Methodist Occupational Health Centers Inc: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Methodist Occupational Health Centers Inc (EIN 35-1844176)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201303189349301300
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-14T08:09:02-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351844176EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1METHODIST OCCUPATIONAL HEALTH CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BROC BUDDEInCareOfName
Name ControlMETHNameControl
Phone3179624575Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN STREET SUITE 800AddressLine1
Address Line2SuiteAddressLine2
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCLARK DAYName
TitlePRESIDENTTitle
Date Signed2013-11-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJENNIFER D RHODERICKName
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1IU HEALTH OCCUPATIONAL SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCLARK DAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN ST STE 800AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28400659GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.IUHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionProvide occupational health services in prevention, treatment, and rehabilitation.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees372TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI12828TotalGrossUBI
Net Unrelated Business Txbl Income253NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year26866637ProgramServiceRevenuePriorYear
Program Service Revenue CY27814721ProgramServiceRevenueCY
Investment Income Prior Year9508InvestmentIncomePriorYear
Investment Income Current Year-253993InvestmentIncomeCurrentYear
Other Revenue Prior Year33024OtherRevenuePriorYear
Other Revenue Current Year573247OtherRevenueCurrentYear
Total Revenue Prior Year26909169TotalRevenuePriorYear
Total Revenue Current Year28133975TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year50GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16831999SalariesEtcPriorYear
Salaries Etc Current Year16630394SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10306729OtherExpensePriorYear
Other Expenses Current Year10881704OtherExpensesCurrentYear
Total Expenses Prior Year27138778TotalExpensesPriorYear
Total Expenses Current Year27512098TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-229609RevenuesLessExpensesPriorYear
Revenues Less Expenses CY621877RevenuesLessExpensesCY
Total Assets BOY11310039TotalAssetsBOY
Total Assets EOY10684538TotalAssetsEOY
Total Liabilities BOY2903678TotalLiabilitiesBOY
Total Liabilities EOY1656300TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8406361NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9028238NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionProvide occupational health services in prevention, treatment, and rehabilitation.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense22048832Expense
Grants0Grants
Revenue27814721Revenue
DescriptionMethodist Occupational Health Centers, Inc. ("MOHC") provides a full range of occupational health services in prevention, treatment and rehabilitation. Prevention: MOHC performs a wide variety of pre-placement physical examinations specific to the job for which the individual is being considered, and in accordance with the Americans with Disabilities Act, in matching potential job applicants with the essential functions of their jobs. This assistance is critical to employers as they comply with the Americans with Disabilities Act. The Organization also offers a nationally certified drug screening program which is operated in compliance with guidelines established by the National Institute for Drug Abuse. Further, the Organization provides on-site medical monitoring examination protocol development, e.g., assisting companies with their compliance under Occupational Safety and Health Administration guidelines, ergonomic compliance assistance, and assistance in compliance with the Americans with Disabilities Act reasonable accommodation guidelines. Additionally, the Organization provides industrial hygiene services to assist in analyzing noise levels, indoor air quality, and other mandated surveillance programs under the authorization of the Occupational Safety and Health Administration. Treatment: MOHC specializes in the treatment of workers' compensation injuries and offers services complementary to the basic treatment of an injury, such as hand surgery, physiatry, orthopedic, neurology, and ophthalmology, as well as in-house pharmacy services. The concept of the Organization's treatment plan is centered on the early intervention/early return to work concept. Through early intervention and a variety of treatment and rehabilitative modalities, patients are assured better treatment outcomes, and the most expeditious return to work, thus saving the employers tremendous expense in lost productivity, overtime, training costs, etc. Rehabilitation: MOHC provides both physical and occupational therapy on-site at each location. The therapists are trained in rehabilitation of work related injuries and are supervised by the Organization's occupational health physicians. The focus of the therapist is to return the injured worker to the job. During physical therapy rehabilitation, the injured worker is taught proper techniques to