2022-11-14T11:38:20-06:00 2021-12-31 990 2021-01-01 351844176 Methodist Occupational Health Centers Inc METH 3179634842 950 N MERIDIAN STREET 1200 INDIANAPOLIS IN 46204 DAVID R KOGAN PRESIDENT 2022-11-14 DAVID R KOGAN 999009999 2021 2022-09-23 18:48:47Z X DAVID R KOGAN 950 N MERIDIAN STREET 1200 INDIANAPOLIS IN 46204 12172582 false X HTTPS://IUHEALTH.ORG/BUSINESS-SOLUTIONS X 1991 IN TO PROVIDE OCCUPATIONAL HEALTH CARE TO THE WORK FORCE THROUGH A BROAD SPECTRUM OF SERVICES IN ORDER TO PROMOTE HEALTHIER AND MORE PRODUCTIVE EMPLOYEES. X 4 0 159 0 0 0 0 12153083 12172582 143217 0 1820 0 12298120 12172582 0 0 6973732 7292205 0 0 7554162 7440154 14527894 14732359 -2229774 -2559777 22548606 0 11111453 0 11437153 0 TO PROVIDE OCCUPATIONAL HEALTH CARE TO THE WORK FORCE THROUGH A BROAD SPECTRUM OF PREVENTIVE, DIAGNOSTIC, TREATMENT, AND THERAPEUTIC SERVICES IN ORDER TO PROMOTE HEALTHIER AND MORE PRODUCTIVE EMPLOYEES. false false 10216492 0 8873891 METHODIST OCCUPATIONAL HEALTH CENTERS, INC. ("METHODIST OCCUPATIONAL HEALTH CENTERS") DELIVERS EFFECTIVE ON-SITE EMPLOYEE HEALTH SERVICES TO EMPLOYERS PRIMARILY THROUGH ITS DISREGARDED ENTITY, WORKPLACE HEALTH SERVICES, LLC D/B/A IU HEALTH BUSINESS SOLUTIONS ("IU HEALTH BUSINESS SOLUTIONS"). IU Health Business Solutions brings more than 40 years of experience providing a broad range of occupational health services designed to meet specific business needs. IU HEALTH BUSINESS SOLUTIONS DELIVERS COST EFFECTIVE HEALTHCARE SOLUTIONS AT OR NEAR YOUR WORKPLACE. ON-SITE CLINICS PROVIDE DEDICATED PREVENTIVE AND PRIMARY CARE SERVICES TO EMPLOYEES AND THEIR DEPENDENTS, LOWERING HEALTHCARE COSTS BY IMPROVING THE HEALTH OF YOUR EMPLOYEES. IN EVERY IU HEALTH ON-SITE CLINIC, YOUR EMPLOYEES WILL RECEIVE HEALTHCARE BUILT ON THE EXCELLENCE OF INDIANA UNIVERSITY HEALTH. As an academic health center, IU Health works in partnership with IU School of Medicine to train physicians, blending breakthrough research and high-quality patient care. AS A PROVIDER OF OCCUPATIONAL HEALTH SERVICES, THE MAJORITY OF ITS REVENUE IS EITHER RECEIVED DIRECTLY FROM THE EMPLOYERS IT CONTRACTS WITH OR THROUGH THE EMPLOYERS' WORKERS' COMPENSATION INSURANCE. ACCORDINGLY, EMPLOYEES THAT RECEIVE SERVICES ARE NOT DIRECTLY RESPONSIBLE FOR PAYMENT FOR THEIR CARE. THUS, THE NEED FOR IU HEALTH BUSINESS SOLUTIONS TO PROVIDE FINANCIAL ASSISTANCE IS VIRTUALLY NONEXISTENT. WHEN MEDICALLY INDICATED, IU HEALTH BUSINESS SOLUTIONS WILL REFER PATIENTS TO THE INDIANA UNIVERSITY HEALTH CARE SYSTEM, WHERE FINANCIAL ASSISTANCE IS PROVIDED, SHOULD IT BE NECESSARY. ALSO IN FURTHERANCE OF ITS EXEMPT PURPOSE, IU HEALTH BUSINESS SOLUTIONS IS INVOLVED IN COMMUNITY EDUCATIONAL PROGRAMS AND IS COMMITTED TO OCCUPATIONAL HEALTH TRAINING AND PREVENTIVE CARE. 3797776 0 3298691 METHODIST OCCUPATIONAL HEALTH CENTERS RECEIVES SHARED SERVICES REVENUE BY PROVIDING THE FOLLOWING SERVICES: - PROVIDE OCCUPATIONAL HEALTH CARE TO THE WORK FORCE THROUGH A BROAD SPECTRUM OF PREVENTIVE, DIAGNOSTIC, TREATMENT, AND THERAPEUTIC SERVICES IN ORDER TO PROMOTE HEALTHIER AND MORE PRODUCTIVE EMPLOYEES - DELIVER OCCUPATIONAL HEALTH CARE SERVICES