Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (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 | |||||
| (A)
INDIANA UNIVERSITY HEALTH |
351955872 | 3 | Yes | 9,412,877 | 0 | |
| (B)
INDIANA UNIVERSITY HEALTH ARNETT |
263162145 | 3 | No | 0 | 0 | |
| (C)
INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL |
350867958 | 3 | No | 0 | 0 | |
| (D)
INDIANA UNIVERSITY HEALTH BEDFORD |
237042323 | 3 | No | 0 | 0 | |
| (E)
INDIANA UNIVERSITY HEALTH BLOOMINGTON |
351720796 | 3 | No | 0 | 0 | |
| (F)
INDIANA UNIVERSITY HEALTH FRANKFORT |
815174295 | 3 | No | 0 | 0 | |
| (G)
INDIANA UNIVERSITY HEALTH JAY |
822736786 | 3 | No | 0 | 0 | |
| (H)
INDIANA UNIVERSITY HEALTH NORTH HOSPITAL |
351932442 | 3 | No | 0 | 0 | |
| (I)
INDIANA UNIVERSITY HEALTH PAOLI |
352090919 | 3 | No | 0 | 0 | |
| (J)
INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL |
262772226 | 3 | No | 0 | 0 | |
| (K)
INDIANA UNIVERSITY HEALTH WEST HOSPITAL |
351814660 | 3 | No | 0 | 0 | |
| (L)
INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL |
273532963 | 3 | No | 0 | 0 | |
| (M)
INDIANA UNIVERSITY HEALTH BLACKFORD |
010646166 | 3 | No | 0 | 0 | |
|
Total 13
|
9,412,877 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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.).. | ||||||
| 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 | ||||
| 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 2018 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-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Form 990, Schedule A, Part IV, Line 1: Supported organizations | The amended and restated articles of incorporation of IU Health Foundation, Inc. (the Foundation) provide that the Foundation supports Indiana University Health and a class of supported organizations designated by purpose (i.e. all hospitals in the state of Indiana that are described in Sections 509(a)(1) and 170(b)(1)(A)(iii) of the Code and operated, supervised, or controlled directly by or in connection with Indiana University Health). This class includes: Indiana University Health, Inc. Indiana University Health Arnett, Inc. Indiana University Health Ball Memorial Hospital, Inc. Indiana University Health Bedford, Inc. Indiana University Health Bloomington, Inc. Indiana University Health Blackford, Inc. Indiana University Health Jay, Inc. Indiana University Health Frankfort, Inc. Indiana University Health Paoli, Inc. Indiana University Health North Hospital, Inc. Indiana University Health Tipton, Inc. Indiana University Health West, Inc. Indiana University Health White Memorial Hospital, Inc. This designation accomplishes Indiana University Health's objective of providing an integrated, statewide approach to charitable support for its affiliated hospitals throughout the state of Indiana. |
| Form 990, Schedule A, Part IV, Section B, Line 2: Benefit of other orgs. | The Foundation is controlled by Indiana University Health, Inc. and it operates for the benefit of Indiana University Health and a class of additional supported organizations defined to include hospitals in the state of Indiana that are described in Section 509(a)(1) and Section 170(b)(1)(A)(iii) of the Code and operated, supervised, or controlled directly by or in connection with Indiana University Health, Inc. The Foundation's operation for the benefit of this class of supported organizations, in addition to operating for the benefit of Indiana University Health, Inc. carries out Indiana University Health's purposes because each of the additional supported organizations by definition is a code section 509(a)(1) / 170(b)(1)(A)(iii) hospital that itself is operated, supervised, or controlled directly by or in connection with Indiana University Health, Inc. |
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Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Page 1, Item J - Website address | IU Health Foundation website address is: https://iuhealth.org/iu-health-foundation |
| FORM 990, PART VI, LINE 7 - DELEGATE BROAD AUTHORITY TO A COMM. | THE ORGANIZATION'S EXECUTIVE COMMITTEE SHALL CONSIST OF TWO OR MORE DIRECTORS OF THE GOVERNING BODY. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL THE POWERS OF THE BOARD OF DIRECTORS. |
| Part VI, Section A, Lines 6, 7a and 7b - Members or Stockholders | Line 6: INDIANA UNIVERSITY HEALTH, A TAX- EXEMPT CHARITABLE ORGANIZATION, IS THE SOLE MEMBER OF INDIANA UNIVERSITY HEALTH FOUNDATION. IU HEALTH APPROVES THE APPOINTMENT OF ALL MEMBERS OF THE BOARD OF DIRECTORS AND APPROVES SIGNIFICANT DECISIONS OF THE BOARD. Line 7a: INDIANA UNIVERSITY HEALTH, A TAX-EXEMPT CHARITABLE ORGANIZATION, IS THE SOLE MEMBER OF INDIANA UNIVERSITY HEALTH FOUNDATION. INDIANA UNIVERSITY HEALTH CAN DESIGNATE AN OFFICER, DIRECTOR, OR OTHER PERSON TO VOTE OR OTHERWISE ACT ON ITS BEHALF AS THE SOLE MEMBER. WHEN VACANCIES OCCUR ON THE BOARD OF DIRECTORS, THE NOMINATING COMMITTEE OF THE FOUNDATION SHALL NOMINATE CANNDIDATES AND THE MEMBER OF THE FOUNDATION ELECTS THEM INTO OFFICE. Line 7b: INDIANA UNIVERSITY HEALTH MUST APPROVE THE FOLLOWING DECISIONS: 1. THE ARTICLES OF INCORPORATION MAY BE ALTERED, AMENDED OR REPEALED ONLY UPON THE AFFIRMATIVE VOTE OF THE MEMBER. 2. IF THE FOUNDATION IS DISSOLVED, ITS ASSETS MUST BE TRANSFERRED OR CONVEYED FOR CHARITABLE HEALTH CARE RELATED PURPOSES TO ONE OR MORE ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE CODE SELECTED BY THE MEMBER. |