avoid re-injury. The Occupational Therapy Department specializes in hand rehabilitation, utilizing various exercises and splints that assist in expediting the recovery process. Relationship of Activities to the Accomplishment of the Exempt Purpose: MOHC meets the occupational health care needs of employers in the areas of prevention, treatment, and rehabilitation. These services are delivered with an emphasis on cost containment through early intervention and expert case management. All of MOHC's clinics are equipped to conduct basic injury care, physical examinations, and the following ancillary services: X-ray, collection of specimens for laboratory analysis, pulmonary function testing, audiometry, electrocardiogram (EKG), and vision screening. Certain services are contracted in the treatment process. Hand surgery, neurology, physiatry, orthopedics, and ophthalmology are all contracted with individual physicians and/or specialty groups who provide their services on MOHC's premises to assure streamlined communication with the physician and the employer/insurance carrier, thereby providing coordinated care for the patient producing better clinical outcomes. MOHC is committed to cost containment for its employer clients and/or their insurance carriers. Since the Organization specializes in occupational health, approximately ninety-nine percent (99%) of the fees for all cases are paid either through the employers' workers' compensation insurance or directly by the employers. Due to the unique field in the medical continuum, occupational health providers charge the fees for care to the employers' workers' compensation insurance or the employers. The employees are not directly responsible for payment for their care. Thus, the need to provide charity care by the Organization itself is virtually nonexistent. The Organization will refer patients, when medically indicated, to the Indiana University Health, Inc. health care system where charity care is provided, should it be necessary. MOHC is involved in educational programs, specifically with the MOHC Training Institute. The Organization acts as the clinical practicum site for the physical/occupational therapy schools in Central Indiana. MOHC's staff also provides lectures to local nursing schools (Indiana University School of Nursing) in the field of occupational health. Methodist MOHC also provides clinical rotations and internships for health related courses of education to a variety of educational programs within Indiana including: Indiana University, University of Indianapolis, Ivy Tech, Indiana Business College, Kaplan, and ITT Technical Institute. The Organization is deeply committed to occupational health training and preventive health care. Thus, the MOHC Training Institute provides over 100 annual programs to the community on the prevention and treatment of occupational health injuries. MOHC has created a clinical database of the treatment of occupational health injuries and conducts clinical outcomes research with the aim of adding to the body of clinical knowledge to improve the care and outcomes of the prevention and treatment of occupational injuries. MOHC also supports community non-profits by providing certain services to non-profits at below cost or at no cost. For example, Department of Transportation Commercial Drivers License physical exams are provided at no charge to church bus drivers who drive church members to church activities.Description
Total Program Service Expense22048832TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees372NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBROC BUDDENamePerson
Telephone Number3179624575TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1950 N MERIDIAN STREET SUITE 800AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RONALD L STIVER
CHAIRMAN2.055.0XX0433079102659
THOMAS W BRINK
DIRECTOR/PRESIDENT55.00.0XX159511021245
G DEAN RAINBOLT
DIRECTOR/VICE PRESIDENT2.025.0XX012405919913
ISADORE RIVAS
DIRECTOR (01/01 - 10/30)2.055.0X032333320980
NORMAN G TABLER JR
SECRETARY2.055.0X0584258639156
DAVID S KATZ MD
MEDICAL DIRECTOR - CLINIC55.00.0262422041086X
IMTIAZ M AHMAD MD
MEDICAL DIRECTOR - CLINIC55.00.0220851046769X
MICHAEL C PATELLOS MD
MEDICAL DIRECTOR - CORPORATE55.00.0202959046645X
CRAIG S NADELSON DO
MEDICAL DIRECTOR - CLINIC55.00.0198798043385X
SAJIV D ALEX MD
MEDICAL DIRECTOR - CLINIC55.00.0196181043372X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1240722TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1464729TotalReportableCompFrmRltdOrgs
Total Other Compensation1025210TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SOUTH BEND MEDICAL FOUNDATION INC
PO BOX 2030MISHAWAKAIN46546LABORATORY513109
INDIANA UNIVERSITY
PO BOX 66271INDIANAPOLISIN46266MEDICAL282296
HOWARD REGIONAL HEALTH SYSTEM
3500 S LAFOUNTAINKOKOMOIN46902MEDICAL265932
UNIVERSITY PHYSIATRIC ASSOCIATES I
541 N CLINIC DRINDIANAPOLISIN46202MEDICAL265375
THOMAS A BRADY SPORTS MEDICINE CEN
201 PENNSYLVANIA PKWY 325INDIANAPOLISIN46280MEDICAL215522
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NET PATIENT SERVICE REVENUE62111025141806251418060$0
SHARED SERVICES9000992672915266008712828$0
FieldValueIRS element (for citing)
Total Program Service Revenue27814721TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column12691TotalRevenueColumn
Exclusion$12,691ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

