2015-11-12T09:52:26-06:00 2014-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2014-01-01 351925641 INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC % BROC L BUDDE INDI 3179624575 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 Judith L Coleman CFO 2015-11-11 JENNIFER D RHODERICK P00395735 3176817000 2014 2016-02-25 16:41:14Z JEFFREY C BIRD MD 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 40497472 false X HTTP://IUHEALTH.ORG/BALL-MEMORIAL/PHYSICIANS/ X 1994 IN Improve the health of our patients and the community through innovation and excellence in care, education, research and service. 9 2 403 0 623659 -75590 0 0 36713069 37862819 -9517 0 2888090 2634653 39591642 40497472 0 0 0 0 41418501 43564417 0 0 0 16785678 16034280 58204179 59598697 -18612537 -19101225 9077500 8792393 8658981 9084756 418519 -292363 Improve the health of our patients and the community through innovation and excellence in care, education, research and service. false false 52717494 37862819 Indiana University Health Ball Memorial Physicians, Inc. ("IU Health Ball Memorial Physicians") is composed of primary care and specialty physicians committed to providing high quality patient-centered care, placing the highest priority on the needs of the patient and their families, without regard to the patient's ability to pay. IU Health Ball Memorial Physicians has multiple convenient locations throughout East Central Indiana, many of which include an on-site pharmacy, imaging, and physical therapy services. 52717494 true false false false false false false false false true true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 17 0 true 403 true true true false false false false false false false false false X 9 2 true false false false true true true true true false false true true true true true true false false false IN X BROC L BUDDE 3179624575 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 X JEFFREY C BIRD MD CHAIRMAN/PRESIDENT/CME 2.0 55.0 X X 0 289563 40507 LORI A LUTHER DIRECTOR/TREASURER(PARTIAL YR) 2.0 55.0 X X 0 299948 18508 CHARLES R ROUTH MD DIRECTOR/EXEC. MED. DIRECTOR 57.0 0.0 X 301317 0 35821 RYAN M JOHNSTON MD DIRECTOR/MEDICAL DIRECTOR 57.0 0.0 X 233774 0 38059 STEVEN J LANSING MD DIRECTOR/ANESTHESIOLOGIST 57.0 0.0 X 368639 0 29949 DANIEL C LOPICCOLO MD DIRECTOR/PHYSICIAN 57.0 0.0 X 462079 0 41347 PAUL B STEWART MD DIRECTOR/PHYSICIAN 57.0 0.0 X 486385 0 36867 DAVID C GOBBLE DIRECTOR 2.0 0.0 X 0 0 0 MICHAEL E HALEY DIRECTOR 2.0 55.0 X 0 716954 39055 DAVID W HEETER DIRECTOR 2.0 0.0 X 0 0 0 RANDALL B HOWARD DIRECTOR (PARTIAL YEAR) 2.0 0.0 X 0 0 0 MICHELLE R ALTOBELLA SECRETARY 2.0 55.0 X 0 163223 32777 JUDITH L COLEMAN CFO (PARTIAL YEAR) 0.0 55.0 X 0 152988 35204 JOSEPH B LANDWEHR JR MD MEDICAL DIRECTOR 55.0 0.0 X 588503 0 39370 WILLIAM S CASSEL MD PHYSICIAN 55.0 0.0 X 566352 0 35249 MARK SALEEM MD PHYSICIAN 55.0 0.0 X 498274 0 28917 SULFIKAR IBRAHIM MD PHYSICIAN 55.0 0.0 X 489168 0 20124 MICHAEL J BURRELL MD PHYSICIAN 55.0 0.0 X 486412 0 30339 HAROLD L BERFIEND FORMER TREASURER 0.0 55.0 X 0 284090 34601 4480903 1906766 536694 99 true true false INDIANA UNIVERSITY HEALTH INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 ADMINISTRATIVE 2788187 IU HEALTH BALL MEMORIAL HOSPITAL I 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 MEDICAL 1368404 EIS PC 330 E MAIN STREET MUNCIE IN 47303 MEDICAL 408900 PST SERVICES INC PO BOX 742526 ATLANTA GA 30374 COLLECTIONS 253503 MEDICAL CONSULTANTS PC 800 S TILLOTSON MUNCIE IN 47303 MEDICAL 173549 7 0 NET PATIENT SERVICE REVENUE 621110 33266231 33266231 SHARED SERVICES 541900 1913084 1913084 PHARMACY 446110 623659 623659 EHRC INCENTIVE 900099 342514 342514 ALL OTHER PROGRAM SERVICE INCENTIVES 900099 1717331 1717331 37862819 0 0 0 38420 38420 0 38420 38420 0 0 0 0 ALL OTHER REVENUE 900099 2596233 2596233 2596233 40497472 37239160 623659 2634653 0 0 0 0 2034237 1847069 187168 0 35607485 32331278 3276207 1131236 1027152 104084 2964179 2691448 272731 1827280 1659154 168126 0 0 7271 7271 0 0 0 5408825 3677881 1730944 0 276732 177185 99547 26850 25462 1388 0 2262884 1848806 414078 9688 4118 5570 0 0 1981 1956 25 0 617198 224920 392278 1180303 969602 210701 BAD DEBT 4234913 4234913 DRUGS AND MEDICAL SUPPLIES 1994576 1994576 INSTITUTIONAL DUES/LICENSES 950 950 RECRUITMENT 1024 1024 