| Part VI, Section B, Line 11b - Review of Form 990 | A thorough process was used by IU Health to review the Form 990 and related schedules prior to its filing. The Chief Philanthropy Officer reviewed and approved the Form 990. Following that review and approval, a complete copy of the Form 990 was made available to each board member after its filing. |
| Part VI, Section B, Line 12c - Conflict of Interest Policy | IU Health Foundation follows IU Health's Conflict of Interest Policy. IU Health's Conflict of Interest Policy includes the following provisions: All IU Health employees, associates, colleagues and contracted personnel, including employed physicians and paid medical directors ("IU Health Representatives") are covered by and subject to its Conflict of Interest Policy. IU Health regularly and consistently monitors and enforces compliance with the policy through the following procedures: (a) On an annual basis, each IU Health Representative at the level of Manager or above, together with every other person designated by the Corporate Compliance Department ("Department"), must complete, sign and submit a Conflict of Interest Questionnaire ("Questionnaire") to the Department. Governing board members, committee members, corporate officers, medical staff and researchers must comply with the administrative requirements noted in the respective policies and procedures relative to those areas. (b) An IU Health 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 completion of the original Questionnaire. (c) If a fully and properly completed Questionnaire reveals facts or other information that might reasonably indicate a Conflict of Interest or violation of the policy, the IU Health Representative completing the questionnaire must secure approval by his/her supervisor, evidenced in writing. (d) The Department will review each Questionnaire and determine whether a Conflict of Interest exists and, if so, whether and how it should or may be eliminated, avoided or managed in order to comply with the spirit of the policy and with the best interests of IU Health and its patients. In making the determination, the Corporate Compliance Department may consult with the IU Health Representative's supervisor and other appropriate individuals and groups. (e) The scope of the policy is not limited to those who are required to complete Questionnaires. If an IU Health Representative is involved in a situation or relationship that would constitute a violation of the policy in the absence of disclosure and approval as described above, then the IU Health Representative must disclose the matter to his/her supervisor, secure his/her supervisor's approval in writing, and disclose the matter to the Department. Otherwise, the IU Health Representative is in violation of the policy and subject to corrective action, up to and including termination. (f) The Chief Compliance Officer, in consultation with onsite Compliance personnel, may from time to time appoint standing or ad hoc committees to assist in resolving issues that arise under provisions of the policy. |
| Part VI, Section B, Line 15 - Process for Determining Comp. | IU Health, as the sole member and controlling parent of IU Health Foundation, has implemented the following process for determining compensation of IU Health Foundation President/Top Management Official: (1) The Board of Directors has established a Committee on Personnel and Compensation. The individuals on this Committee are made up of individuals who are on the Board and who do not have a conflict of interest with IU Health. There are no physicians or employees on this Committee. This Committee develops and reviews annually the executive compensation philosophy, market analysis as to comparability and reasonableness. One of the purposes of this Committee is to review, approve and make recommendations regarding executive compensation and benefits to the IU Health Board. As deemed appropriate, this Committee also reviews the same detail with the Committee on Finance. The Committee on Finance is represented by certain members of the Board as well. (2) Each year the Committee on Personnel and Compensation engages an outside compensation consulting firm to conduct a compensation and benefits study for all senior vice presidents and above. The current compensation advisor is SULLIVANCOTTER. SULLIVANCOTTER performs an independent compensation survey. The relevant comparability data includes: compensation and benefit levels paid by similarly situated organizations (both governmental and tax exempt) for functionally comparable positions as well as the availability of similar services in the geographic area. The Committee reviews the entire compensation package including: base compensation, short term and long term incentive plans, basic health and welfare benefits, qualified and nonqualified plans as well as any additional fringe benefits. Further, SULLIVANCOTTER will provide recommendations based upon the reasonable compensation information as it relates to salary increases, bonuses and benefits that are consistent with the compensation philosophy of the Committee. A separate analysis using the same methodology is done for the Chief Executive Officer. (3) The Committee reviews the salary survey and, if appropriate, makes recommendations on increases in salary and any changes in bonuses or benefits. The Committee's goal is to ensure that the total compensation and benefits package is reasonable based upon the independent data provided by SULLIVANCOTTER. The Committee votes on any changes in compensation or benefits. This review, discussion and vote are documented in the minutes for the meeting. There are no executives present during the final discussion and approval of compensation. (4) The Board reviews the report prepared by SULLIVANCOTTER as well as the recommendations of the Committee on Personnel and Compensation as to changes in compensation approved by the Committee. As requested, the Committee on Finance also provides its review of recommendations on changes in executive compensation and benefits. This review, discussion and vote are documented in the minutes. (5) The Board then reviews the recommendations provided by the Committee on Personnel and Compensation and votes on the changes as well. No additional compensation or benefits are paid to the executives until the changes have been approved by the Committee and the Board. The discussion and approval are documented in the minutes of the meeting. There are no executives present during the final discussion and approval of compensation. The General Counsel prepares a formal written opinion reviewing the compensation and benefits approval process, comparing that process to the Intermediate Sanctions Test of IRC Section 4958 and, if the facts warrant, provides comments regarding the compensation and benefits approval process as this relates to meeting the requirements for a rebuttable presumption of reasonableness as provided in the Intermediate Sanctions Test. (6) After the end of each year, the Committee and Board also reviews the achievements of the executive group as it relates to the long-term and short-term shared and individual goals developed by the executive and the Board. These achievements may also be reviewed with the Committee on Finance. The Board, at its discretion, may approve bonus payments based upon the achievement of the goals and the compensation survey. The discussion and vote of the Committee and Board is documented in the minutes for each such meeting. The bonuses are not paid until approval is made by the Board. (7) The Committee on Personnel and Compensation and Audit Committee also review the required Form 990 disclosures related to executive compensation and benefits as well as compensation practices and approval processes prior to the filing of the Form 990 return with the Internal Revenue Service. |
| Part VI, Section C, Line 19 - Public Disclosure | IU Health Foundation Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health Foundation conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health Foundation is a subsidiary in IU Health's Consolidated Audited Financial Statements. IU Health's Consolidated Audited Financial Statements are available for public inspection through its bond filings and as an attachment to IU Health's Form 990. |
| FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES | CHANGE IN VALUE OF SPLIT INTEREST TRUSTS: $(876,534) UNCOLLECTIBLE PLEDGES: $(74,283) EXCESS OF ASSETS ACQUIRED OVER LIAB ASSUMED FROM MERGERS: $(73,524) INCREASE IN CSV LIFE INS: $8,392 LOSS ON ANNUITY CONTRACT: $(20,717) OTHER: $311,646 Total $(725,020) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:FEES - OTHER PROFESSIONAL TOTAL FEES:59381 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT SERVICES - OTHER TOTAL FEES:254851 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING - OTHER TOTAL FEES:40822 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:4489688 |
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