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Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

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Other266684Other

Gain Or Loss GainOrLoss

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Other-266684Other

Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column-266684TotalRevenueColumn
Exclusion-$266,684ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

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DescriptionALL OTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column573247TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
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Exclusion$573,247ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue573247TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28133975TotalRevenueColumn
Related Or Exempt Function Income27801893RelatedOrExemptFunctionIncome
Unrelated Business Revenue12828UnrelatedBusinessRevenue
Exclusion$319,254ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

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Total0Total

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total180756Total
Management And General180756ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Total13136398Total
Program Services11303052ProgramServices
Management And General1833346ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total746857Total
Program Services612607ProgramServices
Management And General134250ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

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Total1642984Total
Program Services1315810ProgramServices
Management And General327174ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total923399Total
Program Services791165ProgramServices
Management And General132234ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

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Total0Total

Fees For Services Legal FeesForServicesLegal

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Total13282Total
Management And General13282ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

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Total2085Total
Management And General2085ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

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Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Total0Total

Fees For Services Other FeesForServicesOther

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Total5488226Total
Program Services3382212ProgramServices
Management And General2106014ManagementAndGeneral

Advertising Advertising

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Total18862Total
Program Services3967ProgramServices
Management And General14895ManagementAndGeneral

Office Expenses OfficeExpenses

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Total739068Total
Program Services485946ProgramServices
Management And General253122ManagementAndGeneral

Information Technology InformationTechnology

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Total210339Total
Program Services156420ProgramServices
Management And General53919ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1311675Total
Program Services1139120ProgramServices
Management And General172555ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total144029Total
Program Services103213ProgramServices
Management And General40816ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4356Total
Program Services4296ProgramServices
Management And General60ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13178Total
Program Services11939ProgramServices
Management And General1239ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total290887Total
Program Services187477ProgramServices
Management And General103410ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total154006Total
Program Services105014ProgramServices
Management And General48992ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DRUGS AND MEDICAL SUPPLIES21190552119055
BAD DEBT256100256100
RECRUITMENT73217321
NONCAPITALIZED EQUIPMENT21872187

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total107048Total
Program Services61931ProgramServices
Management And General45117ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total27512098Total
Program Services22048832ProgramServices
Management And General5463266ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1380BOY
EOY1530EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4070340BOY
EOY3458318EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

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BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY187330BOY
EOY211995EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5927528LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4543551LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1598033BOY
EOY1383977EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

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BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

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BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

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BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5452956BOY
EOY5628718EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11310039BOY
EOY10684538EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2625486BOY
EOY1404291EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