11085 11085 59598697 52717494 6881203 0 5935 5935 0 0 0 0 5822144 6178756 0 0 0 0 541760 441307 97762 0 523633 622727 1397306 897063 679468 500243 0 0 0 0 0 0 1221018 857645 185780 185780 9077500 8792393 7206350 7838418 0 0 0 34542 0 0 0 0 0 0 17960 0 0 0 1434671 1211796 8658981 9084756 X 232739 -478143 185780 185780 0 0 418519 -292363 9077500 8792393 X -19101225 18390343 X false true X true false X 0 0 0 0 0 0 17366111 24705238 30645172 36215223 37239160 146170904 44447 0 2889986 2879256 2596233 8409922 0 0 17410558 24705238 33535158 39094479 39835393 154580826 0 1211016 1350530 984697 766511 1501266 5814020 1211016 1350530 984697 766511 1501266 5814020 148766806 103351 14246 8838 8834 38420 173689 0 0 103351 14246 8838 8834 38420 173689 0 0 17513909 24719484 33543996 39103313 39873813 154754515 0.96131 0.96502 0.00112 0.00106 X 185780 0 0 185780 185780 185780 1.00000 false true true 13300 13300 0 172470 125903 46567 1115479 750408 365071 88605 88605 500243 0 INTERCOMPANY PAYABLES (NET) 1211796 1211796 Schedule D, Part V, Line 4 - Intended Uses of Org.'s Endowment Funds Temporarily restricted net assets are generally restricted for indigent and other patient care services, medical education and research programs, and medical supplies and equipment. Schedule D, Part X, Line 2 - FIN 48 (ASC 740) Footnote IU Health Ball Memorial Physicians is a subsidiary in the consolidated financial statements of Indiana University Health, Inc. ("IU Health"). IU Health adopted FIN 48 in 2007. No disclosures were required in 2014 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes. false true false false false false false true false JEFFREY C BIRD MD CHAIRMAN/PRESIDENT/CME 0 287241 0 0 0 2322 0 10400 0 30107 0 330070 0 0 LORI A LUTHER DIRECTOR/TREASURER(PARTIAL YR) 0 262043 0 28000 0 9905 0 10104 0 8404 0 318456 0 0 CHARLES R ROUTH MD DIRECTOR/EXEC. MED. DIRECTOR 216382 0 65205 0 19730 0 10400 0 25421 0 337138 0 0 0 RYAN M JOHNSTON MD DIRECTOR/MEDICAL DIRECTOR 233247 0 0 0 527 0 9780 0 28279 0 271833 0 0 0 STEVEN J LANSING MD DIRECTOR/ANESTHESIOLOGIST 202303 0 147649 0 18687 0 6594 0 23355 0 398588 0 0 0 DANIEL C LOPICCOLO MD DIRECTOR/PHYSICIAN 361461 0 99376 0 1242 0 10400 0 30947 0 503426 0 0 0 PAUL B STEWART MD DIRECTOR/PHYSICIAN 459163 0 9902 0 17320 0 10400 0 26467 0 523252 0 0 0 MICHAEL E HALEY DIRECTOR 0 484864 0 118283 0 113807 0 10400 0 28655 0 756009 0 0 MICHELLE R ALTOBELLA SECRETARY 0 162870 0 0 0 353 0 6888 0 25889 0 196000 0 0 JUDITH L COLEMAN CFO (PARTIAL YEAR) 0 141669 0 10613 0 706 0 6305 0 28899 0 188192 0 0 JOSEPH B LANDWEHR JR MD MEDICAL DIRECTOR 512693 0 75000 0 810 0 10400 0 28970 0 627873 0 0 0 WILLIAM S CASSEL MD PHYSICIAN 424785 0 122241 0 19326 0 10400 0 24849 0 601601 0 0 0 MARK SALEEM MD PHYSICIAN 398398 0 81836 0 18040 0 10400 0 18517 0 527191 0 0 0 SULFIKAR IBRAHIM MD PHYSICIAN 249003 0 239625 0 540 0 10400 0 9724 0 509292 0 0 0 MICHAEL J BURRELL MD PHYSICIAN 465348 0 0 0 21064 0 10400 0 19939 0 516751 0 0 0 HAROLD L BERFIEND FORMER TREASURER 0 263138 0 0 0 20952 0 15644 0 18957 0 318691 0 0 Schedule J, Part I, Line 3 - Comp. of the Org.'s CEO/Executive Director IU Health Ball Memorial Physicians' President/CME is an employee of IU Health Ball Memorial Hospital. IU Health Ball Memorial Hospital has a process in place to determine the compensation of IU Health Ball Memorial Physician's President/CME. This process includes the use of a written employment contract, the terms of which are determined based upon a compensation survey/study conducted by an independent compensation consultant with review and approval by IU Health Ball Memorial Hospital's Compensation Committee and Board of Directors. Schedule J, Part I, Line 4b - Supplemental Nonqualified Retirement Plan Michael E. Haley and Harold L. Berfiend participate in an IU Health supplemental executive retirement plan, 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. Michael E. Haley has $89,015 included in column b(iii), other reportable compensation, representing the current year vested amounts received under the supplemental executive retirement plan. Harold L. Berfiend has an amount included in column c, deferred compensation, representing the current year unvested contributions made under the supplemental executive retirement plan. No amounts were actually paid to this executive during the year. 