IN A TIMELY, EFFICIENT, COST-EFFECTIVE MANNER TO THE SATISFACTION OF THE EMPLOYEE PATIENTS THAT RECEIVE THE SERVICES AS WELL AS THE EMPLOYER CLIENTS THAT PAY FOR SUCH SERVICES, EITHER THROUGH WORKERS' COMPENSATION INSURANCE COMPANIES OR BY THE EMPLOYERS DIRECTLY - EMPLOY AND CONTRACT WITH PHYSICIANS, OTHER HEALTH CARE PROVIDERS, AND OTHERS RELATED TO HEALTH CARE TO PROVIDE DIAGNOSIS AND TREATMENT OF WORK RELATED INJURIES AND ILLNESSES AND OTHER HEALTH CARE AND RELATED SERVICES NEEDED BY EMPLOYEES AND EMPLOYERS - PROMOTES THE GENERAL HEALTH OF THE COMMUNITY BY PROVIDING EDUCATIONAL AND WELLNESS PROGRAMS TO EMPLOYEE PATIENTS AND EMPLOYER CLIENTS 14014268 true false false false false false false false false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false true false true true true true false false true 0 0 159 true false false false false false false false false false false false false X 4 0 false false true false true true true true true false false false true true true true true false false false IN X CRAIG J JONES 3179634842 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 DAVID R KOGAN DIRECTOR/PRESIDENT/CEO 2.0 53.0 X X 0 457652 67721 ERIN R LEWIS DIRECTOR/SECRETARY 2.0 53.0 X X 0 1110512 153360 RONALD L STIVER DIRECTOR/VICE PRESIDENT/SECRETARY 2.0 53.0 X X 0 1627123 177596 SCOTT M BLACK TREASURER 2.0 53.0 X 0 438655 51191 ANGELA MASSEY-JENKINS MANAGER-CLINICAL 45.0 0 X 118353 0 37966 LOUANN BERRY CLINICAL NURSE-OUTPATIENT 45.0 0 X 122046 0 28294 STACEY NEESE Manager-Business Operations 45.0 0 X 101324 0 17972 TARA B STROUP ADMINISTRATIVE DIRECTOR-SERVICE LINE 45.0 0 X 131545 0 16003 CLARK DAY FORMER DIRECTOR & OFFICER 0.0 55.0 X 0 329360 23663 473268 3963302 573766 4 true true false 0 0 NET PATIENT SERVICE REVENUE 622110 8873891 8873891 SHARED SERVICES 541900 3298691 3298691 0 0 0 0 12172582 0 0 0 0 0 0 0 0 0 12172582 12172582 0 0 X 5866046 5675501 190545 189193 183047 6146 855346 827562 27784 381620 369224 12396 4783074 4396730 386344 0 4920 4920 49553 45550 4003 141716 70858 70858 232085 232085 10501 9653 848 3551 3551 13096 13096 DRUGS & MEDICAL SUPPLIES 2187404 2187404 14254 13103 1151 0 14732359 14014268 718091 0 0 0 20572546 0 0 0 1744569 0 0 0 0 0 0 0 0 0 41623 0 0 0 189868 0 0 0 0 0 0 0 0 0 22548606 0 1120614 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9990839 0 11111453 0 X 11437153 0 0 0 0 0 0 0 0 0 11437153 0 22548606 0 X -2559777 -8877376 X false true X true false X INTERCOMPANY PAYABLES (NET) OPERATING LEASE LIABILITIES 0 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Methodist Occupational Health Centers is a subsidiary in IU Health's consolidated audited financial statement. The Internal Revenue Service (IRS) has determined that Indiana University Health and certain of its affiliated entities are tax-exempt organizations as defined in Section 501(c)(3) of the Internal Revenue Code (IRC). Indiana University Health and its tax-exempt affiliates are, however, subject to federal and state income taxes on unrelated business income under the provisions of IRC Section 511. Deferred income taxes that, as of December 31, 2021 and 2020, have no net carrying value reflect the net tax effect of temporary differences between the carrying amounts of assets and liabilities for financial reporting and the amounts used for income tax purposes. As of December 31, 2021 and 2020, the Indiana University Health System had gross deferred tax assets of $146,281,000 and $135,889,000 respectively, primarily relating to net operating loss carryovers. Management determined that a full valuation allowance at December 31, 2021 and 2020, was necessary to reduce the deferred tax assets to the amount that would more likely than not be realized. Based on the weight of the evidence, if it is more likely than not that some portion or all of the deferred tax assets will not be realized, a valuation allowance to reduce the deferred tax assets is recorded. The increase in the valuation allowance for the current year is $10,392,000. At December 31, 2021, Indiana University Health System has available net operating loss carryforwards of $588,158,000. Net operating losses generated from 2001 through 2017 will expire between 2022 and 2037. Net operating losses generated after 2017 do not expire. false true false false false false false true false CLARK DAY FORMER DIRECTOR & OFFICER 0 239390 0 68148 0 21822 0 16803 0 6860 0 353023 0 0 RONALD L STIVER DIRECTOR/VICE PRESIDENT/SECRETARY 0 689031 0 552131 0 385961 0 144726 0 32870 0 1804718 0 163465 ERIN R LEWIS DIRECTOR/SECRETARY 0 649406 0 458262 0 2844 0 129578 0 23782 0 1263872 0 0 DAVID R KOGAN DIRECTOR/PRESIDENT/CEO 0 373826 0 82774 0 1052 0 36941 0 30780 0 525374 0 0 SCOTT M BLACK TREASURER 0 313718 0 102074 0 22864 0 18725 0 32466 0 489846 0 0 LOUANN BERRY CLINICAL NURSE-OUTPATIENT 119810 0 1644 0 593 0 7812 0 20483 0 150341 0 0 0 ANGELA MASSEY-JENKINS MANAGER-CLINICAL 108963 0 9114 0 276 0 7843 0 30124 0 156319 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan RONALD L. STIVER, ERIN R. LEWIS, AND DAVID KOGAN PARTICIPATE IN AN IU HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT, PROVISIONS OF WHICH ARE DESIGNED TO RETAIN ITS 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. EACH OF THE EXECUTIVES LISTED ABOVE HAVE AN AMOUNT INCLUDED IN COLUMN C, DEFERRED COMPENSATION, REPRESENTING THE CURRENT YEAR UNVESTED CONTRIBUTIONS MADE UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THESE AMOUNTS WERE NOT PAID TO THE EXECUTIVES DURING THE YEAR. THE FOLLOWING EXECUTIVE HAS AN AMOUNT INCLUDED IN COLUMN B (III), OTHER REPORTABLE COMPENSATION, REPRESENTING THE CURRENT YEAR VESTED AMOUNTS RECEIVED UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: - RONALD L. STIVER ($363,617) Schedule J, Part I, Line 7 Non-fixed payments AMOUNTS DISCLOSED IN COLUMN B(II) INCLUDE A LONG-TERM AND SHORT-TERM INCENTIVE FOR CERTAIN EXECUTIVES AND SHORT-TERM INCENTIVE FOR OTHER EMPLOYEES. ALTHOUGH THESE PLANS ARE BASED ON A FIXED FORMULA THAT HAS BEEN APPROVED BY THE BOARD OF DIRECTORS BASED UPON CERTAIN QUALITATIVE AND QUANTITATIVE FACTORS AND GOALS, ALL DISCRETIONARY INCENTIVE PLANS MUST BE APPROVED BY THE BOARD OF DIRECTORS PRIOR TO ANY INCENTIVE PAYOUT. NET ASSET TRANSFER - CASH, A/R, PPE, LIABILITIES 2021-12-31 8877378 BOOK VALUE 351955872 INDIANA UNIVERSITY HEALTH INC 950 N Meridian St Ste 800 Indianapolis IN 46204 501(C)(3) false false false false true true true true false Form 990, Part VI, Line 13 PART VI, LINES 12, 13, 14, AND 16B - POLICIES METHODIST OCCUPATIONAL HEALTH CENTERS IS PART OF THE IU HEALTH SYSTEM. AS THE SOLE MEMBER AND CONTROLLING PARENT OF METHODIST OCCUPATIONAL HEALTH CENTERS, IU HEALTH AND ITS BOARD OF DIRECTORS HAVE MANDATED THAT CERTAIN POLICIES BE FOLLOWED TO ENSURE GREATER STANDARDIZATION THROUGHOUT THE SYSTEM. THUS, METHODIST OCCUPATIONAL HEALTH CENTERS' BOARD OF DIRECTORS WAS NOT REQUIRED TO SEPARATELY ADOPT A CONFLICT OF INTEREST, WHISTLE BLOWER, DOCUMENT RETENTION AND DESTRUCTION AND JOINT VENTURE POLICIES BECAUSE IU HEALTH'S BOARD OF DIRECTORS HAD ALREADY ADOPTED AND REQUIRED THESE POLICIES TO BE FOLLOWED BY ITS SUBSIDIARIES. Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION METHODIST OCCUPATIONAL HEALTH CENTERS' PRESIDENT & CEO IS EMPLOYED BY IU HEALTH. IU HEALTH'S PROCESS FOR DETERMINING COMPENSATION IS AS FOLLOWS: (1) THE BOARD OF DIRECTORS ("BOARD") HAS ESTABLISHED A TALENT MANAGEMENT AND EXECUTIVE COMPENSATION COMMITTEE ("TMECC"), THE PURPOSE OF WHICH INCLUDES REVIEWING AND MAKING RECOMMENDATIONS REGARDING EXECUTIVE PAY AND BENEFITS (COLLECTIVELY REFERRED TO AS "COMPENSATION") ON AN ANNUAL BASIS IN APRIL. THE TMECC IS MADE UP OF MEMBERS OF THE BOARD THAT ARE NEITHER PHYSICIANS NOR EMPLOYEES AND DO NOT OTHERWISE HAVE A CONFLICT OF INTEREST REGARDING ANY OF IU HEALTH'S COMPENSATION ARRANGEMENTS. THE TMECC REVIEWS AN EXECUTIVE'S ENTIRE COMPENSATION PACKAGE INCLUDING BASE SALARY, SHORT-TERM AND LONG-TERM INCENTIVES, HEALTH AND WELFARE BENEFITS, QUALIFIED AND NON QUALIFIED RETIREMENT PLANS, AS WELL AS ANY ADDITIONAL FRINGE BENEFITS. AS DEEMED APPROPRIATE, THE COMMITTEE ON FINANCE, WHICH IS ALSO MADE UP OF MEMBERS OF THE BOARD, MAY ALSO REVIEW EXECUTIVE COMPENSATION AND BENEFITS. (2) THE TMECC ENGAGES AN INDEPENDENT COMPENSATION CONSULTING FIRM ON AN ANNUAL BASIS TO CONDUCT A COMPENSATION ANALYSIS FOR ITS EXECUTIVE GROUP, WHICH CONSISTS OF EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE CURRENT COMPENSATION ADVISER IS SULLIVAN COTTER. SULLIVANCOTTER PERFORMS ITS ANALYSIS IN THE FORM OF A COMPENSATION SURVEY ("SURVEY") THAT INCLUDES RELEVANT COMPARABILITY DATA FOR COMPENSATION 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. SULLIVANCOTTER THEN PREPARES A SURVEY REPORT AND PROVIDES RECOMMENDATIONS TO THE TMECC, IF DEEMED APPROPRIATE, ON CHANGES IN EXECUTIVE COMPENSATION. A SEPARATE ANALYSIS USING THE SAME METHODOLOGY IS DONE FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. (3) THE TMECC THEN REVIEWS SULLIVANCOTTER'S REPORT AND RECOMMENDATIONS AND, IF APPROPRIATE, VOTES ON WHETHER TO RECOMMEND ANY CHANGES IN EXECUTIVE COMPENSATION TO THE BOARD. THE TMECC WILL ONLY RECOMMEND CHANGES TO THE BOARD IF THEY ARE CONSISTENT WITH THE BOARD'S PHILOSOPHY ON COMPENSATION MATTERS AND ARE DEEMED REASONABLE BASED UPON THE INDEPENDENT ANALYSIS PROVIDED BY SULLIVANCOTTER. THE TMECC'S REVIEW, DISCUSSION AND VOTE ARE DOCUMENTED IN THE MINUTES FOR THE MEETING. THERE ARE NO EXECUTIVES PRESENT DURING THE FINAL DISCUSSION AND APPROVAL. (4) THE BOARD THEN REVIEWS THE REPORT PREPARED BY SULLIVANCOTTER AS WELL AS THE RECOMMENDATIONS OF THE TMECC AS TO ANY CHANGES IN EXECUTIVE COMPENSATION. AS DEEMED APPROPRIATE, THE COMMITTEE ON FINANCE MAY ALSO PROVIDE ITS REVIEW OF THE TMECC'S RECOMMENDATIONS ON ANY CHANGES IN EXECUTIVE COMPENSATION. THIS REVIEW AND DISCUSSION ARE DOCUMENTED IN THE MINUTES. (5) THE BOARD THEN VOTES ON WHETHER TO ACCEPT THE TMECC'S RECOMMENDATIONS ON ANY CHANGES IN EXECUTIVE COMPENSATION. CHANGES IN EXECUTIVE COMPENSATION ARE MADE IF APPROVED BY THE TMECC AND BOARD ON AN ANNUAL BASIS, OR AS NECESSARY THROUGHOUT THE YEAR. THE DISCUSSION AND APPROVAL ARE DOCUMENTED IN THE MINUTES OF THE MEETING. THERE ARE NO EXECUTIVES PRESENT DURING THE FINAL DISCUSSION AND APPROVAL. IU HEALTH'S GENERAL COUNSEL ALSO PREPARES A FORMAL WRITTEN OPINION REVIEWING THE EXECUTIVE COMPENSATION APPROVAL PROCESS, COMPARING IT TO THE INTERMEDIATE SANCTIONS TEST OF IRC SECTION 4958. IF WARRANTED, IU HEALTH'S GENERAL COUNSEL MAY ALSO PROVIDE COMMENTS REGARDING THE EXECUTIVE COMPENSATION APPROVAL PROCESS AS IT 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 TMECC AND BOARD ALSO REVIEW THE ACHIEVEMENTS OF THE EXECUTIVE GROUP AS IT RELATES TO THE LONG-TERM AND SHORT-TERM SHARED AND INDIVIDUAL GOALS DEVELOPED BY THE EXECUTIVES 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. THE DISCUSSION AND VOTE OF THE TMECC 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 TMECC AND AUDIT COMMITTEE ALSO REVIEW FORM 990 DISCLOSURES RELATED TO EXECUTIVE COMPENSATION AS WELL AS THE ORGANIZATION'S PRACTICES AND APPROVAL PROCESSES PRIOR TO THE FILING OF THE FORM 990 RETURN WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Line 4 Significant changes to organizational documents Methodist Occupational Health Centers, Inc. filed articles of dissolution with the Indiana Secretary of State effective 12/31/2021. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF METHODIST OCCUPATIONAL HEALTH CENTERS, IS IU HEALTH, A 501(C)(3) TAX-EXEMPT HOSPITAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE CONTROL AND MANAGEMENT OF THE AFFAIRS OF METHODIST OCCUPATIONAL HEALTH CENTERS IS VESTED IN A BOARD OF DIRECTORS OF NOT LESS THAN THREE (3) NOR MORE THAN NINE (9) DIRECTORS WHOM ARE ELECTED BY IU HEALTH, AS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders NOTWITHSTANDING ANY OTHER PROVISIONS OF THE ARTICLES OF INCORPORATION OR ANY PROVISION OF METHODIST OCCUPATIONAL HEALTH CENTERS' BYLAWS, THE FOLLOWING MATTERS REQUIRE THE APPROVAL OF IU HEALTH, AS THE SOLE MEMBER, PRIOR TO IMPLEMENTATION: - ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF METHODIST OCCUPATIONAL HEALTH CENTERS; - ADOPTION OR REVISION OF ANY OPERATING OR CAPITAL BUDGET OF METHODIST OCCUPATIONAL HEALTH CENTERS; - A MERGER OR CONSOLIDATION OF METHODIST OCCUPATIONAL HEALTH CENTERS; - ANY SALE, LEASE, EXCHANGE, CONVEYANCE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF A SUBSTANTIAL PORTION OF THE PROPERTY, ASSETS OR INTERESTS OF METHODIST OCCUPATIONAL HEALTH CENTERS, OTHER THAN PURSUANT TO A BUDGET APPROVED BY IU HEALTH, AS SOLE MEMBER; - ANY INCURRENCE OF DEBT BY, OR THE CREATION OF ANY LIEN UPON THE PROPERTY OR REVENUES OF, METHODIST OCCUPATIONAL HEALTH CENTERS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS OR PURSUANT TO A BUDGET APPROVED BY IU HEALTH, AS SOLE MEMBER. NOTWITHSTANDING ANY OTHER PROVISIONS OF THE ARTICLES OF INCORPORATION, OR ANY PROVISION OF METHODIST OCCUPATIONAL HEALTH CENTERS' BYLAWS, IU HEALTH, AS THE SOLE MEMBER, SHALL HAVE THE POWER TO DIRECT THE BOARD OF METHODIST OCCUPATIONAL HEALTH CENTERS TO DO ANY OF THE FOLLOWING: - TRANSFER PROPERTY OF METHODIST OCCUPATIONAL HEALTH CENTERS IN AMOUNTS SUFFICIENT TO PAY THE PRINCIPAL AND INTEREST OF ANY OBLIGATION OF IU HEALTH, AS SOLE MEMBER; AND - TAKE SUCH ACTIONS AS ARE REQUIRED IN ORDER FOR METHODIST OCCUPATIONAL HEALTH CENTERS TO COMPLY WITH THE COVENANTS CONTAINED IN ANY FINANCING DOCUMENT TO WHICH IU HEALTH, AS SOLE MEMBER, IS A PARTY OR UNDER WHICH IU HEALTH IS BOUND. Form 990, Part VI, Line 11b Review of form 990 by governing body THE PRESIDENT REVIEWED AND APPROVED THE FORM 990. Form 990, Part VI, Line 12c Conflict of interest policy METHODIST OCCUPATIONAL HEALTH CENTERS 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. Form 990, Part VI, Line 19 Required documents available to the public METHODIST OCCUPATIONAL HEALTH CENTERS ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC THROUGH THE INDIANA SECRETARY OF STATE'S WEBSITE. METHODIST OCCUPATIONAL HEALTH CENTERS' CONFLICT OF INTEREST POLICY IS DESCRIBED ON FORM 990, SCHEDULE O. METHODIST OCCUPATIONAL HEALTH CENTERS IS A CONSOLIDATED SUBSIDIARY IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR IU HEALTH. THE CONSOLIDATED FINANCIAL STATEMENTS FOR IU HEALTH ARE AVAILABLE TO THE PUBLIC THROUGH ITS BOND FILINGS. Form 990, Part IX, Line 11g Other Fees SHARED SERVICES/PROF. FEES - Total Expense: 4783074, Program Service Expense: 4396730, Management and General Expenses: 386344, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net asset transfer to Indiana University Health, Inc. - -8877376; Schedule A, Part I, Line 3 REASON FOR PUBLIC CHARITY STATUS METHODIST OCCUPATIONAL HEALTH CENTERS, INC. QUALIFIES AS A HOSPITAL UNDER IRC 170(B)(1)(A)(III); HOWEVER DOES NOT OPERATE A HOSPITAL FACILITY, THUS IS NOT REQUIRED TO FILE A SCHEDULE H. WORKPLACE HEALTH SERVICES LLC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 200994452 HEALTHCARE IN 8738379 -10763892 MOHC INDIANA HEALTH INFO EXCHANGE INC 846 N SENATE AVE INDIANAPOLIS IN 46202 364550324 HEALTHCARE IN 501(c)(3) Type I NA false INDIANA UNIVERSITY HEALTH INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 351955872 HEALTHCARE IN 501(c)(3) 3 NA false IU HEALTH ARNETT INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 263162145 HEALTHCARE IN 501(c)(3) 3 IUH true IU HEALTH BALL MEMORIAL HOSPITAL INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 350867958 HEALTHCARE IN 501(c)(3) 3 IUH true IU HEALTH BALL MEMORIAL PHYSICIANS INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 351925641 HEALTHCARE IN 501(c)(3) 10 IUHBMH true IU