2024-11-15T06:51:02-06:00 2023-12-31 481111111 CBIZ ADVISORS LLC 3925 RIVER CROSSING PKWY STE 100 INDIANAPOLIS IN 46240 990 2023-01-01 352047838 INDIANA HEMOPHILIA & THROMBOSIS CENTER INC INDI 3178710000 8326 NAAB RD INDIANAPOLIS IN 462601920 NANCY HOARD EXECUTIVE DIRECTOR 3178710000 2024-11-11 1 0 DAVID A BURNETT P00645058 3174722200 2024-11-11 2023 2024-10-15 13:58:12Z AMY D SHAPIRO MD 8326 NAAB ROAD INDPLS IN 46260 235135869 0 X WWW.IHTC.ORG X 1998 IN THE INDIANA HEMOPHILIA & THROMBOSIS CENTER, INC. IS COMMITTED TO PROVIDING THE HIGHEST QUALITY COMPREHENSIVE SERVICES AND HOLISTIC CARE TO PATIENTS WITH BLEEDING, CLOTTING AND OTHER HEMATOLOGIC DISORDERS, AND TO THEIR FAMILIES. 11 7 308 0 0 0 2349490 2455863 4319417 3290915 5823824 6323426 43215711 44905138 55708442 56975342 680450 2207044 0 0 33652804 40740302 0 0 140636 14251907 13626719 48585161 56574065 7123281 401277 205388132 214000867 14585223 12461739 190802909 201539128 X THE INDIANA HEMOPHILIA AND THROMBOSIS CENTER, INC. IS COMMITTED TO PROVIDING THE HIGHEST QUALITY COMPREHENSIVE SERVICES AND HOLISTIC CARE TO PATIENTS WITH BLEEDING, CLOTTING AND OTHER HEMATOLOGIC DISORDERS, AND TO THEIR FAMILIES. 0 0 50609681 2207044 54519479 THE INDIANA HEMOPHILIA & THROMBOSIS CENTER, INC. (IHTC) IS INDIANA'S ONLY FEDERALLY RECOGNIZED COMPREHENSIVE HEMOPHILIA TREATMENT CENTER. IHTC IS A NON-PROFIT, TAX-EXEMPT ORGANIZATION WITH THE MISSION OF PROVIDING THE HIGHEST QUALITY COMPREHENSIVE SERVICES AND HOLISTIC CARE TO PATIENTS WITH BLEEDING, CLOTTING AND OTHER HEMATOLOGIC DISORDERS, AND TO THEIR FAMILIES. IHTC WAS ESTABLISHED IN 1998 AND SERVES BOTH PEDIATRIC AND ADULT PATIENTS THROUGHOUT THE ENTIRE STATE OF INDIANA. IHTC UTILIZES A MULTIDISCIPLINARY, COMPREHENSIVE APPROACH TO TREATING PATIENTS WITH COMPLEX MEDICAL PROBLEMS AND PARTICIPATES IN CLINICAL RESEARCH AND EDUCATION OF MEDICAL STUDENTS,RESIDENTS, FELLOWS, PATIENTS, FAMILIES, AND COMMUNITY MEMBERS. IHTC ENGAGES IN SIGNIFICANT OUTREACH ACTIVITIES THROUGHOUT INDIANA AND THE WORLD INCLUDING PARTICIPATION IN THE INDIANA UNIVERSITY SCHOOL OF MEDICINE-MOI UNIVERSITY SCHOOL OF MEDICINE PARTNERSHIP IN ELDORET, KENYA. 50609681 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 60 0 308 1 0 0 0 0 0 0 0 0 0 0 X 11 7 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X X ERIC GRAY CPA INDIANA HEMOPHILIA & THROMBOSIS CENTER 3178710000 8326 NAAB ROAD INDIANAPOLIS IN 46260 AMY D SHAPIRO MD PRESIDENT/CEO, MEDICAL DIR 50.00 X X 969634 0 72222 ANNE GREIST MD DIRECTOR, MEDICAL DIRECTOR 50.00 X X 724814 0 63278 DENNIS CASEY DIRECTOR 4.00 X 68500 0 0 EDWARD SCHMIDT SECRETARY/CONSULTANT 8.00 X 200100 0 0 HOLIDAY HART MCKIERNAN DIRECTOR 3.00 X 61000 0 0 JEFFERY MARTIN DIRECTOR 3.00 X 60000 0 0 JENNIFER RHODES DIRECTOR 3.00 X 58000 0 0 LEAH MEYER AUSTIN DIRECTOR 3.00 X 61000 0 0 PATRICIA ROE DIRECTOR 3.00 X 61000 0 0 PHILLIP HIMELSTEIN CHAIRMAN/CONSULTANT 8.00 X 