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BOY183890BOY
EOY164182EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY94302BOY
EOY87827EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2903678BOY
EOY1656300EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8406361BOY
EOY9028238EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8406361BOY
EOY9028238EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11310039BOY
EOY10684538EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses621877ReconcilationRevenueExpenses
Reconciliation Unrealized Invest0ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis534323OtherCostOrOtherBasis
Depreciation194943Depreciation
Book Value339380BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2004501OtherCostOrOtherBasis
Depreciation1637978Depreciation
Book Value366523BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3081871OtherCostOrOtherBasis
Depreciation2446186Depreciation
Book Value635685BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis306833OtherCostOrOtherBasis
Depreciation264444Depreciation
Book Value42389BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1383977TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionINTERCOMPANY RECEIVABLES (NET)Description
Book Value5628718BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets5628718TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPENSION AND OTHER RETIREMENT LIABILITIESDescription
Amount$87,827Amount
FieldValueIRS element (for citing)
Total Of Amounts87827TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchedule D, Part X - Other LiabilitiesIdentifier
Return ReferenceLine 2 - FIN 48 (ASC 740) FootnoteReturnReference
ExplanationMethodist 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 2012 under GAAP as IU Health does not have any material tax contingencies that required disclosures in the footnotes.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RONALD L STIVER
CHAIRMAN0327538089603015938080410022249053573800
THOMAS W BRINK
DIRECTOR/PRESIDENT1547200004791012795084500180756000
ISADORE RIVAS
DIRECTOR (01/01 - 10/30)010284208250021224102063018917034431300
NORMAN G TABLER JR
SECRETARY03614740117125010565906201010190550122341400
DAVID S KATZ MD
MEDICAL DIRECTOR - CLINIC26066000017620210200200660303508000
IMTIAZ M AHMAD MD
MEDICAL DIRECTOR - CLINIC2199530008980206700260990267620000
MICHAEL C PATELLOS MD
MEDICAL DIRECTOR - CORPORATE2019930009660189330277120249604000
CRAIG S NADELSON DO
MEDICAL DIRECTOR - CLINIC1984290003690184460249390242183000
SAJIV D ALEX MD
MEDICAL DIRECTOR - CLINIC1952730009080179110254610239553000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Schedule J, Part I - Questions Regarding CompensationLine 4a - Severance or Change-of-Control PaymentsIsadore Rivas received 2012 severance of $169,616 from Indiana University Health, Inc. This amount is included in column b (iii), other reportable compensation. Norman G. Tabler, Jr. entered into a severance agreement in 2012 with Indiana University Health, Inc. Included in column C, other deferred compensation is $599,081 of deferred compensation and benefits.
Schedule J, Part I - Questions Regarding CompensationLine 4b - Supplemental Nonqualified Retirement PlanRonald L. Stiver, and Norman G. Tabler, Jr. participate in a supplemental executive retirement plan of Indiana University Health, Inc., the provisions of which are designed to retain these 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 has an amount included in column c, deferred compensation, representing the current year increase in the accrued benefit and/or current contributions. No amount was actually paid to this executive during the year. For Norman G. Tabler, Jr., $54,935, is included in column b(iii), other reportable compensation, representing the amount received under their respective supplemental executive retirement plan.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part VI, Section A - Governing Body and ManagementLine 1b - Number of Voting Members that are IndependentMethodist 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 - Governing Body and ManagementLine 2 - Family or Business RelationshipsThomas W. Brink and G. Dean Rainbolt serve as Officers and on the Board of Directors of Occ-Health Revenue Systems, Inc. No additional compensation is provided.
Part VI, Section A - Governing Body and ManagementLines 6, 7A, and 7B - Members or StockholdersLine 6: The sole member of Methodist Occupational Health Centers, Inc. ("MOHC") is Indiana University Health, Inc. ("IU Health"), a 501(c)(3) tax-exempt hospital. Line 7A: The control and management of the affairs of MOHC 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 MOHC's 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 MOHC; - Adoption or revision of any operating or capital budget of MOHC; - A merger or consolidation of MOHC; - Any sale, lease, exchange, conveyance, mortgage, pledge or other disposition of a substantial portion of the property, assets or interests of MOHC, 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, MOHC 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 MOHC's Bylaws, IU Health, as the sole member, shall have the power to direct the Board of MOHC to do any of the following: - Transfer property of MOHC 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 MOHC 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 - Governing Body and ManagementLine 11b - Review of Form 990Methodist 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 - PoliciesLines 12, 13, and 14Methodist Occupational Health Centers Inc. ("MOHC") is part of the Indiana University Health, Inc. ("IU Health") system. As the sole member and controlling parent of MOHC, IU Health and its board of directors have mandated that certain policies be followed to ensure greater standardization throughout the system. Thus, MOHC's 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 - PoliciesLine 12c - Conflict of Interest PolicyMethodist Occupational Health Centers, Inc. has a Conflict of Interest Policy, the purpose of which is, to protect Methodist Occupational Health Centers, Inc'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 - PoliciesLine 15a - Process for Determining CompensationMethodist Occupational Health Centers, Inc. ("MOHC") has a process in place to determine the compensation for its President. MOHC uses 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 provides MOHC with recommended compensation ranges for its President, which is 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 has 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.
Part VI, Section B - PoliciesLine 19 - Public DisclosureMethodist Occupational Health Centers, Inc.'s ("MOHC") Articles of Incorporation are available to the public through the Indiana Secretary of State's web-site. MOHC's conflict of interest policy is described on Form 990, Schedule O. MOHC 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.
Part IX - Statement of Functional ExpensesLine 11g - Other Fees for ServicesLine 11g includes amounts paid for the following: Shared Services - $5,488,226

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
M-URGENT CARE LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204271972484HEALTHCAREIN3158110MOHC
WORKPLACE HEALTH SERVICES LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204200994452HEALTHCAREIN98512411425112MOHC

Form990 Schedule R Part II Form990ScheduleRPartII (37 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CLARIAN TRANSPLANT INSTITUTE INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204134350599HEALTHCAREIN501(C)(3)9IUHtrue
GOSHEN HEALTH SYSTEM INC
200 HIGH PARK AVEGOSHENIN46527351974765HEALTHCAREIN501(C)(3)11 IIUHtrue
GOSHEN HOSPITAL ASSOCIATION INC
200 HIGH PARK AVEGOSHENIN46527356001540HEALTHCAREIN501(C)(3)3GHStrue
HEALTHLINC INC
714 S ROGERS STBLOOMINGTONIN47402263571507HEALTHCAREIN501(C)(3)9IUHBtrue
INDIANA RADIOLOGY PARTNERS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204201017034HEALTHCAREIN501(C)(3)3IUHtrue
INDIANA UNIVERSITY HEALTH INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351955872HEALTHCAREIN501(C)(3)3NAfalse
IU HEALTH ARNETT FOUNDATION INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204356079797FUNDRAISINGIN501(C)(3)11 IIUHAtrue
IU HEALTH ARNETT INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204263162145HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BALL MEMORIAL HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204350867958HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BALL MEMORIAL PHYSICIANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351925641HEALTHCAREIN501(C)(3)9IUHBMHtrue
IU HEALTH BEDFORD INC
2900 W 16TH STBEDFORDIN47421237042323HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BLACKFORD HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204010646166HEALTHCAREIN501(C)(3)3IUHBMHtrue
IU HEALTH BLOOMINGTON INC
PO BOX 1149BLOOMINGTONIN47403351720796HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH BMH FOUNDATION INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204311111784FUNDRAISINGIN501(C)(3)11 IIUHMBHtrue
IU HEALTH CARE ASSOCIATES INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351747218HEALTHCAREIN501(C)(3)9IUHtrue
IU HEALTH LAPORTE HOSPITAL INC
PO BOX 250LAPORTEIN46352351125434HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH LAPORTE PHYSICIANS INC
PO BOX 250LAPORTEIN46352311070868HEALTHCAREIN501(C)(3)3IUHLHtrue
IU HEALTH MORGAN HOSPITAL INC
2209 JOHN R WOODEN DRMARTINSVILLEIN46151273533027HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH NORTH HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351932442HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH PAOLI HOSP FOUNDATION INC
PO BOX 499PAOLIIN47454310992486FUNDRAISINGIN501(C)(3)11 III-OIUHPtrue
IU HEALTH PAOLI INC
PO BOX 499PAOLIIN47454352090919HEALTHCAREIN501(C)(3)3IUHBtrue
IU HEALTH TIPTON HOSPITAL INC
1000 S MAIN STTIPTONIN46072262772226HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH WEST HOSPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351814660HEALTHCAREIN501(C)(3)3IUHtrue
IU HEALTH WHITE MEMORIAL HOSPITAL INC
720 S SIXTH STMONTICELLOIN47960273532963HEALTHCAREIN501(C)(3)3IUHtrue
IU MEDICAL GROUP FOUNDATION INC
340 W 10TH ST NO FS5100INDIANAPOLISIN46202201093251FUNDRAISINGIN501(C)(3)11 IINAfalse
METHODIST HEALTH FOUNDATION INC
1800 N CAPITOL AVEINDIANAPOLISIN46202356043086FUNDRAISINGIN501(C)(3)11 IIUHtrue
METHODIST HEALTH GROUP INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204350876390HEALTHCAREIN501(C)(3)11 III-FINAfalse
METHODIST MEDICAL GROUP INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351945384HEALTHCAREIN501(C)(3)3IUHtrue
METHODIST RESEARCH INSTITUTE INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204352023710HEALTHCAREIN501(C)(3)11 IIUHtrue
MH HEALTHCARE INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351766531HEALTHCAREIN501(C)(3)3MMGtrue
MORGAN CO MEM HOSP FOUNDATION INC
2209 JOHN R WOODEN DRMARTINSVILLEIN46151352035162FUNDRAISINGIN501(C)(3)11 IIIUHMHtrue
MORGAN CO MEM HOSP GUILD INC
2209 JOHN R WOODEN DRMARTINSVILLEIN46151310886844FUNDRAISINGIN501(C)(3)11 III-FIIUHMHtrue
MORGAN HEALTH SERVICES INC
1949 HOSPITAL DRMARTINSVILLEIN46151351968564HEALTHCAREIN501(C)(3)3IUHMHtrue
IU HEALTH WHITE MEMORIAL FOUNDATION
PO BOX 952MONTICELLOIN47960351671806FUNDRAISINGIN501(C)(3)11 III-OIUHWMHtrue
UNIVERSITY FAMILY PHYSICIANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204237427350HEALTHCAREIN501(C)(3)9IUHCAtrue
REHABILITATION HOSPITAL OF INDIANA INC
4141 SHORE DRINDIANAPOLISIN46254351786005HEALTHCAREIN501(C)(3)3MHHtrue
RHI FOUNDATION INC
4141 SHORE DRINDIANAPOLISIN46254351932349FUNDRAISINGIN501(C)(3)11 IRHItrue

