2014-11-17T10:27:23-06:00 2013-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 4000 INDIANAPOLIS IN 46204 990 2013-01-01 351844176 METHODIST OCCUPATIONAL HEALTH CENTERS INC % BROC BUDDE METH 3179624575 950 N MERIDIAN STREET SUITE 800 Suite INDIANAPOLIS IN 46204 CLARK DAY PRESIDENT 2014-11-13 JENNIFER D RHODERICK P00395735 2013 2015-11-30 17:44:51Z IU HEALTH OCCUPATIONAL SERVICES CLARK DAY 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 36931813 false X HTTP://IUHEALTH.ORG/BUSINESS-SOLUTIONS/ X 1991 IN Provide occupational health services in prevention, treatment, and rehabilitation. 3 0 365 0 0 0 0 0 27814721 22404434 -253993 13573108 573247 0 28133975 35977542 0 0 0 0 16630394 12890260 0 0 0 10881704 9510565 27512098 22400825 621877 13576717 10684538 24000187 1656300 1395232 9028238 22604955 X Provide occupational health services in prevention, treatment, and rehabilitation. false true 17402635 0 22404434 During 2013, Methodist Occupational Health Centers, Inc. ("Methodist Occupational Health Centers") sold all of its fixed-location occupational health clinics. Following the sale, Methodist Occupational Health Centers transitioned the focus of its program services to delivering 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 offers customized solutions for employers including wellness and health management, on-site health, occupational health, employee assistance, and executive health programs. As part of the Indiana University Health System, Indiana's only nationally ranked healthcare system, IU Health Business Solutions is uniquely positioned to maximize employers' investment in their employees with a customized solution that brings measurable results. As a provider of occupational health services, approximately ninety-nine percent (99%) 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 charity care is virtually nonexistent. When medically indicated, IU Health Business Solutions will refer patients to the Indiana University Health Care System, where charity care 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. 17402635 true false false false false false false false false false true false false true false 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 32 0 true 365 true false false false false false false false false false false X 3 0 true false false false true true true true true false false true true true true true true true false false IN X BROC BUDDE 3179624575 950 N MERIDIAN STREET SUITE 800 INDIANAPOLIS IN 46204 RONALD L STIVER CHAIRMAN 2.0 55.0 X X 0 463086 105104 THOMAS W BRINK DIRECTOR/PRESIDENT (PART. YR.) 55.0 0.0 X X 91716 78216 102596 CLARK DAY DIRECTOR/PRESIDENT (PART. YR.) 2.0 55.0 X X 0 240336 16243 G DEAN RAINBOLT DIRECTOR/VICE PRESIDENT 2.0 25.0 X X 0 140241 18178 MARY BETH CLAUS SECRETARY 2.0 55.0 X 0 393075 100315 RICHARD A PARKS MD STAFF PHYSICIAN 55.0 0.0 X 201311 0 18977 CRAIG S NADELSON MD STAFF PHYSICIAN 55.0 0.0 X 196471 0 42403 TED T LAI MD STAFF PHYSICIAN 55.0 0.0 X 190170 0 27169 DAVID S KATZ MD MEDICAL DIRECTOR - CLINIC 55.0 0.0 X 151755 0 21634 JACQUELINE L GABBARD NP NURSE PRACTITIONER 55.0 0.0 X 132981 0 9112 NORMAN G TABLER JR FORMER SECRETARY 0.0 0.0 X 0 536459 55101 HAROLD L BERFIEND FORMER TREASURER 0.0 55.0 X 0 330605 42416 964404 2182018 559248 20 true true false SOUTH BEND MEDICAL FOUNDATION INC PO BOX 2030 MISHAWAKA IN 46546 LABORATORY 443645 CATALYST CONSTRUCTION MANAGEMENT I 5158 E 65TH ST INDIANAPOLIS IN 46220 CONSTRUCTION 275373 PROMPTMED URGENT CARE CENTER 2502 E 25TH ST COLUMBUS IN 47201 STAFFING 242756 COMMUNITY HOWARD REGIONAL HEALTH I 3500 S LAFOUNTAIN KOKOMO IN 46902 STAFFING 229835 INDIANA RADIOLOGY PARTNERS INC 950 N MERIDIAN ST STE 800 INDIANAPOLIS IN 46204 MEDICAL 211126 12 0 NET PATIENT SERVICE REVENUE 621110 19997332 19997332 0 0 SHARED SERVICES 900099 2407102 2407102 22404434 15879 15879 0 0 0 0 0 14511500 954271 13557229 13557229 13557229 0 0 0 0 35977542 22404434 0 13573108 0 0 0 0 103362 103362 0 10303800 9129397 1174403 530485 456725 73760 1190662 1014192 176470 761951 681809 80142 0 145478 145478 2858 2858 0 0 0 5037167 3049199 1987968 41164 32165 8999 575816 360057 215759 226932 159643 67289 0 759350 680514 78836 118775 98717 20058 0 317 142 175 8923 4180 4743 0 167841 80014 87827 120711 68336 52375 DRUGS AND MEDICAL SUPPLIES 1524421 1524421 RECRUITMENT 13808 12716 1092 NONCAPITALIZED EQUIPMENT 10649 10649 UBI TAX (REFUND) 233 233 756122 39759 716363 22400825 17402635 4998190 0 1530 0 0 0 0 0 3458318 3184881 0 0 0 0 0 0 0 0 211995 109844 1263269 670818 1383977 592451 0 0 0 0 0 0 0 0 5628718 20113011 10684538 24000187 1404291 1267408 0 0 0 0 0 0 0 0 0 0 164182 127824 0 0 87827 0 1656300 1395232 X 9028238 22604955 0 0 0 0 9028238 22604955 10684538 24000187 13576717 X false true X true false X 132550 30928 101621 136034 8334 127700 628820 408805 220014 365866 222750 143116 592451 INTERCOMPANY RECEIVABLES (NET) 20113011 20113011 Schedule D, Part X, Line 2 - FIN 48 (ASC 740) Footnote Methodist Occupational Health Centers, Inc. 