
...............................
0
9DR THOMAS D MAGILLPHYSICIAN (i)
(ii)		 267,658
...............................
0 		283,797
...............................
0 		97,935
...............................
0 		5,100
...............................
0 		9,128
...............................
0 		663,618
...............................
0 		0
...............................
0
10DR ROMAN FILIPOWICZPHYSICIAN (i)
(ii)		 697,258
...............................
0 		40,192
...............................
0 		22,451
...............................
0 		5,200
...............................
0 		8,112
...............................
0 		773,213
...............................
0 		0
...............................
0
11DR MCKINDRA FLETCHERPHYSICIAN (i)
(ii)		 637,554
...............................
0 		0
...............................
0 		28,526
...............................
0 		5,200
...............................
0 		6,003
...............................
0 		677,283
...............................
0 		0
...............................
0
Schedule J (Form 990) 2014

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 3 Officers receive compensation for services provided as employees of Indiana University Health LaPorte Physicians, Inc. and not for their role as board member. The CEO's compensation is determined by Indiana University Health LaPorte Hospital, Inc. which uses the following process to establish compensation: Compensation committee, Independent compensation consultant, Written employment contract, Compensation survey or study, and Approval by the board or compensation committee.
Schedule J, Part I, Line 4a Rhonda Volk (Executive) was granted a severance for years of service and was paid out $140,714 in 2014. This compensation is for services provided as an employee of IU Health LaPorte Physicians Inc. and not for her role as board member.
Schedule J, Part I, Line 4b 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 payouts occurred in 2014: Dr. Rishi Sukhija $44,099 Dr. Roman Filipowicz $40,142 Dr. James Cornwell $35,603 Dr. Thomas Magill $234,737
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 Physicians. For the year ended December 31, 2014, $421,649 was paid by IU Health LaPorte Hospital to Insight Health Partners for services provided by Robert Petrina.
Schedule J (Form 990) 2014

Additional Data


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

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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 Physicians
Inc
Employer identification number