Form990 Schedule R Part III Form990ScheduleRPartIII (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
BALL OUTPATIENT SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244270275794HEALTHCAREINBOSCHN/A00false$0false0.00000
BELTWAY SURGERY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244352072586HEALTHCAREINBSCHN/A00false$0false0.00000
BLOOMINGTON ENDOSCOPY CENTERS LLC
PO BOX 1149BLOOMINGTONIN47402352117943HEALTHCAREINIUHBN/A00false$0false0.00000
BMH OUTPATIENT SURGERY SERVICES LLC
2401 W UNIVERSITY AVEMUNCIEIN47303204567998HEALTHCAREINIUHBMHN/A00false$0false0.00000
BOSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454147343HEALTHCAREINIUHN/A00false$0false0.00000
CARDINAL HEALTH INITIATIVES LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204300102702PURCHASINGINIUHBMHN/A00false$0false0.00000
CHV FUND I LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204262523206VENTURE CAPITALINIUHN/A00false$0false0.00000
CHV FUND MANAGEMENT LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204262523151VENTURE CAPITALINCHVN/A00false$0false0.00000
CLARIAN HEALTH NETWORK LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204352055030HEALTHCAREINIUHN/A00false$0false0.00000
EAGLE HIGHLANDS SURGERY CENTER LLC
3000 RIVERCAHSE GALLERIA STE 500BIRMINGHAMAL35244352259204HEALTHCAREINEHSCHN/A00false$0false0.00000
EHSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454147879HEALTHCAREINIUHN/A00false$0false0.00000
HEALTH VENTURE MANAGEMENT LLC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204205740218MANAGEMENTINIUHN/A00false$0false0.00000
IEC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148032HEALTHCAREINIUHN/A00false$0false0.00000
INDIANA ENDOSCOPY CENTERS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244208398421HEALTHCAREINIECHN/A00false$0false0.00000
BSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244452314634HEALTHCAREINIUHN/A00false$0false0.00000
MID-AMERICA SURGERY CENTER LLC
2401 W UNIVERSITY AVEMUNCIEIN47303352002953HEALTHCAREINCDHVN/A00false$0false0.00000
ROC SURGERY LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244271497960HEALTHCAREINROCSHN/A00false$0false0.00000
ROCS HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148369HEALTHCAREINIUHN/A00false$0false0.00000
SENATE STREET SURGERY CENTER LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244421709357HEALTHCAREINSSSCHN/A00false$0false0.00000
SSSC HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244454148167HEALTHCAREINIUHN/A00false$0false0.00000
CARDINAL HEALTH ALLIANCE LLC
2401 W UNIVERSITY AVEMUNCIEIN47303351966281MANAGED CAREINIUHN/A00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
BMH MEDICAL PAVILION ASSOCIATION INC
2525 W UNIVERSITY AVEMUNCIEIN47303351858408CONDO MANAGEMENTINIUHBMHC000.00000true
CARDINAL HEALTH VENTURES INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204351611424MANAGEMENTINIUHBMHC000.00000true
CHV CAPITAL INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204260752507VENTURE CAPITALINIUHC000.00000true
IU HEALTH ACO INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204454421020HEALTHCAREINIUHC000.00000true
IU HEALTH BOARD DESIGNATED TRUST
400 HOWARD STSAN FRANCISCOCA94105306309021INVESTMENTSINIUHT000.00000true
IU HEALTH NTGI S&P500 FUND CF
PO BOX 804358CHICAGOIL60680306298263INVESTMENTSINIUHT000.00000true
IU HEALTH PLANS INC
1776 MERIDIAN ST STE 300INDIANAPOLISIN46202262127080HMOINIUHC000.00000true
IU HEALTH RISK PURCHASING GROUP INC
151 MEETING ST STE 301CHARLESTONSC29401260202446INSURANCEINIUHC000.00000true
IUH HEALTH RISK RETENTION GROUP INC
151 MEETING ST STE 301CHARLESTONSC29401201107674INSURANCESCIUHC000.00000true
IU HEALTH SOUTHERN IN PHYSICIANS INC
PO BOX 1149BLOOMINGTONIN47402351913875HEALTHCAREINIUHBC000.00000true
IUH ASSURANCE LTD
980395429INSURANCEIUHC000.00000truePO BOX 69SOLARIS AVE.GRAND CAYMANCJCJ
OCC-HEALTH REVENUE SYSTEMS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204203308057WORK COMP PPOINMOHCC8617112591.00000true
PARKMOR DRUG INC
1501 S MAIN STGOSHENIN46526131394980PHARMACY SALESINGHSC000.00000true
PILR INC
200 HIGH PARK AVEGOSHENIN46526204294750DEVELOPMENTINGHSC000.00000true
RADIATION ONCOLOGY RESOURCES INC
200 HIGH PARK AVEGOSHENIN46526262008424HEALTHCAREINGHSC000.00000true
SCANS INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204453080392HEALTHCAREINCHVF1C000.00000true
UNIVERSITY HEALTH MANAGEMENT INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204272891143MANAGEMENTINCHVC000.00000true
UNIVERSITY HEALTH MGMT (CHINA) INC
950 N MERIDIAN ST STE 800INDIANAPOLISIN46204273891311MANAGEMENTINCHVC000.00000true
PROTEUO FUND LP
981075227INVESTMENTSIUHC000.00000trueCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
IU HEALTH ARNETT INC
K74061FMV
IU HEALTH ARNETT INC
L319887FMV
IU HEALTH BALL MEMORIAL HOSPITAL INC
L290539FMV
IU HEALTH CARE ASSOCIATES INC
L169288FMV
IU HEALTH NORTH HOSPITAL INC
L113961FMV
IU HEALTH WEST HOSPITAL INC
L106353FMV
IU HEALTH BALL MEMORIAL HOSPITAL INC
M89604FMV
INDIANA RADIOLOGY PARTNERS INC
M200565FMV
IU HEALTH RISK RETENTION GROUP INC
R134027FMV

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