HEALTH BEDFORD INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 237042323 HEALTHCARE IN 501(c)(3) 3 IUH true IU HEALTH BLACKFORD HOSPITAL INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 010646166 HEALTHCARE IN 501(c)(3) 3 IUHBMH true IU HEALTH BLOOMINGTON INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 351720796 HEALTHCARE IN 501(c)(3) 3 IUH true IU HEALTH CARE ASSOCIATES INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 351747218 HEALTHCARE IN 501(c)(3) 10 IUH true IUHLP LIQUIDATION INC 950 N MERIDIAN STREET Suite 800 INDIANAPOLIS IN 46204 351125434 HEALTHCARE IN 501(c)(3) 10 IUH true IU HEALTH MORGAN INC 950 N MERIDIAN STREET Suite 800 INDIANAPOLIS IN 46204 273533027 HEALTHCARE IN 501(c)(3) 10 IUH true IU HEALTH NORTH HOSPITAL INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 351932442 HEALTHCARE IN 501(c)(3) 3 IUH true IU HEALTH PAOLI INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 352090919 HEALTHCARE IN 501(c)(3) 3 IUH true IU HEALTH PLANS NFP INC 950 N MERIDIAN STREET Suite 800 INDIANAPOLIS IN 46204 463803873 INSURANCE IN 501(c)(4) IUH true IU HEALTH TIPTON HOSPITAL INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 262772226 HEALTHCARE IN 501(c)(3) 3 IUH true IU HEALTH WEST HOSPITAL INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 351814660 HEALTHCARE IN 501(c)(3) 3 IUH true IU HEALTH WHITE MEMORIAL HOSPITAL INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 273532963 HEALTHCARE IN 501(c)(3) 3 IUH true IU MEDICAL GROUP FOUNDATION INC 340 W 10TH ST NO FS5100 INDIANAPOLIS IN 46202 201093251 FUNDRAISING IN 501(c)(3) Type I NA false MDWISE MARKETPLACE INC 950 N MERIDIAN STREET Suite 800 INDIANAPOLIS IN 46204 465270582 INSURANCE IN 501(c)(4) IUH true INDIANA UNIVERSITY HEALTH FOUNDATION INC 1633 N CAPITOL AVE SUITE 1200 INDIANAPOLIS IN 46202 356043086 FUNDRAISING IN 501(c)(3) Type I IUH true METHODIST HEALTH GROUP INC 950 N MERIDIAN STREET Suite 800 INDIANAPOLIS IN 46204 350876390 HEALTHCARE IN 501(c)(3) Type III-FI N/A false RILEY CHEER GUILD INC 705 RILEY HOSPITAL DR INDIANAPOLIS IN 46202 356018517 FUNDRAISING IN 501(c)(3) Type III-FI N/A false UNIVERSITY FAMILY PHYSICIANS INC 950 N MERIDIAN STREET Suite 800 INDIANAPOLIS IN 46204 237427350 HEALTHCARE IN 501(c)(3) 10 IUHCA true IU HEALTH FRANKFORT INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 815174295 HEALTHCARE IN 501(c)(3) 3 IUH true IU HEALTH JAY INC 950 N MERIDIAN STREET Suite 300 INDIANAPOLIS IN 46204 822736786 HEALTHCARE IN 501(c)(3) 3 IUH true 16 Tech Community Corporation 120 Waterway Blvd Indianapolis IN 46202 810853467 ECONOMIC DEVELOPMENT IN 501(c)(3) Type I NA false BALL OUTPATIENT SUR CTR LLC 569 BROOKWOOD VILLAGE STE 901 BIRMINGHAM AL 35244 270275794 HEALTHCARE IN NA BELTWAY SURGERY CENTERS LLC 569 Brookwood Village Ste 901 BIRMINGHAM AL 35244 352072586 HEALTHCARE IN NA BOSC HOLDINGS LLC 950 N Meridian St Ste 800 INDIANAPOLIS IN 46204 454147343 HEALTHCARE IN NA BSC HOLDINGS LLC 950 N Meridian St Ste 800 INDIANAPOLIS IN 46204 452314634 HEALTHCARE IN NA HEALTH VENTURE MANAGEMENT LLC 950 N Meridian St Ste 800 INDIANAPOLIS IN 46204 205740218 