31-1070868
Return Reference Explanation
Form 990, Part V, Line 1 - Statement Regarding Other IRS Filings All expenses are paid directly by IU Health LaPorte Hospital, Inc. and reimbursed by IU Health LaPorte Physicians, Inc. IU Health LaPorte Hospital, Inc. manages all required IRS reporting in regards to 1099's for independent contractors.
Form 990, Part VI, Lines 6, 7a and 7b - Classes of Members or Stockholders Indiana University Health La Porte Hospital, Inc. (IUHLH) is the sole member of Indiana University Health La Porte Physicians, Inc. (IUHLP). The Board of Directors of IUHLP shall consist of not more than seventeen (17) persons who shall be selected in the following manner: (a) The following persons shall serve as members of the Board of Directors ex-officio: 1. The Vice Chairperson of IUHLH Board of Directors; 2. The Chief Executive Officer and President of IUHLH; and 3. A member of the IUHLH Board of Directors shall be selected annually by the IUHLH Board of Directors who shall not be affiliated with or employed by IUHLH or IUHLP. 4. Person designated by the Chief Executive Officer and President of IUHLH as the administrator responsible for the day-to-day operations of IUHLP (the "Manager"). (b) Four (4) Directors shall be employed IUHLP physicians selected by the IUHLP physicians' organization subject to the approval of the IUHLP and IUHLH Boards of Directors. (Added 10/22/05) (c) The remaining directors shall be individuals who are not employed by, or receive compensation from IUHLP or IUHLH ("Community Directors"). Such Community Directors shall comprise a majority of the membership of the Board of Directors. A list of prospective nominees to be elected to serve as Community Directors shall be prepared by the IUHLP Nominating Committee consisting of the IUHLP Chairperson, the Manager of IUHLP, the Chief Executive Officer/President of IUHLH, and the Chairperson of the IUHLH Executive/Finance Committee or its Special Nominating Committee. This list shall then be submitted to the IUHLP Board of Directors for its approval, and then, if so approved, be forwarded to the IUHLH Board of Directors as a recommendation of individuals to be nominated to serve on the IUHLP Board of Directors. (d) Those community directors selected by the IUHLH Board shall serve for terms not to exceed three (3) years, or until the election and qualification of their successor, whichever occurs first. The employed directors, except for the Manager of IUHLP and the IUHLP Chief Executive Officer and President of IUHLH, shall serve for terms of two (2) years. Any vacancies on the Board of Directors are to be filled by the action of the IUHLH Board described in Article III, Section 1, Paragraph c, as to Community Directors, and by the IUHLP Physicians as to Employed IUHLP Physicians. The Directors shall conform to the conflict of interest policy adopted by IUHLH. The CEO of IUHLH shall select and appoint a competent executive who shall be its representative in the management of IUHLP and who shall be designated by the title of "Manager". The Manager shall be given the necessary authority and responsibility to operate IUHLP in all its activities and departments, subject only to such policies as may be issued by Board or by IUHLH. By virtue of his or her office, the Manager serves as a voting member of the Board of Directors. The Board will be accountable to the IUHLH Board of Directors for the effective and efficient operation of IUHLP. The Board shall have primary responsibility for compliance with all necessary licensures and accreditation standards, assuring that the care, services and products are uniformly high, and that such care, services and products are provided efficiently and effectively. The Board will monitor the overall performance of IUHLP and help to assure its ongoing vitality and viability. Operating policies and procedures and relationships with other physician groups are also the province of the IUHLP Board. Amendments to these Bylaws may be recommended to the IUHLH Board by affirmative vote of a two-thirds (2/3) majority of the Board members present, at the annual meeting or any regular meeting or any special meeting of IUHLP, provided that a full presentation of such proposed amendments shall have been published in the notice calling the meeting. Notice of the meeting shall be in accordance with the provision of Article III, Section 6 of these Bylaws. Any amendment, or amendments, to be effective must also be approved by the IUHLH Board of Directors.
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 IUHLP Representative at the level of Manager or above is required to complete a questionnaire each year. An IUHLP Representative must supplement a Questionnaire in writing if, after completion of the original Questionnaire, a situation arises, or may reasonably be expected to arise, that would change any answer or information on the original Questionnaire if the situation had existed or been anticipated at the time of the completion of the original Questionnaire. The key employees, physicians, officers, directors and trustees questionnaires are forwarded to Administration where they are logged and tracked for compliance. The completed forms are forwarded to legal counsel for review. The legal counsel advises if conflicts arise for members on certain issues, those members do not participate in the discussion and do not vote on the issue. The summary of board conflicts are reviewed with the full board at their first board meeting of the year. The summaries of manager and physician conflicts are reviewed with the CEO and Board Chairman.
Form 990, Part VI, Line 15a - Process for Determining Compensation for CEO Multiple salary surveys and market analyses are completed by IUHLH human resources department. Their findings are presented to the IUHLH Transaction and Compensation committee for review and approval of which are documented in the minutes. This process is used for IUHLH CEO who is also the CEO of IUHLP.
Form 990, Part VI, Line 19 - Avail of Gov Docs, COI Policy & Fin Stmts Copies of the 990, Governing documents, conflict of interest statements, IUHLP board of director listing, and financial statements are available to the public from IUHLP Administration upon request.
Form 990, Part X, Column (A) - Balance Sheet Some beginning balances have been reclassified for presentation purposes only.
Form 990, Part XI, Line 9 - Other changes in net assets or fund balances A $19,021,848 net adjustment was made to fund balance to eliminate intercompany balances between Indiana University Health LaPorte Hospital, Inc. and Indiana University Health LaPorte Physicians, Inc.
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:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet 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 Physicians
Inc
Employer identification number

31-1070868
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) IUH Occupational Services LaPorte LLC
1007 Lincolnway
LaPorte,IN46350
26-3975368 		Hlth/Wellness IN 3,185,431 710,568 IUHLP
 










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) Clarian Transplant Institute Inc
950 N Meridian St Ste 800

Indianapolis,IN46204
13-4350599 		Healthcare IN 501(c)(3) 9 IUH
 
Yes
 
(2) Goshen Health System Inc
200 High Park Ave

Goshen,IN46527
35-1974765 		Healthcare IN 501(c)(3) 11 I IUH
 
Yes
 
(3) Goshen Hospital Association Inc
200 High Park Ave

Goshen,IN46527
35-6001540 		Healthcare IN 501(c)(3) 3 GHS
 
Yes
 
(4) HealthLinc Inc
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 Hospital Inc
PO Box 250

LaPorte,IN46352
35-1125434 		Healthcare IN 501(c)(3) 3 IUH
 
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
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?



 		(k)
Percentage
ownership
Yes No 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,IN46204
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
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) BMH Medical Pavilion Association Inc

2525 W University Ave
Muncie,IN47303
35-1858408 		Condo Management IN 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
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
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2014
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2014
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: