Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION'S BYLAWS WERE AMENDED DURING 2019 AND INCLUDED THE FOLLOWING CHANGES: -VICE PRESIDENTS SHALL SERVE AS EXECUTIVE STAFF OF THE CORPORATION BUT SHALL NOT BE OFFICERS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | ORGANIZATION'S MEMBERSHIPS CONSISTS OF 2 TYPES: TYPE 1 MEMBERSHIPS INCLUDE HOSPITALS WHICH ARE LICENSED OR DEFINED AS HOSPITALS UNDER INDIANA LAW, MULTI-HOSPITAL SYSTEMS, ORGANIZATIONS OR DELIVERY ENTITIES WHICH HAVE EFFECTIVE LEGAL CONTROL OF ONE OR MORE HOSPITALS, OR COMMUNITY MENTAL HEALTH CENTERS DEFINED UNDER STATE LAW. TYPE II MEMBERSHIPS INCLUDE FREE-STANDING HEALTH CARE PROVIDER ORGANIZATIONS OR ENTITIES, OTHER THAN HOSPITALS, THAT PROVIDE AMBULATORY, PREVENTIVE, REHABILITATIVE, SPECIALTY, POST-ACUTE, OR CONTINUING DIRECT PATIENT CARE. ONLY TYPE 1 MEMBERS HAVE VOTING RIGHTS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A REVIEW BY THE FINANCE OFFICER OF IHA. A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE BOARD MEMBERS UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE WRITTEN CONFLICT OF INTEREST POLICY IS MONITORED AND COMPLIANCE ENFORCED. THE SCOPE OF THIS POLICY INCLUDES THE BOARD MEMBERS AND MANAGEMENT OF THE ASSOCIATION. THE BOARD MEMBERS AND MANAGEMENT OF THE ASSOCIATION ARE REQUIRED TO PROVIDE A CONFLICT OF INTEREST DISCLOSURE REPORT WHICH IS REVIEWED BY THE ASSOCIATION'S GENERAL LEGAL COUNSEL. |
| FORM 990, PART VI, SECTION B, LINE 15 | CEO COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE USING SURVEY INFORMATION OBTAINED FROM OTHER STATE HOSPITAL ASSOCIATIONS AND CURRENT MARKET CONDITIONS. OTHER OFFICERS AND KEY EMPLOYEES' COMPENSATION IS SET BASED ON A REVIEW OF SURVEY INFORMATION OBTAINED FROM OTHER STATE HOSPITAL ASSOCIATIONS, AS WELL AS A VOLUNTARY SURVEY OF INDIANA HOSPITALS CONDUCTED BY IHA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | CONSULTING 288,041. PURCHASED SERVICES 1,550,268. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF LIFE INSURANCE 7,012. |
| PART XII, LINE 2C, OVERSIGHT OF AUDIT: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR. |
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