MANAGEMENT IN NA IEC HOLDINGS LLC 950 N Meridian St Ste 800 INDIANAPOLIS IN 46204 454148032 HEALTHCARE IN NA INDIANA ENDOSCOPY CENTERS LLC 569 Brookwood Village Ste 901 BIRMINGHAM AL 35244 208398421 HEALTHCARE IN NA ROC SURGERY LLC 569 Brookwood Village Ste 901 BIRMINGHAM AL 35244 271497960 HEALTHCARE IN NA ROCS HOLDINGS LLC 950 N Meridian St Ste 800 INDIANAPOLIS IN 46204 454148369 HEALTHCARE IN NA SENATE ST SURGERY CENTER LLC 569 Brookwood Village Ste 901 BIRMINGHAM AL 35244 421709357 HEALTHCARE IN NA SSSC HOLDINGS LLC 950 N Meridian St Ste 800 INDIANAPOLIS IN 46204 454148167 HEALTHCARE IN NA IU HEALTH FORT WAYNE LLC 950 N Meridian St Ste 800 INDIANAPOLIS IN 46204 831224627 HEALTHCARE IN NA IU Health Southwest Fort Wayne Ambulatory Surgery Center LLC 569 Brookwood Village Ste 901 Birmingham AL 35244 842206388 Healthcare IN NA BMH MEDICAL PAVILION ASSOCIATION INC 2525 W UNIVERSITY AVE MUNCIE IN 47303 351858408 CONDO MANAGEMENT IN NA C Corporation true IU HEALTH 457(B) PLAN 1100 N MARKET ST WILMINGTON DE 19890 476948347 INVESTMENTS IN NA Trust true IU HEALTH ACO INC 950 N MERIDIAN ST SUITE 800 INDIANAPOLIS IN 46204 454421020 HEALTHCARE IN NA C Corporation true IU HEALTH BOARD DESIGNATED TRUST 400 HOWARD ST SAN FRANCISCO CA 94105 306309021 INVESTMENTS IN NA Trust true IU HEALTH PLANS HOLDING COMPANY INC 950 N MERIDIAN ST SUITE 800 INDIANAPOLIS IN 46204 463794815 INSURANCE IN NA C Corporation true IU HEALTH PLANS INC 950 N MERIDIAN ST SUITE 800 INDIANAPOLIS IN 46204 262127080 HMO IN NA C Corporation true IU HEALTH RISK PURCHASING GROUP INC 151 MEETING ST SUITE 301 CHARLESTON SC 29401 260202446 INSURANCE IN NA C Corporation true IU HEALTH RISK RETENTION GROUP INC 151 MEETING ST SUITE 301 CHARLESTON SC 29401 201107674 INSURANCE SC NA C Corporation true IUH ASSURANCE SPC LTD PO BOX 69 94 SOLARIS AVE CAMANA BAY GRAND CAYMAN CJ 980395429 INSURANCE CJ NA C Corporation true PROTEUO FUND LP PO BOX 69 94 SOLARIS AVE CAMANA BAY GRAND CAYMAN CJ 981075227 INVESTMENTS CJ NA C Corporation true IU HEALTH PLANS INSURANCE COMPANY 950 N MERIDIAN ST SUITE 800 INDIANAPOLIS IN 46204 811097215 INSURANCE IN NA C Corporation true CERBERUS RESIDENTIAL OPPORT INST LTD 190 ELGIN AVENUE GEORGE TOWN GRAND CAYMAN CJ INVESTMENTS CJ NA C Corporation true University Surgeons Inc 950 N Meridian St Ste 800 Indianapolis IN 46204 202981280 Physician Services IN NA C Corporation true Pediatric Surgical Associates Inc 950 N Meridian St Ste 800 Indianapolis IN 46204 352122922 Physician Services IN NA C Corporation true Cardiothoracic Surgeons Inc 950 N Meridian St Ste 800 Indianapolis IN 46204 351416173 Physician Services IN NA C Corporation true University Vascular Surgery Inc 950 N Meridian St Ste 800 Indianapolis IN 46204 351832370 Physician Services IN NA C Corporation true false false false false false false false false false true false true true false false false false true false IU HEALTH CARE ASSOCIATES INC L 431896 FMV IU HEALTH BALL MEMORIAL HOSPITAL INC L 486595 FMV IU HEALTH ARNETT INC L 276714 FMV IU HEALTH NORTH HOSPITAL L 154903 FMV IU HEALTH WEST HOSPITAL L 135857 FMV IU HEALTH CARE ASSOCIATES INC M 2118595 FMV