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 2013 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes. X true true false false false false false false false RONALD L STIVER CHAIRMAN 0 362434 0 82256 0 18396 0 82785 0 22319 0 568190 0 0 THOMAS W BRINK DIRECTOR/PRESIDENT (PART. YR.) 90478 9063 0 0 1238 69153 5843 87570 5803 3380 103362 169166 0 0 CLARK DAY DIRECTOR/PRESIDENT (PART. YR.) 0 178413 0 43643 0 18280 0 15355 0 888 0 256579 0 0 G DEAN RAINBOLT DIRECTOR/VICE PRESIDENT 0 138346 0 968 0 927 0 9707 0 8471 0 158419 0 0 MARY BETH CLAUS SECRETARY 0 389921 0 0 0 3154 0 91220 0 9095 0 493390 0 0 RICHARD A PARKS MD STAFF PHYSICIAN 200933 0 0 0 378 0 16078 0 2899 0 220288 0 0 0 CRAIG S NADELSON MD STAFF PHYSICIAN 196096 0 0 0 375 0 16293 0 26110 0 238874 0 0 0 TED T LAI MD STAFF PHYSICIAN 189763 0 0 0 407 0 15197 0 11972 0 217339 0 0 0 DAVID S KATZ MD MEDICAL DIRECTOR - CLINIC 150713 0 0 0 1042 0 9277 0 12357 0 173389 0 0 0 NORMAN G TABLER JR FORMER SECRETARY 0 36486 0 97211 0 402762 0 34872 0 20229 0 591560 0 368267 HAROLD L BERFIEND FORMER TREASURER 0 257957 0 43342 0 29306 0 21374 0 21042 0 373021 0 0 Schedule J, Part I, Line 4a - Severance or Change-of-Control Payments Thomas W. Brink entered into a severance agreement in 2013 with Indiana University Health, Inc. ("IU Health"), as the sole member and controlling parent of Methodist Occupational Health Centers, Inc. During 2013, he received $68,253 in severance. This amount is included in column b (iii), other reportable compensation. Additionally, included in column C, other deferred compensation, is $87,570 of deferred compensation and benefits related to his severance package. Norman G. Tabler, Jr. received 2013 severance of $368,267.26 from IU Health. This amount is included in column b (iii), other reportable compensation. Schedule J, Part I, Line 4b - Supplemental Nonqualified Retirement Plan Ronald L. Stiver and Mary Beth Claus participate in a supplemental executive retirement plan of Indiana University Health, Inc., the 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. Ronald L. Stiver and Mary Beth Claus have an amount included in column c, deferred compensation, representing the current year increase in the accrued benefit and/or current contributions. No amounts were actually paid to these executives during the year. Page 1, Line C - Doing Business As Methodist Occupational Health Centers, Inc. ("Methodist Occupational Health Centers") conducts business under the name IU Health Occupational Services. During 2013, Methodist Occupational Health Centers sold all of its fixed-location occupational health clinics. Following the sale, Methodist Occupational Health Centers transitioned its program services to delivering effective on-site employee health services to employers primarily through its disregarded entity, Workplace Health Services, LLC. Workplace Health Services, LLC conducts business under the name IU Health Business Solutions. Part III, Line 3 - Significant Changes to Program Services During 2013, Methodist Occupational Health Centers, Inc. ("Methodist Occupational Health Centers") sold all of its fixed-location occupational health clinics. Following the sale, Methodist Occupational Health Centers transitioned its program services to delivering effective on-site employee health services to employers primarily through its disregarded entity, Workplace Health Services, LLC d/b/a IU Health Business Solutions. Part VI, Section A, Line 1b - Number of Voting Members that are Indep. Methodist Occupational Health Centers, Inc. is part of a multi-entity hospital system controlled by Indiana University Health, Inc., a 501(c)(3) exempt organization whose board is comprised of voting members, of which substantially all are independent community members. Part VI, Section A, Line 2 - Family or Business Relationships Thomas W. Brink and G. Dean Rainbolt served together as Officers and on the Board of Directors of Occ-Health Revenue System, Inc. during a portion of 2013. Additionally, Clark Day and G. Dean Rainbolt served together as Officers and on the Board of Directors of Occ-Health Revenue Systems, Inc. during a portion 2013. No additional compensation was provided to each individual for their service. Part VI, Section A, Lines 6, 7a and 7b - Members or