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. Part VI, Section A, Line 2 - Family or Business Relationships Jeffrey C. Bird, M.D., Michael E. Haley, Daniel C. Lopiccolo, M.D., and Harold L. Berfiend served on the board of managers of Ball Outpatient Surgery Center, LLC. No additional compensation was provided to these individuals for their service. Jeffrey C. Bird, M.D. and Lori A. Luther served on the board of managers of Cardinal Health Initiatives, LLC. Additionally, Lori A. Luther served as an officer of Cardinal Health Initiatives, LLC. No additional compensation was provided to these individuals for their service. Charles R. Routh, M.D. and Lori A. Luther served on the board of managers of East Central Radiology, LLC. No additional compensation was provided to these individuals for their service. Part VI, Section A, Lines 6, 7a and 7b - Members or Stockholders Line 6: IU Health Ball Memorial Physicians has one class of membership and the sole member is IU Health Ball Memorial Hospital. Line 7a: IU Health Ball Memorial Hospital elects directors annually to serve three-year terms on the board of IU Health Ball Memorial Physicians. Line 7b: The Corporate Member, IU Health Ball Memorial Hospital, reserves the power to alter, amend, repeal, and supplement the governing documents, elect or remove, with or without cause, members of the Board of Directors; appoint or remove, with or without cause, the President; approve or remove, with or without cause, all persons elected or appointed as officers; approve the annual operating and capital budgets; and establish the conditions under which corporate member approval shall be required for the sale, assignment, transfer, mortgage, pledge, or other disposal of any asset. Part VI, Section A, Line 11b - Review of Form 990 The Treasurer and IU Health Ball Memorial Hospital's Audit Committee reviewed and approved the Form 990. Following their review and approval, a complete copy of the Form 990 was made available to each board member prior to its filing. Each member was also informed of the availability of IU Health's Tax Department to answer any questions. Part VI, Section B, Lines 12, 13, 14, and 16b - Polices IU Health Ball Memorial Physicians is part of the IU Health system. As the sole member and controlling parent of IU Health Ball Memorial Hospital, the sole member and controlling parent of IU Health Ball Memorial Physicians, IU Health and its Board of Directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, IU Health Ball Memorial Physicians' Board of Directors was not required to separately adopt a conflict of interest, whistleblower, 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. Part VI, Section B, Line 12c - Conflict of Interest Policy IU Health Ball Memorial Physicians 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 C, Line 19 - Public Disclosure IU Health Ball Memorial Physicians Articles of Incorporation are available for public inspection through the Indiana Secretary of State's web-site. IU Health Ball Memorial Physicians' conflict of interest procedures are disclosed on the Form 990, Schedule O. IU Health Ball Memorial Physicians is a consolidated subsidiary in the consolidated financial statements for IU Health, Inc. The consolidated financial statements for IU Health are available to the public through its bond filings. Part XI, Line 9 - Other Changes in Net Assets or Fund Balances During 2014, IU Health Ball Memorial Hospital, made an equity transfer to IU Health Ball Memorial Physicians, a subsidiary of IU Health Ball Memorial Hospital, in the amount of $18,390,343. Throughout the existence of IU Health Ball Memorial Physicians, IU Health Ball Memorial Hospital has provided funds to support IU Health Ball Memorial Physicians' exempt purpose. Although there was never any intent for IU Health Ball Memorial Physicians to repay IU Health Ball Memorial Hospital, these amounts were recorded as intercompany balances rather than equity transfers. During 2014, IU Health Ball Memorial Hospital and IU Health Ball Memorial Physicians made adjustments to their books and records to reflect these intercompany balances as equity transfers for both book and tax purposes. 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