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FUND V (OFFSHORE) 223528 F 30912590 LEASE LIABILITY 96154 96154 66666889 10334942 10334942 56331947 643395 643395 56975342 55930670 0 55930670 643395 643395 56574065 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 15717257 0 0 0 0 0 0 15717257 0 15717257 0 0 1 1 1 0 1 THE MARTIN CENTER 3545 NORTH COLLEGE AVE INDIANAPOLIS IN 46205 237058960 3 146601 0 SEE PART IV INDIANA UNIVERSITY - DEPT 78867 PO BOX 78000 DETROIT MI 482780867 356001673 3 82512 0 SEE PART IV VERSITI BLOOD CENTER OF WISCONSIN PO BOX 78961 MILWAUKEE WI 532780961 390807235 3 39295 0 SEE PART IV HEMOPHILIA OF INDIANA 5170 E 65TH STREET SUITE 106 INDIANAPOLIS IN 46220 351278222 3 163868 0 SEE PART IV CHILDREN'S MUSEUM OF INDIANAPOLIS 3000 NORTH MERIDIAN ST INDIANAPOLIS IN 46208 350867985 3 10000 0 SEE PART IV COMMUNITY HEALTH CLINIC 315 LEHMAN AVE SUITE C TOPEKA IN 46571 264463924 3 1473247 0 SEE PART IV WORLD FEDERATION OF HEMOPHILIA USA 911 CENTRAL AVENUE ALBANY NY 122061304 161513923 3 100000 0 SEE PART IV HEMOPHILIA FOUNDATION OF MICHIGAN 1921 WEST MICHIGAN AVE YPSILANTI MI 481974816 381905673 3 96520 0 SEE PART IV NATIONAL BLEEDING DISORDERS FOUNDATION 7 PENN PLAZA SUITE 1201 NEW YORK NY 10001 135641857 3 90000 0 SEE PART IV PART I, LINE 2: THE ORGANIZATION VERIFIES THE TAX EXEMPT STATUS OF THE ORGANIZATIONS REQUESTING ASSISTANCE. REQUESTING ORGANIZATIONS SUBMIT WRITTEN REQUESTS FOR FUNDING WHICH ARE REVIEWED BY MEMBERS OF MANAGEMENT. REQUESTING ORGANIZATIONS MUST PROVIDE AT LEAST ONE PROGRESS REPORT OUTLINING PROJECT ACHIEVEMENT AND USE OF FUNDS. PART ONE LINE TWO PURPOSE OF GRANT ASSISTANCE: THE MARTIN CENTER: CONTRACT FOR SERVICES TO IMPLEMENT TRANSPORTATION AND ASSISTANCE INITIATIVES, FACILITATE AN ANNUAL PATIENT EDUCATION CONFERENCE AND PROVIDE SOCIAL SERVICES. INDIANA UNIVERSITY - DEPT 78867: SUPPORT FOR HEMATOLOGY FELLOWSHIP PROGRAM. VERSITI BLOOD CENTER OF WISCONSIN: PROGRAM SUPPORT FOR CLINICAL RESEARCHER. HEMOPHILIA OF INDIANA: CONTRACT FOR SERVICES TO PROVIDE PATIENT ASSISTANCE AND SERVICES AND PROGRAM SUPPORT. CHILDREN'S MUSEUM OF INDIANAPOLIS: SUPPORT OF BLEEDING DISORDERS AWARENESS AND RYAN WHITE EXHIBIT COMMUNITY HEALTH CLINIC: CONTRACT FOR SERVICES TO PROVIDE MEDICAL AND DENTAL CARE FOR UNDERSERVED/VULNERABLE POPULATIONS WITHIN LOCAL COMMUNITY AND SUPPORT FOR CAPITAL CAMPAIGN. WORLD FEDERATION OF HEMOPHILIA USA: CONTRACT FOR SERVICES TO PROVIDE SUPPORT FOR LIVING GUIDELINES PROJECT. HEMOPHILIA FOUNDATION OF MICHIGAN: CONTRACT FOR SERVICES TO PROVIDE SUPPORT FOR THE ANNUAL HEMOPHILIA TREATMENT CENTER REGIONAL MEETING, REGIONAL PROGRAMS AND SERVICES AND STAFF. NATIONAL BLEEDING DISORDERS FOUNDATION: PROGRAM SUPPORT FOR SOCIAL WORK AND PHYSICAL THERAPY WORKING GROUPS. X 1 1 X X X X X X 0 0 0 0 0 0 0 1 0 AMY D SHAPIRO MD PRESIDENT/CEO, MEDICAL DIR 655405 0 203200 0 111029 0 40598 0 31624 0 1041856 0 0 0 ANNE GREIST MD DIRECTOR, MEDICAL DIRECTOR 549961 0 168100 0 6753 0 40598 0 22680 0 788092 0 0 0 BRANDON HARDESTY MD HEMATOLOGIST 470264 0 85700 0 1668 0 40598 0 37100 0 635330 0 0 0 DAVID HEDRICK MD HEMATOLOGIST 460563 0 83100 0 1668 0 40598 0 48509 0 634438 0 0 0 MAGDALENA LEWANDOWSKA MD HEMATOLOGIST 450033 0 84700 0 1695 0 40598 0 37304 0 614330 0 0 0 JAY GADDY MD HEMATOLOGIST 543769 0 0 0 2737 0 40598 0 27015 0 614119 0 0 0 ANTHONY BETBADAL MD HEMATOLOGIST 416982 0 76100 0 1765 0 40598 0 24208 0 559653 0 0 0 NANCY HOARD EXECUTIVE DIRECTOR 384853 0 118100 0 5459 0 40598 0 5361 0 554371 0 0 0 ERIC GRAY CHIEF OPERATIONS OFFICER 327813 0 84200 0 11820 0 40598 0 49331 0 513762 0 0 0 CHRIS ROBERSON CHIEF RESEARCH OFFICER 250264 0 50600 0 11693 0 39245 0 32574 0 384376 0 0 0 SHERRY SLICK CHIEF INFORMATION OFFICER 261261 0 66400 0 2817 0 22687 0 20800 0 373965 0 0 0 KELLY MCCARTHY DIR OF MULTIDISCIPLINARY T 232455 0 49400 0 4032 0 35299 0 38703 0 359889 0 0 0 JENNIFER MAAHS DIRECTOR OF CLINICAL CARE 225000 0 43700 0 4216 0 31771 0 2357 0 307044 0 0 0 STEVAN MIZIMAKOSKI DIRECTOR OF PHARMACY OPERA 183307 0 29100 0 1904 0 25420 0 44787 0 284518 0 0 0 PHILLIP HIMELSTEIN CHAIRMAN/CONSULTANT 203000 0 0 0 0 0 0 0 0 0 203000 0 0 0 EDWARD SCHMIDT SECRETARY/CONSULTANT 200100 0 0 0 0 0 0 0 0 0 200100 0 0 0 PART I, LINE 7 THE EMPLOYEES LISTED ON SCHEDULE J, PART II ARE ELIGIBLE TO PARTICIPATE IN IHTC'S INCENTIVE COMPENSATION PLAN. IHTC DEVELOPED ITS COMPENSATION PLAN IN CONJUNCTION WITH AN INDEPENDENT CONSULTANT. IN ADDITION, THE PLAN WAS APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE AND BOARD OF DIRECTORS. IN ADOPTING ITS INCENTIVE BASED COMPENSATION PLAN, IHTC (TOGETHER WITH AN INDEPENDENT CONSULTANT, ITS EXTERNAL LEGAL COUNSEL, AND THE COMPENSATION COMMITTEE) CONSIDERED AND APPLIED THE PROVISIONS OF CODE SECTION 4958 AND THE CORRESPONDING TREASURY REGULATIONS TO ENSURE THAT ITS COMPENSATION DECISIONS REFLECT ARMS' LENGTH, FAIR MARKET TERMS. IHTC PROVIDES FOR DIRECTOR AND OFFICER FIRST CLASS TRAVEL FOR FLIGHTS IN EXCESS OF THREE HOURS AND MAINTAINS A WRITTEN POLICY ACCORDINGLY. EDWARD SCHMIDT DIRECTOR 119100 CONSULTING 0 PHILLIP HIMELSTEIN DIRECTOR 110500 CONSULTING 0 FORM 990, PART VI, SECTION A, LINE 2 MESSRS. HIMELSTEIN AND SHERLOCK HAVE A BUSINESS RELATIONSHIP. MESSRS. SHERLOCK AND MARTIN HAVE A BUSINESS RELATIONSHIP. NONE OF THESE BUSINESS RELATIONSHIPS CONDUCTS BUSINESS WITH IHTC. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990: FORM 990 IS REVIEWED AND REVISED AS NECESSARY, BY MANAGEMENT STAFF, CORPORATE COUNSEL AND FINANCE COMMITTEE AND ANY CHANGES ARE INCORPORATED PRIOR TO FILING. FORM 990 ALONG WITH MANAGEMENT'S RECOMMENDATION FOR APPROVAL IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS, WHO REVIEWS THE FORM AND IF IT APPROVES THE FORM IS SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY IHTC HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT REQUIRES DIRECTORS, OFFICERS AND KEY EMPLOYEES TO SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THE ANNUAL DISCLOSURE REQUIRES DIRECTORS, OFFICERS AND KEY EMPLOYEES TO DISCLOSE, IN WRITING, ANY KNOWN FINANCIAL INTEREST THAT THE INDIVIDUAL (TOGETHER WITH FAMILY MEMBERS) HAS IN ANY BUSINESS ENTITY THAT TRANSACTS BUSINESS WITH IHTC. IN ADDITION, DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST THAT ARISES MID-YEAR IN RELATION TO A PROPOSED TRANSACTION. THE CONFLICT OF INTEREST POLICY REQUIRES THAT ANY INDIVIDUAL WITH A CONFLICT BE RECUSED FROM THE DECISIONMAKING PROCESS, THAT INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS DETERMINE THAT THE PROPOSED TRANSACTION IS IN THE BEST INTERESTS OF IHTC, AND THE TRANSACTION MUST BE APPROVED BY A VOTE OF THE INDEPENDENT DIRECTORS OR COMMITTEE MEMBERS WITHOUT THE PARTICIPATION OF ANY INTERESTED INDIVIDUAL. THE ANNUAL CONFLICT DISCLOSURE STATEMENTS ARE SUBMITTED TO, AND REVIEWED BY, IHTC'S CEO OR COO. IN ADDITION, THE EXECUTIVE STAFF AND LEGAL STAFF ARE RESPONSIBLE FOR MONITORING ANY POSSIBLE CONFLICT TRANSACTIONS THAT ARISE AND MANAGING THEM TO ENSURE THAT ALL TRANSACTIONS REPRESENT ARMS' LENGTH, FAIR MARKET VALUE TERMS FOR THE BENEFIT OF IHTC. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL IHTC HAS ADOPTED AN EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY THAT APPLIES TO IHTC'S DIRECTORS,OFFICERS, AND KEY EMPLOYEES. THE PURPOSE OF THE POLICY IS TO ENSURE THAT IHTC'S COMPENSATION ARRANGEMENTS WITH RELATED PARTIES ARE EVALUATED AND ENTERED AT ARMS' LENGTH AND THAT ANY COMPENSATION THAT IS PAID TO A RELATED PARTY IS REASONABLE AND REFLECTS FAIR MARKET VALUE. THE POLICY ENCOURAGES THE APPLICATION OF THE REBUTTABLE PRESUMPTION STANDARD OF CODE SECTION 4958 AND THE RELATED TREASURY REGULATIONS BY (A) EXCLUDING ANY INTERESTED PARTY FROM THE DECISION-MAKING PROCESS; (B) REQUIRING DISINTERESTED BOARD OR COMMITTEE MEMBERS TO OBTAIN AND RELY UPON COMPARABILITY DATA WHEN SETTING THE PROPOSED COMPENSATION TERMS; (C) REQUIRING APPROVAL OF THE TRANSACTION IN ADVANCE BY DISINTERESTED DIRECTORS OR COMMITTEE MEMBERS; AND (D) REQUIRING CONTEMPORANEOUS DOCUMENTATION (I.E., MINUTES) REFLECTING THE DECISION AND THE PROCESS BY WHICH IT WAS MADE. IHTC RETAINS AN INDEPENDENT CONSULTANT TO CONDUCT AN ANNUAL STUDY AND PROVIDE COMPARATIVE SALARY MARKET DATA FOR THE CONSIDERATION OF IHTC'S COMPENSATION COMMITTEE. IHTC ALSO RETAINS OUTSIDE LEGAL COUNSEL TO ENSURE THAT ITS PROCESSES AND PROCEDURES RELATING TO COMPENSATION DECISIONS IS IN COMPLIANCE WITH ITS EXECUTIVE COMPENSATION AND INTERMEDIATE SANCTIONS POLICY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: SOME OF THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE ON ANOTHER ORGANIZATION'S WEBSITE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS OUTLINED WITHIN SCHEDULE O OF THIS FILING. NO OTHER DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC EXCEPT OTHERWISE PROVIDED BY LAW.