Stockholders Line 6: The sole member of Methodist Occupational Health Centers, Inc. ("Methodist Occupational Health Centers") is Indiana University Health, Inc. ("IU Health"), a 501(c)(3) tax-exempt hospital. Line 7A: 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. Line 7B: 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. Part VI, Section A, Line 11b - Review of Form 990 Methodist Occupational Health Centers, Inc. has established the following process for reviewing Form 990: The Form 990 and related schedules are reviewed by the Vice President. After the Vice President approves the Form 990 and related schedules, a finalized complete Form 990 is made available to each board member on a protected intranet site prior to filing the form with the IRS. Each member is informed of the availability of the tax department to answer any questions. Part VI, Section B, Lines 12, 13, and 14 - Policies Methodist Occupational Health Centers Inc. ("Methodist Occupational Health Centers") is part of the Indiana University Health, Inc. ("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, 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 Methodist Occupational Health Centers, Inc. ("Methodist Occupational Health Centers") has a Conflict of Interest Policy, the purpose of which is, to protect Methodist Occupational Health Center's interests when it is contemplating entering into a transaction or arrangement that might benefit the private interest of an officer or director. Each employee, including those employed by related entities, officer and member of the board of directors is required to annually sign a statement which affirms that such person (1) has received a copy of the conflict of interest policy; (2) has read and understands the policy; (3) has agreed to comply with the policy; and (4) understands and acknowledges that the Corporation is a tax-exempt organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. If an interest is disclosed, the board of directors or committee meets to discuss the interest to determine if a conflict exists. If a conflict is found to exist, the chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board of directors or committee shall determine whether or not to move forward with any arrangement that gives rise to the conflict. If there are any violations of the Conflict of Interest policy, a hearing is held to determine if appropriate disciplinary and corrective action needs to be taken. Board members with a conflict of interest cannot participate in any decision related to that conflict. Part VI, Section B, Line 15a - Process for Determining Compensation Part VI, Section B, Line 15a - Process for Determining Compensation Prior to the departure of Thomas W. Brink as the President of Methodist Occupational Health Centers, Inc. ("Methodist Occupational Health Centers"), Methodist Occupational Health Centers had a process in place to determine the compensation for its President. Methodist Occupational Health Centers used an independent compensation consultant who utilizes a variety of methods and procedures to obtain reasonable compensation ranges for comparable officer and employee positions. The independent compensation consultant provided Methodist Occupational Health Centers with recommended compensation ranges for its President, which was then used as a guide for setting compensation by the Board of Directors. This process was last performed for the President in 2002. Since that time, the President had received increases commensurate with general employee wage increases. Compensation changes, including general employee wage increases, of the President are subject to the review and approval of the Board of Directors. The Board's decisions are documented in the Board's minutes. Clark Day, the new President of Methodist Occupational Health Centers is not compensated by Methodist Occupational Health Centers. Therefore, there is no longer any process in place to determine compensation for Methodist Occupational Health Centers' President. Indiana University Health, Inc., who compensates Clark Day, does have a process in place for determining compensation. Part VI, Section B, Line 19 - Public Disclosure Methodist Occupational Health Centers, Inc.'s ("Methodist Occupational Health Centers") Articles of Incorporation are available to the public through the Indiana Secretary of State's web-site. 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 Indiana University Health, Inc. ("IU Health"). The consolidated financial statements for IU Health are available to the public through its bond filings. 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